Dr Refai Showkathali

Finally, a sham-controlled CTO PCI trial—and it delivers. ORBITA-CTO: small (n=50), but rigor where it matters—blinding, placebo control, symptom-level data. CTO PCI improves angina beyond placebo, with a clear reduction in episodes and more angina-free days. Not prognosis, not hard endpoints, but real symptom benefit—properly measured. #acc26 jacc.org/doi/10.1016/j.…

Arterial obstruction causing MI, stroke, or organ/limb infarction may result from acute fibrin cap rupture, thrombus extension, or embolism

Tip-in balloon “grenadoplasty” described as a bailout for uncrossable CTO PCI. Intentional balloon burst modified calcium and enabled antegrade microcatheter passage. 🔗 ow.ly/Zkqf50WUziI #CardioTwitter #CTO #PCI #InterventionalCardiology

Passenger complained to @RailwaySeva about caterer overcharging. RailSeva takes the PNR and seat no. and passes them to irctc to solve it, who tells the contractor, who tells his men, and they come beat up the passenger. I’ve seen at least two more such cases. Complain, share your details, and then get beaten up because of those very details. This needs to be streamlined. Complaints should be investigated by a third party. Sharing passenger details with the very people the complaint is against, and then forcing direct contact, makes no sense. Instead, collect passenger details, verify the complaint, and refund directly to their account, without bringing them face-to-face. (11463 Somnath Jabalpur express)

The world can move on without the United States. 100 years ago, the British Empire dominated global commerce, commanding more than 20% of the world’s wealth. Many believed its sun would never set. 200 years ago, France bestrode Europe’s stage, its armies feared, its culture envied. Napoleon declared himself immortal. 400 years ago, the Spanish crown reigned from Manila to Mexico, its treasure fleets groaning with silver and silk. The kings thought their glory would last eternal. Each empire proclaimed itself indispensable. Each was ultimately eclipsed. Power wanes, influence migrates, and legitimacy dies the moment it’s assumed rather than earned. Should America forfeit the world’s respect, it will discover what every fallen empire learned too late: The world moves on. Always.

Echocardiographic evaluation of LV diastolic function made simple by ASE😍 #Cardiology #Echo #ASE #MedEd #CardioTwitter

1 to go!! 🤩 Special mention to team Royal Sussex @UHSussex and Morriston @SwanseaUni @chase_alex and co for enrolling the 298th and 299th participant!

In participants with three-vessel CAD from the ISCHEMIA trial, revascularization (either PCI or CABG) was associated with a lower 4-year rate of cardiovascular death or myocardial infarction and improved quality of life. The differences in all-cause mortality were small with wide confidence intervals. eurointervention.pcronline.com/article/outcom…

@care4urheart2 @CRISPcon2024 @abadkhan2002 @ErwMulia @ziadalinyc @aayshacader @cardiodoc1988 @DrJayMohan @drrkhyd @jivtesh84 sounds good...but the flip side of it is going high pressure to achieve optimal MSA in elderly pts can also cause catastrophic perforation/rupture- so always a balance needed

Dr Sameer Pagad with his talk LMCA show me the numbers! 5-6-7-8 is not optimal 6-8-10 should be achieved 7-9-12 is optimal #cardiotwitter @CRISPcon2024 @abadkhan2002 @ErwMulia @ziadalinyc @aayshacader @cardiodoc1988 @DrJayMohan @drrkhyd @jivtesh84

