Discover and read the best of Twitter Threads about #cad

Most recents (24)

Check out Top 10🔑points from the 🆕ACC/@American_Heart/@HFSA Guideline for the Management of #HeartFailure #CardioTwitter #ClinicalGuidelines #ACC22

🧵Key Points👇
1⃣ Guideline-directed medical therapy for #HeartFailure w/ reduced ejection fraction #HFrEF now incorporates four medication classes that include #SGLT2i. #ClinicalGuidelines
2⃣ #SGLT2i have a Class of Recommendation 2a in #HFmrEF. Weaker recommendations (COR 2b) are made for ARNi, ACEi, ARB, MRA & beta blockers in this population. #ClinicalGuidelines
Read 11 tweets
1) Welcome to @cardiomet_CE's new series on #lipid management! This is a 10-#tweetorial program, all #accredited, that will cover it all. Our first expert author is Paul Thompson MD @PaulDThompsonMD, esteemed #cardiologist from @hartfordhosp @UConn Med & now @MGHHeartHealth ! Image
2) This #tweetorial, accredited for #CME/CE and intended for #physicians #physicianassociates #nurses #nursepractitioners #pharmacists is supported by an educational grant from Esperion Therapeutics. See faculty disclosures at cardiometabolic-ce.com/disclosures/.
3) @PaulDThompsonMD took on education re mechanisms & use of ezetimibe & bempedoic acid. He proposes a case: 45 ♂️ w/history of inferior wall #MI treated with primary angioplasty.
Read 57 tweets
1) Welcome to an #accredited #tweetorial on a unique emerging (in Ph3 now) option for specifically reversing the #antiplatelet effects of #ticagrelor: it's #bentracimab. Expert faculty is antithrombotic agent reversal guru @md_pollack of @UMMCnews, working to create #AHealthierMS
2) This program is intended for #healthcare professionals and is supported by an educational grant from PhaseBio Pharmaceuticals. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/, and prior programs are available for 🆓CE/#CME credit at cardiometabolic-ce.com.
3) It is an unfortunate fact of life that one cannot prescribe #anticoagulant or #antiplatelet (together, #antithrombotic) therapy without increasing a patient's #bleedingrisk. That is why it should be an individualized risk:benefit decision, ideally . . .
Read 51 tweets
1️⃣ Variability in #CAD testing for pts with new-onset heart failure #HF

Prevalence of CAD is 50-60% in HF.

Only 35% of pts underwent CAD testing (21% coronary angiogram) during the 90 days before and after initial HF diagnosis, and 9% underwent revasc.

jacc.org/doi/10.1016/j.…
2️⃣ Pts who underwent CAD testing were more likely to be younger, male, and have systolic dysfunction.
Significant social disparities: CAD testing was used less in women and Black pts.
3️⃣ Pts managed by a cardiologist were more likely to undergo CAD testing, compared with those managed by a PCP (57% vs. 16%; aOR 5.12). However, great variations across cardiologists, as well as across US regions.
Read 5 tweets
Top Tech in Biotech names.

Looking at top 3 companies using #AI, #ML, #Automation, #DeepLearning and #CAD in biotech drug discovery.
This is one space where I have a very hard time picking a favorite out of my top 3 of $SDGR, $RXRX and $EXAI. Each of these companies is using technology in a very powerful way to drive drug discovery.
It can take many years and over $1 billion in cost to developing a drug as 90% of new science fails to reach commercial. That is due to most of biotech being trial and error. By using technology, we can lower the cost and improve the chances of success.
Read 9 tweets
Beni anlamanız için benim kafamdaki düşünceleri analiz etmeniz lazımdır. Bende bunları ara sıra RT vb ediyorum.
Teknik daha sonra..
Genel anlamda baktığımızda, hane halkının bu işten sıyrılması kolay değildir, en fazla korunur. Kazanmak içinse çok parası olması lazımdır.. Varsa zaten ona halk denmez iş adamı denir. Enstrümanlar çıksa hayat pahalanıyor. Düşse malda yakalanacaklar.. Çözüm korunacaksın.
Sen gitmişsin bu dalgalı deniz de kazanç peşine düşüyorsun. Olur mu ? Bir politika değişimi, ters düz olursun.. Kanal boylarını görmüyor musunuz ?
Read 12 tweets
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter Image
Read 49 tweets
#WeekendLecture
#GeneticsAndStroke

