Journal club letting our fellows and attendings change out of out of scrubs for an evening — thoughtful dialogue on the latest evidence in drug-coated balloons! #ACCFIT#MichiganACC#Cardiology
We are saddened by the passing of Jim Lovell, commander of Apollo 13 and a four-time spaceflight veteran.
Lovell's life and work inspired millions. His courage under pressure helped forge our path to the Moon and beyond—a journey that continues today. https://t.co/AjT8qmxsZI
"They had looked at and smelled death all around them all day but never even dreamed of applying the term to themselves. They hadn't come here to fear. They hadn't come to die. They had come to win."
- Lt. Harry Welsh, Easy Company, 506th PIR, 101st Airborne Division
I’m “just” a DO.
In some circles, that’s still a slur.
At certain Philly academic centers, you feel it.
In residencies that quietly exclude us, you see it.
But here’s the truth nobody tells you:
The system didn’t make me.
It tried to break me.
Lasix is NOT nephrotoxic 🫘
Please retweet so we can end this myth once and for all 🦄
Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!!
Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of reducing stroke volume... as someone who scans these patients regularly this is surprisingly rare!
If a patient still has venous congestion (on Doppler), then Lasix is not driving the AKI. Instead, their AKI is from untreated congestion!!
You ask me why I’m slow to act when the patient’s crashing, why I walk instead of run.
You say “Shouldn’t we be doing more?”
Here’s what I’ve learned, and why I don’t reach for the epinephrine first.
A thread for young docs:
Marcus Freeman is straight up out coaching Kirby Smart tonight.
Notre Dame does a fire drill on 4th and 1 deep in their own territory and gets Georgia to jump offside to steal a first down and an extra possession.
Happy new year! Welcome to our 1/2 special issue of #JACCCaseReports@JACCJournals, with a focus on CARDIAC MASSES! See our articles with links below and our 7-minute video summary of the entire issue by our AE @SyedZaidMD!
https://t.co/HEW4oV2zlw
Full PDF here.
https://t.co/t9n1M5oPJr
A 7-minute video summary on our @YouTube playlist:
https://t.co/wSkzbDob2N
Thank you to our Associate Editor @JonChrispinMD for an excellent Editor’s Page:
The Hidden Scars of Arrhythmogenic (Right Ventricular) Cardiomyopathy: Silent Substrates for Ventricular Arrhythmias
https://t.co/iaczImC05l
@MinnowWalsh@DeeDeeWangMD@hmkyale@Justine_Turco
CARDIO-ONCOLOGY
Chest pain and ST elevation: angiosarcoma discovered with coronary angiography
https://t.co/klLztelgvE
Right ventricular metastasis of Ewing’s sarcoma treated through surgical resection
https://t.co/0VV8DR2HFJ
Cardiac Tumor within the Left Ventricle: Thrombus or Something Else?
https://t.co/OeMCUMBckt
Primary cardiac lymphoma with dramatic response to chemotherapy diagnosed by transvenous biopsy
https://t.co/BuKshLrfnm
Pulmonary Tumor Thrombotic Microangiopathy: A Rapidly Progressive Form of Pulmonary Hypertension in Cancer Patients
Recurrent Cardiac Tamponade from Multiple Myeloma While Receiving Teclistamab
https://t.co/Q9faXXgnwI
Invasive Aspergillosis with multiple locations, mediastinitis and cardiac invasion.
