Saad Fyyaz

Very much enjoyed writing this. Huge thanks to @MichaelPapadak2 and @CRY_UK without whom this would not be possible.

We have designed a training pathway that produces generalists who are not fully generalist, and specialists who are not yet fully specialist. richardbogle.com/blog

I’ve seen someone else on here suggest that the retired doctor who wrote this was a “junior” doctor in 1974 when he was “happy with £7,500” Just so we’re all clear on the maths: £7,500 in 1974 in today’s money is: 🔹 £114,756 by RPI inflation. 🔸 £72,046 by CPI inflation.

🚨 CHIP-BCIS3 randomised 300 patients with LVEF ≤35% undergoing high risk PCI to either micro axial flow pump or standard care ➡️ mAFP did not reduce major adverse clinical outcomes ⚠️ There was an excess of CV death in patients who received PCI with mAFP #ACC26 @BCIS_uk

NHS England InnovateMD Fellowships open for application. Deadline 13th April 2026. Open to residents, LED and SAS doctors and dentists working in London NHS Trusts and Primary Care future.nhs.uk/LondonFellowsh…

Delighted to see our cardiac screening study published in @JACCJournals. Heartiest congratulations @maclachlan_h @MichaelPapadak2 @SSharmacardio and the entire team. Sincere thanks @CRY_UK & the families whose support makes this vital work possible.

Asymptomatic. Ischaemia. Severe anatomy. What would you do? A case that reminded me why cardiology is about judgement, not algorithms. #BCISACI 2026 🫀 @rallamee @AngieGhattas @Abuownh

A new research study redefined optimal IVUS minimal stent area (MSA) thresholds for single-stent crossover in unprotected left main disease: proximal left main ≥11.4 mm², distal left main ≥8.4 mm², and left anterior descending ostium ≥8.1 mm². eurointervention.pcronline.com/article/optima…

The SCAPIS study published in JAMA ~25,000 🇸🇪 participants, ~8 years follow-up. Adding coronary CT angiography #CCTA plaque information improved event prediction beyond clinical risk and calcium score. This is the first study showing the added value of CCTA on top of the calcium score for risk prediction. 🎯 What to look for: lipidic soft (non-calcified) plaque. 👀 Practical takeaway: Consider a CT angiography for risk stratification on top of the calcium score. Link: jamanetwork.com/journals/jama/… 🎥 Posting my avatar summarizing the study.

Intravascular imaging in the UK- as part of my live #BCISACI national data talk ➡️34% of all PCIs are undertaken with image guidance in UK with wide variation amongst centres. LMS PCI close to 80% ➡️Even ACS cases close to 30% of cases are imaged. I would argue that we are still not undertaking imaging enough- with little data on whether we are actioning the findings. ➡️imaging doesnt improve outcomes without using information it provides.

Dan Jones speaking on the use of 6F GCEs - neat summary in 5mins @BCIS_uk #BCISACI

Pleased to announce our complex PCI fellowship @cardiorespLTHT is now open for applications, contact details in below advert but feel free to DM and speak to the team at BCIS ACI later this month @BCIS_uk @TheBJCA jobs.nhs.uk/candidate/joba…

Atrial fibrillation in former world-class rowers: role of environmental and genetic factors Despite having a favourable cardiovascular risk factor profile compared with controls, elite endurance athletes had a markedly higher prevalence and incidence of AF #Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare @AndrewJSauer @ankeetbhatt @CMichaelGibson @DrMarthaGulati @hvanspall @Hragy @biljana_parapid @AnastasiaSMihai academic.oup.com/eurheartj/arti…

Surgeons are available, theatres are not 🚨Almost 50% operate only once a week 🚨73% lack theatre access 🚨A £15.9bn repair backlog tells the real story Targets won’t be met without fixing buildings, beds and staffing, and without real capital investment. telegraph.co.uk/news/2025/12/1…

Hard not to see this as anything other than an upfront barefaced lie of omission. @DHSCmedia you should be ashamed of yourselves. Are you civil servants? theguardian.com/commentisfree/…

One chart that explains exactly why the UK doctor pipeline is collapsing. #medtwitter

1️⃣ Most people don’t realize how unusual the UK’s doctor-training model is until they compare it internationally. France, Germany, Australia, the Netherlands — all move doctors to independent practice years faster. The UK isn’t the norm. It’s the outlier.

📌 The UK doesn’t have a doctor shortage. It has a doctor retention problem. You can’t keep people in a system that asks for more, pays less, and delays advancement for years after they’re fully trained. Fix that, and the strikes disappear. #NHS #JuniorDoctors #NHSstrike

This shows how @wesstreeting talking about a 28.9% pay rise for resident doctors is dishonest - and he knows it The last two years haven’t even restored pay following the real terms cuts after the pandemic It’s astonishing - the dedication of doctors, nurses and other NHS staff was “rewarded” with pay cuts

SELUTION DeNovo 🇪🇺 | #TCT2025 Large, pragmatic strategy trial: sirolimus DCB-first vs contemporary DES for de novo lesions. Unique strategy: patients randomized before lesion preparation — unlike prior DCB studies. ✅ Non-inferior for 1-year TVF (5.3% vs 4.4%) 💀 Death, MI, thrombosis all similar 🧠 80% of DCB patients avoided a stent ⚠️ Slightly higher TVR (3.3% vs 2.1%) 🔍 Low intravascular imaging use (~16%) outcomes could be even stronger with optimized prep & imaging guidance. A real step toward “leave nothing behind.” #DCB #InterventionalCardiology #TCT2025

Prevalence and clinical significance of electrocardiographic complete right bundle branch block in young individuals academic.oup.com/eurjpc/article… #ECG #Athlete #Sportscardiology