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The object of the New Year is not that we should have a new year. It is that we should have a new soul. G.K. Chesterton
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Domenico Pagano
4.5K posts
Domenico Pagano
@dompagano
Professor Cardio-Thoracic Surgery, Birmingham UK; EACTS-SG 2018-2021 (tweets are personal and retweet not endorsement) Transparency = accountability
Birmingham, UK Katılım Şubat 2017
224 Takip Edilen1.9K Takipçiler
@pomyers @abadkhan2002 @mmamas1973 @Hragy @mirvatalasnag @akbarul @care4urheart2 @DrAnkushG @Obisht @IntervnCardio Aspirational permanent part of the “lifetime” management of ASD.
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@abadkhan2002 @mmamas1973 @Hragy @mirvatalasnag @akbarul @care4urheart2 @DrAnkushG @Obisht @IntervnCardio Permanent? The number of devices I have taken it out surgically, that still had residual shunts (through the device due to anti coagulation) years later at the time of a valve repair / replacement…
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Among the various procedures ASD closures are very satisfying .. Its quick & permanent..
Today on WORLD HEART DAY, A LARGE ASD & mal-aligned septum with floppy rims was Device closed ..
@Hragy @mirvatalasnag @mmamas1973 @akbarul @care4urheart2 @DrAnkushG @Obisht @IntervnCardio
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It’s true it’s all about leadership and role modelling and you have shown both on your pointing reply. Thank you
Sir Dave Thompson QPM DL@SirDaveThompson
@DouglasKMurray @spectator My letter to @spectator concerning the comments relating to policing in this piece by @DouglasKMurray . I think it is quite demeaning to female and LGBT cops and quite unfair to colleagues in @leicspolice .
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Domenico Pagano retweetledi
@AndreasGevaert @NEJM Let's not forget who put their names to these outrageous conclusions. Many friends among them, and I don't want this to get personal - but each and every one of these has put their (big) name to these conclusions and endorses it. Why?
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@pomyers @EduQuintanaCVS Should be banned and someone needs to take the lead with live surgery. @eacts. Many surgeons have made a career of showcasing live surgery not ethical
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@EduQuintanaCVS If your mother had to undergo surgery or PCI, would you tell her it’s ok if the operator does it live and consent?
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It is never a bad moment to put a nice reminder on live procedures.
Crossing red lines of care in the search for spectacle.
ctsnet.org/article/surger…
Shariq Shamim@ShariqShamimMD
Am I missing something? Live (recorded case) at #TCT2022 ASYMPTOMATIC patient getting proximal LAD PCI with diffuse LAD disease. With ORBITA trialist in panel @rallamee!!!! 😳😳😳 won’t this BE THE patient for medics therapy? Please help me understand. @SukhNijjer
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@Coronary4front @STS_CTsurgery @AATSHQ @ACCinTouch @American_Heart Cardiological associations keep drafting guidelines that force surgical associations to withdraw their support because they are indefensible.
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Surgeons out! The open secret at the #TCT2022: @STS_CTsurgery & @AATSHQ not part of the highly anticipated 2023 @ACCinTouch @American_Heart Chronic Coronary Disease Guidelines. Calling on all stakeholders to come back to the table and let the science speak.
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@DavidLBrownMD @BartoszHudzik @DFCapodanno @vlgmrc @fischman_david @mmamas1973 @CMichaelGibson @drjohnm @mirvatalasnag @SABOURETCardio @HeartOTXHeartMD @kaulcsmc @cardskrish @ajaykirtane More stent technology for a shrinking indication.
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@BartoszHudzik @DFCapodanno @vlgmrc @fischman_david @mmamas1973 @CMichaelGibson @drjohnm @mirvatalasnag @SABOURETCardio @HeartOTXHeartMD @kaulcsmc @cardskrish @ajaykirtane But if all those studies used IVUS, the results would be different.
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#PCI in #stable #CAD vs #GDMT 👇 beautifully crafted slide by @DFCapodanno Kudos Davide 💪 @vlgmrc @fischman_david @mmamas1973 @CMichaelGibson @drjohnm @mirvatalasnag @SABOURETCardio @HeartOTXHeartMD @kaulcsmc @cardskrish @DavidLBrownMD @ajaykirtane
Davide Capodanno@DFCapodanno
With the evidence generated so far, we may safely conclude that PCI does not improve survival in patients with SIHD. PCI remains key in ACS, and for the improvement of PROMs in consideration of patient compliance and wishes in relation to the intensity of anti-anginals. #TCT2022
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@DavidLBrownMD @kaulcsmc @DrMarthaGulati @drjohnm @purviparwani This is in the mortgage of operators
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@djc795 @EduQuintanaCVS @ajaykirtane @CMSGov @VictorDayan1 @pomyers @rafasadaba Europe is a Continent made of different countries and different systems including quality outcome measures. US colleagues often misinterpret geography.
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@EduQuintanaCVS @ajaykirtane @CMSGov @VictorDayan1 @pomyers @rafasadaba @dompagano I’m curious to know the standards for this in Europe and LATAM. Who is policing those countries?
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@rogerfederer In whatever we do we will find reward if we do with enjoyment and passion. You will be missed but you’ll be always there inspiring others to be better in what we do whether is sport or not.
