Scott Dougherty

Cardiologist, Author, Aroider

[Scott Dougherty @DrScottD85]

An update on the cardiovascular manifestations of Fabry Disease.

@AlexLee_MD

https://t.co/OFPkPdR627

[Scott Dougherty @DrScottD85]

https://t.co/yTvmpt8IIp

Our latest publication from the ASIAN-FAME study

[CUHK Medicine @CUHKMedicine]

Our #cardiology team pioneered the first-in-human series performing combined mitral and tricuspid transcatheter edge-to-edge repair #TEER using the same tricuspid catheter, proving that it is feasible and safe to reduce the symptom without complications. https://t.co/RwSc7Y7Spr

📖@JACCJournals: https://t.co/ezJ2CLIa4p

[Davide Capodanno @DFCapodanno]

Coronary artery disease is a common comorbidity among patients with heart failure with reduced ejection fraction (HFrEF), but its presence does not necessarily imply causation. This debate centers on the role of PCI in improving outcomes for HFrEF patients. https://t.co/eLBSBGq1cO

[Stephan Achenbach @Steph_Achenbach]

Amsterdam relaxed as ever but excitement building globally for #ESCCongress opening here tomorrow. 4 new Guidelines released in morning and Hot Line 1 to cover GLP-1 agonist in HFpEF, anticoagulation for device detected atrial high rate episodes,& colchicine post thoracic surgery

[Gregg Fonarow MD @gcfmd]

HFrEF ↘️↘️↘️median survival 12-18 years

GDMT ↗️↗️↗️ median survival:

✅ ARNI 2-3 yrs (1-2 yrs vs ACEI or ARB)
✅ BB 3-4 yrs
✅ MRA 2-3 yrs
✅ SGLTi 1-2 yrs

Clinical benefits non-overlapping, incremental, additive

Quadruple >>>triple>>>double

Fast >>>>slow

Simultaneously 🏆

[Yogesh Reddy @yreddyhf]

What would you do? Low output heart failure (what CCU literature would call cardiogenic shock) with severe pulm HTN and severe MR on echo, EF 20%, max tolerated GDMT, low CO 2.4 L/min (CI 1.6). Despite severe MR mean PCWP only 24, but mean PA 57, PVR 14.

[Stefan Milutinovic @stefankmil]

📄 20 studies that Internal Medicine Residents should read in the first year 👇

1/ 🏃‍♀️ RACE II trial: Lenient resting HR < 110 was non-inferior to a strict HR < 80 in patients with atrial fibrillation.

🧵

[Sarah Hudson @sarahhudsonuk]

Ten current papers for the curious general cardiologist, covering topics including resolution of GI bleeding associated with Heydes syndrome after AVR, use of opiods in HF dypnoea, CABG failure & autoimmune AF

Sources: @Heart_BMJ, @CircAHA, @ESC_Journals, @JACCJournals

1/n

[Johann Bauersachs @JBauersachsMD]

✅ Impact factor of #EHJ has increased to an impressive 39.3‼️
👍 Congratulations to @ehj_ed Filippo Crea and the whole team

@ESC_Journals @escardio @JavedButler1 @ShelleyZieroth @rudolf_deboer @chiarabd @susannaprice @DavidDuncker @GiuseppeGalati_ @UoGHeartFailure

[Scott Dougherty @DrScottD85]

A recent AHA Advisory addressed the complex issue of sudden death after penicillin injection in patients w severe RHD, instead advising clinicians to consider oral penicillin. Our letter to the AHA highlights the gaps in knowledge & continues the dialogue in this important area.

[Scott Dougherty @DrScottD85]

The results of INVICTUS surprised everyone and concluded that NOACs should be avoided in all patients with rheumatic AF

In our paper we argue why NOACs should remain a viable option for most RHD-AF patients

#EHJ #END_RHD

https://t.co/btAcdlN5I7

[Ryan O'Keefe @ROKeefeMD]

Each year, Acute Decompensated Heart Failure (ADHF) leads to over 1,000,000 hospitalizations in the U.S.

Here's my approach to admitting a patient with ADHF, along with some key clinical pearls.

IM Interns - bookmark this!

#MedEd #MedTwitter #tipsfornewdocs

1/20

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

What is the aetiology of this MR, (1) Rheumatic (2) Ischemic (3) NIDCM (4) MVP.

[Elie Chammas @ejchammas]

58 y old female. Dyspnea. AVA continuity 0,9 and planimetry 1,6 cm2. Explanation 🤔 #Cardiotwitter #Echofirst #CardioEd @echocardiac @ASE360 @EACVIPresident @strain_rate

[Philippe Pibarot @PPibarot]

Simple method to differentiate true vs. pseudo severe stenosis in low-flow, low-gradient AS in the cath lab.
Catheter-Induced Postextrasystolic Potentiation in the Assessment of Severity of Low-Gradient Aortic Valve Stenosis https://t.co/i49CyosrD4

[Christopher_Velez_GI @Chris_Velez_MD]

Most common mistake I see with PPI recommendations from non-esophagologist GIs: assuming all have equal potency. #DDW2023

[Mamas A. Mamas @mmamas1973]

My talk about what do we mean by complex PCI?
➡️ relying on coronary anatomy is a fallacy. Operators do not agree on what is meant by complexity and it is entirely subjective.
➡️ the reason why we want to define complexity is to define risk
➡️ complexity is subjective, risk is objective
➡️ we should be defining complexity by calculating PCI risk =objective
➡️ complex pci shoulbe considered as multiple RF that contribute to increased risk
@Hragy @summitmd_cvrf @djc795 @jedicath @dukwoo_park @toreyj01 @LAzzaliniMD @PCRonline @cardioPCImom