Nader Joghetaei, MD

@yuripridemd Totally agree,and I’m implementing it myself. My concern is the old issue of clopidogrel non-responders now being put on this drug. Although skeptical myself, if a pt develops an MI after switching, sb testing the pt to demonstrate polymorphism, then it’s hard to explain…

We knew clopidogrel was better a long time ago. And without a higher bleeding risk. Read CAPRIE. Was just really expensive at the time. Now it's my SAPT of choice for most pts when I'm stopping DAPT. Not novel.

@djc795 @drjohnm Does increased detection, eg by ILRs really translate into lower CVAs?

@drjohnm Those temporal trends are almost certainly driven by (1) ⬆️AF detection (e.g, smartwatches, etc) --> ⬆️recognition of less severe AF; and (2) ⬆️recognition/coding of risk factors which leads to "CHADS-VASc risk score inflation" c/w the original development studies.

I suspect it’s not only medical therapy that is responsible for lower stroke rates in pts w AF, but also temporal trends in lower untreated stroke rates. See Finish registry pubmed.ncbi.nlm.nih.gov/39708034/

@SripalBangalore @mirvatalasnag @ecgrhythms @sbrugaletta @nadia_sutton @KardiologieHH @ncurzen @drandrewsharp @drsonyaburgess @DrRyanPDaly @AspriAlexia @alessio_lamanna Why not a more physiological testing like stress echo to start with?

@mirvatalasnag @naderjo @ecgrhythms @sbrugaletta @nadia_sutton @KardiologieHH @ncurzen @drandrewsharp @drsonyaburgess @DrRyanPDaly @AspriAlexia @alessio_lamanna ahajournals.org/doi/10.1161/CI…

40M smoker presents w “angina” Cause?

@peterrhague Because of Lack of sustainable strategy

I understand why the US and Israel is attacking Iran. It’s a loathsome regime that threatens both its own people and the world. What I can’t understand is why they didn’t do this before the IRGC slaughtered thousands of protestors?

@DavidLBrownMD @drjohnm In LA?

@drjohnm I’ve seen AF patients get LAAC just because they have spontaneous echo contrast

Numerous studies show that pts who get LAAC are older and sicker than those in the trials This is unwise Spontaneous echo contrast is a marker of LA disease It also associates with a higher risk of stroke events and DRT. Of course it does jacc.org/doi/10.1016/j.…

@yashar On #MSC2026 he would not react to and answer the questions the way an experienced politician nowadays is used to do.

For the last 47 years, Reza Pahlavi has barely been tested by the public or the press. He wants to lead a transition? He wants to take over a country in the middle of one of the most volatile and fragile geopolitical moments in its modern history? Then he shifts from being a symbolic figure to some Iranians to a political actor for all and political actors must get scrutinized. He is a politician now. He should be grilled — aggressively grilled. And he should be grilled by reporters and others who have expressed great skepticism about his ability to lead. His wife Yasmine Pahlavi should also be grilled by reporters — she’s not some quiet lamb in the background who isn’t involved in her husband’s life. I realize it’s painful for his supporters — many of whom have long viewed him as something close to untouchable — to see him asked difficult questions. (And let’s be honest: the questions so far haven’t even been that tough. They should be much tougher.) But welcome to the big leagues. Reza Pahlavi’s father, the late Shah, sat down with Mike Wallace on 60 Minutes and faced hard, adversarial questioning at the height of his power. At least three times, if I’m not mistaken. If you aspire to lead a national transition — especially one involving a country as complex and combustible as Iran — you don’t get to select only sympathetic interviewers. Iran is not a nostalgia project. It is a nation of 92-million people who are under immense internal and external pressure. If his supporters and advisors start whining about tough questions, it will only confirm what some of us already suspect: that the project cannot withstand scrutiny.

@sharghzadeh If either sides finds itself to be treated unfairly then you probably now that they are doing a good job

BBC Persian is the closest thing we have to an unbiased Persian news source and everyone hates it. To Islamists, it is a monarchy mouthpiece, to Monarchists, it's Ayatullah BBC.

