megan coylewright md mph

Structural Interventional Cardiologist | @ACCintouch | @scaielm | @SCAI | @OslerResidency | @MayoClinicCV | she/they 🏳️‍🌈

[megan coylewright md mph @MCoylewright]

Thrilled to serve as Co-Director of the next @scaielm cohort with @jaygirimd!

See you all next week in Miami at @SCAI Fellows, and then Montreal this Spring (structural tract will be sweet, led by @mszerlip) Not a member yet? Time to join! @SrihariNaiduMD @JDawnAbbott1

[Srihari S. Naidu, MD @SrihariNaiduMD]

It’s time. 15 years ago @SCAI launched @scaielm with @crfheart & @ACCinTouch to train future leaders in interventional cardiology.

It worked. @JDawnAbbott1 will be the first grad to become president!

R u next?

@sahilparikhmd @NavinKapur4 @DougDrachmanMD @SuzanneJBaron

[megan coylewright md mph @MCoylewright]

@cardiacpolymath @SrihariNaiduMD @DrDamluji @SCAI @jaygirimd So appreciated @cardiacpolymath

[megan coylewright md mph @MCoylewright]

The high level science @MyJSCAI continues to demonstrate best practices among cardiology journals. Don't miss this issue.

[MyJSCAI @MyJSCAI]

🆕📢JSCAI’s latest special issue “Strategies to Promote Health Equity in #IC” is now live. #HealthEquity isn’t optional — it’s essential.

Guest edited by @MCoylewright, @MayraGuerreroMD & @_WayneBatchelor, the issue highlights actionable strategies to advance #equity across #InterventionalCardiology

📚https://t.co/0CCyog3ogc

[megan coylewright md mph @MCoylewright]

@KadijahPorterMD @ACCinTouch @jae_patton @MelvinEchols9 @stephencookmd Thrilled you are joining our field of #IC!

[megan coylewright md mph @MCoylewright]

#ACC26 This was an incredibly impactful session- while I love geeking out on all the technical details in my field #IC- I recognize that often the most challenging task- and requiring more preparation and skill- are the conversations we have with our patients as we guide them down complex #shareddecisionmaking paths. True experts deliver here on those needed skills. @jae_patton @KadijahPorterMD @SammyElmariahMD @VietHeartPA

[Viet Le DMSc PA-C FACC FAHA HF-Cert @VietHeartPA]

What a great discussion on how to make patient centric introductions, what matters most to patients, and navigating delivery of unfavorable medical information

#ACC26 @SammyElmariahMD @jae_patton @KadijahPorterMD @MCoylewright

[megan coylewright md mph @MCoylewright]

This is a critical time for #IC @SCAI and confident in the care and commitment Dr Dawn Abbott has always shared with her interventional community. @scaielm

[Srihari S. Naidu, MD @SrihariNaiduMD]

You’re all in great hands. Dr Abbott truly merges education and academics and being 💯 in the trenches as a very busy operator.

Plus first @scaielm to take the helm @SCAI

We’re all behind you Dawn.

I’m here … call any of us past presidents if needed!

[megan coylewright md mph @MCoylewright]

AI is an important part of our #structuralheart future, but cannot replace what we get back from close collaboration and friendship with colleagues. Great to work with you again @smuktas !

[Mukta Srivastava @smuktas]

Enjoyed being a part of this important discussion in structural heart innovation. Thanks for your leadership @MCoylewright!

[theheartorg | Medscape @theheartorg]

🥊 It’s debate ⏰ time. See top 🫀 cardiology minds go head-to-head on today’s toughest questions at #HeartofCardio 2026 in Miami Beach. 🔗 https://t.co/vUoLVt4RRL

Join dream team: @ba_steinberg | @ChiadiNdumele | @MCoylewright | @AJBloodMD | @manesh_patelMD | @HeartDocSadiya | @garshick

[JACC Journals @JACCJournals]

In this dual-center cohort of TEE-guided LAAC, the overcompression group was independently associated to a higher rate of LAA occlusion at TEE follow-up.

Get the details in #JACCCEP: https://t.co/d1WB1a908j

[Malissa Wood @drmalissawood]

🚀 The Pulse is live — and women in cardiology are showing up.

Hundreds are already using @WomenAs1’s new platform to connect, find opportunities, and stay at the forefront of science. 💫
No surprise that Career Opportunities is leading the way 👀
How are you using The Pulse? 👇
🔗 https://t.co/WOwOxSezBc

#ThePulse #WomenInCardiology #WomenInMedicine #Leadership 💜

[megan coylewright md mph @MCoylewright]

When all cardiologists are equitably and visibly valued for what they bring to the table, it can impact an entire field. Without it, we fail to attract top talent.

[Amy Diehl, Ph.D. @amydiehl]

Study finds workplace cultures with aggressive competition & male norms signal that women are less valued, even w/o overt discrimination. Women cope by distancing themselves from other women in order to fit in or be taken seriously.
https://t.co/2yt5u5BS6I

[Viet Le DMSc PA-C FACC FAHA HF-Cert @VietHeartPA]

Dangers of a Sedentary Lifestyle on the Heart https://t.co/iV98SNdJhC via @YouTube

It has been a decade and the information is still solid. 👊🏾

https://t.co/zCiItEPPKk
#CardioSmart @ACCinTouch @Intermountain @AAPAorg @APAC_Cardiology @UtahAPA

[Dr. Purvi Parwani @purviparwani]

Cardiac Imaging Pearls in Bicuspid AS
From EuroIntervention:

https://t.co/JmCy7u9jbn

1️⃣ CT is King for BAV TAVR
•Essential for defining raphe, leaflet morphology, calcium burden, annular shape, and ascending aorta size.
•Identify heavy/rigid raphe → predicts expansion issues + PVL risk.

