Susan Joseph MD

@AndrewJSauer His CO would be 25 L/min and PA systolic would be 70+, but his PVR would not increase or even drop. That’s my prediction

Is it bad that I imagine right heart cath with exercise hemodynamics on this guy, just because I’m completely fascinated by why his numbers would look like? Mind blowing.

💁🏽‍♀️It’s been a while since we revisited how much our #WordsMatter in medicine 🤔- HF in particular. As we close out 2025, we make a plea to our -#FunctionNotFailure community - let’s not use the word “stable” in HF. It’s a disservice to all 🤐 👀 out our We’ve Been Thinking page @JCardFail & the 🔥 Dec issue : onlinejcf.com/article/S1071-…

I tell my patients who come see us at our Haverty Cardiometabolic Center, “the a.fib is the tip of the iceberg, and what’s below the surface is driven mostly by the metabolic disease of obesity.” - which drives the HTN, DM, inflammation, HFpEF, etc.

Important piece @TCTMD on state of affairs in 🫀transplantation with respect to innovation & public trust- inspired by of a ✨ perspective @JCardFail by @JennaSkowronski @MaryjaneFarrMD tctmd.com/news/cardiac-t… A must read! @AndrewJSauer @JeffTeuteberg @RyanTedfordMD @AHajduczok @mvaduganathan @robmentz @noshreza @JasonKatzMD @DrMarthaGulati @shelleyhallmd

@AndrewJSauer Thanks for sharing, that was brave.

In 2014, when I started my first real job as a cardiologist, I didn’t even know how deep in debt I was. After years of deferral and forbearance, the total hit me: $350,000 in student loans, car loans, credit cards, and an underwater condo. My net worth was –$350K at age 32. Over the next decade, we attacked every form of debt using the snowball method—while also saving and investing aggressively in retirement and real assets. We focused on cash flow, avoided lifestyle inflation, and even froze our credit to keep ourselves honest. It wasn’t easy. Early on, I watched peers take European vacations, buy 6-figure cars, and build dream homes. We drove older cars and paid down debt instead. A few years ago, we crossed zero. Now our only debt is our primary home—at 3.125%, less than half its value. The sense of freedom is hard to describe. Debt quietly suffocates you, and you don’t realize it until you can breathe again. I still keep my credit locked, which means I can’t buy a car unless I have the cash. It’s a built-in speed bump against impulsive spending. Some say I’m foolish for not “leveraging” more debt to build wealth. Mathematically, they might be right. But psychologically, the peace of mind and flexibility have been priceless. It’s let me choose work that’s meaningful, not just lucrative. If you’re deep in the hole and grinding your way out, stay the course. Ignore the noise about what you “should” buy because of your income. The freedom is worth more than the car, the house, or the trip. That said, you can indeed enjoy those eventually, just a bit more delayed after the disciplined years. Not financial advice—just lived experience. Take it for what it’s worth.

In HFpEF, comorbidities are common and associated with higher mortality SGLT2i therapy use associated with attenuated risks Comorbidity Patterns and Mortality in HFpEF: A Retrospective Longitudi... sciencedirect.com/science/articl…

Last session @HFSA featuring team #avengers to navigate us through the rise of contemporary devices in HF management! @nyulangone @NYULangoneLI @ReyentovichHFMD @JasonKatzMD @CVRx_Barostim @AbbottCardio @AndrewJSauer @docbhardwaj @AHajduczok @shelleyhallmd @SusanJosephMD

@JonathanDavisHF @UCSFHospitals @ZSFGCare @UCSFCardiology Wow! Also how do you know Jason Katz! That’s my buddy :)

9/29 I start at Mercy St. Louis! Working at @UCSFHospitals/@ZSFGCare/@UCSFCardiology was a profound privilege. The community, patients, & colleagues gave me more than I can ever express. Please know how grateful I am to have been part of this extraordinary team.

Standing room only @JCardFail central! AI in HF!!! #HFSA2025 @NirUrielMD @robmentz

The Jefferson takeover continues @HFSA with our own Dr. J. Eduardo Rame delivering a blockbuster analysis of outcomes in the MOMENTUM-3 trial! @HFSA #HFSA2025

@JayMathewsMD @Watts_IR @rkryu @wineschool @PascalJabbourMD @martknowles @limbsalvagedr @DejahJudelson @farkomd @paragpatel_IR @geoffrey_cain @BobTahara @DrLipman1 @jwalkermobile @jebdunnuck @LongeneckerBob @WineSpectator @HeitzCellars @AriCedars Haha. That was REALLY really old.

@Watts_IR @rkryu @wineschool @PascalJabbourMD @martknowles @limbsalvagedr @DejahJudelson @farkomd @paragpatel_IR @geoffrey_cain @BobTahara @DrLipman1 @jwalkermobile @jebdunnuck @LongeneckerBob @WineSpectator @HeitzCellars The Latour scares me after the infamous "Latour" incident with @SusanJosephMD and @AriCedars

Four straight nights = four amazing line-ups!! Which night would you have wanted the invite? Reviews upon request 🙂 @rkryu @wineschool @PascalJabbourMD @JayMathewsMD @martknowles @limbsalvagedr @DejahJudelson @farkomd @paragpatel_IR @geoffrey_cain @BobTahara @DrLipman1

A 50 male no other pmh recent awstemi presents for 3 months follow up with EF improvement from 20 to 40%. No other medical conditions. He is a professional sky diver and wants to return to work. What do you advise? @JasonKatzMD @AHajduczok @docbhardwaj @shelleyhallmd @KiranKhush1

A great debate on LVAD vs transplant to finish off @ATCMeeting @tcccop @timgong @ivguerrerom @davebaran @shelleyhallmd @spinneymd @KiranKhush1 impressive animations/video by @amitalamMD

Congrats Kavita, Ahmet, and team. Well done!

First DCD heart transplant performed last night @HopkinsMedicine by @cpasrij @APolancoMD! Milestone moment for @hopkinsheart and @HopkinsCTSurg ! Incredible dedication and efforts by all team members. @AhmetKilicMD @stevenhsu_md @ngilotraMD @jvaishnavmd @Js08Paul @VirginiaSHahnMD @luigiadamomdphd @priyaumapathi @docsabe @EdKasper3

@AndrewJSauer It’s going to be 85 degrees in Baltimore today

The snow globe I’m looking at today. Spring Snow. ❄️ Big Thompson River Estes Park Rocky Mountain National Park

He truly never quit! I can personally attest

My husband & cousin meeting up for mentorship at #ACC24 ⁦@AriCedars⁩ ⁦@atobaa57⁩ ⁦@HopkinsMedicine⁩ ⁦@shelleyhallmd⁩ ⁦@KSharmaMD ⁦@amitalamMD⁩ ⁦@MKIttlesonMD⁩

@renujain19 @atobaa57 @AsadGhafoor79 @EricSWeissMD @AuroraCVFellows @ASE360 She did a great job. Congratulations to @atobaa57

@renujain19 @atobaa57 @AsadGhafoor79 @EricSWeissMD @AuroraCVFellows @ASE360