Our model to predict 5 year risk of post-stroke cognitive impairment using routinely collected EHR data. Important tool for risk stratification / targeted #BrainHealth preventive interventions. @CDAndersonMD@JRosand_MD
Afib can increase risk of stroke, morbidity & hospitalization. Lifestyle modification programs may reduce symptoms, progression & improve QOL. Dr. @JeffAshburner et al. examine a behavioral program for pts w/Afib. https://t.co/GVa82WHHXP @pnatarajanmd, @anne_thorndike, @RomitB_MD
Atrial fibrillation is not a covered indication for cardiac rehab. Our 12k cardiac rehab-like program for pts with AF in single-arm @MGHHeartHealth pilot showed improvement in AF burden, symptoms, and quality of life https://t.co/gk4DVhJLDD @JCRPjrnl@JeffAshburner @RomitB_MD
Interesting work lead by @JeffAshburner in #VITALAF trial ➡️ among pts w/ known #afib, no diff in new OAC initiation w/ vs. w/o 1L ECG screening, but 𝟏𝐋 𝐄𝐂𝐆 𝐫𝐞𝐬𝐮𝐥𝐭𝐬 𝐚𝐟𝐟𝐞𝐜𝐭𝐞𝐝 𝐎𝐀𝐂 𝐢𝐧𝐢𝐭𝐢𝐚𝐭𝐢𝐨𝐧 (⬆️ if possible AF result, ⬇️ if normal)!
@MGHHeartHealth
How common is #afib in today's primary care?
Prevalence 13%, incidence 2.4%/yr among pts ≥65 yrs in VITAL-AF trial, adjudicated outcomes
#afib prevalence 29% in ≥85 yrs and 43% in #heartfailure
Paper @JAMANetworkOpen ➡️ https://t.co/iB3GqtJRy6
@MGHHeartHealth@MGHMedicine
Study by #MGH investigators finds handheld devices for A-fib screening may be most effective in the oldest adults during primary care visits https://t.co/I2zBh5OgS9
We need a Massachusetts special edition with a chapter titled “Do I Have to Remove the Sheets of Ice Off the Roof of My Range Rover before Driving on the Highway and Potentially Killing Someone? I Mean…It May Take Me 10 Whole Minutes.” @KenTremendous
As more patients gain access to consumer devices capable of monitoring heart rhythm - what is the future of point of care screening for atrial fibrillation? Our new piece in @CVDH_journal - with @shaan_khurshid @satlas60 @steven_lubitz and Danny Singer.
https://t.co/7re2unoAIY
@JasonIsbell I had a colleague ride an elevator with Steven Tyler. She asked him if he was famous. He said “Yeah, Aerosmith.” In the office she asked me “Do you know who Aaron Smith is?”