#Genetics is involved in several #stroke related conditions, such as small vessel disease #SVD, aneurysms, dissections, cavernomas, and intracranial #hemorrhages

Check this 🧵!
Prepared by @J_Rosales_MD
Edited by @interneurona Image
#Weekendlecture

#Genetic & #SVD
🧬🧠

✅1,5% of cerebral #SVD are #monogenic disorders
✅AR, AD or X-linked
☝🏼Absence of family history doesn't rule out diagnosis because of
👉de novo mutation
👉reduced expression or
👉incomplete penetrance
ahajournals.org/doi/10.1161/ST…
#Weekendlecture

#Genetic & #SVD

When to #suspect?🕵️‍♀️

✅early onset stroke without vascular RFs
✅systemic features and neuroimaging of an specific monogenic disorder
✅consanguinity
✅negative work up for other causes of SVD

👉ahajournals.org/doi/10.1161/ST… Image
Read 15 tweets
#idweek2021 @IDSAInfo Implications of #COVID19 in African-American & Latinx communities by Dr Hewlett Jr #idtwitter #medEd
#idweek2021 @IDSAInfo #disparities
Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #pregnancy #obgyntwitter
#idweek2021 @IDSAInfo #disparities Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #diabetes #obesity #race #FrontlineWorkers vascular disease
Read 6 tweets
#WeekendLecture
#CarotidArteryDisease #CAD

#CAD causes ~ 10-20% of #strokes
Atherosclerosis occurs most frequently at carotid #bifurcation, an area of low vessel-wall shear stress and oscillatory/turbulent blood flow

Welcome to this mini review!
#WeekendLecture
#CAD
Endothelial dysfunction
⬇️
Inflammatory response to Lp retention in arterial wall
⬇️
Accelerated accumulation of Lp in subendothelial matrix
⬇️
Macrophages
⬇️
VSCM migrate/proliferate to fibroblast-like cells👉 production of EC matrix
atm.amegroups.com/article/view/7…
#WeekendLecture
#CAD
Stroke Mechanisms
#artery_to_artery embolization: retinal (amaurosis fugax) or cerebral circulation
#thrombosis in situ
#Flow reduction in high grade stenosis: #watershed infarcts, repetitive and brief TIAs (ie limb shaking)

nejm.org/doi/full/10.10…
Read 12 tweets
Obstructive CAD is just one etiology of ischemia. If no obstructive disease, consider coronary microvascular dysfunction #CMD. So what is best imaging modality for CMD? @VTaqMD #SCCT2021 ImageImageImageImage
How to evaluate for #CMD? A multidimensional cardiac stress PET test can evaluation for perfusion, function, and coronary blood flow. @VTaqMD #SCCT2021 ImageImageImage
Distribution of risk by coronary flow reserve #CFR. Even in absence of inducible ischemia or obstructive lesions, impaired CFR is associated with increased CVD risk. When severely impaired, CFR more prognostically significant in women. @VTaqMD #SCCT2021 ImageImageImageImage
Read 6 tweets
Women are not smaller men! #Atherosclerosis genesis, progression & sequelae different in women. Plaque erosion causing ACS more common in women. Women have unique #SDOH, are undertreated with #cvPrev therapies & #GDMT, leads to worsening outcomes in women. @lesleejshaw #SCCT2021 ImageImageImage
Women’s CVD risk can be underestimated. Female specific risk enhancers help. #CAC if risk uncertain. Women have lower #CAC prevalence than men but prevalence increases after menopause. CAC when present confers greater risk of incident CVD in women than men. @lesleejshaw #SCCT2021 ImageImageImage
Prevalence of non-obstructive #CAD is higher in women but is prognostic of risk. @lesleejshaw #SCCT2021 ImageImageImage
Read 6 tweets
#CMGsays: Join here tomorrow for the launch of a new accredited tweetorial on optimal management of diabetic and other high-risk patients with stable CAD, particularly those with previous PCI, to reduce the risk of MI or stroke. Expert faculty is the incomparable @CMichaelGibson
And you’ll learn how these data should impact your practice: Image
Read 27 tweets
Rural Broadband project, #BharatNet,rolled out by @narendramodi govt,to be implemented via PPP model,will ensure,every inhabited village in 16 States will have Optical Fibre Connectivity,with overall cost at 19041 Cr

