G Sigurdsson

@DrIHHashmi1 Have a hard time believing it was missed on CT

What would you do?

If I need to undergo a coronary angiography due to a stable chest pain complaint: Would I rather choose an invasive approach or a CCTA? This publication says I'd better go non-invasive! Congrats @Marceloibittenc @RonBlankstein @RCardoso_MD and all collaborators! #cardioTwitter

Exciting findings in #MitraClip G4 study! 92.6% achieved durable reduction in mitral regurgitation at 1 year. 🫀 Improved safety, functional capacity, and quality of life observed. bit.ly/3FXIfvy #JACCINT #vhdMR #QoL #CardioTwitter @vonBardelebenRS

@doctorinigo No change or improvement in diet over time? 😊

Today I smashed my personal best on my local climb by 35” (~25W faster) 🙏💪. Really excited for it but especially excited because at 52, I am consistently faster by 1:30-2 minutes than when I was 40 years old with about same weight also. Z2 training sparkled with Z4 efforts has been key to not only maintain my metabolic fitness for over a decade but also, through a possible compounding effect, even improve it (although the evolution of bikes also has played a part in my time improvement). Through my experience and that from others in their 50’s and 60’s, I firmly believe that Z2 training with a few but regular efforts at Z4, works really well to maintain and even improve longevity in terms of metabolic fitness. I work ~65h/week and travel a good 80 days/year and yet, I always try to find time to ride 40-50km (1:30-1:45h), 4/week (5 if I can). If I can do it, most can as well. Very likely, as we get into our 40’s, 50’s and 60’s, we cannot stop the clock of life. However, maintaining or even improving metabolic health, quality of life and longevity is possible and a very realistic goal!🙏💪

@RachelRRomeo Well said - love your compassion and humanity

Congrats to Jonah Delshad (a cardiology bound 3rd yr IM resident) on his #SCCT2023 poster showing that less than half of US safety-net hospitals (🏥 serving most disadvantaged populations in the US) offer CCTA services. @CMSGov @Cardiology @RadiologyACR

@EricTopol @SteveLohr Future has arrived. Doctor-patient relationship restored 😍

Generative #AI to the rescue for reduced data clerk burden of physicians nytimes.com/2023/06/26/tec… @SteveLohr

@DrRumberger Waiting for 20 years for this message 🤣Thanks to 2021 guidelines?

Politicians and insurance companies #1 goal is self-preservation. Not fair play, or saving lives. They are businesses, not democracies.

@EricTopol @NatureMedicine Great study!! - adding epigenetic analysis feels important comparing “microcyclic” vs chronic caloric restriction on circadian/metabolic genes. Also nice to have 18-month data that could open the gateway to the analysis of seasonal changes in genetics/metabolism.

A randomized trial of time-restricted eating (w/ intermittent fasting, iTRE) vs calorie restriction or standard care in people at risk for diabetes #T2DM nature.com/articles/s4159… iTRE best for glucose metabolism @NatureMedicine

@drozgeozden The paucity of coronary calcifications compared to the mitral annulus and left ventricle is striking

@karrowni Impressive work Wassef. So does adding the Lampoon mean that we might decrease the high rejection rate for severe MAC patients with small LV?

Antegrade #Lampoon followed by #TMVR Edwards Ultra 26 + 5 cc for non-surgical patient with severe MAC and mixed disease

@AllanLKleinMD1 @ASE360 @ACCinTouch @NBE_96 @CleClinicHVTI I will choose the cold this year 😊

Get out of the cold and join us in Miami Beach to hear latest on Pericarditis, HOCM and Amyloid, Valves and Structural. Learn from experts from ASE and CCF. This is our 25th Anniversary of the symposium @ASE360 @ACCinTouch @NBE_96 @CleClinicHVTI ccfcme.org/Echo23

@Allison_Dupont Sounds like a provocative confidence test question and you could have replied, “I do not believe your case requires extra pair of hands BUT do you need someone to hold your hands during the procedure?” 😅

I had a patient’s family ask me if I was sure I didn’t want one of my “big wig male partners” (no lie) to help me with a complex PCI. I couldn’t help but ask her “What for?”. She seemed caught off guard at my quick response. What is the right response to questions like this?🙄

With the evidence generated so far, we may safely conclude that PCI does not improve survival in patients with SIHD. PCI remains key in ACS, and for the improvement of PROMs in consideration of patient compliance and wishes in relation to the intensity of anti-anginals. #TCT2022

#REVIVED discussed in more detail by @divaka_perera #TCT2022 @crfheart this morning. Centre-reported completeness of revascularisation high (median 80%) but complete and incomplete: similar outcomes. Look forward to angio corelab outputs in 2023. @NEJM nej.md/3Cot3qX

@StephenSeiler Nice work!! Not sure what qualifies as elite senior? Wave 1/2 for Birkie ski marathon must be within 99th percentile for age activity?

Monitoring technology use among male and female endurance athletes, summary data from a digital survey of 1131 athletes collected via my Twitter + retweets:

@a_l_bailey @DrRumberger @DrMarthaGulati @ASPCardio @ErinMichos @MichaelJBlaha @DrHeatherJohn @PamTaubMD Maybe time to start talking about exertional and nonexertional CP 🙂

Let’s use NONCARDIAC chest pain NOT atypical cp when we think it’s not 🫀 related says @DrMarthaGulati and the chest pain guidelines! #ASPC2022

The only thing holding this gigantic RCA aneurysm from expanding is the diaphragm #YesCCT

@arianepleal @pablotome Outstanding 🤩

@CardiacCTson @pablotome Thanks. We did preprocedural planning with CT, virtual simulation of prosthesis and 3D printing.

CT after successful percutaneous treatment of anomalous right pulmonary vein drainage from the superior vena cava. @pablotome