Marc Allard-Ratick

I was up last night with a STEMI until 4:30. For my entire career I’ve gone to work the next day with whatever sleep I could get. Not anymore. Today, I slept in and did chart work from home. You can’t fly an airplane or drive a truck if you’ve been up all night. Why should it be different for docs?

@DrJayMohan @TAVRBot @RadialFirstBot @BotPci @djc795 @PedroMDMSc @rwyeh @jaygirimd @DrRajeshG1 @RajTayalMD @rajivxgulati @TWilsonMD @ACCinTouch @JohnAFryMD If no angina I would leave it. The other thing to think about is if planning a BEV, you may crush an ostial stent when the valve is deployed so you need to have a wire down the artery with a balloon ready to go in case this happens. I am very rarely treating non LM lesions pre

What would you do with this? Severe AS patient planning for TAVR. Coronary ostial height ok on CT. Treat before or leave it? #PROTAVI #CardioX @TAVRBot @RadialFirstBot @BotPci

Hemodynamic performance of self-expanding transcatheter valve superior to balloon-expandable valve for small VIV-TAVR for failed small surgical aortic bioprosthesis. The 3-Year Results of the LYTEN Trial @PPibarot @luisnombela @ENofrerias @victoria_vilata ahajrnls.org/4kg2ibS

(1/2) Our study in @JACCJournals uses causal inference techniques to show that after @usnews TAVR ratings were released in 2020 there was a significant decline in the # of high risk AS patients receiving TAVR driven by lower rated hospitals. jacc.org/doi/abs/10.101…

This combined with a subtweet directing people to see him in consult. The definition of a charlatan. One of the few very clear causative risk factors for coronary disease and it’s not in debate.

Just published: Beyond Limits in Alternative Access: The Success of Right Subclavian Transcatheter Mitral Valve Replacement sciencedirect.com/science/articl… @Brianponeill @PedroMDMSc @engelpedro @GKFram @AhmadJabri8

@VictorDayan1 @pomyers @rafasadaba @STS_CTsurgery @EACTS Other published TAVR reintervention rates have been an order of magnitude lower than this….not saying I believe that over this but it’s just really odd. Something’s off.

🚑BREAKING NEWS. This is massive. 10 year PARTNER 2 data has been released by the company. No statistical analyses were performed. But I performed them and these is what happened at 10 years. @pomyers @rafasadaba @STS_CTsurgery @EACTS

Wow…..very important progress being made for percutaneous valve retrieval in non-salvage TAVR cases

First-in-human percutaneous transseptal Retrieveal of Embolized TRanscatheter valve In the lEft VEntricle (RETRIEVE) Now in press in JACC CVI Thank you to the patient/family and the Morristown team for the trust and support in me for this great save. @PhilGenereuxMD

Interventional cardiologists with Georgia Heart Institute recently performed the first cases in the Southern United States using the SpectraWAVE HyperVue Imaging System. This system uses near-infrared "DeepOCT" and NIRS technology to capture highly detailed images from inside the coronary arteries. These images, powered by AI, help cardiologists make better-informed decisions to treat their patients. Kudos to Dr. Glen Henry, Dr. Stephane Rinfret and Dr. Olga Toleva and their team for bringing the future of heart care to our community — today! Learn more about our interventional cardiology program: nghs.com/heart/interven…

@ValerieAnne1970 This was answered in 2015 with a large randomized clinical trial that was funded by the NIH and NOT Big Pharma where lower target BP (120/80) was associated with a reduction in major adverse cardiovascular events. Stop spreading misinformation. nejm.org/doi/full/10.10…

