Ahmed Ghoneem, MD MSc Profile picture
Cardiology Fellow @UPMCHHCVFellow via @bethisraellahey @CIRC_MGH| @cardionerds Academy House Faculty| Movie buff| Tweets my own
Nov 11, 2023 9 tweets 4 min read
📣#LBCT The SELECT trial

🟢 weekly Semaglutide 2.4 mg lead to a 20% reduction in the primary composite outcome of CV death, non-fatal MI & non-fatal stroke in patients with overweight or obesity, who DID NOT have diabetes!

NNT= 67!!!!
more trial details 👇
@cardionerds #AHA23 Image Trial design, inclusion and exclusion criteria and study endpoints

@cardionerds #AHA23

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Jun 15, 2022 18 tweets 10 min read
We all know that stress is bad for our hearts.⚠️❤️

But did you know there is actual evidence of this heart-brain connection on FDG PET/CT?

A #Tweetorial 🧵 #CardioTwitter #MedTwitter #MedEd We know that the stress response begins in the 🧠 salience network - the AMYGDALA is a 🔑 component.

Activation of this network ⬆️ SNS output, which ⬆️ immune cell output from the bone marrow.

Amygdalar activity ⬆️ in chronic stress conditions e.g., PTSD, anxiety & depression.
Feb 2, 2022 19 tweets 12 min read
LV thrombi (LVT)

👉Are associated with systolic dysfunction.
👉Can occur in both ischemic & non-ischemic cardiomyopathy.
👉Carry a significant risk of systemic thromboembolism.

Management is mainly anticoagulation, but would you choose WARFARIN or a DOAC?? A #tweetorial 🧵 In this tweetorial, we will explore:

👉 The guideline recommendations for management of LV thrombus.

👉 The most recent evidence favoring warfarin.

👉 The most recent evidence favoring DOACs.