Discover and read the best of Twitter Threads about #aspc2021
Most recents (7)
1/ Day 3 & last session of #ASPC2021 on special populations
Talk on MI & HF among people with HIV by Dr. Markella Zanni
Follow this🧵on:
🔹MI risk in people w/ HIV
🔹HF in PWH
🔹CVD preventive approaches tailored to people w/ HIV
@ASPCardio @CardioNerds
Talk on MI & HF among people with HIV by Dr. Markella Zanni
Follow this🧵on:
🔹MI risk in people w/ HIV
🔹HF in PWH
🔹CVD preventive approaches tailored to people w/ HIV
@ASPCardio @CardioNerds
2/ Patients with HIV are now living longer ➡️increased risk of CVD
Global burden of atherosclerotic CVD in people living with HIV has tripled over past 2 decades
Relative risk of MI is 1.5-2 in high-income countries
pubmed.ncbi.nlm.nih.gov/23459863/
#ASPC2021
Global burden of atherosclerotic CVD in people living with HIV has tripled over past 2 decades
Relative risk of MI is 1.5-2 in high-income countries
pubmed.ncbi.nlm.nih.gov/23459863/
#ASPC2021
3/ From US Partners database study – adjusted relative risk for MI was around 3 for women & 1.5 for men – regionally specific
Type 1 vs. type 2 MI: both ~50%
Women – more type 2 MI
pubmed.ncbi.nlm.nih.gov/17456578/
#ASPC2021
Type 1 vs. type 2 MI: both ~50%
Women – more type 2 MI
pubmed.ncbi.nlm.nih.gov/17456578/
#ASPC2021
1/ #ASPC2021 talk for Honorary Fellowship Award by @NMHheartdoc on New Kind of Prevention – Reducing CV Health Disparities at Community and Individual Level
🧵from session
@ASPCardio @CardioNerds
🧵from session
@ASPCardio @CardioNerds
2/ #ASPC2021
Covid-19 deaths by race and ethnicity in the US:
1 in 555 Black Americans has died
Populations w/ highest disease burden➡️ lowest vaccination rates
Covid-19 deaths by race and ethnicity in the US:
1 in 555 Black Americans has died
Populations w/ highest disease burden➡️ lowest vaccination rates
3/ Any discussion of prevention shouldn’t start at hypertension, dyslipidemia, but at the root cause of those inequities.
Need to address policy. All policy is health policy.
Stolen breaths nejm.org/doi/full/10.10…
#ASPC2021
Need to address policy. All policy is health policy.
Stolen breaths nejm.org/doi/full/10.10…
#ASPC2021
1/ The great debate begins with an intro by @DrMarthaGulati!!
What an incredible program with unique guests.
4/5 debaters are WIC!!
#ASPC2021
Let the debate begin.
Vote in the last.
What an incredible program with unique guests.
4/5 debaters are WIC!!
#ASPC2021
Let the debate begin.
Vote in the last.
2/43 Year/M with pre-DM and obesity with a recent gain of 19 lb during pandemic seeks a diet opinion from various experts:
EKG: NSR
Chol: 240, LDL: 140
Apo B: 120
CAC=0
HbA1c: 5.8%
Which diet is right??
#ASPC2021
EKG: NSR
Chol: 240, LDL: 140
Apo B: 120
CAC=0
HbA1c: 5.8%
Which diet is right??
#ASPC2021
Mediterranean diet:
@TracySeversonRD
Rich is legumes, Grains
Olive oil is the key
Low in fish, milk, and dairy products
#ASPC2021
@TracySeversonRD
Rich is legumes, Grains
Olive oil is the key
Low in fish, milk, and dairy products
#ASPC2021
1/ Great #ASPC2021 session by @RonBlankstein on Chest Pain and Imaging
Follow this🧵for some takeaways on
🟣Stress Testing vs. Anatomical Testing
🟣Coronary CTA
🟣Guidelines
@ASPCardio @CardioNerds
Follow this🧵for some takeaways on
🟣Stress Testing vs. Anatomical Testing
🟣Coronary CTA
🟣Guidelines
@ASPCardio @CardioNerds
2/ ‼️ Imaging tests alone do NOT change pt outcomes but how we act on them might
‼️ No one test is always the best test
‼️ Test selection influenced by multiple factors: local availability, prior training, guidelines, evidence
🔜AHA/ACC New Chest Pain Guidelines
#ASPC2021
‼️ No one test is always the best test
‼️ Test selection influenced by multiple factors: local availability, prior training, guidelines, evidence
🔜AHA/ACC New Chest Pain Guidelines
#ASPC2021
3/ Stress testing vs. Anatomical
ETT: exercise capacity, not as great for ischemia
SPECT MPI: reversible perfusion deficits, underestimates extent of disease esp if multi-vessel
PET MPI: measure absolute blood flow, calculate myocardial blood flow reserve
#ASPC2021
ETT: exercise capacity, not as great for ischemia
SPECT MPI: reversible perfusion deficits, underestimates extent of disease esp if multi-vessel
PET MPI: measure absolute blood flow, calculate myocardial blood flow reserve
#ASPC2021
1/ #ASPC2021 Day 2 continues!
