1/ In the🥉@PaChapterACC & @CardioNerds Narratives in Cardiology episode @mirmerrill, @scfuentesr, and @NatashaCuk talk w/ @KTamirisaMD

Follow this #CardsNarratives🧵on the discussion about gender equity & women in Cardiology/Electrophysiology (EP)
2/ We'll cover these 3 questions:

🔸Why should we promote gender diversity in Cardiology/EP?
🔸How do we address barriers for women in Cardiology/EP?
🔸What are some opportunities for EP in private practice?
3/ I feel comfortable openly discussing or asking others about factors that make them different from myself like race, religion, ethnicity, gender, sexual orientation, immigration status, etc
4/ Women are🦄in procedural subspecialties of cardiology

Women only 7-10% of EPs in practice & limited visibility in leadership roles

Why is diversity important❓

♦️ Diversity drives innovation
♦️ Women more likely to provide patient centered communication➡️improve outcomes
5/ Addressing barriers to EP:

🔹⬆️Inclusivity by adjusting work & training environments
🔹Address sexual harassment & discrimination
🔹Advocate for work-life integration & flexible work schedules
🔹Acknowledge & respond to family planning concerns

bit.ly/3syVECS
6/ ACC survey of hostility, discrimination, harassment in cardiology workplace by @DrLaxmiMehta ⤵️

jacc.org/doi/abs/10.101…
7/ Other ways to address barriers of women in Cardiology/EP:

♦️ Consider reduced or flexible training schedules
♦️ Address underrepresentation in leadership
♦️ Address the unequal access to funding & resources, pay & compensation inequity

jacc.org/doi/10.1016/j.…
8/ Sex differences in pursuit of IC as subspecialty among FITs: jacc.org/doi/full/10.10…

🛑Similar barriers apply to EP🛑

Graph depicting barriers ⤵️
9/ Survey of FITs⤵️

14% FITs interested in EP
Among those interested, only 16% women

Women more likely to pursue career in EP if they had female mentor

Article: jacc.org/doi/10.1016/j.…
Editorial: jacc.org/doi/10.1016/j.…
10/ Mentorship from women & men is 🔑

✨Good listener
✨Empower mentees
✨Provide constructive criticism/feedback
✨Be honest, show vulnerability/imperfections

Role models also important – see what someone went through, learn from their journey

Figure by @RBP0612
11/ Other practical tips for Women in Cardiology/EP

💠Women have⬇️speaking invitations: step up & say I am interested
💠Put interests out there, be your own advocate
💠Sponsorship: asked to write paper/ give talk but don't have time➡️invite colleague

pubmed.ncbi.nlm.nih.gov/33587663/
12/ Addressing bias

🛑Microaggressions: pick your battles
🛑Negative encounter in workplace: have conversation, ask them "did you really mean it?"
🛑Repetitive & intentional: call it out, use allies

Silence communicates approval, so speak up

amjmed.com/article/S0002-…
13/ Addressing imposter syndrome

Everyone doubts their abilities, but not all talk about it

Plural view helps – you are not the only one
➕Positive feedback for yourself- think about great things you've done
✍️Journal positives & negatives

bit.ly/37ZHpxl
14/ Benefits of EP private practice

💮Certain level of independence and flexibility, can choose devices/tools, lab set-up, build new program
💮Leadership opportunities, can be part of decision-making
💮Close & longitudinal relationships w/ patients
15/ More on EP private practice:

💮Can engage w/ community initiatives in addition to procedures, patient care, & leadership opportunities

☠️Understanding finances is important – take time to learn about this from mentors
☠️May be harder to network when outside of academia
16/ Summary

🔹Women are underrepresented in EP
🔹Need to mentor & address barriers (culture, work conditions, underrepresentation in leadership)
🔹Private practice EP involves procedures, patient care, leadership, & community engagement opportunities

go.nature.com/3mnhecC
17/ I feel comfortable openly discussing or asking others about factors that make them different from myself like race, religion, ethnicity, gender, sexual orientation, immigration status, etc
18/ After reading this #CardsNarratives Tweetorial, I have a greater appreciation for diversity in cardiology.
19/ Please consider replying with a personal experience or reflection in relation to anything discussed in this Tweetorial
20/ Listen to the full discussion here w/ Dr. Tamirisa on "Empowerment and Growing Together as Women in EP"
cardionerds.com/141-narratives…

Thanks to @CardioNerds, @AmitGoyalMD, @Dr_DanMD, @ThomasMDas for guidance and feedback on this #CardsNarratives Tweetorial!