2️⃣ Measure More Than the Annulus
•BAV = elliptical, asymmetric.
•Consider supra-annular sizing or “virtual raphe ring” when annulus doesn’t tell the whole story.

3️⃣ Calcium Mapping Matter
•High calcium → higher risk of malexpansion, rupture, stroke.

4️⃣ Delineate the Aorta
•BAV often comes with root & ascending aorta dilation.
•CT aortography crucial for deciding TAVR vs SAVR when aortopathy present.

5️⃣ Coronary Heights in BAV Are Tricky
•Asymmetric cusp fusion can distort coronary takeoff. High/ eccentric take off
•Carefully assess coronary height + sinus size.

6️⃣ Echo Complements CT
•TTE: Hemodynamics, gradient confirmation, LV function, AR degree.
•TEE: Intra-procedural alignment & PVL detection especially in challenging anatomy.

7️⃣ Post-TAVR Imaging is Not Optional
•BAV valves may expand asymmetrically → follow-up echo ± CT for durability and PVL assessment.

#Echofirst #YesCCT #CVimaging

[megan coylewright md mph @MCoylewright]

Intracardiac echo for LAAO is effective vs TEE. Let's make room in the lab for other therapies that require GA! Reminders for mod sedation: LA pressure >12, no snoring or deep breaths, & attention when catheters open to air. Our work here:
https://t.co/Wa6cplMV5W

[megan coylewright md mph @MCoylewright]

Small, intimate meetings have a wonderful vibe of collegiality, laughter, a little gentle teasing, and some of the most impactful education as we get vulnerable to share what we learn in this challenging work. Thank you to all who joined, and espectially @OPCILive @CathElectroSurg Brian Whisenant for hosting!

[OPCI @OPCILive]

Tomorrow in Salt Lake City: Day 1 of the 2nd annual OPCI Structural Complications Summit! 👏https://t.co/GURM3x8Tu7

We look forward to welcoming our esteemed faculty along with interventionalists and fellows from across the U.S. to build best practices on how to avoid and manage complications as well as explore opportunities for innovation. ❤️‍🔥📈

@jubinjoseph @PaulMahoneyMD @WallyOmarMD
@IsidaByku @GiorgioMedranda @CraigBasman
@WallyOmarMD @JasonFoerst @CathElectroSurg

[SCAI @SCAI]

📢There is one week left to submit late-breaking science for #SCAI2026! Showcase your recent discoveries at one of #InterventionalCardiology's largest events to help improve the field and patient outcomes.

Submit late-breaking science by January 21➡️ https://t.co/NtJeU62G77

#CardioX #Research

[megan coylewright md mph @MCoylewright]

Amy Poehler just won a Golden Globe for podcasting (so good). https://t.co/zda22bL2F3 Mix up your podcast diet with content on interventional cardiology! #JSCAIBEATS Join my conversation on device positioning in TAVR procedures with @ParasuramMD
Spotify: https://t.co/5OW2Z5Q1SR
Apple: https://t.co/0glvBbBwEg

[MyJSCAI @MyJSCAI]

🎧🗣️ #JSCAIBEATS | Lucent Line & #TAVR
@MC@MCoylewright & @ParasuramMD break down real-world data published in #JSCAI on lucent line visualization during SAPIEN 3 TAVR & what the findings mean for implant technique — without compromising patient outcomes.

Spotify: https://t.co/w8UTWcamc5
Apple: https://t.co/rvjBgn1BZp

[megan coylewright md mph @MCoylewright]

"Trials that prioritise patient-centred endpoints—functional recovery, independence, symptom relief—are essential for restoring relevance." Time to restore the art of medicine- made more potent when power differentials are named and navigated. #shareddecisionmaking

[MIЯVΛƬ #IC ༄ ｡° @mirvatalasnag]

"futility becomes proceduralised"
@Open_HeartBMJ

https://t.co/AFZtfgAs78

If u read anything during the holidays, make it this article..have technological advancements skewed our judgement? I'd venture n say our patients too...much harder to discuss futility today than a decade ago
@perc_surgeon
@HeartOTXHeartMD
@tristonsmithmd
@FaisalLatifMD @ChamsiPash @MCoylewright @aalahmadmd
@adnanalkhouli @NadeenFaza

[megan coylewright md mph @MCoylewright]

We have the data to inform shared decision making for stroke prevention in afib- and the evidence further suggests use of a decision aid in the conversation improves quality of decision making.
Drugs vs. Device: https://t.co/315DSpHWiR

[megan coylewright md mph @MCoylewright]

Blood pressure control reduces stroke, heart attack, congestive heart failure... with simple first steps. Hand this out to all patients walking into your clinic! They will be surprised at what the evidence shows...120/80 or below leads to better health. @ACCinTouch

[ACC Minnesota Chapter @ACCMinnesota]

#CardioSmart’s updated infographic explains BP readings in clear, simple language & includes lifestyle changes that can help ↘️ BP. Use it at the point of care to support conversations about heart health with patients. ➡️ https://t.co/hJgBcbH4aj