Discover and read the best of Twitter Threads about #ehjacvc

Most recents (4)

Acute LDL-C reduction post ACS:
Strike early and strong!
A @escardio clinical consensus statement.

We believe it was time to add to "the lower the better" concept, the concept of "early and strong" LDL-C reduction after an ACS.

Why? A thread. 1/7

doi.org/10.1093/ehjacc…
Current @escardio guidelines recommend a LDL-C goal of <55mg/dL & 50% reduction in all patients with established ASCVD and a step-wise approach to lipid-lowering therapy to get there.

2/7

doi.org/10.1093/eurhea…
The problem:

1) Observational data from several health systems consistently show failure in LDL-C goal achievement and intensification of lipid-lowering therapy.
2) Risk is particularly high in the early phase

3/7

doi.org/10.1001/jamaca…
10.1093/eurheartj/ehu505
Read 8 tweets
What is your take on #vasodilators in acute #HeartFailure? The upcoming November issue of #EHJACVC will bring you a PRO/CON "Vasodilator therapy in acute heart failure revisited"

As our PRO paper was published in advanced access, a sneak preview Tweetorial below...

@EHJACVCEiC
First some background...
Current @escardio guidelines state (IIb, B): "In patients with AHF and a systolic blood pressure (SBP) >110 mmHg, intravenous vasodilators may be considered as an initial therapy to improve symptoms and reduce congestion."
Only 1 flowchart has them in...
So far, I consider this a fair recommendation... In hyper/normotensive pulmonary oedema, they might be helpful in some cases, with their main benefit a reduced need for (non-)invasive ventilation!

Beautiful (older) trial by Gad Cotter on this: thelancet.com/journals/lance…
Read 14 tweets
Don't miss our monthly educational review #EHJACVC @ESC_Journals!

This month by the great @ArgaizR: fluids in #AKI
Co-starring: @ThinkingCC @khaycock2

Extremely proud that our journal offers a platform to 3 great clinicians & Twitter educators. I always learn from them... Image
A strong argument is made to switch mainstream thinking in #AKI away from the fallacious concept of fluid responsiveness in all to a primary assessment of fluid tolerance.

Probably the most important thing I have learned on Twitter: #VExUS Image
Why do I like #VExUS so much? Because it really changed my everyday practice... Portal vein became part of my standard #echocardiography assessment.

And that's what we want to achieve with this review, offer something directly applicable at your bedside! Image
Read 5 tweets
1. Hot off the press - #EHJACVC Issue 1/2021 tweetorial 🔽

The issue opens with an editorial by new EiC @VranckxPascal, highlighting the aims of the journal, presenting the new editorial board and thanking @cvrints, former EiC academic.oup.com/ehjacc/article…

#ACVC_ESC #cardiotwitter
2. Issue focus: #CardiogenicShock (CS) management.

In the new "Sciencepulse", chaired by @ingo_ahrens, David Morrow from @BrighamWomens and @thiele_holger discuss differences and commonalities in CS management in Europe and North America academic.oup.com/ehjacc/article…
3. In an editorial titled "Potential growth in cardiogenic shock research though an international registry collaboration", @seanvandiepen and Dave Morrow call for a Hub-of-Spokes model in #CardiogenicShock research academic.oup.com/ehjacc/article…

#EHJACVC #CardioEd
Read 16 tweets

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