'Normal Blood Pressure'...Big Pharma Keeps Moving The Goalpost. 1940: Normal 100+Plus Your Age/95 1970: Normal 160/90 2000: Normal 140/90 2017 & Now: Normal Needs To Be Less Than 120/80 Anti-Hypertensive Drugs worldwide achieved a revenue of $36.7 BILLION in 2024. Blood Pressure Medications do not treat the root cause & inflict grave side effects resulting in more pills prescribed to counter negative side effects. Making Big Pharma even more $$ profit for every additional Medication prescribed to mitigate the side effects from the original Hypertension Medications. Very Low Blood Pressure is not healthy, causing more chronic illness & higher mortality. Finding optimal Blood Pressure for you can be obtained by Diet & Lifestyle. No one has a blood pressure medication deficiency. Adopting a whole food Low Carb Diet, prioritizing nutrient dense animal foods & eliminating Seed Oils, Processed Foods & Sugar will normalize Blood Pressure for your unique physiology. Prioritizing Potassium & Magnesium is crucial. Both are involved in the body's Sodium Potassium Pump System. Supporting these important minerals by using unrefined mineral salt & electrolytes will also yield your own normal Blood Pressure. Hypertension Medication Side Effects: Chronic cough Low sodium & potassium Dizziness Headaches Dehydration Muscle cramps Gout Insomnia, sleep changes & nightmares Constipation Tiredness or depression Slow heartbeat Symptoms of asthma Sexual and/or erectile dysfunction Heart palpitations Fainting Kidney dysfunction Angioedema (swelling of face/tongue) Joint pain 👇Higher BP In Older Adults Live Longer👇 evidence.nihr.ac.uk/alert/new-rese… 👇200/100 Was Mild Hypertension in 1940👇 onlinelibrary.wiley.com/doi/10.1111/j.… 👇40 Year Blood Pressure Normal Numbers Shift👇 ahajournals.org/doi/10.1161/CI… Speaker: Dr Adam J Story

Devastating. Dark times ahead….

Braunwald reverses 35 year old stance in asymptomatic severe aortic stenosis &AVR bit.ly/3EBr0Tt Don’t wait for symptoms to develop in severe AS! No more “watchful waiting” #justdoit Act & send patient for TAVR or SAVR @JAMACardio

@AndreasRck2 That might be the worst root / STJ calcium I’ve ever seen

@DrKene @YaleCardiology Congrats Kene!!!

Yay! MATCHED! I'll be staying @YaleCardiology for Electrophysiology fellowship in my final stage of medical training! Very grateful to my mentors and family for their support 🙏🏾 (1/)

@Tesslagra The fact that mortality was significantly different between both groups suggests strongly to me that bias played a big role here. But I may just be limited to what I can see of the linked study.

@Tesslagra This was a registry comparison….can we see differences between groups? Were those differences controlled for? How was femoral access performed (US guided vs conventional)? I couldn’t get any of these details from the study which would have significant impact on the result.

Comparison of Left Radial vs Femoral Artery Access for Coronary Angiography & PCI After CABG LRA group = 8,787 pts (34.6%), and the FA group = 16,578 pts LRA access was associated w⬇️risks of the composite outcome of 30-day death ,bleeding & stroke jacc.org/doi/full/10.10…

@ColinDMcIntosh @itsdeaann Hell yeah Colin. Glad to see you’re doing well man!

There’s been a lot of insecure snot eating betas in my comment section calling me weak lately because I am voting for Kamala Harris. Get mogged incels.

@SyedYNaqvi1 Wire both. Single stent back into the left main leaving enough room to POT. A good POT should be enough to avoid having to dilate the struts at the circ os in most situations.

45 yo poor controlled diabetic (HbA1c 12%) with previous PCI to mid RCA and mid LCx...now presents with unstable angina. LV function normal. How would you treat this nasty lesion? Nail the ostium unlikely!The patient refused CABG! #MedTwitter #CardioTwitter #CardioEd #Cardiology

LAMPOON enabled #TMVR despite the risk for #LVOT obstruction. There were no long-term complications assoc w/ LAMPOON. The selection of inoperable pts limited assessment of long-term survival following TMVR bit.ly/4h6fH4H #JACCINT @TheBethesdaLabs @CathElectroSurg @AdamGreenbaumMD @BabaliarosArgos @jamiemccabeMD