SORRY PRASHANT KISHOR: YOU ARE WRONG! ( An Open Letter) Dear Prashant @PrashantKishor Either you have got your basic facts completely wrong, or you are blatantly misleading the people of India ( reference your-enclosed interview to BBC News). My rejoinder: 1) India’s Muslim population is 14% but according to you it is 18%. Wow! Considering your entire political career started off as a psephologist, that gargantuan 4% difference that you glossed over is professional sacrilege.  Psephologists are rated on their exactitude. You fail the test. There is no margin of error, Mr Kishor when you are indulging in a serious conversation post a historic election that has reduced an authoritarian government to its knees. 2) Your attempt to diminish Congress party’s impressive 23% aggregate vote-share in the 2024 elections has again got a luminous distortion. Again, it is elementary, Mr Watson. The rise in Congress vote-share by nearly 3-4% is staggering, because it fought in only 328 seats  compared to 464 in 2014 where it got 19.4% vote-share. Why did you not tell that to BBC News? Why would you make such a brazen omission? 3) Your statement that Congress has a “ free vote-bank of 20% minorities votes” is so preposterous that it could qualify for the Oscars in Exaggerated Falsehoods. Muslims vote for regional parties too in bulk; the perfect case being UP and Bihar, among others. The Sikhs vote for different political parties including the BJP. Several Christians have voted for the BJP in Goa, Kerala and the North East. And the bulk of Jains probably vote for the BJP alone. Bottom-line: You lied. But why? Why did you not elaborate on the reasons why minorities are apprehensive and frightened of the hate-mongering and divisive politics of the BJP? 4) FYI, Congress won 52 of its 99 seats from 7 low-Muslim populated states. PK, you forgot to do your homework.   Now, the truth that the people of India must know. The real reason why you are so unambiguously hostile to the Congress is because you saw yourself as a savior of the Grand Old Party once it was annihilated in the 2024 general elections, like PM Modi and others too who thought it was a fait accompli. You tried that in your famous “TMC-Goa model” in the assembly elections of 2022 which flopped miserably. Your attempt to rebrand TMC as a national alternative to the INC was instantly abandoned. Mamata Bannerjee was an unsuspecting victim of your Machiavellian game to destroy Congress for the pursuit of your personal ambitions. It was expected that a demoralized INC would crumble, and you would arrive as a knight in shining armor.   There are two things you need to reflect on, Prashant: 1) Why did BJP lose the parliamentary seat of Ayodhya? 2) Why did Congress win both the seats in Manipur?   I hereby give you an open challenge to debate with me on national television on the above and more. And by the way, this will hurt, but I predicted 240 seats maximum for the BJP on several occasions, while you were sarcastically asking Indians to keep a glass of water ready for the June 4th 2024 results with the saffron party at 303+.   I messaged Karan Thapar after your public meltdown on his show (just like another media-created  political superhero) that you had indeed told me yourself over a phone call that Congress would be decimated in Himachal Pradesh . But then you can always deny that. But what you cannot deny is that a celebrated emissary of your team (an intellectual titan and former parliamentarian) wanted me to join TMC with a host of attractive inducements thrown in. I listened to the proposition as any gentleman should, and politely refused. And yet, I was in London when a press release was unethically circulated that I had attended a meeting with the West Bengal CM in attendance.   Sorry Prashant , if this sounds a bit personal. But your attempt to mislead Indians is appalling and leaves me with no other option.   Cheers! Sanjay

@sardesairajdeep @PrashantKishor Nothing like fear factor- Bengalese don’t have fear..load of crap..

@sardesairajdeep @PrashantKishor Absolute crap- NDA got this much bcos of this pre-poll predictions- as some middle ground ppl voted them thinking NDA will form the govt as per u all. If pre-poll analysis would have been genuine, INDIA would have made it better-so for the money paid to u all, it worked for BJP

So @PrashantKishor admits he got his election numbers badly wrong. Says he will never do numbers again. Admits his prediction for key states of UP, Bengal, Maharashtra was wrong. Refuses to accept he is ‘BJP agent’. Is questioned on how come he has never been ‘raided’/touched by BJP govt. Offers his key takeaways from the verdict. Full interview here. youtu.be/Dhaws2czXeA?fe… @IndiaToday

IVL 🎈⚡️under US Seen on LinkedIn by Dr Christian Reinhold

Intermittent fasting of 16 hrs associated with increased Cardiovascular Mortality in middle aged population of 20000 people followed up for 8 yrs..American Heart Association abstract #AHA #HealthyEating #Food #fasting

@DrKeeble @WeAreSCAUK @EssexCTC @essexheartfund @MTRC_ARU @MSEResearchTeam Amazing! Congrats!

Gareth and I were delighted to receive the award on behalf of the amazing work that @WeAreSCAUK does to support survivors, co-survivors and rescuers post OHCA in the uk and beyond @drKeeble @EssexCTC @essexheartfund @MTRC_ARU @MSEResearchTeam - huge honour

The PARTNER 3 trial showed that in low-risk patients, #TAVR was superior to #SAVR at reducing death, #stroke, or rehospitalization at 1 year. Read updates to the trial regarding the five-year outcomes presented during #TCT2023: bit.ly/3QuvQWd

CAC in south Asians correlates strongly with DM

My daughter was born blind. However with three eye drops used daily, the dystrophy in her corneas began to clear and she can now see. One of those medicines is called Medicor. It is not available anywhere in Pakistan, UAE. If anyone knows of an alternative to MEDICOR or knows how to buy it from somewhere, please tell me. The company that made it is no longer making it. And I am a bit worried. Thank you for any help!

Awareness article about RDN in TOI today! For more info about this, visit drrefai.com/renal-denervat… #hypertensionawareness #hypertension #Hypertensionmanagement #renal #bloodpressurecontrol #bloodpressureawareness #bloodpressure