3.61 lakh villages will get broadband,OTT&Multi media Services Image
On economic front,good news is,for FY21,India saw Current Account Surplus (CAS) of 0.9% of GDP,versus Current Account Deficit (CAD) of 0.9% in FY20

Under inept #Congress,#CAD rose to 6.8% in 2013 but it has been less than 2% in last 7yrs,under @narendramodi govt,which bodes well
Just look at the kind of transformative work being done by @narendramodi &his team

PM Matsya Sampada Yojana to boost #Pisciculture,with a Rs 20000 Cr corpus &subsidy in the range of 40%-60%,is a huge boost to agri&allied services sector

#Modinomics #PMModi #ModiHaiTohMumkinHai Image
Read 9 tweets
Join here tomorrow for the launch of a new accredited tweetorial on DAPT in patients with stable CAD+diabetes who have not (yet!) had an MI or stroke! Earn 0.5 CE/CME credits: physicians, nurses, pharmacists! Expert faculty @gabrielsteg. #medtwitter @academiccme #CardioTwitter
1) Welcome to a #tweetorial on #DAPT in patients with stable CAD+#diabetes who have not had an MI or stroke. Accredited for 0.5h by @academiccme: #physicians, #nurses, #pharmacists! I am @gabrielsteg . . .
. . . This educational activity is intended for healthcare providers and is supported by grants from Abbott, AstraZeneca, Bayer, Chiesi, and NovoNordisk.
Read 30 tweets
İsyancılarla çıkan çatışmada ölen Çad lideri İdris Deby…

11 Nisan’da yapılan seçimlere göre oyların % 80’ini alarak 6. kez Cumhurbaşkanı seçilmişti. Kuzey #Afrika ve Sahel bölgesindeki radikal örgütlere karşı mücadelenin sembol ismi haline gelmişti.
NY Times'a göre bölgenin en donanımlı askeri birliklerini oluşturdu. İnsan hakları ve muhaliflere yönelik baskılara rağmen ABD ve Fransa ile çok iyi ilişkilere sahipti. Belki de 31 yıllık iktidarının en büyük sebeplerinden biri de buydu. Güçlü ve mücadeleciydi.
İrili ufaklı o kadar fazla isyanı bastırdı ki Çad medyası bile tam çetelesini tutamamıştı.

Geçtiğimiz ay ülkesindeki etnik ve dini çatışmalara bir yenisi daha eklenmişti. Nisan ayındaki seçimlerden sonra ülkenin farklı bölgelerinde Araplar ile Dagallar arasında çatışma çıktı.
Read 8 tweets
What factors are considered by banks when assessing credit risk to customers?
Credit Risk Management is part of IRA - Integrated Risk Assessment that is carried out by banks to measure transaction and obligor default risks.
The credit risk assessment goes through stages =>
Front Office (RMs at the branches and/or Head Office prepare the credit application/ Clp for further processing).
Middle Office (Financial Risk Management Analysis for checking the Basel Pillar 1/2 Compliance Requirements, to check the BRMC - Board Risk Management Approved and Assigned Risk Appetite Limits etc.)
Read 22 tweets
Rabobank 1/9: #CFTC Commitment of Traders Report
Speculators’ net #USD positions held in positive territory for the 4th consecutive week, though overall size dropped moderately along with the softer tone of the greenback in the spot market. Previous to this the market had not had
Rabobank 2/9: a run of net long positions since June 2020. The USD has been one of the best performing G10 currencies this year reflecting reflation optimism and a shift in expectations regarding Fed rates policy.

#EUR net longs dropped to their lowest level since March 2020.
Rabobank 3/9: Concerns about the speed of the vaccine roll-out programme in #Eurozone have been constraining expectations regarding the economic recovery in the region as fears about a third wave spread. ECB has brought forward bond purchases to push down the level of bond yields
Read 9 tweets
Citibank 1/11: Week Ahead – key data/ events:
#USD: CPI MoM – Citi: 0.6%, median: 0.5%, prior: 0.4%; CPI YoY – Citi: 2.7%, median: 2.5%, prior: 1.7%; PI ex Food, Energy MoM – Citi: 0.2%, median: 0.2%, prior: 0.1%; CPI ex Food, Energy YoY – Citi: 1.6%, median: 1.5%, prior: 1.3%
Citibank 2/11: - Citi analysts expect a solid increase of 0.23%MoM in core CPI in March with upside risk for many components. The team expects March to show the start of price gains for a number of components that have been held down by soft demand.
Citibank 3/11: Retail Sales – Citi: 6.3%, median: 5.4%, prior: -3.0%; Retail Sales ex Auto – Citi: 4.9%, median: 4.8%, prior: -2.7%; Retail Sales ex Auto, Gas – Citi: 4.9%, median: 6.3%, prior: -3.3%; Retail Sales Control Group – Citi: 4.7%, median: 6.9%, prior: -3.5% -
Read 11 tweets
Letzter Thread für die diesjährige #DGKJahrestagung mit der Zusammenfassung der

