Jay Mathews MD, MS, FACC, FSCAI

@kmadass @Imakatt Also I recall eating Domino's at your house... "twice"! Hit the spot and greatly appreciated but...

@JayMathewsMD @Imakatt Yes all out of towners call it "delicious" Like going to Arby's in Austin to get a brisket sandwich

I’m going to Chicago in two weeks and I need everyone to be real with me; is Giordano’s pizza worth the hype because I need to eat a deep dish at least one of the days I’m there

@Imakatt Also Pequod's for pan style instead stuffed deep dish.

@kmadass @Imakatt You know back in the 80's Arby's was delicious. I'm still chasing that elusive sandwich.

@SVRaoMD I propose a new 💩 clearance metric.

Door-to-defecation time… Defecation Patterns and Cardiovascular Outcomes in Acute Coronary Syndrome: The Influence of Stimulant Laxative Use jacc.org/doi/10.1016/j.…

@losingainteasy @MrAbbeetim It has flight systems, but they were rendered inoperable. I love this movie.

@MrAbbeetim Not like an iron man suit. It doesn’t fly or bring new parts. If anything his SUV is basically the Punishers SUV. I could also see blade driving something like this.

NICK FURY’S SUV IS BASICALLY AN IRON MAN SUIT IN THE FORM OF AN SUV.

@kmadass @Imakatt Don't listen to @kmadass. It's delicious. But if you are lactose intolerant... Vaya con Dios!

@Imakatt Don't do deepdish #FakePizza

Live at NCVH 2026 — hands-on with the latest in peripheral intervention. We’re showcasing the new **Crosslead Tracker and Penetration wires** (excellent tracking in tortuosity, controlled cap engagement, and strong device support). Highlight of the week: Our official Asahi Intecc Lunch Symposium “It’s Time! Transforming PAD and CLTI Care from Top to Toe” 📍 Wednesday, May 27 • 12:00 – 1:00 PM 📍 Waldorf Ballroom Host: Dr. Craig Walker Keynote Speaker: Mr. Masahiko Miyata (Chairman & Founder, Asahi Intecc) Speakers: Dr. Ashwani Sastry, Dr. Jay Mathews, Dr. Osama Ibrahim Fellows, attendings, and lab teams — what PAD/CLTI topics do you hope they cover? Drop your thoughts or questions below 👇 #NCVH2026 #Crosslead #AsahiMedEd #PeripheralIntervention #CLTI #PAD #MedEd

@SVRaoMD @SrihariNaiduMD He's lactate intolerant.

@SrihariNaiduMD What does lactate clearance, an unproven concept beyond simply being a marker of improving shock (which is why those who clear faster have better outcomes) have to do with any of that?

What?

@Dr_Alan_N Saying Dr. Fisher didn't earn his place is extremely laughable. He's an accomplished surgeon, global thought leader, and incredibly intelligent. This whole thread is weird and kinda racist.

Loudest in the room Didn’t Earn It. Wouldn’t expect any different.

@AnahitaDua @MGBResearchNews @MGHVascular @MGHSurgery Congrats on funding in this difficult climate!

I am so incredibly thrilled and grateful to report that our NIH R01 on personalizing thromboprophylaxis was funded. Thank you to all my incredible mentors, phenomenal postdoc students, and collaborators that made this possible @MGBResearchNews @MGHVascular @MGHSurgery

@WestAxDeviation @SVRaoMD Via a lateral thoracotomy access the LAD retrograde with an 8 fr sheath. Two big ass NC balloons and DCBs. Use your index finger for manual hemostasis. Everything will be fine... 🙃

@SVRaoMD Hi Sunil! Can you expand more on this?

The figure is an example of why caution is warranted when using AI to generate figures…

@farkomd I'm placing bets. 💵 TFCFAS vs CFE. Needles vs. Scalpels.

