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Med Peds Hospitalist
@medpedshosp
, 12 tweets, 10 min read Read on Twitter
Dr. Ayman Hussein speaking on Inpatient Management of Atrial Fibrillation #afib #ccfhm19 @TallRoundsTM @HeartVasc_CCFla @CCF_IMCHIEFS
AFib - multiple causes; need to identify modifiable triggers in hospitalized pts #ccfhm19
Diagnostic approach in Afib. #ccfhm19
SPARC tool - Stroke Prevention in AFib Risk tool. sparctool.com #ccfhm19 @CCF_IMCHIEFS @SPAQIedu @SHMLive @ACPinternists @thecurbsiders
SPARC tool includes CHA2DS2-VASC as well as HAS-BLED scores #ccfhm19
Rate vs Rhythm control in Afib. #ccfhm19
Afib in #preexcitation - goal is reversal to sinus rhythm! #ccfhm19
Acute rate control in Afib - betablockeras and calcium channel blockers.#ccfhm19
Digoxin in A fib management - not a first line agent. #ccfhm19
DOAC are preferred anticoagulation agents in AFib. #ccfhm19
No need to bridge anticoagulation in Afib. Unless high risk. #ccfhm19
Practical considerations in anticoagulation reversal or agent switching in Afib #ccfhm19
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More from @medpedshosp see all

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Med Peds Hospitalist
@medpedshosp
Dr. Prabhakaran, vice-chair of Hospital Medicine, ⁦@ClevelandClinic⁩ - speaking on CV Perioperative Evaluation and Optimization #ccfhm19 #meded
Perioperative care - key fact and eoidemiology #ccfhm19
Pathophysiology of MINS #meded #ccfhm19
Read 9 tweets
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Med Peds Hospitalist
@medpedshosp
Dr. Kaatz speaking on anticoagulation reversal. This is a @MediaTJC National Patient Safety goal!
Idarucizumab - monoclonal antibody to reverse dabigatran.
If unavailable, then use 4 factors prothrombin complex concentrates. #ccfhm19
Andexanet alfa - factor Xa decoy used as reversal agent for anti-Xa agents. If not available use 4PCC.
Read 7 tweets
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Med Peds Hospitalist
@medpedshosp
Dr. Jessica Donato speaking on VTE - Venous thromboembolism #ccfhm19 @bidhospitalists @BIDMC_IM @CWRUSOM
Dr. Donato showing the EBM approach to VTE diagnosis - understand Wells and D dimer caveats. Use of PERC rule! #ccfhm19
Proper use of D dimer can avoid unnecessary imaging in PE. #ccfhm19
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covert_extrovert
@ExtrovertCovert
5) #Hussein orchestrated $ shipments 2Iran. At least $1.7bil went there. The #TreasuryDept & #DOS (Bureau of Polical-Military Affairs - which links 2the #DefenseDept -Think big #BudgetAllocations) control the flow of $, but bottom line, the #Fed secretly, or not, controls $$$. It
6) can be greatly aided in the effort with an #Executive's blessings. The Office of the Inspector General has a hand in distribution & the accounting of #ForeignAid. The #GAO (General Accounting Office) investigates $ moves.
7) orgs & then be redirected to the personal holdings of the creator/s. Another secondary shuffle is the covert placement in offshore holdings 4distribution. Activities attributed to slush funds come to mind. They move in all directions as needed. These methods are in use
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JV
@Vipra1234
Dr. @Anupam_Guha is speaking at @nipfp_org_in on Critiques Of, And Alternatives To, The Extractive Imagination Of AI.
"You have such confident policy documents coming out on AI. They pretend to understand it. Even AI scientists don't completely understand AI." @Anupam_Guha
He referred to @katecrawford's article on Alexa and the fact that you are doing unpaid labour every time you use AI: you help train it every time you use it.
Read 26 tweets
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Jonathan H Chen
@jonc101x
Closing the loop on #Diagnostics #Tweetorial with example #AppleWatch #AFib #Screening. From a company website: "Atrial fibrillation is a silent killer. The heart arrhythmia causes more life-threatening strokes than any other chronic condition, and will affect 1 in 4 of us."
"But the sad fact is that atrial fibrillation often goes unnoticed: It is estimated that 40% of those who experience the heart condition are completely unaware of it."
Using #AppleWatch technology and #DeepLearning #AI #ML, a device algorithm can reportedly detect atrial fibrillation with high accuracy (c-statistic 93%).
Read 44 tweets
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Jonathan H Chen
@jonc101x
#Tweetorial on #Diagnostics and #Screening interpretation.
An otherwise healthy 40 year old woman comes to you after reading on the internet about a terrible disease that one in a thousand women get, and a highly accurate test that can save her life.
The test is over 99% accurate in people with the disease. For those without disease, the test is only wrong 5% of the time.

You order this test and it comes back positive. The woman anxiously asks you, do I have the disease? What is the chance this woman has the disease?
Assuming they weren't immediately fooled by the "test is only wrong 5 % of the time," most I've asked correctly recognize the stats provided are Sensitivity = 99% and Specificity = 95%, and that the objective is to determine the Positive Predictive Value.
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Liberty Q🇺🇸 #WWG1WGA
@Liberty__Q
#Hussein #HRC #Brennan #Clapper #FVEYS #Spygate #FISA #QAnon #DECLAS #BQQM! 💥💥💥

FISA [FULL] BRINGS DOWN THE HOUSE [WH].
Q
#QAnon
Ask yourself, how would 'FOREIGN' Allies' KNOW what is within a US TOP SECRET FISA warrant?
"NO INTELLIGENCE SHARED THROUGH THAT 'OFFICIAL CHANNEL' [FVEY]" - NUNES
Ask yourself, why are [2] 'KEY' Allies' VERY CONCERNED re: DECLAS & RELEASE?
YOU HAVE MORE THAN YOU KNOW
[…]
#QAnon💥 #FISA #Spygate #TheGreatAwakening #TheWorldWillKnow #AnonsKnew #Coincedence?

>>3121219
Important graphic.
How do you catch a FISH?
Use BAIT?
Imagine the information being shared NOW out of FEAR.
Q
Read 25 tweets
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Adam Masin
@AdamMasinEsq
A thread on what it means that FDA “cleared” the Apple Watch new EKG feature. First, here is FDA’s “clearance” letter if you want to read the full regulatory info: accessdata.fda.gov/cdrh_docs/pdf1…
There are some very important caveats to note. First, FDA did not “approve” the Apple Watch EKG. That would involve a lot of testing that Apple did not do. Don't be misled if you read news reporting about FDA "approval" or "approved." Sloppy and wrong for this product.
FDA says the Apple EKG "feature analyzes pulse rate data to identify episodes of irregular heart rhythms suggestive of atrial fibrillation (AFib) and provides a notification to the user.” Good, but...
Read 14 tweets

Trending hashtags

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