1. My Big Data talk in pci at #ICI18 meeting in Tel Aviv. Guidelines tell us to take comorbidity, cancer, frailty into account to guide practice, but not found in contemporary risk scores. Data from EHR can help guide. @DrMauricioCohen @Uqayyum123 @SmithElliotjs @jodiel0ve 
2. Cardiologists have narrow view of comorbidity. consider individual conditions & not global comorbid burden. Non-CV death and readmissions more common than CV death following PCI. Driven by comorbidity. @mirvatalasnag @akhojaMD @Dralkutshan @jedicath @MBalghith @DocSavageTJU
3. Global comorbid burden such as Charlson, Elixhouser provide important prognostic information for PCI. 1 in 10 pts in PCI have a current or prior hx of cancer, yet we dont use any of this information in our risk models / to guide decisions. Unmet Need @DrFernandoCohen
4. Final thoughts, for risk scores to be relevant to our elderly population, need to think more holistically about pt comorbidity / frailty an not just about isolated CV risk factors (ie DM, CRF) that we call comorbidity currently and use to guide tx decisions.