I think it’s educational, and entertaining. I’m letting you pick all the rules. You should take the challenge

@ncurzen @angioplastyorg @RevEspCardiol I wish this was true. Any vascular complications we bail out as well. Has made us very creative endo operators. Simply having these services is not enough. It's also willing, collaborative colleagues to help with rescue when needed

@JayMathewsMD @angioplastyorg @RevEspCardiol It’s like pci…. Occasionally someone having TAVI in a non surgical centre will miss emergency cardiac surgery who would have got it. But if set up carefully & with precise case selection this will be v rare. Vascular surgery on site is much more important

It’s time to start doing this… for the sake of patients? It must have v tight governance: should be set up with the local surgical centre TAVI mdt for training & case management… & on site vascular surgery. Is it different from pci all those years ago?

@angioplastyorg @ncurzen @RevEspCardiol Some of our surgeons have said that if the patient is being referred for TAVI, there there is no surgical rescue.

@ncurzen Good question as to whether TAVI w/o surgical b/u is analogous to PCI (see CPORT study, T. Aversano). Editorial from @RevEspCardiol has several caveats, but I'm wondering how a "heart team" could even review a case if there's no surgeon onsite?

@ShariqShamimMD @plasticolicious @SalaryDr Come to Florida bro... 😬 You may be convinced otherwise.

@JayMathewsMD @plasticolicious @SalaryDr Over heads are high no one call pull those numbers owing OBL/ASC. A “famous” IC in the east coast who does elective rota at 9 pm boats to be earning 5 mil.

Myth: All cardiologists make about the same money. Reality: salaryDr data shows cardiology attendings earning anywhere from $258K to $3.45M. Same boards. Same training. The contract is the entire game.

@plasticolicious @SalaryDr There are busy folks in the OBL/ASC world that are able to pull that off. It would be usual if that was net pay as there are a lot of expenses.

@SalaryDr Highly unlikely that $3.45m is solely from clinical work. He’s making money in other ways too. There aren’t enough hours in the day. And if it is all from clinical work, I’d be surprised if fraudulent billing wasn’t involved.

@J_N_Ryder @DianeCarolRoy1 @1800COUNTRY @DrNeilStone COVID was way more transmissible (R3-4 vs R1-1.5). Amazing how masking, washing hands, and social distancing obliterated flu transmission. Once that stopped, it and a number of other viruses came back with a vengeance.

@DianeCarolRoy1 @1800COUNTRY @DrNeilStone So the masks and social distancing stopped the Flu but not Covid?

I worked in a hospital during Covid. Right from the start. I can confirm that that this is nonsense. Weapon grade horse shit. Not remotely true and frankly libellous. Have I been clear enough?

@ISeropianMD @JACCJournals Find it hard to imagine that there was no other access option. Many possibilities before Rota Radial.

@JACCJournals People do crazy things to get an interesting case report 🤷🏻‍♂️ Ulnar not an option? Even brachial Sounds better IMHO

74M with #diabetes, #CKD, prior CABG referred for LAD #PCI; severe bilateral femoral disease and left radial artery occlusion left the right radial as the only viable access. jacc.org/doi/10.1016/j.… #JACCCaseReports

@ShariqShamimMD @DrKamleshDarji1 I still call several of my mentors Doctor or Professor. Too weird otherwise.

@DrKamleshDarji1 You generally call them Dr Last name as a trainee. Once training is finished you are colleague, so first name basis. If you want to be more conservative and extra “respectful” you can maintain Dr Last name. Sir/Ma’am is mental slavery from English Raj. It needs to go away.

Hey, resident doctors from India who recently settled in the USA 🇺🇸 How does it feel to call professors and seniors by their first names - without “sir” or “ma’am”? Good, bad, or just very odd?

@AmmarNasirMD @evandrofilhobr To understand the mechanistic reasons for the stuck burr, we placed an IVUS catheter which also became stuck. As an imaging "first", here we have an OCT image of a trapped IVUS and rotaburr.

@JayMathewsMD @evandrofilhobr Jay, I sense a touch of sarcasm……

Hard to believe a stucked rotaburr and IVUS catheter going in parallel… the last thing I would do during stucked rotaburr is to deliver an imaging catheter