Barry Burstein, MD

Cardiologist and Cardiac ICU @THP_hospital / @UofT_DoM, via @McGillMed and @MayoClinic. Always learning. #POCUS and coffee, ideally together.

[Barry Burstein, MD @BarryBursteinMD]

@YosufSubatMD I haven’t found that to be the case…

[Barry Burstein, MD @BarryBursteinMD]

Finally in print! Our data from @MayoClinicCV CICU patients showing how echo can help risk stratify patients within SCAI shock stages. @seanvandiepen @nandananavekar @CICU_ECHO @MayoPCCM
https://t.co/i3uRL3QEUg

[CardioNerds @CardioNerds]

#CardioNerds, it is with GREAT pleasure that we break ground on a NEW Series:

🚨Cardiac Critical Care🚨

Stay tuned for an incredible curriculum & a comprehensive dive into this burgeoning field!

❤️🤓Co-Chairs: @MarkBelkinMD @EuniceDuganMD @karanpdesai @YoavKarpenshif 🙏🏽

[Lior Bibas @LiorBibasMD]

Join us LIVE this Thur @ 3:30PM EST for a @CANCARESociety Virtual Journal Club, discussing @NEJM's Capital DoReMi Trial, comparing dobutamine to milrinone in #CardiogenicShock.

We'll be joined by 2 authors @RebeccaMathewMD & @DiSantoPietro from @UOHIResearch🇨🇦

See details⤵️

[Barry Burstein, MD @BarryBursteinMD]

@TorontoIDDoc Intra-arterial contrast (e.g. cardiac cath) is likely a different beast but the same principles generally apply.

[Barry Burstein, MD @BarryBursteinMD]

@TorontoIDDoc CIN is waaaay overstated, in general. It is almost always worth giving contrast if it will better inform diagnosis and subsequent management.

https://t.co/dGhoTy6Uqs

[Barry Burstein, MD @BarryBursteinMD]

Great collaboration demonstrating the increased CV risk associated with sepsis survival. A potentially important risk factor in CV prevention. Great work @leahkosyakovsky, @fedeangriman, @PatrickLawlerMD and team!

[Leah Kosyakovsky @leahkosyakovsky]

Our #systematicreview and #metaanalysis on the association of #sepsis with long-term #CVD is out now in @yourICM ! Surviving sepsis was associated with ⬆️#cvMI, #heartfailure, and #stroke over 5+ years. Take-home points below. https://t.co/xC9iB6TeMI

[Barry Burstein, MD @BarryBursteinMD]

@seanvandiepen 🤦‍♂️

[Sean van Diepen @seanvandiepen]

Important new @AHAScience Scientific Statement on The Prevention of #CICU Complications led by @fordycecb @JasonKatzMD @carlosalviar published in @CircAHA

https://t.co/LzZhn2vRty

Worth the read!!

[Barry Burstein, MD @BarryBursteinMD]

@ELSOOrg @asaiojournal Way to go @DrKPennington! @MayoPCCM

[Barry Burstein, MD @BarryBursteinMD]

Where do you practice?

[Barry Burstein, MD @BarryBursteinMD]

Does your center permit use of CPAP/BPAP in patients with COVID (or under investigation)?

[Barry Burstein, MD @BarryBursteinMD]

Thanks to co-authors @seanvandiepen, @davebaran, @HenrytTimothy, @venumenon10, @ChetRihal, @SrihariNaiduMD, @davebaran, and of course Jake Jentzer (who is not on Twitter) for their valuable input and guidance.

[Barry Burstein, MD @BarryBursteinMD]

The definition of "pre-shock" in CICU patients can be elusive. In the latest issue of @CircHF we demonstrate that it may not be what you think...

Defining Shock and Preshock for Mortality Risk Stratification in Cardiac Intensive Care Unit Patients https://t.co/KLeT6HIopP

[Barry Burstein, MD @BarryBursteinMD]

Take home message: don't ignore a patient with elevated lactate just because the blood pressure is normal - it may not be for long!

[Barry Burstein, MD @BarryBursteinMD]

@ChetritMichael The RV hinge point - @V_Mardigyan always emphasizing this!

[Barry Burstein, MD @BarryBursteinMD]

Important position on #bestpractices for all #CICU patients. Congratulations to @JasonKatzMD @carlosalviar @seanvandiepen @fordycecb!

[Sean van Diepen @seanvandiepen]

Important new @AHAScience Scientific Statement on The Prevention of #CICU Complications led by @fordycecb @JasonKatzMD @carlosalviar published in @CircAHA

https://t.co/LzZhn2vRty

Worth the read!!

[Holger Thiele @thiele_holger]

Surely a no. You only have to read IABP-SHOCK II in @NEJM, @TheLancet and @CircAHA
If you use IABP it may only to make you better sleep during the night. But it does not help the patient! Even no benefit on lactate or does of catecholamines...

[Barry Burstein, MD @BarryBursteinMD]

Our analysis of the @MayoClinic database demonstrating that MAP>65 mmHg is associated with survival in #CardiogenicShock, now published in @Crit_Care. Some guidance for clinicians to improve care for our patients. Great collaboration with @MeirTabi, @kianoushbk, and others!