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Enrico Ferro, MD Profile picture
Enrico Ferro, MD
@enricoferroMD
🇮🇹 Cardiology Fellow @BIDMCHealth at Harvard Medical School | Graduate of @BrighamWomens IM, @HarvardMed and @Yale | Proud Member of @Rotary. Opinions my own.
Dec 22, 2021 • 17 tweets • 14 min read
In our @JAMA_current editorial, we tackle a timely question in #CardioTwitter: should we recommend #apixaban or #rivaroxaban as first-line anticoagulant for #Afib?The two #DOACs are not interchangeable for bleeding or stroke. Let's review all RCTs & RWE🧵
jamanetwork.com/journals/jama/… Image Why should you care? Why now? 1) >70% of #Medicare pts on anticoagulation are taking #DOACs, practically replacing warfarin 2) Generic DOACs will enter the market in 2022, massively ⬆️ patient access & use 3) Insurance companies may not cover all DOACs in their formularies 💵💊 Image
Mar 27, 2020 • 11 tweets • 6 min read
1/ #COVID19 Thread: my first case of acute #Hydroxychloroquine intoxication. How do you manage it? Here is what I learned and useful resources I would like to share for your next case, as this presentation may become common. Many thanks to Dr. @PeterRchai for your teaching! 2/ 30yo pt, 12 hrs s/p taking unknown amount #Hydroxychloroquine. Vitals stable. Exam: alert/oriented, but new significant muscle fatigue in upper/lower extremities. CXR wnl. EKG n/f HR 60, QRS 135, QTc 700, NSVT on tele. Labs wnl but K 2.0, Phos 0.6, lactate 3.3, fibrinogen 178.