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Sarah Hudson Profile picture
@sarahhudsonuk
May 5, 2023 • 11 tweets • 7 min read • Read on X
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Top Ten slides from day 1 of the @BSHeartFailure meeting @JubileeHospital conference centre in Glasgow. A 🧵for all in the #HF MDT

1) Hypotension with HF meds- less than you might think- mean SBP⬇️ at 6m 1-2mmHg with eplerenone & 2mmHg with SGLT2i

Slide shown by @_antocannata Image
2) Summary slide of drugs that may be used in shock plotted on a scale of inotropy and vasoconstriction.

Slide shown as part of a case discussion by Daniel Doherty #HF Image
3) A reminder that the absence of crackles and a normal CXR do not exclude ⬆️ PCWP

Slide shown by @drpmcampbell #HF Image
4) Summary of sensitivity and specificity of various signs and symptoms for congestion

Slide shown by Ross Campbell #HF Image
5) Reminder of the gains to be made by OMT in #HF - 5 yrs of life gained vs no therapy

Slide shown by @TheresaMcDonag3 Image
6) Comprehensive summary table of effects of different #HF drugs on HR/BP/egfr/K

Slide shown by @_antocannata Image
7) How sensitive & specific is ferritin as a surrogate for iron deficiency?

Slide shown by @JJCuthbert Image
8) Has the #HF world taken a wrong turn? Should we be more focused on TSAT?

Slide shown by @JJCuthbert Image
9) Strengths and weaknesses of ADVOR

Shown by Ross Campbell Image
10) Could CRT be useful for HFpEF? Still theoretical at present but interesting concept

Slide shown by Zaheer Yousef Image
Finally an honorary mention to @markcpetrie20 and @ProfDConnelly for a fabulous interactive case discussion & including a tribute to May 4th

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More from @sarahhudsonuk

Sarah Hudson Profile picture
Oct 8, 2023
Ten current papers for the curious cardiologist - 2023 week 40 - including CTCA in type 2 MI, peripartum cardiomyopathy outcomes, IE prophylaxis and enteric-coated Vs uncoated aspirin.

Sources: @CircAHA, @ESC_Journals, @Open_HeartBMJ @JACCJournals, @JAMAcardio, @NEJM

🧵 Image
1) CTCA with FFR in 50 pts with type 2 MI showed 92% had CAD, and 26% had obstructive disease, supporting use of aspirin and lipid lowering therapy in pts with T2MI.

Link: jacc.org/doi/10.1016/j.…
Image
2) Scottish data on peripartum cardiomyopathy incidence (1 in 4950 deliveries) and outcomes (8% mortality at a median of ~8yrs)

Link: academic.oup.com/eurheartj/adva…
Image
Read 12 tweets
Sarah Hudson Profile picture
Oct 1, 2023
Ten current papers for the curious cardiologist, including transcatheter valve in the mitral position, NTproBNP in a healthy population, impact of diagnosing type 2 MI and effect of smoking cessation post PCI.

Sources:
@CircAHA , @ESC_Journals, @Heart_BMJ, @JACCJournals

🧵 Image
1) MITRAL trial outcome looking at 5 yr survival after transcatheter Sapien valve use in mitral position

Link: jacc.org/doi/10.1016/j.…
Image
2) NTproBNP levels in a healthy US population demonstrated variation with age, sex and race.

Link: jacc.org/doi/10.1016/j.…
Image
Read 12 tweets
Sarah Hudson Profile picture
Sep 24, 2023
Ten current papers for the curious cardiologist, including mitraclip in secondary MR, possible cause of AVB in young pts, use of calcium score from non-gated chest CT to risk stratify pts pre non-cardiac surgery and HF pts and pregnancy.

🧵1/n Image
1) Use of MitraClip in pts with secondary MR – COAPT-PAS, US prospective observational study of 5000 pts, showed significantly⬇️mortality & HF hospitalisation compared to pts in COAPT-RCT GDMT arm ( 33.7% Vs 46.2%)

Link:

2/njacc.org/doi/10.1016/j.…
2) High Hs-cTnT post cardiac surgery is associated with ⬆️ 30d mortality but not 5yr. Thresholds defining mortality-associated postoperative myocardial injury were 170xURL for CABG (resulting in a 30d HR of 12.6) and 41xURL for AVR (30d HR of 4.4)

Link: jacc.org/doi/10.1016/j.…
Read 11 tweets
Sarah Hudson Profile picture
Aug 20, 2023
Ten current papers for the curious general cardiologist, including ticagrelor monotherapy post PCI, MRA use in cardiac amyloid, asystole post shock from wearable defibs & ⬇️in mortality using telemonitoring in HF

Sources: @ESC_Journals, @JACCJournals, @JAMACardio

1/n Image
1) At 3 months post PCI, the TWILIGHT RCT published in @JACCJournals showed ticagrelor monotherapy compared to continued DAPT (ticagrelor and aspirin) resulted in lower bleeding risk with no increase in ischaemic risk

Link:

2/njacc.org/doi/10.1016/j.…
2) The MACT proof of concept pilot trial (200pts) showed in ACS pts undergoing PCI it was feasible to discontinue aspirin the day after PCI & continue ticagrelor or prasugrel antiplatelet monotherapy combined with low-dose colchicine.

Link:

3/njacc.org/doi/10.1016/j.…
Read 11 tweets
Sarah Hudson Profile picture
Aug 6, 2023
Ten current papers for the curious general cardiologist, including troponin in stable CAD, coronary assessment in VT storm, balloon pulmonary angioplasty and CIED infections

Sources: @CircAHA, @ESC_Journals , @JACCJournals, @JAMACardio

1/n Image
1) Use of hs-cTnI to risk stratify pts with chronic CAD: 1 in 25 had trop >99th percentile & these pts had a 4x ⬆️risk MI/CV death vs pts <5ng/L. -MICA study in @JACCJournals

Link:

2/njacc.org/doi/10.1016/j.…
2) Meta analysis shows normal stress CMR in pts with known or suspected CAD is associated with lower MACE for at least 3.5yrs - in @JAMACardio

Link:

3/njamanetwork.com/journals/jamac…
Read 12 tweets
Sarah Hudson Profile picture
Oct 16, 2022
💚Top Ten Slides from day 1 of #BSEcho2022 💚

A thread for all those who echo

1) Should we use the highest beat/signal in AF? Slide shown by Sanjeev Bhattacharyya

1/n
2) Peripartum cardiomyopathy - don't miss it and remember need to counsel/risk stratisfy if considering future pregnancies. Slide shown by @BSE_President Claire Colebourn at #BSEcho2022

2/n
3) The adult ACHD population is larger than the paediatric one, and 86% have biventricular anatomies. Interesting UK data shown by Liam Corbett at #BSEcho2022

3/n
Read 12 tweets

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