Joel Niznick

Managing Partner Ottawa Cardiovascular Centre.

[Joel Niznick @jniznick]

@SCC_CCS_Trainee @SCC_CCS #CCC2021 Cardiology trainees explore your community career opportunities at the OCC. Work-life balance,scheduling control,excellent earning potential,quality/continuity of care, academic environment. https://t.co/LNFlOu9GVU…

[Joel Niznick @jniznick]

@SABOURETCardio Vericiguat as crucial therapy. I don’t know about that.

[Joel Niznick @jniznick]

@gcfmd @ambarish4786 @mvaduganathan @JavedButler1 @ShahzebKhanMD @ESC_Journals @MarcoMetra Adolpho de Bold, the scientist who discovered atrial natriuretic peptides passed on Oct 22 2021. A humble man who made a huge contribution to current heart failure management.

[Joel Niznick @jniznick]

@JonathanDavisHF @NEJM @JJheart_doc @RyanTedfordMD Anybody on this thread practicing medicine in 1977? I was a 4 th year medical student. At that time digoxin and diuretics WERE the “foundational therapies” on which ACE inhibitors, beta blockers, spironolactone were validated.

[Joel Niznick @jniznick]

@SABOURETCardio Furthermore, HFrEF evidence for ACE inhibitors, beta blockers and spironolactone was acquired in predominantly digitalized patients with no interaction analysis published aside from RALES and PARADIGM. So is GDMT really evidence based in non-digitalized patients?

[Joel Niznick @jniznick]

@SABOURETCardio I’ll say it again. Digoxin reduces HF hospitalization by 8% ARR & hospitalization/mortality by 15% RRR with no increase in mortality & negligible cost. How can worldwide HF expertise ignore that benefit?

[Joel Niznick @jniznick]

@imagesandcases That is best determined at the bedside with a finger or two on the carotid followed by auscultation for S2 over the carotid. Palpating the image, I would say the AVA is 0.7 cm2 +/- 0.1 cm2.

[Joel Niznick @jniznick]

@gcfmd @NMHheartdoc @JavedButler1 @MKIttlesonMD @DrNancySweitzer @jesse8850 That is exactly what we are doing in all aspects of residual CV risk, at the level of general f/u, focused and targeted f/u.

[Joel Niznick @jniznick]

@MKIttlesonMD Cut and paste bypasses the brain.

[Marc-Olivier Deguise @modeguise]

Excited to share our most recent review on metabolic defects in SMA: In-depth review of the lit. to date & comparison to other NMDs. Enjoy the read! https://t.co/n07D70S4jE

@CureSMA @CureSMACanada @SMANewsToday @SMABEYOND @CNMDOttawa @NMD4Canada @SMAEurope @KotharyLab

[Joel Niznick @jniznick]

@OntHeartDocs @OntariosDoctors @SpecialistsON Great sadness and loss here. Jim was a great Champion of Cardiology for Ontario via the OAC, OMA-Cardiology Section,CoreHealth, Cardiac Care Network of Ontario and Ontario Specialist Association. He was truly indefatigable. He will be missed. @CorHealthON @SCC_CCS

[Joel Niznick @jniznick]

@HFSA @HFSA @CanHFSociety #HeartFailure #OMT-HF

[Joel Niznick @jniznick]

@HFSA See the Residual Risk Clinic – HFrEF Optimization Program On the OCC website at https://t.co/qluoFRSAwZ

[Joel Niznick @jniznick]

@docsanz @JonathanDavisHF @JJheart_doc @gcfmd @UCSFIMChiefs @UCSF_CVfellows @ShelleyZieroth @ACCinTouch @HFSA @HFpEF See the Residual Risk Clinic – HFrEF Optimization Program On the OCC website at https://t.co/n3uKOCodnN

[Joel Niznick @jniznick]

@docsanz @JonathanDavisHF @JJheart_doc @gcfmd @UCSFIMChiefs @UCSF_CVfellows @ShelleyZieroth @ACCinTouch @HFSA @HFpEF Diuretic &ARNI tools

[Joel Niznick @jniznick]

@docsanz @JonathanDavisHF @JJheart_doc @gcfmd @UCSFIMChiefs @UCSF_CVfellows @ShelleyZieroth @ACCinTouch @HFSA @HFpEF Useful HF Tools I have devised.

[Joel Niznick @jniznick]

@docsanz @JonathanDavisHF @JJheart_doc @gcfmd @UCSFIMChiefs @UCSF_CVfellows @ShelleyZieroth @ACCinTouch @HFSA @HFpEF Extra caution required and patients who are also on SGLT2 inhibitors or in whom these are started at the same time due to the compounding of diuresis.That is my fear with rapid sequence or simultaneous initiation. I prefer one at a time.

[Joel Niznick @jniznick]

@docsanz @JonathanDavisHF @JJheart_doc @gcfmd @UCSFIMChiefs @UCSF_CVfellows @ShelleyZieroth @ACCinTouch @HFSA @HFpEF Just as with beta blockers, beyond the go low and slow protocol I use a go lower and slower protocol in which I will start ARNI once a day for two weeks and then titrate to twice a day to assess tolerance in the low BP/borderline real function/frail patient.

[Joel Niznick @jniznick]

@ACCinTouch #cardiologist #cardiologyjobs Looking for a great opportunity, income, security, lifestyle. Why not look North of the Border. See the Why Ottawa slide set? Why not? https://t.co/HGIin3R3D0

[Joel Niznick @jniznick]

CHECK IT OUT.
@SCC_CCS @SCC_CCS_Trainee @CSEchoCa @CSIMSCMI
This is now up on the OCC website recruitment page
https://t.co/HGIin3R3D0

Considerations on Joining or Establishing a Community Cardiology Practice
https://t.co/VCCxJrUOtR