Greg Mills

Northern England | 🩺

[Abdulla A. Damluji, MD, PhD @DrDamluji]

Invasive Treatment Strategy for Older Patients with Myocardial Infarction: @NEJM

🥸 Unlike Fire, SENIOR-RITA trial showed that invasive strategy did not results in lower CV death/MI in older pts >75 yrs!!

😱 Congratulations to @VijayKunadian and team

🥸 Summary

👇👇👇

[EHJ Editor-in-Chief @ehj_ed]

Invasive vs. conservative management of older patients with non-ST-elevation acute coronary syndrome: individual patient data meta-analysis. Read more in #EHJ
#CardioTwitter @escardio @ESC_Journals #metaanalysis @VijayKunadian
https://t.co/jBZiFce9rZ

[Greg Mills @GregBMills1]

Great to contribute to the evidence-base for such an important and ever-growing patient group - older patients with cardiovascular disease 🫀

[Professor Vijay Kunadian @VijayKunadian]

⚡️Just published⚡️
❤️‍🔥Cardiovascular disease lead cause of mortality in older adults
❤️‍🔥Read here our individual patient meta-analysis from Italy, Spain, UK, Norway, Sweden-invasive vs conservative care of NSTEACS in older adults @GHirlekar @DrDamluji
https://t.co/XsNFVGBp27

[Professor Chris Whitty @CMO_England]

Improving quality of later life sometimes means less medical intervention not more. This should be the patient's informed decision.

Older people and their families need to have realistic conversations with their doctors including about levels of intervention they want. (5/5)

[Professor Vijay Kunadian @VijayKunadian]

2023 ESC Guidelines for the management of acute coronary syndromes | European Heart Journal | Oxford Academic #ESCCongress ⁦@escardio⁩ ⁦@ESC_Journals⁩ https://t.co/vnG1mnZqyT

[Professor Vijay Kunadian @VijayKunadian]

💥Just published
❤️NSTEACS patients are heterogeneous population
❤️Previous studies under represented for older adults & women
❤️Previous risk scores do not reflect current practice
❤️Read here work led by @rbnavn Navin Bala @Drroxmehran @mirvatalasnag
https://t.co/YLnnu59kKo

[Professor Vijay Kunadian @VijayKunadian]

💥High level of multi-morbidity in older adults with NSTEACS having invasive care
💥5 year mortality significantly higher in those with multiple co-morbidities ~50%
💥Read👇great work from the team led by @Beska
💥One size does not fit all!
https://t.co/NtDzxURqri
@DrDamluji

[EHJOpen Editor-in-Chief @ehjopen]

Fresh off the Press: Outcomes of elderly patients with NSTEACS by Ratcovich et al in #EHJOpen!
@VijayKunadian
@mirvatalasnag @ESC_Lavinia @SaDeRosa78 @DrDamluji
#OpenUpYourScience https://t.co/qN7QqHpoM6

[Professor Vijay Kunadian @VijayKunadian]

💥Just published
♦️NSTEACS occurs >often in older pts
♦️70% of such pts are frail/prefrail
♦️Mortality at 5yrs post PCI ~30% > in frail pts
♦️@SNR_RITA_Trial ongoing…
♦️Read here work by Ratcovich et al @KAlexanderMD
@mirvatalasnag @JDodsonMD @DrDamluji https://t.co/ETpzPiaBBR

[Professor Vijay Kunadian @VijayKunadian]

♦️Heart disease leading cause of death in older adults
♦️Less likely to receive guideline recommended treatment
♦️Frailty, multi-morbidity linked to worse outcomes
♦️We explore this in our manuscript led by @GregBMills1
💥Open access for free download😊
https://t.co/l452O1QJTJ

[Edgardo Alania @Ed_Alania]

📁 https://t.co/1F2TZ6mI0K

[Edgardo Alania @Ed_Alania]

🧑🏼‍🦳👨🏼‍🦳Is the contemporary care of the older persons with acute coronary syndrome evidence-based? @ehjopen @ehj_ed @VijayKunadian #CardioEd #Cardiology @torresviera @SVCardio @HanCardiomd @rigotordoc @HeartOTXHeartMD @CMichaelGibson @CardioIAN @Cardioinfo_it @CNCFCardio