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Harriette Van Spall, MD MPH Profile picture
Harriette Van Spall, MD MPH
@hvanspall
Cardiologist @CIHR-funded Scientist @McmasterU Alum @HarvardHSPH. #ClinicalTrials #HF #ImplementationScience #DigitalHealth #DataSci #ResearchMethods
Sep 13, 2023 • 4 tweets • 3 min read
Missed these wonderful #McMaster #Cardiology #GrandRounds on #Anticoagulation in #Bioprosthetic #AorticValve, presented by @eikelboomer.

Grateful to @ebelleycote for moderating while I’m away.

Super overview of literature to date and knowledge gaps in this area
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Image #thrombosis plays a role in complications following bioprosthetic #SAVR or #TAVR

Guideline recommendations are based on limited data end, guidance on subclinical valve thrombosis is particularly limited

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Apr 4, 2023 • 4 tweets • 9 min read
💥#McMaster #CardiologyGrandRounds by @johneikelboom
🩸 People with #AF are inadequately anticoagulated, largely related to MD hesitancy
🩸#Bleeding risk prediction tools have modest performance
🩸Bleeding risk iproportional to stroke risk, net benefit favours #antocoagulation 2/
 🩸Few reasons to withhold #OAC, even in frail, older adults
🩸Across spectrum of #bleeding risk in AF, #stroke risk is higher
🩸#DOACs preferred over warfarin in #nonvalvular #AF
Feb 26, 2019 • 8 tweets • 7 min read
Proud to have led this #clusterRCT, presented @ESCCardio's #LBCT session & published today in @JAMA_current. Among 2495 adults (50% women) hospitalized for #HF, a transitional care model implemented in our publiclyfunded system did not ⬇️time to comp readmission/ED visit/death.