• • •

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

Keep Current with Gurleen Kaur

Gurleen Kaur 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 @Gurleen_Kaur96

25 Jul
1/ Day 3 & last session of #ASPC2021 on special populations

Talk on MI & HF among people with HIV by Dr. Markella Zanni

Follow this🧵on:
🔹MI risk in people w/ HIV
🔹HF in PWH
🔹CVD preventive approaches tailored to people w/ HIV

@ASPCardio @CardioNerds
2/ Patients with HIV are now living longer ➡️increased risk of CVD

Global burden of atherosclerotic CVD in people living with HIV has tripled over past 2 decades

Relative risk of MI is 1.5-2 in high-income countries

pubmed.ncbi.nlm.nih.gov/23459863/

#ASPC2021
3/ From US Partners database study – adjusted relative risk for MI was around 3 for women & 1.5 for men – regionally specific

Type 1 vs. type 2 MI: both ~50%
Women – more type 2 MI

pubmed.ncbi.nlm.nih.gov/17456578/

#ASPC2021
Read 18 tweets
24 Jul
1/ #ASPC2021 talk for Honorary Fellowship Award by @NMHheartdoc on New Kind of Prevention – Reducing CV Health Disparities at Community and Individual Level

🧵from session

@ASPCardio @CardioNerds
2/ #ASPC2021
Covid-19 deaths by race and ethnicity in the US:
1 in 555 Black Americans has died

Populations w/ highest disease burden➡️ lowest vaccination rates
3/ Any discussion of prevention shouldn’t start at hypertension, dyslipidemia, but at the root cause of those inequities.

Need to address policy. All policy is health policy.

Stolen breaths nejm.org/doi/full/10.10…

#ASPC2021
Read 10 tweets
24 Jul
1/ Great #ASPC2021 session by @RonBlankstein on Chest Pain and Imaging

Follow this🧵for some takeaways on
🟣Stress Testing vs. Anatomical Testing
🟣Coronary CTA
🟣Guidelines

@ASPCardio @CardioNerds Image
2/ ‼️ Imaging tests alone do NOT change pt outcomes but how we act on them might

‼️ No one test is always the best test

‼️ Test selection influenced by multiple factors: local availability, prior training, guidelines, evidence

🔜AHA/ACC New Chest Pain Guidelines

#ASPC2021
3/ Stress testing vs. Anatomical

ETT: exercise capacity, not as great for ischemia

SPECT MPI: reversible perfusion deficits, underestimates extent of disease esp if multi-vessel

PET MPI: measure absolute blood flow, calculate myocardial blood flow reserve

#ASPC2021 ImageImage
Read 10 tweets
24 Jul
1/ #ASPC2021 Day 2 continues!

@DrMarthaGulati presents on Ischemic Heart Disease Without Obstructive Coronary Arteries (INOCA)

Follow this🧵on INOCA:
♦️Outcomes
♦️Mechanisms of ischemia and diagnosis
♦️Guidelines

@ASPCardio @CardioNerds Image
2/ Definition of INOCA: symptoms of ischemia in the absence of obstructive CAD or flow-limited disease

Check out this great infographic by @najahakhan, @CardioNerds Academy Fellow, on INOCA

#ASPC2021 Image
3/ ✨Obstructive CAD is just one phenotype of IHD✨

INOCA – often normal LVEF, originally thought ischemia not present

But data shows elevated risk for cardiac events➡️poor outcomes

Guidelines haven’t caught up yet – focus on obstructive lesions

#ASPC2021 Image
Read 11 tweets
24 Jul
1/ Great #ASPC2021 session by @dramitkhera on ACS in Patients with COVID-19

Follow this🧵on pts w/ COVID
🔷Prevention of ACS events
🔷Identification of ACS
🔷Management of ACS

@ASPCardio @CardioNerds
2/ 8 fold📈in AMI w/ COVID even in pts with no ASCVD/FH

Absolute risk for AMI📈in pts with ASCVD. Even higher for FH +ASCVD bit.ly/3eJ2csW

Based on NHANES, 75% of US pop has risk factors (CKD, obesity, smoking, T2DM) for severe COVID
bit.ly/3xYxpQn

#ASPC2021
3/ 🌟Prevention of ACS🌟

🗝️Address barriers to medication adherence and access
🗝️Team-based approach
🗝️Regular physical activity and nutrition
🗝️Cardiac rehab
🗝️Utilize telehealth
🗝️Counsel on promptly reporting new symptoms

#ASPC2021
Read 12 tweets
17 May
Essentials of Stable Ischemic Heart Disease

♦️Plaque Characteristics & Progression
♦️Choosing From Imaging Toolbox
♦️Perils of Polypharmacy
♦️Who & When To Revascularize
♦️Overview of Guidelines

🧵on this great @ACCinTouch session from today #ACC21 #ACCMedStudent
1/Plaque Progression #ACC21

Non-atherosclerotic intimal lesions➡️progressive atheroscl. lesions (fibroatheroma)➡️lesions w/ acute thrombi

Plaque rupture = lesion growth
Lumen area maintained till 40% narrowing
Narrowing beyond 40% occurs w/ plaque rupture+intraplaque hemorrhage
2/Plaque Characteristics #ACC21

Coronary artery calcification begins as micro-calcification➡️fragment➡️sheet➡️nodular

Stable plaque?
🔸Associated with DM, HTN, smoking
🔸Most common is fibrocalcific plaque (mostly sheet Ca)

Unstable plaque is mostly fragmented Ca
Read 8 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!

:(