Khalid Minhas, MD FACC

My icon and inspiration @raylewis most cherishable moment ever @Ravens

#echofirst quiz: When the original diameter of a vessel is reduced to 50% (e.g. coronary artery stenosis), blood flow ml/min is reduced by: A. 20% B. 50% C. 75% D. 87.5% E. 93.75% @Hragy @mmamas1973 @iamritu @CASivaram1 @argulian @ParrasJorge2

The dangerous heat wave shattering March records all over the U.S. Southwest is more than just another extreme weather blip. It's the latest next-level weather wildness that is occurring ever more frequently as Earth's warming builds. to.pbs.org/4rPvSaD

It’s so weird that bank after bank are settling with Jeffrey Epstein’s victims for something Donald Trump keeps saying is a hoax.

Not every abnormal wall motion you see on echo means coronary artery disease. That’s an easy trap to fall into. Regional wall motion abnormalities can show up for many reasons, and some of them have nothing to do with blocked coronaries: ⭕ LBBB can make the septum move oddly and even mimic an acute MI ⭕ WPW syndrome may create patterns that look like inferior or posterior infarction ⭕ Pacemakers often change septal or apical motion ⭕ Prior cardiac surgery can leave behind septal hypokinesis ⭕ RV volume overload flattens the septum during diastole ⭕ RV pressure overload flattens the septum during systole ⭕ Constrictive pericarditis causes the classic septal “bounce” or wobble ⭕ Takotsubo cardiomyopathy gives apical ballooning with a hyperdynamic base ⭕ Myocarditis, dilated cardiomyopathy, and sarcoidosis can cause global or patchy LV dysfunction

“If you want to overcome the whole world, overcome yourself.” ― Fyodor Dostoyevsky, Demons

— Leo Tolstoy, "Anna Karenina"

🚨 STOP COMPLAINING — IT’S LITERALLY TRAINING YOUR BRAIN TO BE NEGATIVE Ever notice how some people seem stressed all the time, even over small things? Science says it’s not just their personality — it’s their brain. Research shows that repeated complaining actually rewires your brain. Every time you complain, your brain activates stress and threat-detection circuits. Do it again and again, and those circuits get stronger. This process is called neuroplasticity — your brain becomes better at whatever you practice most. So if you constantly talk about problems, frustrations, and annoyances, your brain learns to search for negativity. What starts as a bad day slowly turns into a habit of negative thinking. Over time, the brain treats the world as a dangerous place, even when nothing is wrong. This is why chronic complainers often feel tense, irritated, or overwhelmed by small issues. Their stress level stays high because their brain is stuck in “alert mode.” Even minor problems feel big, because the brain has been trained to react that way. The powerful part? This can be reversed. Stanford researchers explain that once you understand how your brain works, you can retrain it. Shifting how you speak — focusing on solutions, gratitude, or learning — builds new, healthier pathways. Your brain can be trained for calm, resilience, and clarity just as easily as it was trained for stress. What you repeat, your brain remembers. So choose your words carefully — you’re shaping your mind every day.

Thoracic aortic dissection (TAD)-related SCD in the young is rare, and TAD is an infrequent cause of SCD, affecting mostly men. Symptoms and chronic TAD are common, and a high index of clinical suspicion is needed for timely diagnosis. jacc.org/doi/10.1016/j.… #JACCAdvances:

Kafka: "I believed in them more than they believed in themselves." Dostoyevsky: "That is how betrayal begins...by giving someone a soul they never earned."

South Asians please keep your tradition to take off shoes at the door please!

As an Asian guy I never understood why people walk with their shoes in their home.

🇮🇷 Iran doubled helium prices worldwide, and nobody’s talking about it. Their drones struck Qatar’s Ras Laffan, the planet’s largest helium hub (1/3 of global supply). Production shut down until the war ends. No substitute. Can’t stockpile it. This powers every MRI, chip, AI data center, rocket & quantum computer. Brace yourself, this invisible crisis is about to hurt. Source: BusinessBasicsYT

Me: "Do you think that Jeffrey Epstein was an intelligence asset? @joekent16jan19: Yeah, I do. That's my opinion. We never touched any of the Epstein stuff that was all under DOJ lock and key, so I don't really have any insider knowledge beyond what I've read personally... I think...we should continue to question everything about those files"

📍 ACVC 2026 Highlights | From Temporary MCS to Cardiac Recovery. A very insightful session focusing on how temporary mechanical circulatory support may evolve from a rescue strategy into a tool for myocardial recovery. Key takeaways -Mechanical unloading may promote myocardial recovery more than previously assumed. -Device flow should be considered as a therapeutic dose, aiming to reduce filling pressures and myocardial oxygen consumption while maintaining adequate organ perfusion -Early transition from mechanical to pharmacological unloading may facilitate rapid optimization of guideline directed medical therapy -Combining MCS with early and aggressive GDMT appears to be a promising strategy to improve outcomes and support recovery. However, optimal device management, monitoring, and patient selection remain essential to avoid complications and maximize benefit #ACVC26 #Cardiology #HeartFailure #CriticalCare #MCS #ECMO #GDMT #ICU

Carl Jung was not playing around when he wrote: “No matter how isolated you are and how lonely you feel, if you do your work truly and conscientiously, unknown allies will come and seek you.”

Don’t argue with them 😂