Michael G. Silverman, MD

My dear 92yo mother-in-law did not survive her heart attack. The CCU team showed our family what cardiology at its best looks like, and it wasn't the technology. My @JACCJournals Editor's Page on the experience: jacc.org/doi/10.1016/j.…

No need to fast before cardiac cath procedure, SCOFF trial shows. Download slides from SCOFF trial presented at #ESCCongress here clinicaltrialresults.org/wp-content/upl…

Comprehensive review on VA-ECMO @DGK_AG3 @TRassafMD

The Cardiovascular Performance Program @MassGeneralNews has been at the forefront of sports cardiology since 2009. Our fellowship has generated over a dozen sports cardiologists across N. America. Please RT & encourage your brightest to apply for '25-'26! bit.ly/3VmPfv2

#acc24 late breaking trials out. For shock aficionados DANGER trial results being presented. After the ECLS results - this will be the next test of MCS with impella. Big year of landmark trials for MCS. Iabp and ecmo are already a bust - can’t wait for the results. @thiele_holger @rebeccamathewmd @shanfernands @seanvandiepen @susannaprice @SVRaoMD

Many current trainees see medicine more as a job than a calling. What societal forces are reshaping attitudes about work? And why is medicine particularly vulnerable to these critiques? Read the latest Medicine and Society article by @LisaRosenbaum17: nej.md/3HbBoiG

Meta-analysis of TTM for non-shockable rhythms with individual patient data from #HYPERION and #TTM2 does not show any benefit of hypothermia to 33C. No benefit in subgroup analyses either. jamanetwork.com/journals/jaman… @JAMANeuro @MDNeurocritcare @neurocritical @UMDCritCareMed.

@BalimSenmanMD @carlosalviar @ChrisBarnettMD @AHAScience @JasonKatzMD @3CPRCouncil @cmaltahansen @rashidroxana @CardioNerds @krychtiukmd @jason_bartos @UMNews @umnmedschool And the rebuttal! @seanvandiepen highlights that we still need more data to support eCPR before broader dissemination Can’t ignore: ❗️pervasiveness of complications ❗️small sample size ❗️single center studies ❗️non-significant improvement in neurological outcome #AHA23

"Heads-up CPR doesn't improve cerebral perfusion pressure and it significantly decreases carotid blood flow...human implementation of Heads-up CPR should be conducted only under strict IRB supervision." Stop experimenting on OHCA patients and framing it as "quality improvement".

as clinical medicine becomes more complex and research grants are harder to secure, the traditional "triple-threat" is becoming unachievable. "encouraging mastery across too many domains... can lead to mediocrity, lack of fulfillment, and disorganization"

⚡️Sign up now!⚡️ @AHAScience @3CPRCouncil #CRITCARECARDS CardioObstetrics Webinar! Featuring 3 amazing talks 10/30 6 PM! - #cardiacarrest in #pregnancy Dr Zelop - Care of pregnant pts in ICU Dr Hansra - CV Meds in pregnancy Dr Halpern heart.zoom.us/meeting/regist… @AHANewYorkCity

Presented at #ESCCongress: In this randomized trial, extracorporeal life support did not improve 30-day survival as compared with usual care in patients with acute myocardial infarction complicated by cardiogenic shock. Full ECLS-SHOCK trial results: nej.md/45LI6qe

And for those who may be taking a gap year or are just interested in cardiology, we are also looking for nocturnists to cover one of our inpatient cardiology floors: fa.hms.harvard.edu/sites/projects…

Come join our ever expanding team @MGHHeartHealth! We are looking for cardiologists who want to focus on a hospital based practice: fa.hms.harvard.edu/sites/projects…

Congratulations longtime @SmithBIDMC collaborator @MabelChungMD on recieving an Anne Klibanski Visiting Scholars Award!

#TAMEtrial just published! 🩸 Does mild hypercapnia (50-55 mmHg) vs normocapnia (35-45 mmHg) improve outcomes in OHCAs admitted to the ICU? 🧠 Good neuro outcome at 6 mo: 43.5% (hypercapnia) vs 44.6% (normocapnia) 🔗 @NEJM nejm.org/doi/full/10.10… #CCR23 #ResusTwitter #FOAMcc

Pilot mRCT on bicarbonate in metabolic acidosis 🔸Clear between-group separation in pH, HCO3, BE 🔸 Favorable clinical outcomes 👍Confirmed feasibility for a larger RCT Slow enrolment: 1.9 pts/month ➡️Eligibility criteria may be modified🤔 🔗journals.lww.com/ccmjournal/Abs… #FOAMcc

Cardiologists can learn more effective ways to communicate with patients via 1:1 communication coaching. ja.ma/45NhNQX

FDA Announces Class I Recall Of Abiomed’s Impella Heart Pumps. This expensive, controversial device that drives immense revenues and has an uncertain benefit now has a Class I recall. The company says: 'Do not use affected products unless no other product is available.'

YES!!! Keynote speaker @susannaprice discussing a topic I have often mentioned….the future is PREVENTIVE Critical Care! What say you? Join us for this amazing session NOW! @ACCinTouch #ACCCriticalCare