@DrMarthaGulati presents on Ischemic Heart Disease Without Obstructive Coronary Arteries (INOCA)
Follow this🧵on INOCA:
♦️Outcomes
♦️Mechanisms of ischemia and diagnosis
♦️Guidelines
@ASPCardio @CardioNerds
@DrMarthaGulati presents on Ischemic Heart Disease Without Obstructive Coronary Arteries (INOCA)
Follow this🧵on INOCA:
♦️Outcomes
♦️Mechanisms of ischemia and diagnosis
♦️Guidelines
@ASPCardio @CardioNerds
2/ Definition of INOCA: symptoms of ischemia in the absence of obstructive CAD or flow-limited disease
Check out this great infographic by @najahakhan, @CardioNerds Academy Fellow, on INOCA
#ASPC2021
Check out this great infographic by @najahakhan, @CardioNerds Academy Fellow, on INOCA
#ASPC2021
3/ ✨Obstructive CAD is just one phenotype of IHD✨
INOCA – often normal LVEF, originally thought ischemia not present
But data shows elevated risk for cardiac events➡️poor outcomes
Guidelines haven’t caught up yet – focus on obstructive lesions
#ASPC2021
INOCA – often normal LVEF, originally thought ischemia not present
But data shows elevated risk for cardiac events➡️poor outcomes
Guidelines haven’t caught up yet – focus on obstructive lesions
#ASPC2021
1/ Great #ASPC2021 session by @dramitkhera on ACS in Patients with COVID-19
Follow this🧵on pts w/ COVID
🔷Prevention of ACS events
🔷Identification of ACS
🔷Management of ACS
@ASPCardio @CardioNerds
Follow this🧵on pts w/ COVID
🔷Prevention of ACS events
🔷Identification of ACS
🔷Management of ACS
@ASPCardio @CardioNerds
2/ 8 fold📈in AMI w/ COVID even in pts with no ASCVD/FH
Absolute risk for AMI📈in pts with ASCVD. Even higher for FH +ASCVD bit.ly/3eJ2csW
Based on NHANES, 75% of US pop has risk factors (CKD, obesity, smoking, T2DM) for severe COVID
bit.ly/3xYxpQn
#ASPC2021
Absolute risk for AMI📈in pts with ASCVD. Even higher for FH +ASCVD bit.ly/3eJ2csW
Based on NHANES, 75% of US pop has risk factors (CKD, obesity, smoking, T2DM) for severe COVID
bit.ly/3xYxpQn
#ASPC2021
3/ 🌟Prevention of ACS🌟
🗝️Address barriers to medication adherence and access
🗝️Team-based approach
🗝️Regular physical activity and nutrition
🗝️Cardiac rehab
🗝️Utilize telehealth
🗝️Counsel on promptly reporting new symptoms
#ASPC2021
🗝️Address barriers to medication adherence and access
🗝️Team-based approach
🗝️Regular physical activity and nutrition
🗝️Cardiac rehab
🗝️Utilize telehealth
🗝️Counsel on promptly reporting new symptoms
#ASPC2021
#ASPC2021
Evolution of ABCs of Primary Prevention by Cardiac disease
How the guidelines have changed over the last two decade
@rickferraro getting plugged at #ASPC2021
Evolution of ABCs of Primary Prevention by Cardiac disease
How the guidelines have changed over the last two decade
@rickferraro getting plugged at #ASPC2021
ABCDEF of prevention is important!!
A: Assess risk
B: BP
C: Cholesterol/Cigarette
D: Diabetes/Diet/Weight
E: Exercise/Education
F: Failure
Shared decision making is the key to the prevention
#ASPC2021
A: Assess risk
B: BP
C: Cholesterol/Cigarette
D: Diabetes/Diet/Weight
E: Exercise/Education
F: Failure
Shared decision making is the key to the prevention
#ASPC2021
@CardioNerds @DrMarthaGulati @ErinMichos @khurramn1 Identifying and providing help with social determinants of health is the first aspect of prevention.
Risk stratification by ASCVD risk is the next step to guide the optimal therapy.
#ASPC2021
Risk stratification by ASCVD risk is the next step to guide the optimal therapy.
#ASPC2021
