Cardiologist & Scientist • Dad • Husband of A Stroke Survivor Hero • @EmoryHeart Trained • Assoc Ed #EHJCaseReports • #SoMe Ed @Open_HeartBMJ #cvCMD @CardioOB
2 added to My Authors
Sep 21, 2021 • 7 tweets • 7 min read
Prevalence of Subclinical Coronary Atherosclerosis in General Population @CircAHA
1/x 🇸🇪 25K randomly invited individuals w/o known CAD underwent CCTA
🇸🇪 51% women
🇸🇪 50 to 64 yrs
🇸🇪 #SCAPIS (the Swedish Cardiopulmonary Bioimage Study)
#CMD shares similar RFs w epicardial atherosclerosis (traditional ASCVD RFs) & is associated with several biomarkers of inflammation, oxidative stress & coagulation
✅ What Is #CMD & Why Is It Important?
✅ Dx & Risk Stratification of #CMD: Stress Testing & Noninvasive Imaging
✅ Catheter-Based Techniques in Dx of #CMD
✅ Emerging Link Between #CMD & #HFpEF
✅ Phenotype-Based Mngmt of #CMD#ACC21#CMD session details 👇
🔘 Strengths/Limits of Lesion Specific vs Myocardial Ischemia
🔘 Comparing Dx Accuracy of Tests
🔘 Ischemia Testing in #INOCA
🔘 How to Select Best Noninvasive Test
☢ Issues with proposed #FFR threshold 0.8
☢ Exercise MPI correlates well with FFR but not at 0.8
☢ Benefit of FFR-guided revasc dominantly occurs w/ thresholds <0.8
☢ Quantification of lesion-specific #ischemia insufficient for patient mgmt
Sep 8, 2020 • 9 tweets • 14 min read
☢ Selecting Between Different Functional Tests in 2020? ☢
This should be most interesting session of virtual #ASNC2020
I am excited to be virtual moderator w/ expert speakers Dan Berman, Keon Nieman, Paul Knaapen, @mdicarli, @VTaqMD
1/7 Very important descriptive study 👇 expanding our understanding of burden of #CMD + endothelial dysfunction in #INOCA (angina) by @TomJFord@ColinBerryMD @CircIntv
Pts undergoing clinically indicated elective coronary angiography for angina & had definite (typical) or probable (atypical) angina based on Rose angina questionnaire
In women with signs & symptoms of ischemia
✅ low CFR (microvascular dysfunction) ➡️ ⬆️ major CV events
✅ endothelial dysfunction ➡️ ⬆️ angina hospitalization onlinejacc.org/content/73/6/6… @emorywomenheart@venkmurthy
In this relatively large & very well-done study, 4 indices of coronary dz were invasively measured: