Viet Le DMSc PA-C FACC FAHA HF-Cert Profile picture
May 16, 2021 24 tweets 16 min read Read on X
#ACC21

Ensuring diversity - acc21.virtual-acc.org/engage-channel/

Come listen to these wonderful talks in how we strengthen diversity -
#ACC21

I love the advice to have cross professional recruiting, e.g. include other #ACCCVT in recruiting physicians and vice-versa.
#ACC21

Make interprofessional practice a baseline. Implement this early and foundational to curricula.

Make it "a thing" to utilize the strengths of team members in care.

Respect the title! All have earned theirs. Introduce by title in front of the patient

#CardioTwitter
#ACC21
Next up - @HeartBobH. Reminder - here is the link: acc21.virtual-acc.org/engage-channel/

#DEI #CardioTwitter -
The science has shown that diversity makes a better!
#ACC21

Whoa. Budgets reflect the investment that systems, departments, etc. are putting into programs.

What are you budgeting for? Is diversity a focus?
#ACC21

What you don't measure you can't/won't change.

Measure the diversity. Recognize the missed opportunities. Make a plan and invest in change.
#ACC21

Broaden your "Lens". If all you know is what you know, that is all that you will know. Important insight from @HeartBobH - the Lens representative (applied for and funded position) - They would not have known about candidates without this extra perspective.
#ACC21

How committed are you to success of diversity once you have decided to implement and place in budget?

Plan for support. Provide resources for success!
#ACC21

This. Is. Important. --- Look at your advancement and compensation regularly/routinely.
#ACC21

Visibility and Recognition. Normalize and celebrate diversity. Be intentional about this.
#ACC21

🙌🙌🙌👏👏👏
#ACC21

Not only within the system. Broadcast, leverage social media to highlight and make visible diversity!
#ACC21

Leadership should reflect the population.

Recognize and be Pro-active in dismantling structural racism.
#ACC21

Next up - @DrRachelMBond - equipping your personal antiracism toolkit

Link to session: acc21.virtual-acc.org/engage-channel/
#ACC21

Out of the gate, we cannot just alone be 'non-racist', we must pro-actively combat this.
#ACC21

How do we pro-actively address racism in training?

Not just reduce the interactions (e.g. have trainee leave)., intercede, build up the education/knowledge, place on team of trainee. Make it clear, racism is NOT acceptable.
#ACC21

Normalize that we "step-up" for one another. That intercession and correction of racism is what we do.
#ACC21

#Implicitbias and anti-racism needs to be embedded in our curricula, early.
#ACC21

I love this, prepare and plan ahead what actions will be taken for microagressions, racism, etc.
#ACC21

Recognize that we all have #implicitbias, there is a continuum, from fear to learning, and finally growth to understanding moving towards action.
#ACC21

Be an ally!

Be aware, listen. Actively support and recruit. Care.
#ACC21

This quote stands on its own.
#ACC21 - @NMHheartdoc provided a talk at #NCToday that resonates. #Implicitbias is something we all carry about many many things.
We. ALL. Have. Implicit Biases.

1) Recognize it exists
2) Identify what ours are - sociocultural etc.
3) Mitgate, mitigate, mitigate
Thank you to the entire session team. I have been well-taught. Now, to get out and continue to be active!

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More from @VietHeartPA

Nov 7, 2022
#aha22 - SPORT trial

💊nutraceuticals ubiquitous and “assumed” by many pts to be heart healthy.
💊💰💸industry
💊 SPORT ➡️ compared to rosuva and placebo, do they impact biomarkers?
jacc.org/doi/abs/10.101…
@kewatson @ErinMichos @ljlaffin 1/ ImageImageImage
N=199, randomized single blind
💊 lipid, hsCRP, CMP. Baseline and at 28 days.
💊 1° risk, age 40-75, LDL-C 70-189, borderline to upper intermediate risk (5-20%, estimated 10 yr event)
💊 1° endpt: %LDL-C change vs rosuva
💊2° endpt: biomarkers vs rosuva; vs placebo
#aha22 2/ ImageImage
💊 most were at least 7.5% 10 year risk
💊 nice representation of 💃🏽
💊 LDL-C >100 (~125); hsCRP <2.0