https://t.co/fqwGUL4kG3
ST-Segment Elevation: Hypocalcemia or Takotsubo Syndrome? A Diagnostic Dilemma
https://t.co/e6bBIgcrll
Acute Myocardial Infarction Due to Metastatic Melanoma Tumor Embolization
https://t.co/fGqbdvhS4c
Infiltrative myocardial T-cell lymphoma
https://t.co/GP6pzOzWGa
SGLT2 inhibitor for cardiac protection in a patient with Osimertinib-responsive advanced EGFR-positive lung cancer
https://t.co/M9L1Tl4EII
HEALTH PROMOTION AND PREVENT
Therapeutic Persistence in the Management of Familial Hypercholesterolemia: A Case of Acquired PCSK9 Inhibitor Non-response
https://t.co/Qu0xMyYjW0
Editorial Comment
Treating Familial Hypercholesterolemia: An Insistence on Persistence
https://t.co/kX034nIWWT
Primary Hypoalphalipoproteinemia with Significant Premature Atherosclerosis
https://t.co/QN4bG8jpdb
Managing Myotonic Dystrophy Type 1 Complicated by Metabolic Syndrome
https://t.co/hENUy4Y6MZ
Cardiac Rehabilitation Outcomes in a Transgender Woman with Coronary Artery Disease
https://t.co/Os0OHZnDJt
HEART FAILURE
Neutral Lipid Storage Disease with Myopathy and infiltrative cardiomyopathy initially presenting as right arm weakness
https://t.co/jao5XCTusl
Editorial Comment:
A disruptive technology in the making
https://t.co/Mk88SN5GdP
Ambiguous Clinical Presentations and Imaging Findings in Genetic Dilated Cardiomyopathy
https://t.co/QDfFzIEfJf
Editorial Comment:
Improving Diagnosis and Management of Dilated Cardiomyopathy with Advanced Cardiac Imaging and Early Genetic Testing
https://t.co/II0OVBkK5v
Comprehensive Genetic Testing for Coexisting Marfan and Loeys-Dietz Syndromes in Hereditary Thoracic Aortic Disease.
https://t.co/jxA0XIDPoR
MULTIDISCIPLINARY TEAM DISCUSSION
Pre-Emptive Use of a Left Microaxial Flow Pump in Peripartum Cardiomyopathy
https://t.co/OB7Am0HOT8
VASCULAR MEDICINE
Multidisciplinary Management of Chronic Limb Threatening Ischemia
https://t.co/XUfIY0Zg7j
Cardiology-Rheumatology Intersections in Aortitis and Aortic Aneurysms: Focus on Early Recognition and Management
https://t.co/IrCWB66b3A
SURGERY
Postpneumonectomy Syndrome: A Rare Case of Indolent Airway Collapse
https://t.co/hkr7ycr3OR
Successful investigational phage therapy for pan-resistant bacterial mediastinitis following type II hybrid aortic arch replacement.
https://t.co/TSPl0C5zO5
Complete Clinical Recovery Following Surgical Excision of Extensive Primary Cardiac Sarcoma: A Case Report
https://t.co/ElGgJWXygb
Nicardipine Induced Acute Hypoxia in a Patient with Type B Aortic Dissection
https://t.co/hnSbEKWnsR
Editorial Comment:
Arterial pressure control for acute aortic dissection: Pay attention to the side effects
https://t.co/5a8gdoQyz4
QUALITY IMPROVEMENT PROJECTS
Global Multidisciplinary Cardiometabolic Care Delivery: A Blueprint for Success From UNITE
https://t.co/dLymucfl4m
A Retrospective Validation of the HEAR Score
https://t.co/lkACgmtTpw
DA VINCI CORNER: HOW WE DID IT:
Understanding Cardiac Anatomy and Imaging to Improve Safety of Procedures: The Femoral Artery and Vein: Part 1
https://t.co/LyvkDBaDUy
Understanding Cardiac Anatomy and Imaging to Improve Safety of Procedures: The Femoral Artery and Vein: Part 2
https://t.co/HPOPFlPQCR
@mirvatalasnag@BadiwalaMD@JonChrispinMD@KatyuciaDMacedo@ddefariayeh
@FontanDoc
@juliendreyfus1@sarano_maurice@Miho_Fukui_
@theLAdoc
@Nishaki1@ACHDocTMoe@PamelaBMorris@Kentso987@colleenmstack@m_taramasso@SyedZaidMD
Among patients with asymptomatic severe aortic stenosis, early TAVR was superior to clinical surveillance in reducing the incidence of death, stroke, or unplanned hospitalization for cardiovascular causes. Full EARLY TAVR trial results: https://t.co/bmCLd0EtUf #TCT2024