Ryan Chizner, DO, MPH, RPVI, FACC

Certified Interv Cardio, Cardio, Echo, Nuclear, RPVI, IM. Medical textbook author (see link). Tweets = my opinion (NOT med advice); Retweet is NOT endorsement

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@zacschulman @DrDamluji @NEJM @thiele_holger You can understand it better by learning the hemodynamics visually. This site is a great resource for learning. https://t.co/wtQ9UP3xEq

[Prof Chris P Gale @cpgale3]

In this article we highlight the need for contemporary evidence.

Implantable cardioverter defibrillators in heart failure with reduced ejection fraction after myocardial infarction

#heartattack #heartfailure

https://t.co/uUCr1PPhCx

[John Mandrola, MD @drjohnm]

The AQUATIC trial may be the most definitive trial of #ESCCOngress

The common combo of ASA and OAC for pts with CAD/stent and AF is clearly been harming people. Lots.

MACE worse, Death worse, Bleeding way worse.

STOP THE ASA when on OAC

https://t.co/OSx0UKWPXe

[Sanjay Kaul @kaulcsmc]

4/

9. Bleeding advantage driven by BARC 2 bleeding, not 3 or 5 bleeding (of greater prognostic value).

Bottom line, the inference of NI is not robust. It would be premature to discontinue aspirin early post-PCI based on these results.

[Muthu Vaduganathan @mvaduganathan]

New @TheLancet Meta-Analysis by #NelsonWang @BrighamWomens HF Fellow

What is the expected BP lowering with various antihypertensive regimens?

Robust model derived from n=104,176 pts across 484 RCTs

Terrific user-friendly tool: https://t.co/jaWeX3V1fn

https://t.co/rdHV0EkEeF

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@DrJayMohan Surgical societies (AATS, STS) contested this recommendation being Class 1.

https://t.co/jr6RF9Tzmd

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

Why Lower BP Isn’t Always Better for Stroke Risk https://t.co/Oww53xFkjK https://t.co/Oww53xFkjK

[Gregg Fonarow MD @gcfmd]

@crowanmd Available right now for anyone/everyone with prescriptions, including Medicare w/o part D, uninsured, high copays, prior authorizations denied…

This is the self pay, cash price for 30 day supply mail order

ARNI $62.50
MRA $6.44
BB $6.32
SGLT2i $49.85

https://t.co/4CDEHLnTRE

[Diego Segura-Rodríguez @SeguraCardio]

🧠 PFO ≠ automatic closure.
In cryptogenic stroke, careful selection is key:
– Age
– Stroke mechanism
– Competing risks

Closure, antiplatelet, anticoagulation? The review highlights how to choose wisely.

#Cardiology #Neurology #Stroke #StateOfTheArt #PFO #MedTwitter

[Gregg Fonarow MD @gcfmd]

Documentation:

ARNI+BB+MRA+SGLT2i

Cash price, 30 day supply

$121.11

Please note standard shipping costs of $5 not included

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@jjlop131 @nytimes @djc795 @SandeepNathanMD @DavidLBrownMD @hmkyale @GreggWStone @ethanjweiss @SVRaoMD Balanced by Dr Topol: "I don’t recommend getting a calcium score... This test is overused and often induces overwhelming anxiety in patients with a high calcium score but without symptoms or bona fide risk."

https://t.co/bFBbAcDV2V

[JAMA @JAMA_current]

A patent foramen ovale (PFO) is an opening between the right and left atria during normal fetal development that fails to close after birth.

This video demonstrates how a transesophaeal echocardiogram detects a PFO.

➡ Watch the video and read the review: https://t.co/XcSCQEcXm9

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

https://t.co/2RPr6FxC5I

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

https://t.co/bFBbAcDndn

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@RitikaTuliMD

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@RitikaTuliMD https://t.co/PEEqC14M6I
https://t.co/LliZ3ympf7
https://t.co/P7ouN8n5S8

[CardiovascularCorner @TrackYourHeart]

Evaluation of Aortic Regurgitation

[Tyler Olson, EA @olsonplanner]

Docs -

You want to be financial independent 15-20 years into attendinghood?

It starts the moment you finish training, with the following 12 steps:

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

New Frontiers in Outpatient Diuresis: Advancing Care for Heart Failure and Chronic Kidney Disease https://t.co/KUxmN12iw6 via @MedscapeCME

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@drsthanus https://t.co/8h1nRzoLAp

[Ryan Chizner, DO, MPH, RPVI, FACC @ChiznerRyan]

@drsthanus