Aditya A Joshi Profile picture
Sep 26, 2020 12 tweets 9 min read Read on X
The first debate between Dr Johnson and Dr Miller! Dr Johnson presents a case to begin the talk. ImageImage
Here is the cath and the FFR! Image
SKepticism for PCI from both physicians and the guidelines committee. Image
He then goes into dissecting five different endpoints! ImageImage
We look at 5 different trials that have tried to answer the question about these endpoints.
No benefit for CV death but consistent benefit for spontaneous MIs!! ImageImage
Significant improvement in angina from PCI compared to medical treatment. Image
Rates of spontaneous MI have been more common compared to peri procedural MI. Image
Benefits are indeed in addition to medical treatments. Image
He debates that these results are not really summarized well and with nuance.
Suggestion that the confusion arises from use of composite endpoint and not dissecting it in detail! Image
PCI added to medical treatment has consistently benefited spont MIs.This has been now reflected in newer guidelines. ImageImageImage
And that is it from Dr Johnson. Lets see what Dr Miller has in his talk for us! @MyASNC #CVNuc #ASNC2020 @NitiCardio @krishnapatel888 @MrinShettyMD @eakintoyeMD @biljana_parapid @RBP0612 @MasriAhmadMD

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More from @AdvancedHFBuddy

Sep 26, 2020
Dr Bateman on now! On to why Ischemia testing wins. Image
He takes us back to 1980s, the first of the scanners! Image
He debates that the ischemia is about MYOCARDIUM and not just about the epicardial coronary artery ImageImage
Read 22 tweets
Sep 26, 2020
Now the second debate! Dr Newby on debating that CT is the first line in stable chest pain!
He starts by disclosures and states what the patient may care about and that is what he will talk about. ImageImage
He debates that his opponent has published a paper suggesting specificity for CT is almost >90% ImageImage
Read 12 tweets
Sep 26, 2020
This is Dr Miller now! #ASNC2020 @MyASNC #CVNuc
Statin wins!
No benefit from stents in outcomes! Image
Old trials have suggested no benefit in symptoms over time as well. Same with ischemia showing no benefit in composite endpoint or in symptoms.
He questions a 2 point change in SAQ summary score seen in ISCHEMIA. What does it exactly mean in clinical world? ImageImage
Read 24 tweets
Sep 26, 2020
@krishnapatel888 presenting the case before we start the debate. @MyASNC #ASNC2020 #CVNuc ImageImageImageImage
Images and MBFR presented ! Pay attention to LAD and LCX territories. Image
And THE QUESTION! Image
Read 11 tweets
Sep 17, 2020
Now on is Dr. Eshtehardi @CoronaryDoc talking about "Going Live: Tweets, Tweetorials and Twitter Polls" Last talk in the session. ImageImage
Great point: Structure of a simple tweet has many intricate parts! Text, hashtags, people tagged in the text AND photos, links and replies!
You can determine who can reply to the tweets. Image
Tweetorials are an important part of #MedTwitter #cardiotwitter education.
We also have a repository of up to 2000 tweetorials now! Image
Read 16 tweets
Sep 17, 2020
Next up @RBP0612 talking about "Maximizing your conference presence using your Social Media" Image
#ASNC2019 had close to 20 million impressions! Image
Global reach of conferences using #SoMe is impressive Image
Read 17 tweets

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