Saad Fyyaz

Interventional Cardiology SpR @geshNHS & Cardiac Risk in the Young Fellow @CRY_UK. Interests in Coronary Intervention, ICC & Sports Cardiology

[Saad Fyyaz @Sfyyaz]

Very much enjoyed writing this. Huge thanks to @MichaelPapadak2 and @CRY_UK without whom this would not be possible.

[Prof Michael Papadakis @MichaelPapadak2]

Arrhythmogenesis of Sports: Myth or Reality? This review looks at the purported mechanisms of exercise-induced cardiac arrhythmia and complex interplay with sporting discipline, demographics, genetics and acquired factors. Great work @Sfyyaz @StGeorgesUni https://t.co/wm2ySev9vt

[Antonious Attallah, MD, FACC, FSCAI @AntoniousAttall]

#pharmacologicalrevasc pearls from the great Antonio Colombo #opcinyc

[Salem Assiri, MD, FACC @assiri99]

65M inferior STEMI on 1st EMS EKG but on arrival to ED room CP resolved and STE subsided almost completely. This is the angio!What do you do ?
#SACISVoices #InterventionalCardiology #CathLab #VascularClosure #FemoralAccess #OneTeamOneVision

@CathGuy @assiri99 @Almohammadi_M @bandar2011_
@alotaibi
@chadialraies @YassineMedicine @Zill_cardio @ibalsaadi @alasmary31 @Nasser_Ghattar @Hragy @Dralkutshan @Dr_ShazaAlalawi @O_Azizy_MD @Sultanotb @alialmasood
@Dr_aldiri1 @DrAlsubei
@SACIS_SoMe @SACIS_KSA

[Dr. Nikhil Agrawal @DrNikhilMD]

Pulmonary embolism management just changed dramatically.

The new 2026 AHA/ACC Multisociety PE Guideline introduces:
• A completely new PE classification system
• Stronger role for PERT teams
• More clarity on thrombectomy/thrombolysis
• Early discharge for selected patients
• Long term follow up recommendations

This is probably the biggest PE guideline shift in years.

[Ritika Tuli @RitikaTuliMD]

❤️ #CardioNuggets

Some exercise > none.

Even small activity → big ↓ CV risk.

Guidelines:
👉 150–300 min/wk moderate OR
👉 75–150 min/wk vigorous (+ strength 2 days) (NCBI)

👉 Consistency > intensity

#CardioNuggets #Prevention

[Joaquim Spadoni Barboza @jbspadoni]

Amazing the quality of HD IVUS nowadays. What do you see here?

[Dr Jamie O'Driscoll @JODriscoll9]

Delighted to have our paper published in @BJSM_BMJ.

Grateful to an outstanding team of collaborators. This work highlights the association between occult hypertension and high-risk coronary atherosclerosis in master endurance athletes.

https://t.co/1sBqnlR6VH

[CardiovascularCorner @TrackYourHeart]

One of the cleanest demonstrations of aortic–mitral valve anatomy.

[mandeep singh @mandeep_mayo]

6/ In the Cath lab, protecting your patients start with protecting yourself-watch your back, because it is the one injury, you can't stent.

[mandeep singh @mandeep_mayo]

5/ PCI may be a solo act, but mastery comes from the team you can count on when the unexpected complication inevitably strikes.

[mandeep singh @mandeep_mayo]

4/ Progress in your career will not be built on perfection-it will be forged by remembering every mistake and refusing to repeat it.

[peter swoboda @pswoboda81]

2 year MD in heart failure and CMR in Leeds:

Level 3 CMR training ✅
Cutting edge research ✅
Awesome team ✅

https://t.co/mTckCR85bU

[Michael Megaly @MichaelMegalyMD]

A back table illustration of the technique published by @PCRonline to remove a stuck perclose footplate in the vessel!
Simple and I believe can get us out of trouble!

https://t.co/UOG0sfoOT4

#CardioX peeps, comments welcome

[Jim Nolan @nolanjimradial]

@DrAsifQasim @DHSCgovuk When I qualified from medical school around 10% of graduates were from a working class background

When I left after working in NHS for 40 years this had decreased to 5%

The actions of politicians have made it more difficult for people like me to access a career in medicine

[Umair Khalid @Umair2017]

In the era of 4D CT and TEE, there’s still something mesmerizing about old-school valve fluoroscopy

#CardioTwitter #ACCFIT #Cardiology @BCMHeart

[Nathan Iles @IlesNathan]

Congratulations @DrNileshPareek @m_g_mcgarvey and the team at @kingscardio to perform some first cases in the world using #Ultreon3 OCT software. Ultreon 3.0 brings AI Lipid & Calcium detection, 1-sec pullback & image based physiology insights #FFROCT

[Saad Fyyaz @Sfyyaz]

A great thread - reducing clinic admin burden is a win. But the danger is subtle; if AI replaces reflection, we lose the very process that trains judgement.
We need AI in the workflow, not instead of it.

[Richard Bogle @richardbogle]

1/ Outpatient medicine has a problem.
The consultation happens now.
The letter arrives weeks later.

We’ve accepted this delay as normal.
It isn’t.

🧵

[Richard Bogle @richardbogle]

Greenaway D. Shape of Training: Securing the future of excellent patient care. London: General Medical Council; 2013 said:

[Richard Bogle @richardbogle]

We have designed a training pathway that produces generalists who are not fully generalist, and specialists who are not yet fully specialist. https://t.co/OOsFFlKBqa

[James Steen @BMA_James_Steen]

I’ve seen someone else on here suggest that the retired doctor who wrote this was a “junior” doctor in 1974 when he was “happy with £7,500”

Just so we’re all clear on the maths:

£7,500 in 1974 in today’s money is:

🔹 £114,756 by RPI inflation.
🔸 £72,046 by CPI inflation.

[Holly @hollymorgs]

🚨 CHIP-BCIS3 randomised 300 patients with LVEF ≤35% undergoing high risk PCI to either micro axial flow pump or standard care

➡️ mAFP did not reduce major adverse clinical outcomes
⚠️ There was an excess of CV death in patients who received PCI with mAFP

#ACC26 @BCIS_uk