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ᗰIᖇᐯᗩT ᗩᒪᗩᔕᑎᗩG مرفت الأصنج

@mirvatalasnag

, 5 tweets, 7 min read

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@rallamee

@rallamee

#AHA19 #EAPCI #ACCIC
#ISCHEMIApcro
@rallamee opens session w a case aj

Putting study into context of prior publications namely #FAME #ORBITA

@PCRonline

@PCRonline

#AHA19 #EAPCI #ACCIC
@PCRonline @mmamas1973 @DocSavageTJU @saraceciliamtz @MKIttlesonMD @cardioPCImom @nolanjimradial
Re-defining OMT
Anti-angina and dz modifying Rx

@cardiojaydoc02

@cardiojaydoc02

#AHA19 #EAPCI #ACCIC
Remember who wasn’t enrolled in ischemia
Early + stress test w ST elevations
CCTA w critical dz

@cardiojaydoc02 @fischman_david @jedicath @adityadoc1 @ShrillaB @ShaziaTHussain1

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@GaelleVanK

@SVRaoMD

@SVRaoMD

@SVRaoMD

Venk Murthy MD PhD

@venkmurthy

@escardio

Lots of headlines @escardio re CT-FFR. 1 of most prominent is ADVANCE multicenter registry from @manesh_patelMD & colleagues using @HeartFlow. I'd like to dissect this a bit to see how excitement in a field combined with lots of industry funding can blind us to basic problems.

Team worked across 38 international sites over >2 years to collect data from N=5083 patients w/ “symptoms concerning for CAD”. They had primary endpoint of change in management plan from coronary CTA. That happened in 67% of patients. Most impressive.

Is this a valid endpoint? I contend that this is a measurement of physician psychology rather than of anything objective.

Read 50 tweets

Prof Darrel Francis ☺ Mk CardioFellows Great Again

@ProfDFrancis

RELATIVE RISK, ODDS RATIO, HAZARD RATIO
=============================

What are they?
Why do we need 3 of the damn things?
Which should I use?
Are they the same, or different, or a bit samey?

An #ORBITA-HQ #tweetorial.
#Meded #FOAMed

All 3 of these are about comparing the scale of dangerousness of one thing AGAINST ANOTHER.

Suppose you are walking through an unfamiliar forest and the road comes to a fork: you have to choose one path.

As you stand, uncertain, a troll pops out of the ground.

You ask for advice on which path is safer.

As always, the advice he offers is scrupulously correct, but not necessarily instantly interpretable to the layperson.

Read 65 tweets

Prof Darrel Francis [cardio logically speaking]

@ProfDFrancis

Heh heh, the Amazing Yuripridio, world-conquering hypnotist

But we must be careful on this. I have a PhD student at #ORBITA hq called Frances Wood. I met her first as a manager in a research unit a few years ago. She was the nicest, kindest person there, who would always make me tea when I visited anyone in the unit.

By and by, she wrote a PhD proposal with me. She was a trained nurse, as many of that unit's staff are. But when we submitted the grant, I discovered in her CV that she was also secretly a trained psychologist.

Read 76 tweets

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