James Dundas

Imaging Cardiologist. TTE, TOE, CMR, Cardiac CT. Astronomy, cinema, wine, beer, coffee, board games, politics, doomscrolling, Leicester Tigers, SAFC.

[Sunderland AFC @SunderlandAFC]

WE'RE ALL GOING ON A EUROPEAN TOUR 🌍

[Football Away Days @FBAwayDays]

The moment Sunderland players discovered they’d qualified for European football for the first time in over 50 years.

Those fans will be able to create special memories next season, I’m so happy for them! 👏👏

[James Dundas @angularboxoid]

@SimonFraser00 People say this every year, and they’re just wrong. The playoffs are great, and it stops there being a huge dead rubber fest at the end of the season where most of mid table have nothing to play for.

[James Dundas @angularboxoid]

@cardiojaydoc02 Spot on. 👏

[James Dundas @angularboxoid]

@AcademicTruther @cardiojaydoc02 @DavidLBrownMD Come on, what? Nobody would reasonably expect a mechanic to be back at work the day after being extubated. My grandad was a car mechanic and lost two finger tips in a work accident with a hydraulic jack. He obviously didn’t go back to work the next day…

[James Dundas @angularboxoid]

@DavidLBrownMD Not saying things might not have swung too far; but it seems very glib and heartless to say “nobody in my residency committed suicide” when physician suicide is quite a well documented phenomenon. You’d be unimpressed if (when) colleagues decided to stent based on n=3 data…

[James Dundas @angularboxoid]

@abhinuv23 @drjohnm Indeed, you can’t fight culture. I wonder if it’s a relic from US historically having low radial access rates? I can’t recall stopping OAC for angiography since the last days of femoral only operators (>10y ago).

[James Dundas @angularboxoid]

@abhinuv23 @drjohnm Wasn't the question 'new' AF? Plenty of patients with established AF have NSTEMI. Quite often patients present with AF/rate-related symptoms and trop rise - not type 1 NSTEMI. less often, might have symptoms felt more likely to be ischaemic, but also new AF - may have both.

[James Dundas @angularboxoid]

@abhinuv23 @drjohnm Of course can happen, but wouldnt have said very frequent that both events are brand new and independent. Usually can clinically adjudicate and do no coronary test (or CT). But when it does occur - why woudn't one just start a DOAC and send to cath?

[James Dundas @angularboxoid]

@VerwerftJan @drbennisahmed @bwoody58 Impressive that you can resource this - I am not saying there are no centres in UK that offer iCPET but I don’t know of any, and my own surgical centre and AFAIK the nearest transplant/PH unit don’t. Seems a lot of testing for modest treatment options? Is it cost effective?

[James Dundas @angularboxoid]

@abhinuv23 @drjohnm Why would patients with new AF be for Cath? And if there was an indication, why would oral anticoag be stopped for Cath? Neither makes a lot of sense.

[James Dundas @angularboxoid]

@alzsoalb @jakonian Because of the intrinsic nature of every single member, candidate, councillor, and MP they have.

[James Dundas @angularboxoid]

@pjsrobertson Pedantry but in football, using your torso surely counts as a kick as it’s not handball or a header.

[James Dundas @angularboxoid]

@AiForgeConsult @TheMG3D Hi, normal people do not want a fridge that automatically spends their money. Like that is the worst possible concept.

[James Dundas @angularboxoid]

@maxdubler Wait, San Francisco is only just getting Nepali food? Like my parents’ sleepy English market town (v white) has had Nepali restaurants for years…

[James Dundas @angularboxoid]

@RussellScotland @ArturNadol7566 @BBC "I don't remember hearing any significant news reports from China". Are you serious? The other superpower? Taiwan? The pandemic? Any of this ringing a bell?

[James Dundas @angularboxoid]

@minarchist9 @MattZeitlin Right but is that not just a function of your age & kids being v cliquey about music (especially then) - like if you were into rock or indie or hip hop, no shit your mates weren’t into Jackson in the 90s. But he was comfortably the most famous person in the world at that time.

[James Dundas @angularboxoid]

@Emma_A_Webb Don’t be daft. Of course it should be within the power of a sovereign government in a democracy. Whether they should choose to do so is a reasonable debate over policy, but saying “it should be impossible for the government to make laws over dangerous substances” is… bizarre.

[James Dundas @angularboxoid]

@castonian @SMalik86 If they’re tied on GD and goals for, I don’t think they’re gonna be separated on goals against…