Kurt Schumacher

Very interesting data on #insulinresistance in #Fontan. The more we know➡️Fontan is a systemic illness with body-wide metabolic consequences! Fontan #metabolomics anyone? @mgoschu @sasha_opo @alexvdbruaene @AdditionalVent pubmed.ncbi.nlm.nih.gov/39375212/

Wow! Another important study on #Fontan related #Frailty. Could systemic metaboloic changes related to poor physical activity, physiologic, dietary and genetic factors be contributing to Fontan failure? Here 6MWD most impacted. @AdditionalVent @mgoschu pubmed.ncbi.nlm.nih.gov/39367114/

"I'm not sure who, but somebody let the @Tigers get hot!" A.J. Hinch gets the clubhouse fired up 😤

HUNGRY FOR MORE. #RepDetroit

It's actually happening, Detroit 🧡

Tigers earn their first #postseason trip since 2014. The White Sox 121 losses are the most in one season since 1900.

Royal Sweep. 🧹

Significant variability in waitlist mortality in pediatric heart transplant patients listed 1A. Higher risk in those supported by ECMO, single vent CHD on VAD support, & small children w CHD, RCM or HCM @DavePengMD @ScottAuerbachMD @mgoschu @jen_conway1 ahajournals.org/doi/abs/10.116…

This should absolutely get some thought. Attention to the long term outcomes of surgical should be a primary focus. Everything that may even slightly affect #Fontan circulation over years is important.

Kudos to @MottChildren @UMichCardiology, the second FON center to enroll 100 participants! We are grateful for your dedication to improving #Fontan outcomes! @mgoschu @skpasquali @melissacousino @jhansen_md @RickOhyeMD @Katie_E_Bates @CarenGoldberg13 @fontandoc @Kim_DiMaria

@AriCedars @ShelbyKuttyMD @alexvdbruaene It makes sense and needs further study. Could be important to liver and gut as well.

Small study (53pt) suggesting link between conduit parameters by #cMRI and #GFR in #Fontan. Quite limited by ceiling effects (100% of pts with GFR >60) but makes sense. Looks like #cardiorenal due to anatomy! @ShelbyKuttyMD @mgoschu @alexvdbruaene pubmed.ncbi.nlm.nih.gov/38293946/

Excited to share this paper on pediatric CS & the potential for improving outcomes. >1 in 4 children presenting in CS don’t survive the hospitalization - time for ‘Surviving Pediatric CS’ guidelines! Clinical Presentation, Classification, and Outcomes... sciencedirect.com/science/articl…

Go Blue

😤

This link provides 50 days of free access to our article showing why children should not have lost access to the HVAD ventricular assist device #LVAD @ACTION4HF @PHTSociety @jen_conway1 @ShaanAmdani authors.elsevier.com/c/1hk9D3lUpLZv…

@AriCedars @ACTION4HF @SamWittekind @daniel_forsha If prioritized, maybe it could prove during that period though and not be static. And maybe that changes the adult onset diminished capacity

Well, between 16-26 exercise capacity in #Fontan remains stably low(~55% pred). IMO his is a static period, deterioration occurs between 20s-30s and accelerates thereafter. Regular exercise is good! @ACTION4HF @mgoschu @SamWittekind @daniel_forsha pubmed.ncbi.nlm.nih.gov/37355241/

@AriCedars @AliZaidiMD @sasha_opo @ShelbyKuttyMD Happy Fathers Day, Ari. I hope you smoked something good.

Happy Father’s Day to all those fathers out there in the Twitter universe including @AliZaidiMD @sasha_opo @mgoschu @ShelbyKuttyMD and so many other friends and colleagues. May your fathers day be delicious!