@IzzyO_MD It's too broad of a brush Islam! Idk if you are targeting physicians or Healthcare systems with your tweet. I work in the same setting you mentioned ๐, and I know A LOT of colleagues/mentors in similar systems who've done beyond amazing work for patients and their advocacy.
@AndrewJSauer Or an unknown substrate- the second hit phenomenon, that led to symptomatic, Stage C CMP. Whereas correct labels are important for our understanding, its as imp for pts to know what 'eventually' drove their heart to ground, hence avoid it.
@tonkhueMdPhd@RyanTedfordMD@haithamahmedmd@AndrewJSauer@Ben_Kelemen Quite an interesting discussion. While we (as pupils of science) try to b as puristic as possible, in situations like ๐, debate remains open. Toxins (alcohol, meth, coccaine etc) still remain a plausible 'primary' cause of CMP, either in the absence of other 'identifiable' cause
@adithm13 BB + dob = theoretically wrong and practically "doesn't work" combination. Clearly for such advanced hf, there are other antiarrythmics (amio, mex). And ofc, if qualifies, advanced HF therapies.
Adult congenital heart disease (ACHD) made ridiculously simple by @menachem_j for our monthly grandrounds @chi st. Vincent. @VUMChealth. Can't wait for part 2!
For the patients with recovered myocardium with durable MCS(Explanted or decomissioned), how are you staging the heart failure, Stage D, or C? In this era of recovery with GDMT, are stages C and D interchangeable?@shwinner@MinnowWalsh@MKIttlesonMD@AndrewJSauer@ajaysmd