🔥Highlight Session🔥

Danke allen Organisatoren und der Administration der @DGK_org (Frau Wilke, Frau Kacmaz, Frau Kersken und allen anderen die im Verborgenen bleiben) von meiner Seite!

RESPEKT!
Danke auch meinen #DGKAmbassadors-Kollegen und vor allem meinen @AGIKinterv-Buddies (@kaschenke @HolgerNef @MarcVorpahl @thiele_holger) für tolle Zusammenarbeit für die #DGKJahrestagung 2021:
1.1/ ➡️Highlights "Experimentelle Kardiologie" by Jürgen Schrader | Düsseldorf
PART1

#DGKJahrestagung 2021
Read 27 tweets
Thread on the 🔥talk by @HolgerNef on:

➡️Future perspectives in interventional Cardiology (#IC)
- The next 5 years...a lot to come -

#DGKJahrestagung 2021 @AGIKinterv Image
3/ The value of physiology in #CAD
#FFR #iFR #QFR

➡️Utilization and Outcomes of Measuring Fractional Flow Reserve in Patients With Stable Ischemic Heart Disease
Data by @rushiparikh11:
sciencedirect.com/science/articl…

#DGKJahrestagung 2021 @AGIKinterv Image
Read 7 tweets
Citibank 1/5: Data releases Friday:
#USD: Nonfarm #payrolls - fewer new jobs leave markets pricing a bigger fiscal expansion – US economy adds just 49K jobs in Jan, sharply weaker than consensus for 105K. But hiring as measured in the household survey shows employment up by 201K,
Citibank 2/5: leading the unemployment rate to decline from 6.7% to 6.3%. Average hourly earnings rise 0.2%MoM. Market react to the weaker jobs report (higher US yields and weaker USD) by pricing an increased probability of a larger US fiscal package.
Citibank 3/5: Citi analysts now expect a ~$1.5trln package in March & raising US nominal GDP by 0.7pp with about 2/3 of that showing up as real growth & 1/3 in faster inflation. Citi analysts expect 5.4%YoY real US GDP growth in 2021 and 2.1-2.2%YoY core PCE inflation at year-end
Read 5 tweets
Rabobank 1/8: #CFTC #CommitmentofTraders Report:
Net #USD short positions were little changed last week though a modest increase was recorded. Net shorts remain near recent highs and are therefore not reflecting this year’s improved performance of the USD in the spot market.
Rabobank 2/8: Focus is on the size of the Biden fiscal giveaway and the relative success of vaccine roll-out programmes. Rising inflation expectations appear out of kilter with the Fed’s very cautious tone.
#EUR net longs dropped back sharply. In spot market it appears that
Rabobank 3/8: the EUR is being undermined by the slow vaccine roll-out programme in the EU. This is supporting talk that the region could fall behind in the reflation trade.
Net #GBP long positions edged higher but remain below recent highs.
Read 8 tweets
#DKA Cetoacidosis Diabética #CAD:
Complicaciones Neurológicas

#PedsICU

Abro hilo, iniciamos, y abiertos los comentarios👩‍⚕️🧑‍⚕️
Basado en la presentación realizada en la 1ra. Jornada Internacional Virtual de Terapia Intensiva Pediátrica, organizada por la UCIP del Instituto Nacional de Salud del Niño, Perú.
Frase de Julio Ramón Ribeyro, escritor peruano.
Iniciamos:
Los propósitos son claros:
Introducción de la lesión cerebral. Herramientas para el monitoreo. El Tratamiento y sus repercusiones. Y, ampliar el panorama neurológico que tenemos actualmente.
Nos valdremos de una analogía: el ajedrez. Ya sabrás después el por qué.
Read 57 tweets

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