Aditya A Joshi Profile picture
Sep 26, 2020 12 tweets 8 min read Read on X
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
ESC guidelines have also adopted this! Image
What about risk prediction? Death or no fatal MI is predicted well with CT. Normal CTA also has a great negative predictive value!! Even non-obs disease on CTA suggests risk prediction. ImageImage
CT better over ischemia testing in future risk prediction! Image
Another paper from his opponent showing limitation of ischemia testing. Also CT gives information about actionalbe disease! ImageImage
Thus CT has more specificity and negative predictive value and get more data on actionable disease! CTA also prevents down streat caths and decreases cost and provides for better targeted revasc. ImageImageImageImage
No difference in relief of angina based on whether patients underwent CT or ischemia testing. Further, reduction in subsequent MI based on patients who underwent CT. SO CT WINS! ImageImage
That is it from Dr Newby. Now on is Dr Bateman! #ASNC2020

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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
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
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
Read 12 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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