🥕Devesh Rai, MD🥕 Profile picture
Jul 24, 2021 13 tweets 9 min read Read on X
1/ The great debate begins with an intro by @DrMarthaGulati!!

What an incredible program with unique guests.

4/5 debaters are WIC!!

#ASPC2021

Let the debate begin.

Vote in the last.
2/43 Year/M with pre-DM and obesity with a recent gain of 19 lb during pandemic seeks a diet opinion from various experts:

EKG: NSR
Chol: 240, LDL: 140
Apo B: 120
CAC=0
HbA1c: 5.8%

Which diet is right??

#ASPC2021
Mediterranean diet:
@TracySeversonRD

Rich is legumes, Grains
Olive oil is the key
Low in fish, milk, and dairy products

#ASPC2021
Mediterranean Diet has shown to be proven in multiple studies to be preventive of MACE in 5-25 year follow up.

Beneficial in primary and secondary prevention.

#ASPC2021
What is the best way to debate??

99% of the time it's a quote!!

#ASPC2021

#TheGreatDietDebate
Who is the fist person to debate about plant-based diet
@DBelardoMD
Plant-based diet is not just fruits, it includes whole foods as well.
BROAD study, weight loss in 6 months
Ad Libitum: Plant-based diet is better than the keto diet group and it lead to body fat loss
#ASPC2021
@DBelardoMD Saturated fat should be replaced by PUFA to decrease LDL

The vegetarian diet has been shown to be associated with decreasing cardiovascular mortality.

#ASPC2021
Keto-Friendly South Beach Diet: Tailored diet to the patient

How to identify pre-pre-diabetes and help patients better.

Kraft Testing could be the answer.

#ASPC2021
Americans are eating all the time shows the feedogram.

We need to cut down on the frequency of diet intake.

Also, the Kraft testing seems to be intuitive.

#ASPC2021
Ketogenic diet: Severely carbohydrate-restricted diet and very high-fat diet

@carolkirkpat3

Kick start the weight loss!!

Who is the ideal candidate for the keto diet?

#ASPC2021
However, there are some concerns with the ketogenic diet and we have to monitor it.

A small trial for 4-6 months can be attempted and see how one can tolerate it.

#ASPC2021
So the REBUTTAL TIME!!!

#ASPC2021

Poll for the winner!!

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More from @DeveshRaiMD

Jul 23, 2021
#ASPC2021

Evolution of ABCs of Primary Prevention by Cardiac disease

How the guidelines have changed over the last two decade

@rickferraro getting plugged at #ASPC2021
ABCDEF of prevention is important!!

A: Assess risk
B: BP
C: Cholesterol/Cigarette
D: Diabetes/Diet/Weight
E: Exercise/Education
F: Failure

Shared decision making is the key to the prevention

#ASPC2021
@CardioNerds @DrMarthaGulati @ErinMichos @khurramn1 Identifying and providing help with social determinants of health is the first aspect of prevention.

Risk stratification by ASCVD risk is the next step to guide the optimal therapy.

#ASPC2021
Read 14 tweets
Apr 23, 2021
#CardioTwitter #CardioNerds #GITwitter How do you approach GI Bleed in patients with LVAD, we'll follow a patient from presentation to discharge

72 Y/F s/p LVAD 1 year ago presented with 🩸🩸in 💩 Image
Learning objectives😎☑️☑️

☑️Identification GIB in a patient with LVAD

☑️Predictive factors for LVAD and GIB

☑️Diagnosis and management approach of GIB & LVAD🩸🩸🆎🅰️🅱️🅾️

☑️Primary and Secondary prevention of recurrent GIB
I feel comfortable in diagnosing, treating, and preventing #GIB in patients with #LVAD.
Read 21 tweets
Feb 23, 2021
When do you typically discharge your patients post-TAVR?

Check out the 🧵 below for a #tweetorial about same-day discharge following #TAVR!

@tavrkapadia @Edwards_TAVR @TAVRBot @cardioPCImom @SripalBangalore @SrihariNaiduMD @Pooh_Velagapudi @ehj_ed @DLBHATTMD @JPDeptaMD
After this thread 🧵, you'll:

✅Recognize common complications🩺 after TAVR

✅Understand the feasibility of Same-Day Discharge (#SDD) and predictors of Next Day Discharge (NDD) after TAVR.

@CCIJournal #TAVR @WaqasTahir
I feel comfortable🙂 identifying patients who can be discharged🚑 on the same-day after TAVR?
Read 17 tweets

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