Viewpoint:

In the era of widely available lipid-lowering therapies, plaque erosion instead of plaque rupture may account for an increasing proportion of ACS.

Stenting may not be needed for management of erosion-induced ACS. ja.ma/3cbQPZC
Here is the data supporting medical management as opposed to stenting in the patient with plaque erosion ja.ma/3lLnjNI
Among patients in whom there is plaque erosion and no plaque rupture, do you use medical therapy instead of implanting a stent? If not, why are you putting a stent in?
Should we use OCT more ACS patients to detect plaque erosion & manage patients medically, or should we not use advanced coronary imaging and stent both plaque erosion and plaque rupture? Tell us why you voted the way you did.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with C. Michael Gibson MD

C. Michael Gibson MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @CMichaelGibson

25 Mar
How can there be disagreement between groups about the effectiveness of a drug in an interim analysis? I have NO specific information about the AZ analysis, but let me make some GENERAL comments (thread)
The timing of an interim analysis is often pre-specified (planned in advance) so that the date cannot be “cherry picked” to “make the results look good”. In this case it was pre-specified that events that occurred through February 17th would count.
Can you imagine the criticism researchers would face if they changed the date? Could you imagine the criticism if the results were reversed such that through Feb 17 there was 76% effectiveness & AZ decided to report 79% based on “more recent”preliminary data?
Read 15 tweets
16 Jan
Stop tweeting

Start vaccinating

Heading out to vaccinate “people” in Rhode Island today

It may not be a big stadium, it may only be a VFW, it may only be 450 little shots, but these “people” are somebody’s world ... let’s give their community a big shot in the arm
#cmgsays
The COVID vaccination is an intramuscular injection. It is NOT a subcutaneous injection. To give a #COVID19 IM injection DO NOT pinch the skin & Do NOT angle the needle at 45 degrees. This will cause the injection to go into the subcutaneous fat rather than the deltoid muscle.
To give an IM injection, aim the needle perpendicular to or at 90 degrees to the skin. The CDC does not recommend that you draw back on the needle (there are no big vessels in the deltoid muscle),
Read 11 tweets
13 Nov 20
Many have become numb to pandemic statistics

Healthcare workers, though, must face the reality that there are now MORE PATIENTS HOSPITALIZED THAN AT ANY TIME in 2020, 40% more than 2 weeks ago

Some are working 36 hrs straight

The 3rd wave may break us

theatlantic.com/health/archive…
"They require twice as much attention as a typical intensive-care unit patient, for three times the normal length of stay. “It was doable over the summer, but now it’s just too much,”
“Last Monday we had 25 patients waiting in the emergency department. They had been admitted but there was no one to take care of them.” I asked her how much slack the system has left. “There is none,” she said.
Read 11 tweets
12 Nov 20
Tyra and Gracie G are bonding quite well!

I live a blessed life 🙏
I’m overwhelmed by the Divadom around here now 🤣
When my niece sees this and runs over there will be 3 divas & I will go read somewhere quietly ...
Read 5 tweets
9 Nov 20
#Covid19 vaccine: Pfizer says drug more than 90% effective in preventing infection cnbc.com/2020/11/09/cov…
The analysis evaluated 94 confirmed Covid-19 infections among 43,538 participants.

The vaccine efficacy rate was above 90% at seven days after the second dose.

This is far above the 50% rate required by the FDA.
This is preliminary data.

The companies said they plan to submit the data to the FDA for emergency use authorization as soon as they have two months of data, which is currently on track for the third week of November.
Read 6 tweets
9 Sep 20
Breaking: Astra Zeneca halts vaccine trial for safety review due to a serious adverse event. Anonymous source ⁩says volunteer developed transverse myelitis, an inflammatory syndrome that affects the spinal cord and is often sparked by viral infection. nytimes.com/2020/09/08/wor…
The Duration of the safety review is unknown.

The Relationship of the case of transverse myelitis to the vaccine is unknown.
AZ’s vaccine uses a chimpanzee adenovirus to carry the #COVID19 genes into human cells. Although adenovirus are generally harmless,
they “can sometimes trigger their own immune responses, which could harm the patient without generating the intended form of protection.”
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!