Identifying patients with advanced #HeartFailure, and referring for timely care and consideration for advanced therapies, is of critical importance. Check out my review @UBCCPD for anyone taking care of HF patients, & with info on expert HF centres in BC: https://t.co/L2HI2Vq4wZ
@CMichaelGibson Surely WiFi and mobile workspaces are a small, worthwhile price to pay for primary PCI, TAVI, LVAD, etc. A “Pleasantville”-like view of medicine in the past is reductive and overly simplistic. As an advocate of evidence-based, contemporary medicine, wouldn’t you agree?
@CMichaelGibson But surely, Dr. Gibson, isn’t this nostalgia meaningless in face of progress?
Rounds then were completed by White male physicians with undanitized hands, using Quincke’s sign and Castell’s point, before prescribing ?digoxin.
@AHajduczok Good thought! There’s an ongoing trial, GARDEN TIMI 78, assessing symptoms and quality of life among otherwise optimzied symptomatic HF patients with a LVEF <50%.
@josecaferca@Obisht But, real talk, did this provide additional info on told of precordial auscultation and a JVP exam? Did this change the course of treatment? This patient would surely have a systolic mirmur consistent with severe AS and JVD with a CV wave on exam
@Ricky_Turgeon @Zac0x He’s equal parts brilliant and kind, was really nice to work with him. I’m not in Amsterdam, but looking from photos on social media, the spotlight suits him!
Proposed New Conceptualization for Definition of Decompensated HF: Taking the Acute Out of Decompensation : Not ADHF, not specified by location such as hospital/ ED, not acute or urgent #JACCHF https://t.co/WLZ5Fq0F23
We studied the utility of in-hospital oral diuretic observation in the largest study to date.
https://t.co/aLeBwqStAp
We found:
1) the oral diuretic response during in-hospital observation correlated poorly with the outpatient diuretic response. (2/4)
@CircHF@YaleHF
@yaleHFdoc@SJGreene_md@JavedButler1@gcfmd It's not the US, but we published an analysis in 2019 of % on eligible GDMT upon discharge from a network of Vancouver hospitals, broken down by Rx class and stratified by de novo or pre-existing HF (this was pre-SGLT2 era): https://t.co/AthG1MImX4
@Ricky_Turgeon Absolutely! Now we can Rx dapa in any order in HFrEF, and without EF restriction (so no more looking for coverage loopholes).
Also, for those with concomitant diabetes, we can now Rx empa (or semaglutide), with them only needing to be on metformin (or a contraindication) prior.
Great to see the Vancouver food scene get the international acclaim it deserves (and same with TO earlier this year). I’m hungry just looking at this list! https://t.co/Ndj4M5IbfJ