Julian G. Westphal

[Enrico Ferro, MD @enricoferroMD]

Thrilled to share our latest study in @CircAHA: we ran one of the largest comparative safety analyses of #PFA vs radiofrequency #ablation for #AF, performed
@BIDMChealth (>1,500 #PVI/year). We found a significantly higher stroke risk with PFA. Read on👇

https://t.co/sFECm0SFaY

[Ahmed Bennis MD 🫀 @drbennisahmed]

Peri-operative myocardial infarction/injury after non-cardiac surgery: association between cardiologist evaluation and outcomes

Cardiologist evaluation of patients with PMI following major non-cardiac surgery was associated with a reduced risk of major adverse cardiac events and all-cause mortality at 365 days after surgery, suggesting that interdisciplinary management may improve post-operative outcomes.

#Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare
@ESC_Journals @ehj_ed @iamritu @CMichaelGibson @AndrewJSauer @Hragy @AnastasiaSMihai
https://t.co/zelPbKfiMt

[Julian G. Westphal @JulianGWestphal]

@drbennisahmed @JACCJournals @drjohnm

[Ahmed Bennis MD 🫀 @drbennisahmed]

Outcomes of Left Atrial Appendage Patency After Device Closure Detected by Cardiac CT: A Meta-Analysis

LAA patency and PDL identified by CT may be associated with an increased risk of thromboembolism

#Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare

@JACCJournals @ACCinTouch @DrMarthaGulati @hvanspall @ShelleyZieroth @iamritu @AnastasiaSMihai @biljana_parapid @Hragy

https://t.co/cS2ggrG23r

[Michael Weintraub, MD @MWeintraubMD]

🚨The first phase 3 retatrutide trial, TRIUMPH-4, top-line data announced today 🚨

💉 Retatrutide, a triple GLP-1,GIP, glucagon agonist studied in patients with obesity and osteoarthritis

📉 28.7% weight loss at 68 weeks ⚖️
❤️Reduced key cardiometabolic risk markers — non-HDL cholesterol, triglycerides, and hsCRP
⬇️Highest dose lowered systolic BP by 14 mmHg
🦵Reduced WOMAC pain scores by up to an average of 4.5 points (75.8%) and significantly improved measures of physical function 💪
🤢 GI side effects most common adverse event 💩🤮

We now await 7 additional phase 3 trials in other obesity related comorbidities

https://t.co/hwyc8z4M2v

[Roman Sheremeta 🇺🇸🇺🇦 @rshereme]

The largest COVID study to date — covering nearly four years of data and 29 million people — delivers a clear result.

Out of the sample, 23 million were vaccinated and 6 million were not. Among the vaccinated, the risk of dying from COVID was 74% lower, with ZERO increase in deaths from any other cause.

Of course, none of this will change the minds of anti-vaxxers. They will blame the researchers, politics, or even Ukraine. And that’s not a joke — people with anti-vaccine attitudes are significantly more likely to believe that “NATO provoked” the russian war against Ukraine.

[Ahmed Bennis MD 🫀 @drbennisahmed]

Diagnosing HFpEF in Patients With Unexplained Dyspnea by Using Invasive Left Ventricular Pressure-Volume Loops

Half of the patients with HFpEF had normal right-heart catheter hemodynamics, but they fulfilled HFpEF diagnostic criteria by showing impaired relaxation or LV chamber stiffness

#Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare

@gcfmd @SJGreene_md @dranulala @ShelleyZieroth @AndrewJSauer @ankeetbhatt @hvanspall @DrMarthaGulati @hfcollaboratory @GMCRosano

https://t.co/B0ZGCuSr1A

[Gennaro Giustino, MD @g_giustinoMD]

Ah November….. that time of the year when you know that thanksgiving is coming and then you get reminded that invasive therapies are ineffective, lowering LDL with super-expensive drugs lowers MACE by a small fraction and that no matter what you do for cardiogenic shock pts still die…

#AHA

[Julian G. Westphal @JulianGWestphal]

@Hragy Do you might have a CPET per chance? If vo2max < 14 might be a candidate for Tx and OMT? Otherwise talk to your CTO guys if they might wanna tackle the native vessels. Tough case for sure.

[Diego Segura-Rodríguez @SeguraCardio]

🆕Treatment algorithm for pulmonary arterial hypertension‼️

#PAH #WSPH2024 #Guidelines

[Julian G. Westphal @JulianGWestphal]

f, 86y, epigastric/chest pain for several hours, serial hsTnT slighty elevated (2xURL)w/o de- or increase, 50mm/s

Thoughts?

