Kyle Mandsager, MD

Cardiologist and Electrophysiology Fellow @ClevelandClinic | Endurance Sport Enthusiast

[Nadeen N. Faza, M.D. @NadeenFaza]

Thank you @AnnGageMD, Cleveland Clinic's interventional intensivit cardiologist, for masterful delivery of a special talk on "Reacquainting Cardiology with Critical Care: Mechanical Ventilation & Pressors"

Must watch for #ACCFIT & #Cardiotwitter 👉https://t.co/LrfovmGmge
#MedEd

[Ann Gage @AnnGageMD]

Breathing New Life into an Old Skillset: Reacquainting Cardiology with Mechanical Ventilation in Response to the COVID-19 Pandemic. Thank you @JACCJournals @JGrapsa @AnkurKalraMD @RanLeeMD for helping ease some anxiety re: caring for our ICU patients. https://t.co/uA2EiCx9b1

[Andy Slavitt @ASlavitt]

COVID-19 Prep Update- March 14:

Last night I was on with state & local officials around the US well into the night. By March 23 many of our largest cities & hospitals are on course to be overrun with cases.

I am going to prepare a memo for them. I will share highlights here.1/

[Kyle Mandsager, MD @KyleMandsager]

@sneha_vk @SergeHarbMD @ASE360 That’s my needle! #lowandposterior

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @drjohnm @jaymontgomery44 Have seen incessant bundle branch reentry post valve surgery - possibility based on typical LBBB morphology here, and rapid rate.

[Kyle Mandsager, MD @KyleMandsager]

@JAMACardio, reassuring data regarding high amounts of physical activity/exercise and coronary calcification. Growing evidence of benign association, at least from a population standpoint. https://t.co/A8fzsS8Ee7

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Also, amongst other risk factors, don’t forget about PEDs in this guy...

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD tough but often fulfilling conversations. “Shared decision making” for sure. Good case though - fortunately he has good follow up :)

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Thompson recommends two years of high intensity statin before resumption of competition, based on plaque remodeling studies/hypothesis. ACC/AHA advise DQ for 3mo lost AMI/PCI, then OK if normal EF and stress. These are all separate from DAPT concerns.

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Question isn’t simply “triggering” another MI, or chronically increasing risk. But triggering fatal VT/VF via border-zone ischemia when acidotic, hypokalemic, and experiencing profound myocardial stress during critical portion of competition or training.

[Kyle Mandsager, MD @KyleMandsager]

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Recommend reading papers on the topic of competitive athletics and CAD by Paul Thompson. ACC/AHA guidelines from 2015 are open access (I just pulled up on my phone in Anguilla ;).

[Khaldoun Tarakji @khaldountarakji]

Left Atrial Electromechanical Remodeling Following 2 Years of High-Intensity Exercise Training in Sedentary Middle-Aged Adults | Circulation #AHA2018 https://t.co/oG6VkIBgDj

[Cleveland Clinic MD @CleClinicMD]

New study finds pro football retirees at least 5 times more likely to have atrial fibrillation than matched nonathlete controls: https://t.co/352jGMMu6n

[Kyle Mandsager, MD @KyleMandsager]

@doc_halliday11 @AnnGageMD Just trying to inspire you Steve https://t.co/CxL7qRFTQX

[Kyle Mandsager, MD @KyleMandsager]

Another look at CRF and mortality, here in a presumed “healthy” population. Using CPX for VO2max measurement, and less stringent cutoffs for high fitness. But message remains: fitter is better. https://t.co/e951ZIY6vo

[Kyle Mandsager, MD @KyleMandsager]

A thoughtful write-up of our work by the ⁦@nytimes⁩. #getfit https://t.co/LTnRqJoZ8U

[Cleveland Clinic MD @CleClinicMD]

Researchers find no upper limit to the long-term mortality benefits of aerobic fitness in patients undergoing stress testing: https://t.co/rvWxdJSHNh

[Kyle Mandsager, MD @KyleMandsager]

@TheEliMarcus May be benign adaptation (increased bone/Ca turnover?) - evidence that these are more stable plaques. May partly explain our/other findings that athletes live longer, lower rates of CAD events. That said, CAD is #1 cause of sudden death in athletes >35 years old.

[Kyle Mandsager, MD @KyleMandsager]

Excited to see our work finally published! Many to thank for helping bring all this together.

Association of Cardiorespiratory Fitness and Mortality Among Adults Undergoing Exercise Treadmill Testing https://t.co/QVkht9Gf8X

[Cardiovascular Business @CardioBusiness]

ICYMI: Individuals with 'elite' cardiorespiratory fitness for their age maintained a survival advantage over high performers (75th-97.6th percentile), suggesting there's no upper limit for the benefits of #fitness. @KyleMandsager @ClevelandClinic https://t.co/skn1x9PJ7U

[Kyle Mandsager, MD @KyleMandsager]

@TheEliMarcus Can’t comment on individual case/give med advice. Studies have shown more coronary Ca2+ in endurance athletes, others suggest these are more stable plaques. Unclear true clinical significance. We found the most fit patients lived longest. Should discuss w your MD.