@ShariqShamimMD @djc795 @jedicath @Babar_Basir @MinaFar20 @MichaelMegalyMD @crfheart @Tabaza @SripalBangalore @rickytiago @RinfretStephane @PSandesara_MD Evidence on protection device?

Native PCI vs graft PCI after PROCTOR? RCT obviously doesn’t support native first, also no reflow is a lot lower for SVG PCI in contemporary trial vs perceived. Next question is to coil the SVG vs leave it open post native CTO PCI? Data free zone. @djc795 #CTO2026

@MSharifpourMD @kshahrooz My point is how you react to someone’s call if you completely disagree with this person on many fundamental issues.

Rajavi and Pahlavi have much different acceptance amongst the population and very different following! I don’t think that is a fair or an accurate comparison. I doubt these many people would have gone out had Rajavi put out a call! We saw the Berlin turn out last weekend. And please, stop with the “Pahlavi’s followers”. Everyone does it. Every person has extremist followers. Judge him on what his message is.

دربارهٔ ۱۴ فوریه من مطمئنم که تجمعات فردا در تورنتو، لس‌آنجلس و مونیخ با حضور گسترده ایرانیان و به‌صورت موفق برگزار خواهد شد. با دیدگاه سیاسی برگزارکنندگان هم‌نظر نیستم، اما از همین حالا می‌خواهم به آنها تبریک و خسته‌نباشید بگویم. می‌دانم سازمان‌دهی چنین تجمعی چقدر کار و زحمت دارد. می‌دانم بسیاری از دوستانم که از حامیان رضا پهلوی نیستند نیز شرکت خواهند کرد، چون می‌خواهند نفرت و خشم خود از رژیم را نشان دهند. به تصمیم آنها هم احترام می‌گذارم. خیلی به این موضوع فکر کرده‌ام و شخصاً تصمیم گرفته‌ام شرکت نکنم. سال‌هاست که از رژیم اسلامی بیزارم و برای سرنگونی آن تلاش کرده‌ام. اما رضا پهلوی را به‌عنوان رهبر یگانه یک انقلاب نمی‌پذیرم و معتقدم هرگونه حضور در این تجمع به‌عنوان پذیرش رهبری او تعبیر خواهد شد. حتی اگر در اقلیت یک‌نفره هم باشم، نمی‌خواهم حضورم به‌عنوان حمایت از او محسوب شود. با وجود همه انتقادهایم، هیچ تردیدی ندارم که یک حکومت پهلوی از زمین تا آسمان بهتر از رژیم کنونی خواهد بود. با این حال، معتقدم آینده‌ای بسیار بهتر نیز برای ایران ممکن است. رضا پهلوی و تیمش جنبشی ساخته‌اند که ـ برخلاف آنچه در سخنرانی‌هایش ادعا می‌شود ـ متعهد به دموکراسی نیست، بلکه به حاکمیت یک فرد و یک ایدئولوژی خاصِ ضد لیبرال گرایش دارد. مردم ایران در جنبش «زن، زندگی، آزادی» نشان دادند که می‌توان جنبشی فراگیر و مبتنی بر بخشش و همکاری ساخت. اما جنبش پهلوی بیشتر بر ویژگی‌هایی چون نفرت، خشم، عطش خون و حذف دگراندیشان تکیه دارد. ایرانیان ملتی هستند بهتر از آنچه جنبش پهلوی جلوه می‌دهد. به امید آنکه، به زودی، رهبرانی کثرت گرا، بهترین ایرانیان را به دنیا نشان دهند. به امید تجمعی امن و موفق. جاوید ایران

@MSharifpourMD @kshahrooz You listen to Pahlavi’s people’s slogans and you know what separatism is. You see how aggressive they behave facing non-monarchists. Besides: Just imagine how you would’ve reacted if Rajavi had invited! Would you still say it’s after all against IR?

