Josh Hirsch, MD

A light at the end of the tunnel and a path out of pandemic. Shot 1 down! #CovidVaccine #COVID19 @bcmhouston @BCM_InternalMed @StLukesHealthTX

Drs. Joshua R. Hirsch and Hamid Afshar of @BCM_Heart & @VAHouston briefly review the use of cardiac contractility modulation in a subset of patients with #heartfailure, including those for whom #ICD and #CRT are not recommended. @JRH_MD #THIJournal meridian.allenpress.com/thij/article/5…

Had a fantastic time back home in Cleveland at #GlobalEPSummit2023 , meeting mentors and diving into the here and now (and future) of EP @mo_gad_md @MihailChelu

BCM/MEDVAMC Adv HF team goes to the White House with the Houston Astros!!

Check out our case report on Coronary Subclavian Steal Syndrome: A Rare Case of Chest Pain Post-Coronary Artery Bypass Grafting Thanks for the mentorship @Umair2017 @AliDenktasMD @JRH_MD #DeBakeyCVJournal journal.houstonmethodist.org/articles/10.14…

Here’s a video I made breaking down this very important #ECG case from the ER #FOAMed

1/ 🔥Hot off the press🔥 Read our uptodate #review on revascularization of left main disease 👇 Areas of focus: ⭐️ Anatomy 👁️ ⭐️ Physiology 📉 ⭐️ Data 📰 ⭐️ Guidelines 📜 📌PDF: bit.ly/438Upvu #ACCEarlyCareer #CardioTwitter #ACCFIT #ACCCVFed #MedTwitter #Tweetorial

@BCMHeart First Year #ACCFIT 👇👇

More exciting heart failure work from PGY2 @GeorgeAjene , MS3 Danny Diab, @InchausteguiC, @ajith1230 , @JRH_MD - false +ve imaging tests for cardiac amyloid: systemic sclerosis, radiation, multiple myeloma! Bx still the gold standard! Kudos to great posters at #ACC23 @ACCinTouch

#AHA22 LBCTs one liners: 1. TRANSFORM-HF: Torsemide was not superior to furosemide in improving survival among patients treated for decompensated HF. 2. DCP: No differences in cardiovascular outcomes between chlorthalidone and HCTZ among elderly veterans with HTN.

Excited to report first #CHIP #Impella assisted PCI in a high risk case with last remaining conduit @harrishealth @BCMDeptMedicine @BCMHeart @TXMedCenter amazing team work @WKayaniMD @jia_xiaoming @john_suffredini @JRH_MD and all #cathlab #staff @CBallantyneMD @SeragHashem

Follow this #CardioTwitter #Thread to get an overview of ALL 🚨#ESCcongress #HotLineSessions🚨 Including: ➡️14 #OnePager #CongressCards ➡️Links to on-demand stream ➡️Jorunal weblinks ➡️Hashtag of the author/presenter PART 2 ⬇️

Follow this #CardioTwitter #Thread to get an overview of ALL 🚨#ESCcongress #HotLineSessions🚨 Including: ➡️14 #OnePager #CongressCards ➡️Links to on-demand stream ➡️Jorunal weblinks ➡️Hashtag of the author/presenter PART 1 ⬇️

💥My top 10 learning points from the #ESCCongress 2022💥 A thread for cardiologists/general physicians 1) Addition of IV acetazolamide to IV furosemide in AHF results in 46% higher incidence of successful decongestion after 3 days EVIDENCE: ADVOR nejm.org/doi/full/10.10…

Thank you #esc2022 you’ve been great 🙏 Thrilled to be in the audience to see the results of #DELIVER trial, now we just need to find a better way to detect HFpEF! #echofirst See you all again soon! @pattypellikka @DocStrom @ASE360 @JamesDThomasMD1 @JudyHungMD @David_Ouyang

Summary slide of pulmonary hypertension from the latest ESC/ERS guidelines outlining the clinical classification, prevalence and therapeutic strategies. Click 'ALT' for abbreviations 🔗academic.oup.com/eurheartj/adva… #MedEd #CriticalCare #FOAMed #POCUS

You’re called to see a patient with rapidly worsening shock. On the monitor you see the waveform on the left. An intervention was performed leading to the waveform on the right, within 5 min. What’s the problem? What improved it? #HemodynamicsWaveformChallenge

Which nephrology teaching points should our cardiology colleagues know, in your opinion? Thank you! #askrenal cc @hswapnil @AnastasiaSMihai

A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate? @PendellM Can this ECG be misinterpreted? hqmeded-ecg.blogspot.com/2022/04/a-woma…

@CNemehMD Oof 😥. This gives me chest pressure. A good case to learn from.

@PrathitKulkarni @BCM_InternalMed I often think this is one of the most important concepts we can teach our students (and interns!) on the wards. Illness scripts are hypothesis generating but clinical experience helps when things are much more “gray” (as is typically the case in real life)

Important point from @BCM_InternalMed Morning Report today with @JRH_MD. Classic illness scripts that are taught early in training are often insensitive. Most pts typically don’t have all the classic features of a particular Dx. Good example from today: Legionnaire’s disease.