#aha22 3/ Image
Read 6 tweets
Nov 7, 2022
@mmillermd1 @PennCardiology @DLBHATTMD @UM_Cardiology @ASPCardio @nationallipid @BudoffMd @Medscape EPA effect on ASCVD in Japanese pts w/chronic CAD and EPA/AA ratios <0.4, on statins.

🐟EPA 1.8 gm (like JELIS)
🐟EPA baseline 46 ug/mL (JELIS, 96)
🐟All on statins, randomized to control or EPA, no blinding (like JELIS)

#aha22 1/ @AHAScience
@mmillermd1 @PennCardiology @DLBHATTMD @UM_Cardiology @ASPCardio @nationallipid @BudoffMd @Medscape @AHAScience N=2506

🐟interesting drop out rate/protocol deviation, covid era?
🐟LDL-C baseline, similar to reduce it
🐟EPA median 46 ug/mL, higher than reduce it (26), lower than Jelis (96).
🐟hsCRP ~0.40
2/ #aha22
@mmillermd1 @PennCardiology @DLBHATTMD @UM_Cardiology @ASPCardio @nationallipid @BudoffMd @Medscape @AHAScience 1,800 mg EPA
🐟46 ➡️ 145 ug/mL (26➡️150 ug/mL, reduce it)
🐟LDL-C, Trigs, HDL-C no change
🐟hsCRP went down in both
3/ #aha22
Read 5 tweets
Nov 5, 2022
Dr @DrCaliff_FDA providing the opportunities we have to improve health in the US #AHA22
#AHA22 What the @US_FDA hopes and seeks to do
Throwing dollars at “health”doesn’t = improved health. This is staggering. We need to change what and how we deliver #Healthcare and where the $$ are spent #aha22
Read 4 tweets
Nov 5, 2022
I have never claimed to be fashionable and rarely do I ever match ☺️

I am wearing my heart shoes and my red dress tie from @HeartNews @AHAScience @GoRedForWomen

#AHA22 Day 1 Image
My shoe buddy and frankly the genesis for why I purchased these shoes @KnightSNPs

Stop by S3156. Dr Knights poster on #disparities in #research. #aha22

We need to fix it. ImageImage
Also, don’t miss Dr Horne’s poster on #statin and #etoh. S3063

If transaminases are elevated and statins are indicated: keep the statin, abstain from etoh
@Intermountain @KirkKnowlton
#aha22 ImageImageImageImage
Read 4 tweets
Nov 4, 2022
TRANSFORM-HF

What do we really know about efficacy of furosemide vs torsemide?

I am sure @robmentz and team have something to say about this 👊🏾

pubmed.ncbi.nlm.nih.gov/33714745/

#AHA #LBCT @AHAScience @noshreza
Chlorthalidone versus HCTZ - pragmatic emr study by @Areefishani et al. After #SPRINTTrial I use chlorthalidone. What’s the evidence?

pubmed.ncbi.nlm.nih.gov/35390512/

#AHA #LBCT @AHAScience @noshreza
PPAR-alpha (e.g., fenofibrate, permafibrate) - Are triglycerides as a target out for CV event reduction, or just this mechanism?

pubmed.ncbi.nlm.nih.gov/30342298/ @APradhanBrigham to present 👊🏾

#AHA #LBCT @AHAScience @noshreza
Read 8 tweets
May 17, 2021
#ACC21

Join us now - Prevention and Health Promotion and the year in review. Dr. Donna Polk presenting.

acc21.virtual-acc.org/topic-essentia…
#ACC21

The "Covid 19" weight gain?
#ACC21

Yes, the "covid 19" weight gain did occur. How do we combat it though? why did it occur?
Read 35 tweets

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