Pankaj Kumar, MBBS, MHI

Outcomes Researcher - Physician Scientist - Health Informatics (MHI) @ University of Michigan- MD @dow_uni

[Khurram Nasir @khurramn1]

This is my 10 point conversations, I tend to have with any patient who might have had a predetermined mindset based on social media, CHATGPT or influencers.

1. Based on your age/gender and risk, you are already a candidate for statins, if you choose CAC, there is a 40-50% chance that you may have #PowerOfZero and likely risk below threshold of why suggested statins, allowing you flexible decisions.
https://t.co/JKiYAUpfdm

2. There is no other good tests that will give you the same information about derisking to guide you optimal information to derisk
https://t.co/7mrKVpfeAI

3. If decide to make decisions based on CAC vs current risk scores, likely will result in better adherence as seen in the yet to be published CorCal, CAUGHT CAD RCT’s as well accumulation of retrospective literature https://t.co/YtPucLpjaL
https://t.co/Bf6m0fcvvW

4. Likely better LDL and risk factors control (EISNER and Caught CAD)
https://t.co/Yx4WcZkNMb
https://t.co/Bf6m0fcvvW

5. In a shorter term, CAC guided decisions will likely reduce the risk of plaque progression based on CAUGHT CAD
https://t.co/Bf6m0fcvvW

6. Thankfully if we can keep the price $150 or less or impact your disutility of taking pills it is even cost effective from a societal perspective
https://t.co/jQ65b4yxhh

7. In a clinical trial those randomized to decision based on CAC vs not CAC, we haven’t seen increased risk of extra stress tests, caths or stenting/bypass (EISNER)
https://t.co/Yx4WcZkNMb

8. While to date there is no data showing CAC guided decision will reduce the risk of CVD clinical events in a short term period, the studies have shown a) there is no increased risk (harm) of MACE (CorCal), b) prior non randomized studies have suggested no better outcomes with statin use, suggesting no harm if you decide to have flexible goals
https://t.co/KR0VPH0zHx

9. CAC is not one time test, if zero and don't go on treatment repeat in 3-7 yrs based on baseline risk estimate to guide if need to change the decision course
https://t.co/KUnU4jaLuR

10. Now based on studies, CAC beyond guiding you whether you need statin or not, can help as a dosing strategy (higher risk, higher intensity) now acknowledged also by cholesterol management guidelines
https://t.co/Veedji6kPH

Once we have provided all the information, let patient make the decisions (see our approach below below)
https://t.co/JsWVXb6Atn

@rblument1 @MichaelJBlaha @DrMichaelShapir @DrMarthaGulati @AlexRazavi @Sadeer_AlKindi @miguelcainzos23 @HMHCardioFellow @CiccaroneCenter @ASPCardio @JamalRanaMD

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@acute_care_doc Hi Dr Gomez, is visa sponsorship available for this position? I am a physician scientist, with experience in large database(CDC, NCHS, NHANES, etc.) analysis and R. I have also published >25 papers/posters in peer-reviewed journals using data from various health databases.

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@afonsecaMD Hi Dr Fonseca, Does this position supports visa sponsorship?

[Rishi Wadhera, MD MPP @rkwadhera]

The inaugural @JACCJournals Cardiovascular Statistics 2026 report provides a clear-eyed snapshot of cardiovascular health in the United States — from obesity and hypertension to heart attacks and stroke. #JACCStats

https://t.co/ghr90uvY98

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@rkwadhera @JACCJournals @lmhcurtis @hmkyale @mvaduganathan @jasonwasfy @MKIttlesonMD @MarcBonaca @denniskomd @bbikdeli @ACCinTouch Congratulations, Dr Wadhera on this important work.

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@snigdhajain89 @rohan_khera @Yale_Ventures @yaledatascience @YaleMedicine @meganranney @cards_lab @YaleCardiology Congratulations Dr Khera! @rohan_khera! Always inspiring.

[CarDS Lab @cards_lab]

New R01-funded study - DETECT-AS.

AI-powered ECG, POCUS, and echo for improved detection & precision care.

https://t.co/t3C0lGu8XY

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@rohan_khera @cards_lab @yaledatascience @EmilyDeeganHau @PhyllisTweets @af_pedroso @ekoikonomou @LovedeepDhingra @AryaAminorroaya @Phil_Adejumo @Veer_Sangha_ @sarahaboualaiwi @dhruva_biswas @philipcroon Congratulations Dr Khera and it's always great to see some inspirational work from the @cards_lab team!!!

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@SmithBIDMC @rkwadhera @BidmcCvi @BIDMChealth @lucas_marinacci @StephenMein @LiuMichaelON @rwyeh @kardiologykazi @EricSecemskyMD @DocStrom Congratulations! Dr Wadhera @rkwadhera

[Johns. @CricCrazyJohns]

James Anderson has arrived for his final Test.

- The GOAT of England. 🐐

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@mipidity Congratulations!!!

[Pankaj Kumar, MBBS, MHI @pankajkb98]

University of Michigan, Ann Arbor, Michigan,US - 6:05 pm

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@kdpsinghlab @umichDLHS @aekrumm Had a wonderful time being taught by you in this course as a student. Thanks and best wishes.

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@rohan_khera @cards_lab @YaleMed @YaleIMed @YaleCardiology @ekoikonomou @PhyllisTweets @girish_nadkarni @suchard_group @jbmortazavi Congratulations Dr Khera @rohan_khera and @cards_lab team!

[MrBeast @MrBeast]

I’m gonna give 10 random people that repost this and follow me $25,000 for fun (the $250,000 my X video made)

I’ll pick the winners in 72 hours

[Rishi Wadhera, MD MPP @rkwadhera]

In @JAMAHealthForum, I discuss why hospitalizations for heart attacks, heart failure, and stroke remain persistently ⬇️ compared w/ pre-pandemic levels, and provide a clinical perspective to complement a new study by Wharam et al. https://t.co/q6evljT4WT

https://t.co/xojcSRhC8H

[M Ali Khalid @Ali_Khalid02]

To become a leader you have to face resistance, Imran Khan

[Pankaj Kumar, MBBS, MHI @pankajkb98]

just 15-20km/hr more, these new lads will be lethal for sure in the future.

[cricket.com.au @cricketcomau]

BOWLED! Mir Hamza rips an in-swinger through Travis Head first ball!

#PlayOfTheDay | @Nrmainsurance | #AUSvPAK

[Pankaj Kumar, MBBS, MHI @pankajkb98]

@hashiraliawan Congratulations!!!

[U-M Health Frankel CVC @umichCVC]

AFIB WATCH: A research team led by @HamidGhanbariMD developed a prescription wristwatch that continuously monitors the wearer’s heart rhythm and uses a unique algorithm to detect atrial fibrillation. #AFib #CardioTwitter https://t.co/fb1JWhlJwC