Thread by @SantosGallegoMD

#MacHF Summit starting now! Do not miss it! Exciting lineup of speakers @hvanspall #heartfailure

@rachkataria @DrRajivsankar @aayshacader @KevinShahMD @vbluml @paomorejon @lucreciamburgos @AlexNowbar

#MacHF Dr Eilliam McIntyre on when to choose warfarin over a DOAC
@hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD

#MacHF the triad of obesity, HFpEF and AFib. All@of us have seen these challenging patients. Dr Jorge Wong shares some tips about how to treat them @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD

Great debate now! Should we ablate AFib in HF or medically optimize? Dr Jason Andrade defends ablation! @DrJasonAndrade
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD

Counterpoint now! Should we ablate AFib in HF or medically optimize? Dr Ratika Patkash defends medical management! @DrJasonAndrade
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD

Next session is all about Ventricular Tachychardia. We start with tops to distinguish VT from other EKG rhythms by Dr Divakaramenon
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD @ShelleyZieroth @adribaran

More tips to distinguish VT from other EKG rhythms by Dr Divakaramenon
#MacHF @hvanspall @DrRajivsankar @rachkataria
@aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD @ShelleyZieroth
@adribaran

When to refer a patient for device therapy.? Always optimize medical treatment first! 4 drugs, 5 pathways, 6 years of life. Nice summary slide by Dr Aiman Alak
#machf @ShelleyZieroth @hvanspall @lucreciamburgos @aayshacader @rachkataria @KevinShahMD @paomorejon @DrRajivsankar

Spectacular talk by the great @AndrewJSauer about digital technology and remote monitoring! The future is here with gadgets and gizmos!
#machf @hvanspall @aayshacader @rachkataria @DrRajivsankar @ShelleyZieroth

@AndrewJSauer giving a great talk about remote monitoring. Even with a reference to “Dancing with wolves”! And a detailed explanation of how he built his activw HF program in Kansas #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar

How to reduce VT bueden in ICD patients? Dr Usha Tedrow reviews all evidence for both ischemic (VANISH and BERLIN-VT RCT) and non-ischemic cardiomyopathy #MacHF @hvanspall @ShelleyZieroth @aayshacader @DrRajivsankar @rachkataria

If ICD prevents MRI, try CT-guided ablation!

EKG detectives: how to recognize cardiomyopathies by EKG. By Dr Sebastian Ribas
#MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall

ew technologies for ablation of difficult VT by Dr Usha Tedrow: late-contrast-enhanced CT, radiotherapy, bipolar ablation, alcohol ablation, pulsed field ablation, conventional ablation aimed at the scar, stellate ganglion blockade
#MacHF @hvanspall @aayshacader @rachkataria

Congrats Dr Harriette Van Spall @hvanspall for putting this amazing program together! #MacHF
@aayshacader @rachkataria @DrRajivsankar @paomorejon

Dr Shamir Mehta on “Secondary Mitral Regurgitation: considerations before referral for valve intervention”
- it takes a multidisciplinary team!
- quantitate, quantitate, quantitate! #MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar

A Dynamic Duo presentation about Secondary Tricuspid Regurgitation”. A great conversation between two friends and long-term colleagues, the great team of Dr John Erwin and Mark Ricciardi #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar @HeartOTXHeartMD

“Optimizing nutrition and physical rehabilitation in HF” by Dr Catherine Demers #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar @ShelleyZieroth

“I NEED HELP”: a great acronym to recognize which patients to refer for advanced HF therapies!!!!
Grest tslk by Dr Faizan Amin #MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar

Great workshop about #echofirst cases of HF #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar
- Fabry: double pattern of endocardium, papillary muscle hypertrophy
- Amyloidosis: RV hypertrophy, apical preservation of strains
- Sarcoidosis: thinning of the basal septum

Medical optimization of HF therapy. Learning from the master and the legend @NMHheartdoc himself
#MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar

HFpEF pearls by the @HFpEF master himself De Sanjiv Shah
#MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall

More @HFpEF pearls
#MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall

More @HFpEF pearls #MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall

33% of HFpEF patients have a “low-BNP syndrome”due to excess of epicardial adipose tissue. Thus, do not use BNP to rule out HFpEF!!
@HFpEF #MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall

Sean Virani on the new Canadian guidelines for HFrEF (<40%)

Foundational, upfront, first-step quadruple therapy!!! ARNI+BB+flozins+MRA

3-6 months to fully implement steps1&2
#MacHF @hvanspall @rachkataria @DrRajivsankar @aayshacader

Justin Ezekowitz on “IV iron in HF"
#MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar

Spectacular tslk by the rock star Dr Harriette Van Spall @hvanspall about transitional care. Improving outcomes in HF does not end with acute management lf disease, hence transitional care!
#MacHF @rachkataria @DrRajivsankar @aayshacader

More tips about transitional care by @hvanspall #MacHF @rachkataria @DrRajivsankar @aayshacader

The simple LE (or the new LENT) index assesses risk of readmission

Transitional care is the ugly duckling of HF care, but it should not! Transitional care improves HF after hospitalization! #MacHF @hvanspall @aayshacader @DrRajivsankar @rachkataria