Amrish

494 posts

Amrish

Amrish

@AmrishEP

가입일 Ağustos 2017
2.8K 팔로잉466 팔로워
Amrish
Amrish@AmrishEP·
@gautamsand Would be curious to hear how often the answer is: When the PFA WACA leaves behind easily induced roof flutter
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Amrish
Amrish@AmrishEP·
@adamcifu @drjohnm Yes and in the context of ablation the modal answer to the second question is probably- not really. At the same time the variance in approach is huge
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Adam Cifu
Adam Cifu@adamcifu·
@drjohnm I need an explanation. I assume the success rate differs by phenotype, and the average is meaningless?
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JAMA Cardiology
JAMA Cardiology@JAMACardio·
In patients with #HeartFailure and #LBBB, conduction system pacing (#CSP) was inferior to biventricular pacing (#BiVP) for a composite of death, heart failure events, and LVEF change at 12 months. ja.ma/3PgczJP
JAMA Cardiology tweet media
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EHRAPresident
EHRAPresident@EHRAPresident·
What exactly is #AFib burden? 🤔 It’s a term widely used in arrhythmia research—but still without a unified definition. #AFib burden can describe: ▪ symptoms during AF ▪ clinical consequences (stroke, HF) ▪ socio-economic impact ▪ or most commonly today — the proportion of time a patient spends in AF Continuous monitoring (CIEDs, wearables) is reshaping how we measure AF burden and revealing that not all AF is the same. Two patients may have identical AF burden but different patterns: 🎵 “Legato” – few long episodes 🎶 “Staccato” – many short episodes Understanding these differences may be key for risk prediction and treatment decisions. 🔖 More on this in #EHRA_ESC Consensus Document of #AFib burden bit.ly/40bOzKg #EHRAtopicweek
EHRAPresident tweet mediaEHRAPresident tweet media
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JACC Journals
JACC Journals@JACCJournals·
Patients with greater Spontaneous echo contrast (SEC) grade displayed a higher incidence of thromboembolic events and device-related thrombus, and combined SEC grade and #AFib type independently predicted these events. Further research is needed. jacc.org/doi/10.1016/j.… #JACCCEP
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Brett Atwater
Brett Atwater@atwater_brett·
Today @heartburn327 performed the world’s first LOTCRTD implant using the @Medtronic C320LBB sheath and the OMNIASECURE lead @ISHVnews for a patient with EF 18%, ant/inf LV scar. Extrastim confirms LBB capture with persistent QLV delay. Great Talent+Great Tech=Great Outcome!
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JK Han MD
JK Han MD@netta_doc·
Important talk from @chris_sohns showing the MRI can be used to evaluate for atrial septal fibrosis as a potential pre-ablation predictor of AIC. It’s #AFib itself that leads to LV dysfunction, (not necessarily heart rate)- #Ablate the AF early esp in HF patients! #WAFib2026
JK Han MD tweet mediaJK Han MD tweet mediaJK Han MD tweet mediaJK Han MD tweet media
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barttels
barttels@barttels2·
@DrSiyabMD Wasn’t that Robert Duvall’s famous line from Apocalypse Now? “I love the smell of nuance in the morning.” Sounds like something @ChristosArgyrop would say also.
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Siyab Panhwar, MD
Siyab Panhwar, MD@DrSiyabMD·
A greatly under-appreciated side effect of niche academic debate on twitter is that everyone else (aka gen public) can see it too. While other docs rightly call out obvious misinformation, John comes out and says well actuallyyyyyy, if you look at the data, he’s not *actually* wrong! See?! What others see: hmm Aseem Malhotra is making sense… hey look an esteemed cardiologist using papers to support Aseem Malhotra’s claim, looks legit! 🤔 Do you think people realize the nuance that the actual problem (the “fuss”) is not that data itself but the fact that it is being intentionally misused to push a dangerous and misleading narrative that might influence people who actually need their statin the most, to stop taking them? No. Why should they either? John could have used this opportunity to really highlight that, but he didn’t. Interesting. The problem is not the data, it is the messaging and narrative.
John Mandrola, MD@drjohnm

You can fuss about the framing but this is NOT misinformation. See bmjopen.bmj.com/content/5/9/e0… AM is really close to correct. Survival (on average) is smaller than you think Even the ICD vs amio for sustained VT is months not years. In the old days authors stated it clearly

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John Mandrola, MD
John Mandrola, MD@drjohnm·
You can fuss about the framing but this is NOT misinformation. See bmjopen.bmj.com/content/5/9/e0… AM is really close to correct. Survival (on average) is smaller than you think Even the ICD vs amio for sustained VT is months not years. In the old days authors stated it clearly
John Mandrola, MD tweet mediaJohn Mandrola, MD tweet media
Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦@DrMarthaGulati

It’s very sad when a cardiologist spreads misinformation on a medication that has and can save lives. Getting attention seems more important to this guy than saving hearts & lives.

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Michael Mindrum, MD
Michael Mindrum, MD@MichaelMindrum·
The framing *is* the point. He later goes on to lead Joe Rogan into saying so “you’d hope for an extra 2 or 3 yrs” (in a 5 yr trial) {what exactly does he think we are tresting!} and then contrasts it with “4 days!” It’s dishonest and you giving credence to this charlatan (he has proven himself as a bad faith actor consistently) is concerning! x.com/MichaelMindrum…
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Michael Mindrum, MD
Michael Mindrum, MD@MichaelMindrum·
An experimental arm designed to test reduction in parachute failure rates demonstrates a 90% reduction... but this led to only a 1 second improvement in life! One second!! How worthless!! Disclaimer: we stopped measuring the benefit of the "life saved" once people touch ground (dead or alive). Below is what happens when bad faith actors get their hands on statistics.
Joe Rogan Podcast News@joeroganhq

Dr. Aseem Malhotra: "If you take a statin for 5 years after a heart attack... in that 5 year period, how much would you think or hope it would add to your life expectancy?" Joe Rogan: "25%? 30%?" Malhotra: "Just over 4 days."

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탐색

@gautamsand @JACCJournals @MGhannamMD @kellyarps @umichmedicine @adamcifu @drjohnm @atwater_brett