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Not true. Unfortunately blocked. But not worth it. Apparently can’t get along with a powerful group of ICs from NY.
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@EduQuintanaCVS @pomyers @samsaid75 @GianTorre610 @STS_CTsurgery @BavariaMd @IHamamsy I bet when the re operate on them they stop putting them on in the first place
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Numbers of #AorticRoot surgery from @STS_CTsurgery. Data presented by @BavariaMd at #avrs impressive increase of #Ross procedure. In the era of #TAVI are we pushing the boundaries of advancing the skills of aortic surgeons? @IHamamsy
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@djc795 @pash22 @jdrwilcox @rahatheart1 @DavidLBrownMD @pabeda1 @purviparwani @JGrapsa @Hragy @ShariqShamimMD @DrMarthaGulati @mmamas1973 @iamritu @hvanspall @SripalBangalore @rafasadaba @pomyers @kaulcsmc @NICEComms @NHSEngland @IntegratedNHS Finance is only one of several COIs. There are professional standing etc.
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@pash22 @jdrwilcox @rahatheart1 @DavidLBrownMD @pabeda1 @purviparwani @JGrapsa @Hragy @ShariqShamimMD @DrMarthaGulati @mmamas1973 @iamritu @hvanspall @SripalBangalore @dompagano @rafasadaba @pomyers @kaulcsmc @NICEComms @NHSEngland @IntegratedNHS What makes you think these therapies (CABG, ICDs) are being abused in the NHS? Since NHS physicians are all salaried (aren’t they?), what would be the incentive for anyone to do this?
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Saw patient in clinic. initially referred for PCI- low EF detected on TTE done for PreOp. Severe triple vessel dz. Not a CABG candidate. NOT amenable to PCI
On GDMT.
Doing well. Every time they ask if we can fix the blockages.
Told them now we have data.
Thank you #REVIVED
Dr. Purvi Parwani@purviparwani
MIC drop at #ESCCongress No difference at all with revascularization in patients with ischemic cardiomyopathy. There is silence in the audience! Woooowwwwww @mmamas1973 @DrMarthaGulati @mirvatalasnag @iamritu @djc795 @SrihariNaiduMD @adityadoc1 @KemalogluOz @Hragy
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@jdrwilcox @rahatheart1 @DavidLBrownMD @pabeda1 @purviparwani @JGrapsa @Hragy @djc795 @ShariqShamimMD @DrMarthaGulati @mmamas1973 @iamritu @hvanspall @SripalBangalore @dompagano @rafasadaba @pomyers @kaulcsmc I have been seeing sporadic posts on twitter extolling the use of ICD as a treatment option of PCI vs CABG vs ICD vs GDMT. This worries me as a clin payer.
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"After more than 5 years, the invitation to undergo comprehensive cardiovascular screening did not significantly reduce the incidence of death from any cause among men 65 to 74 years of age."
Khurram Nasir@khurramn1
@DavidLBrownMD @jaideeppatelmd @JACCJournals @gowthyharsha @miguelcainzos23 @MichaelJBlaha @CiccaroneCenter @TanujaRajan1 CAC testing not only can reduce mortality without increase in revascularization,as we recently learnt from DanCavas, but if used as a #Gatekeeper in symptomatic patient can reduce unnecessary downstream advanced imaging #CacTesting= #LessIsMore
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@dr_benoy_n_shah @drstephenpettit @DrMarthaGulati @EuroRespSoc @jeanlucvachiery @SeanPGaine @ShelleyWood2 @mmamas1973 @DrPeterOKane @drandrewsharp @ncurzen @andrewwiper @jonnywatt @LCC_DrMalik @DevadathanSen Might this presentation threaten the panel’s income ?
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@drstephenpettit @DrMarthaGulati @EuroRespSoc @jeanlucvachiery @SeanPGaine So many of us from 🇬🇧 recall this. He was treated appallingly, I agree. I could not get over the "take note of who is here, this is historic for you" comment - the absolute arrogance!
It was a very unusual way for a panel to behave, not seen anything like that since, thankfully
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#ERS2022 terrible to see an #earlycareer presenter of the #PHguidelines criticized publicly by a senior figure in #PH. @EuroRespSoc should not allow such terrible behavior. Watching virtually was terrible to see. Can’t imagine seeing this in person @jeanlucvachiery @SeanPGaine
Los Angeles, CA 🇺🇸 English
@pomyers @VictorDayan1 @SripalBangalore @GreggWStone @JWMoses @SVRaoMD @ShariqShamimMD @evandrofilhobr @djc795 @ajaykirtane Not everyone is erudite in trial analysis and interpretation.
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@SripalBangalore @GreggWStone @JWMoses @SVRaoMD @ShariqShamimMD @evandrofilhobr @djc795 @ajaykirtane But these seem like moot points if you can't compare them to start off with.
With all due respect (really!), I would have thought a seasoned trialist like you would know that unless you randomized a patient population to the intervention arms you are interested in (PCI, CABG ...
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1/ REVIVED BCIS2 vs. STICH.
In STICH(es), CABG had a mortality benefit over MT. No such benefit of PCI vs. MT in REVIVED BCIS2. Does that mean CABG is superior to PCI in ischemic cardiomyopathy?@GreggWStone @JWMoses @SVRaoMD @ShariqShamimMD @evandrofilhobr @djc795 @ajaykirtane
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