Discover and read the best of Twitter Threads about #scotheart
Most recents (5)
Thank u @Heart_SCCT @jolson106
Was an honor serving on #ASM committee #SCCT2022 & congrats @ghoshhajra for leading this team
My takeaways:
1) #ISCHEMIA captured current landscape of functional testing & put anatomy vs ischemia discussions in the center
ahajournals.org/doi/10.1161/CI…
Was an honor serving on #ASM committee #SCCT2022 & congrats @ghoshhajra for leading this team
My takeaways:
1) #ISCHEMIA captured current landscape of functional testing & put anatomy vs ischemia discussions in the center
ahajournals.org/doi/10.1161/CI…
2) We learned from those excluded from the trial as much as we did from those included #CIAO-ISCHEMIA
#SCCT2022
ahajournals.org/doi/10.1161/CI…
#SCCT2022
ahajournals.org/doi/10.1161/CI…
3) #DISCHARGE trial will make way for cathlabs to focus on complex procedures as #YesCCT assumes most diagnostic evaluations
nejm.org/doi/full/10.10…
#SCCT2022 @NEJM
nejm.org/doi/full/10.10…
#SCCT2022 @NEJM
⚡️ #YesCCT Coronary Plaque Assessment #Tweetorial ⚡️
By @CoronaryDoc + @AChoiHeart
✅ Why Plaque Assessment?
✅ High Risk Plaque Features
✅ Plaque Characterization/Quantification
✅ Supporting Clinical Data
#CardioTwitter #ACCImaging #SCCT2019 @heart_scct @journalCCT
1/14
By @CoronaryDoc + @AChoiHeart
✅ Why Plaque Assessment?
✅ High Risk Plaque Features
✅ Plaque Characterization/Quantification
✅ Supporting Clinical Data
#CardioTwitter #ACCImaging #SCCT2019 @heart_scct @journalCCT
1/14
2/14
As #SCD or #MI is 1st symptom of #atherosclerosis in 2/3 of pts, early ID of #CAD is of paramount importance
#YesCCT allows for
✅ ID of plaque
✅ Quant. of plaque
✅ Characterization of plaque
✅ Arterial remodeling
Lin, @LubbDup & @lesleejshaw: bit.ly/2x1b5Yz
As #SCD or #MI is 1st symptom of #atherosclerosis in 2/3 of pts, early ID of #CAD is of paramount importance
#YesCCT allows for
✅ ID of plaque
✅ Quant. of plaque
✅ Characterization of plaque
✅ Arterial remodeling
Lin, @LubbDup & @lesleejshaw: bit.ly/2x1b5Yz
3/14
Serial angiographic studies have demonstrated an accelerated & rapid plaque progression before most cases of ACS
Rapid plaque growth ➡️ plaque rupture ➡️ thrombus formation ➡️ MI
@LubbDup & @JonathonLeipsic et al: bit.ly/2WIt5Bj
Serial angiographic studies have demonstrated an accelerated & rapid plaque progression before most cases of ACS
Rapid plaque growth ➡️ plaque rupture ➡️ thrombus formation ➡️ MI
@LubbDup & @JonathonLeipsic et al: bit.ly/2WIt5Bj
1| Good #cardiotwitter on #SCOTHeart. Others have tweeted reasons y believable. Here is my reply tweetorial
@khurramn1 @AChoiHeart @MarcDweck @JWeirMcCall @rwyeh @drjohnm @venkmurthy @DavidLBrownMD @RogueRad
#ESCCongress
Linking my original tweetorial:
@khurramn1 @AChoiHeart @MarcDweck @JWeirMcCall @rwyeh @drjohnm @venkmurthy @DavidLBrownMD @RogueRad
#ESCCongress
Linking my original tweetorial:
2| Let's start with MI def. Billing codes less accurate than adjudicated MI outcomes, yes? Could be nondiff misclassification which bias to null. But could also be diff w/ ascertainment bias (look harder, anchoring) knowing CCTA result, since 2/3rds normal or nonobstruct.
3| It is conjecture. But basis of clinical reasoning is to factor in test results. The posterior probability for this theory moves up much higher when we try to figure out by what mechanism did a diagnostic testing strategy lead to better outcomes, since the radiation did zilch
#ESCCongress Day2 stirred up discussion
Suggest 👀 following 1-4
Tweetorials, articles, slides, guidelines
@escardio @ESC_Journals @Steph_Achenbach @EuroInterventio #EAPCI @PCRonline
1
Tweetorials
@rwyeh Validation of Scores
@AnilMakam #SCOTHeart
@venkmurthy #ADVANCE CT-FFR
Suggest 👀 following 1-4
Tweetorials, articles, slides, guidelines
@escardio @ESC_Journals @Steph_Achenbach @EuroInterventio #EAPCI @PCRonline
1
Tweetorials
@rwyeh Validation of Scores
@AnilMakam #SCOTHeart
@venkmurthy #ADVANCE CT-FFR
#ESCCongress 👀 2
Articles
#ASCEND nejm.org/doi/full/10.10…
#SCOTHeart nejm.org/doi/full/10.10…
#DAPTSCORE Validation acc.org/latest-in-card…
#ARRIVE hubs.ly/H0dxDh50
#Burnout kevinmd.com/blog/2018/03/b…
Articles
#ASCEND nejm.org/doi/full/10.10…
#SCOTHeart nejm.org/doi/full/10.10…
#DAPTSCORE Validation acc.org/latest-in-card…
#ARRIVE hubs.ly/H0dxDh50
#Burnout kevinmd.com/blog/2018/03/b…
#ESCCongress 👀3
SlidesShare via @CMichaelGibson
Part 1
#CulpritShock clinicaltrialresults.org/Slides/ESC2018…
#Matrix clinicaltrialresults.org/Slides/ESC2018…
#FUTURE clinicaltrialresults.org/Slides/ESC2018…
#FRANCETAVI clinicaltrialresults.org/Slides/ESC2018…
#COMPASS clinicaltrialresults.org/Slides/ESC2018…
SlidesShare via @CMichaelGibson
Part 1
#CulpritShock clinicaltrialresults.org/Slides/ESC2018…
#Matrix clinicaltrialresults.org/Slides/ESC2018…
#FUTURE clinicaltrialresults.org/Slides/ESC2018…
#FRANCETAVI clinicaltrialresults.org/Slides/ESC2018…
#COMPASS clinicaltrialresults.org/Slides/ESC2018…
1| follow for my critical appraisal tweetorial of #SCOTHEART trial in @NEJM #ESCCongress
Basics: RCT of upfront CTA vs standard of care for stable CP referred to Scottish cardiology clinics. 1.6% fewer had primary outcome with CTA
nejm.org/doi/full/10.10…
Basics: RCT of upfront CTA vs standard of care for stable CP referred to Scottish cardiology clinics. 1.6% fewer had primary outcome with CTA
nejm.org/doi/full/10.10…
2| more basics: primary outcome is driven by nonfatal MI, not death. Authors did tremendous job at highlighting this
#ESCCongress #SCOTHEART
#ESCCongress #SCOTHEART
3| before diving in to methods/findings, how would a CTA first approach meaningfully change outcomes?
#ESCCongress
#ESCCongress
