@AnastasiaSMihai@loriannpeterso1 & I will be presenting Poster #1432 at #AHA20. It will be presented at 9am CT (soon) but before it is, I want to thank you all for filling out my survey on #cardioTwitter because this is what our poster is based on.
We wanted to find our how you measure #bloodpressure & how reliable you felt your clinical BPs were. I regret to inform you despite you liking your BP reads & trusting them, most of you don't check it correctly @HeartBobH#AHA20 Thanks to @Heart_SCCT@ASPCardio@HBPRCA for help
When you measure #BP this is how we need to do in clinic @HeartNews but most people don't #AHA20
Our findings presented today at #AHA20 with results of our survey here:
Look at this! many don't check BP in both arms! Some don't check BP more than once. And yet 83% trust their clinic BP #AHA20@HeartNews@AHAMeetings We need to do better. We can do better. @HeartBobH@DLBHATTMD
If we can do this simple life-saving measurement correctly, how can we adequately treat our patients on something that is so easy to treat? #AHA20@dramitkhera
It is easy to check BP right. Its just we don't invest time in training our team. But it is so easy #TARGETBP
Ignoring the elephant in the room won't save lives.
Please check BP accurately.
Learn how to do it.
Teach your team.
It can save lives @AnastasiaSMihai@loriannpeterso1
#ESCCongress#LoDoCo2 Results #LBCT
Colchicine also a winner of @escardio 2020
This study was building on COLCOT results in secondary prevention in patients w/ chronic CAD
🔺5522 patients enrolled
🔺Randomized to Colchicine 0.5 mg vs Placebo
🔺Excluded advanced CKD, HF, valve ds
Characteristics of #LoDoCo2#ESCCongress
🔺90% of patients tolerated medication
🔺Mostly men (84%)
🔺Most had prior revascularization
🔺 Most well treated
Results of #LoDoCo2 show dramatic effect of colchicine in these patients with chronic CAD
♥️30% reduction in treatment arm for Primary Outcome
♥️28% ⤵️ in MACE
♥️subgroup analysis shown #ESCCongress#residualrisk#colchicine#inflammation
#ESCCongress@MaasAngela presenting on IHD in perimenopause:
So Who is at risk? And why?
♥️Hormones fluctuate over a lifetime in BOTH men &💃♥️There are benefits of estrogen in women protecting them but at menopause it changes and more risk factors ⤴️the risk for ♥️ disease
@MaasAngela#ESCCongress
🔺⤴️insulin resistance
🔺⤴️inflammation
🔺⤴️ adverse cardiometabolic risk profile
All seen in menopause, increasing the risk of CVD in 💃
#ESCCongress@MaasAngela
✅we know a lot about obstructive CAD
❎WE do not know enough about Coronary Vasomotor disorders or Microvascular disorders (INOCA/MINOCA)- these affect 💃
Our knowledge about assessment & treatment of non obstructive CAD remains limited @Drroxmehran
EXPLORER-HCM Efficacy and Safety of #Mavacamten in HCM Presented by Dr. Olivotto
♥️Meds for HCM very limited and don't prevent progression or reverse it
♥️HCM results from too many cross bridging and this drug prevents this #EXPLORER#ESCCongress
EXPLORER-HCM Efficacy and Safety of #Mavacamten:
Study & Characteristics &Results as below:
🔺251 Patients (largest trial in HCM)
🔺97% completed study
🔺Improved functional score and improved NYHA class
🔺⬇️post exercise gradients
🔺⬇️ resting and valsalva gradient
EXPLORER-HCM Efficacy and Safety of #Mavacamten #ESCCongress
🔺Complete response in 27% as what is seen in septal myomectomy
🔺Very safe & well tolerated drug
🔺Question if beta blockers poorly tolerated in HCM & perhaps time to get rid of this as a med in HCM
#SCCT2020 Limitations of Stress Testing/Imaging in Women from @Heart_SCCT
♥️Too few 💃 enrolled in studies based on prevelance esp in CAD and HF
♥️NIH/Gov funded the worst enrollees of women! We need to change that
#scct2020 Sex Considerations for Stress Testing need to be considered
♥️ Sn/Sp of tests based on doing Cath for Obstructive CAD: these are NOT false positives! so these numbers are outdated IMHO
♥️every imaging modality has + &- to consider when imaging women
#SCCT2020
♥️Prognostic implications of CAC in women vs men well established: CAC >300: 💃 do worse
♥️Nonobstructive disease more prevalent in 💃
♥️ Implications on imaging women ultimately
Although #COVID19 is horrific and changed everything for all of us including #acc20#WCCardio I just wanted to take a second to reflect on a few things. 1. Social distancing has not been isolating in this day & age. We have been able to gather strength from being in touch #SoMe
2. We have been able to be resourceful & use technology to stay connected with colleagues worldwide, our families and friends. Never before had I felt connected to the world despite being slightly alone physically 3. Did we ever have happy hours together before this, virtually?
4. Did you ever call your parents or siblings so often that you ran out of things to catch up on? Sometimes we have sat in silence and that has been nice. Or watch movies from afar but together. ♥️ 5. Working together via @zoom_us has been better than just quick call, text, email
@ACCinTouch program #CAAACC starting now. Yesterday over 10,000 watched the first session #COVID19 Today they will discuss cases and their management @hmkyale
celebration: no new case in China 🇨🇳 today!
Case1: #COVID19
🔹 diabetic male age 31 from Wuhan
🔹 febrile on admission, +SOB
🔹ECG On admission
🔹 elevates troponin and elevates CRP, D Dimer
🔹 ground glass CT lungs #COVID19