This comment addresses people just like Mr. Shahrooz! The group that offers nothing and only complains. Feb 14 is not a referendum on Pahlavi. It’s a day to get together, regardless of our beliefs, to oppose IRI. He invited everyone, regardless of their background, as long as they are not separatists, to join. He didn’t say come out and vote for me! So, what value does Mr. Shahrooz’s declaration add here? Nothing! You don’t want to great, don’t go!

@MSharifpourMD @kshahrooz This very thoughtful comment is being disqualified by generalizing all Pahlavi-skeptics as bunch of losers. History will tell as for for the opportunities being missed by such a conduct

@kshahrooz ایشون خیلی قشنگ جواب امثال شما رو دادن

@SripalBangalore @SVRaoMD @glennfishman @DFCapodanno @mmamas1973 @realarainmd @mirvatalasnag @RizikMd @sbrugaletta @drjohnm Why not compared to clopidogrel?

Ticagrelor vs Prasugrel in Patients With Diabetes and Multivessel CAD jamanetwork.com/journals/jamac…. @SVRaoMD @glennfishman @DFCapodanno @mmamas1973 @realarainmd @mirvatalasnag @RizikMd @sbrugaletta @drjohnm

@venkmurthy Am I missing the irony in your post?

Glad to see overdue reform is happening!

@expatsunleashed @tparsi Interesting how you talk about/to people who do have another opinion than you do. Even if this Video were fake , the way you criticize is telling me a lot for the time when you will be in power in Iran

I was waiting for you to post this video, it’s been aired by the Islamic Republic inside Iran multiple times already. A clear manufactured video to smear and slander the opposition. As if we needed any more proof that you’re the Islamic Republic mouth piece in the US. You shit-slithering lowlife.

Part of the reason a regime as unpopular and undemocratic as the Islamic Republic has managed to survive for 47 years is because of the undemocratic nature of the exiled opposition. In this clip, a representative of Reza Pahlavi visits an Iranian restaurant in Austria and demands that the flag of Monarchical Iran is put up on the walls. The restaurant worker explains that he is not the owner. Pahlavis representatives respond by saying that the flag must go up right away, otherwise they will "take care of the owner"...

@Hragy @nolanjimradial @SVRaoMD @mmamas1973 @mirvatalasnag It gives you couple of more options before having to go femoral, esp for LIMA

@nolanjimradial @SVRaoMD @mmamas1973 @mirvatalasnag Your thoughts on #dtra ?

2019 Ferdinand Kiemeneij Came to Cairo where I learned distal radial access from him. After he left I considered but found no real personal need for distal radial access for me, but was good to meet again, to learn something new,and since then using US guidance and more left side

@mmamas1973 @DrMarthaGulati That was my first thought when I saw her tweet about having a new Mercedes

Please can everyone report this account? Someone has hacked @DrMarthaGulati account - and she has been blocked out of her own account by a scammer who is posting this garbage Everyone who knows Martha knows she wouldn't post this garbage

@jbspadoni @stefan_harb But there are longer catheters as well

Easy solution when you need few extra inches (guide not reaching). I first saw this in X and used few times. Work like a charm! Guide is braided and won’t be cut 😅 @stefan_harb remind me who invented this so I can give credit.

@MSharifpourMD @mrkorangy No guide vs a poor/unqualified guide, hard to decide

You know, you can say you disagree with Pahlavi or you don’t like him or he is not qualified or you don’t believe in any form of monarchy and all are reasonable. But to call this a faceless revolution is at best misguided. As if you are intentionally trying to deny what is happening in Iran and what the people are chanting

Speak up on Iran.

@jedicath Thx for sharing. Cx ostium continues to be our Achilles heel

We don’t just show our great cases. This patient returned 6 months post a carefully performed IVUS guided ostial LCX DES. Crossover LM>>LCX. ISR is actually in LM not the ostial LCX 😫