🧵of 🔟 #pharmacotherapy take home messages from #ESCCongress 22

1️⃣ Post MI - polypill (asp+ACEi+statin) improves 2º CV prev (SECURE)
2️⃣Antihypertensives can be taken AM or PM - no difference (TIME)
3️⃣Neprilysin inhibition doesn't affect cognitive function in HF (PERSPECTIVE) ImageImageImage
4️⃣ AHF, IV Acetazolamide + loop diuretics ➡️ better decongestion, ⬇️ hospital stay & discharge without residual volume overload. (ADVOR)
5️⃣ Dapagliflozin for patients with HFpEF / HFmrEF, and HFimpEF. (DELIVER)
6️⃣Allopurinol doesn't improve major CV outcomes in IHD. (ALL-HEART) ImageImageImage
7️⃣ Adjusted-dose VKA (not rivaroxaban) should remain the standard of care in patients with RHD & AF. (INVICTUS).
8️⃣The LIFE-HF model, Personalised lifetime predection of treatment benefit in HFrEF.
#ESCCongress ImageImage
9️⃣Milvexian (XIa inhibitor) shows potential to reduce the risk of ischaemic stroke in phase 2 trial.
(AXIOMATIC-SPP).
🔟Asundexian (XIa inhibitor) in acute MI (PACIFIC-AMI) and in those with recent noncardioembolic stroke (PACIFIC-STROKE).

Need phase 3 trials. ImageImageImage

• • •

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

Keep Current with Dr Rani Khatib

Dr Rani Khatib 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 @DrRaniKhatib

Aug 28
Very high prevelance of smokers.
✔️After hypertension, smoking is the second top risk factor for death globally
✔️Tobacco kills 50% of its users!
#ESCCongress
#pharmacotherapy ImageImageImage
Read 10 tweets
May 7
Tweet thread to pharmacy professional bodies & NHS about Consultant Pharmacists. How it feels on the ground? Need for action!
@davidwebb_1 @rpharms @RSharmaPharma @GHPPharmacy @roisohare @NinaLBarnett @UKCPA @NHSEngland @AmandaPritchard @keithridge1 @santon74 @AntibioticLeeds
The title “Consultant Pharmacist” was formally recognised by the NHS in 2005 in the Department of Health. A "Consultant Pharmacist Guidance " was published in January 2020. Let us recap:
Consultant pharmacists are required to work across the FOUR pillars of clinical practice, leadership, research and education, undertaking activities that use their extensive, expert knowledge and skills to contribute to the health of individuals and the population.
Read 18 tweets
May 28, 2020
Some key messages from "Coronavirus and CVD medications" Webinar:
Lipid management (stable)
✔️ Carry on as usual
✔️ Tele Clinic to support patients and address concerns.
✔️ Check interactions with medicines if new therapies were prescribed. (DI)
Heart Failure (stable)
✔️ Carry on as normal (check DI)
✔️ ACEI / ARBs / Entresto carry on as normal.
✔️ Tele clinics to support patients and address concern.
✔️ Encourage patients to report / seek help if deterioration of symptoms
✔️ Links with HF teams
Ischaemic Heart Disease (stable)
✔️ Carry on as normal
✔️ ACEI / ARBs continue.
✔️ Aspirin not a concern (NSAID) at lower dose.
✔️ Antiplatelets - check DI
✔️ Tele clinic - support & address concerns.
✔️ Encourage patients to seek help if symptomatic
✔️ Links with CR teams
Read 9 tweets
Feb 4, 2020
Delighted. MYMEDS published. Invaluable tool to support cardiology post-MI person-centred consultation by all healthcare professionals.
✔️ Understand patients medicines taking experience
✔️ Identify and address modifiable barriers to adherence.
@BMC_series
bmccardiovascdisord.biomedcentral.com/articles/10.11…
For use in various healthcare settings by pharmacists, cardiologists, nurses, GPs who look after patients who have IHD.
@LeedsGp @nhsleeds @keithridge1 @UKCPACardiac @bacpr @escardio @GPnEducation @BrJCardiol @accpcardprn @ATRIUMRx @ACCinTouch @ACNAPPresident @BritishCardioSo
Read 9 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

Don't want to be a Premium member but still want to support us?

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

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(