#CardioTwitter #ecg

[Henry Han @HanCardiomd]

Bidirectional Relationship Between Kidney Disease Progression and Cardiovascular Events in #T2DM

https://t.co/iQ3pPsphC2 @brendonneuen @mvaduganathan @JACCJournals

#ESCCongress @escardio

[Novi Yanti Sari @slumberbell]

Exciting Results from #HELIOS_B Trial! 🌟

📍Double-blind, randomized
📍#Vutrisiran in #hereditary or wt #ATTR_CM
📍655 px, mostly elderly males with NYHA FCII
📍#Vutrisiran 25 mg vs. placebo q3 mo, plus #tafamidis if ongoing

🎯 Results:
📍Primary Endpoint: Significant ⬇️ in all-cause mortality & #CVevents by 28% overall
📍Secondary Endpoint: Marked ⬇️ in all-cause mortality by 36% overall, 35% in monotherapy group over 42 months
📍Notable⬆️ in FC, QOL, and NYHA class

#ESCCongress @ThibaudDamy

[Edgardo Alania @Ed_Alania]

🟢 Recurrent Pericarditis and Paradigm Shift in Cardiovascular Imaging and Targeted Therapeutics @JACCJournals #cardioEd #Cardiology #Pericarditis

[Alexander Mladenow MD @alex1708ander]

#echofirst intraop TEE in a patient > 2000 days on LVAD & AR undergoing aortic valve closure with occluder. This can be challenging…

Due to too big AV annulus TAVI wasn’t an option

#CardioTwitter

[Young DGK @YoungDgk]

Das Universitätsklinikum Jena wurde als Fortbildungsstandort Junge Kardiologie ausgezeichnet! 🎓❤️ #Fortbildung @PCSchulzeMD @JulianGWestphal

👉https://t.co/NicuL0Sxwt

[Carsten Maschmeyer @maschmeyer]

„Hier nur Barzahlung“ - ich bin es echt leid.

Genauso wie „keine Kartenzahlung möglich“.

Denn was bei unseren europäischen Nachbarn längst Standard ist, ist hier noch Zukunftsmusik.

Das belegt auch der Global Payments Report 2023 der BCG. Im Vergleich mit 17 europäischen Ländern liegt Deutschland bei Kartenzahlen im hinteren Mittelfeld.

Wir sind internationaler Standort für Deep Tech. Aber bargeldlose Zahlung? Schwierig.

Das ist nicht nur nervig, sondern auch echt peinlich.

Deutschland muss endlich im 21. Jahrhundert ankommen. Denn wer auch internationale Gäste - wie jetzt zur EM - empfangen will, muss ihre gewohnten Zahlungsgewohnheiten respektieren. Vor allem wenn man bedenkt, dass Geldautomaten nicht an jeder Ecke stehen. Zusätzlich kommen noch horrende Transaktionsgebühren hinzu.

Jeder soll zahlen, wie er oder sie mag, aber man sollte eine Wahl haben dürfen - ob nun digital, mit Karte oder bar.

Aber Kartenzahlung sollte überall in Deutschland selbstverständlich sein - und kein Benefit.

Zahlt ihr lieber mit Bargeld oder Karte?

#deutschland #zukunft

[Janosch Dahmen @janoschdahmen]

Das kann so nicht weitergehen: „Die Beatmungsmedizin kostet in der Bundesrepublik 6 Milliarden Euro/Jahr, das stationäre Budget betrug insgesamt für die Medizin 88 Milliarden Euro im Jahr 2022. (…) Die gesamte stationäre Kindermedizin hat nur 4,5 Milliarden Euro zur Verfügung.“

[Young DGK @YoungDgk]

🌟Für 2024 konnten wir 28 Kliniken als Fortbildungsstandort Junge Kardiologie auszeichnen

Jeder dieser Standorte hat sich durch besondere Fortbildungsangebote für junge Kardiolog:innen hervorgetan 🎓❤️
➡️wir stellen Euch die Standorte vor

Mehr Infos?
https://t.co/NicuL0Sxwt

[Henry Han @HanCardiomd]

#Sacubitril/valsartan for the treatment of non-obstructive #HCM : An open label randomized controlled trial (#SILICOFCM)

📍115 patients (mean age 58, 37% female) enrolled

📍No significant change in peak VO2 at 16 weeks (sacubitril/valsartan: 15.3 vs. 15.9 ml/kg/min, p=0.13)

📍 16-wk Rx with Sac/Val was well tolerated but no significant changes in BP, cardiac structure, biomarkers, or quality of life

https://t.co/7i5cFdo8fi #EJHF @EJHFEiC @MarcoMetra @HFA_President