Kyle Mandsager, MD

Thank you @AnnGageMD, Cleveland Clinic's interventional intensivit cardiologist, for masterful delivery of a special talk on "Reacquainting Cardiology with Critical Care: Mechanical Ventilation & Pressors" Must watch for #ACCFIT & #Cardiotwitter 👉tinyurl.com/y8xx2kr7 #MedEd

Breathing New Life into an Old Skillset: Reacquainting Cardiology with Mechanical Ventilation in Response to the COVID-19 Pandemic. Thank you @JACCJournals @JGrapsa @AnkurKalraMD @RanLeeMD for helping ease some anxiety re: caring for our ICU patients. casereports.onlinejacc.org/content/early/…

COVID-19 Prep Update- March 14: Last night I was on with state & local officials around the US well into the night. By March 23 many of our largest cities & hospitals are on course to be overrun with cases. I am going to prepare a memo for them. I will share highlights here.1/

@sneha_vk @SergeHarbMD @ASE360 That’s my needle! #lowandposterior

Live 3D MPR guidance of a transeptal puncture with @SergeHarbMD . You can see the needle cross into the LA (bottom right) in real time! @ASE360 #echofirst

@bmorecardiology @drjohnm @jaymontgomery44 Have seen incessant bundle branch reentry post valve surgery - possibility based on typical LBBB morphology here, and rapid rate.

@JAMACardio, reassuring data regarding high amounts of physical activity/exercise and coronary calcification. Growing evidence of benign association, at least from a population standpoint. jamanetwork.com/journals/jamac…

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Also, amongst other risk factors, don’t forget about PEDs in this guy...

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD tough but often fulfilling conversations. “Shared decision making” for sure. Good case though - fortunately he has good follow up :)

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Thompson recommends two years of high intensity statin before resumption of competition, based on plaque remodeling studies/hypothesis. ACC/AHA advise DQ for 3mo lost AMI/PCI, then OK if normal EF and stress. These are all separate from DAPT concerns.

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Question isn’t simply “triggering” another MI, or chronically increasing risk. But triggering fatal VT/VF via border-zone ischemia when acidotic, hypokalemic, and experiencing profound myocardial stress during critical portion of competition or training.

@bmorecardiology @keaglemd @drjohnm @johnmcph @DLBHATTMD Recommend reading papers on the topic of competitive athletics and CAD by Paul Thompson. ACC/AHA guidelines from 2015 are open access (I just pulled up on my phone in Anguilla ;).

Left Atrial Electromechanical Remodeling Following 2 Years of High-Intensity Exercise Training in Sedentary Middle-Aged Adults | Circulation #AHA2018 ahajournals.org/doi/10.1161/CI…

New study finds pro football retirees at least 5 times more likely to have atrial fibrillation than matched nonathlete controls: cle.clinic/2F6RBrO

@doc_halliday11 @AnnGageMD Just trying to inspire you Steve m.ironman.com/triathlon/even…

@KyleMandsager Listen man, your research is great and all, but where’s the COI statement? Are you trying to convince @AnnGageMD that doing all those triathlons is going to make you live forever?

Another look at CRF and mortality, here in a presumed “healthy” population. Using CPX for VO2max measurement, and less stringent cutoffs for high fitness. But message remains: fitter is better. onlinejacc.org/content/72/19/…

A thoughtful write-up of our work by the ⁦@nytimes⁩. #getfit nyti.ms/2CR9Q2e?smid=n…

Researchers find no upper limit to the long-term mortality benefits of aerobic fitness in patients undergoing stress testing: cle.clinic/2RawxSP

@TheEliMarcus May be benign adaptation (increased bone/Ca turnover?) - evidence that these are more stable plaques. May partly explain our/other findings that athletes live longer, lower rates of CAD events. That said, CAD is #1 cause of sudden death in athletes >35 years old.

@KyleMandsager Very kind of you to reply. By the way, interviewed Dr. Esselstyn on my show recently. What is your theory on how endurance athletes, the most fit of all, live longest if they are building excess coronary calcium? Would appear completely contradictory.

Excited to see our work finally published! Many to thank for helping bring all this together. Association of Cardiorespiratory Fitness and Mortality Among Adults Undergoing Exercise Treadmill Testing ja.ma/2QZUHzx

ICYMI: Individuals with 'elite' cardiorespiratory fitness for their age maintained a survival advantage over high performers (75th-97.6th percentile), suggesting there's no upper limit for the benefits of #fitness. @KyleMandsager @ClevelandClinic ow.ly/bDJ430mkFYx

@TheEliMarcus Can’t comment on individual case/give med advice. Studies have shown more coronary Ca2+ in endurance athletes, others suggest these are more stable plaques. Unclear true clinical significance. We found the most fit patients lived longest. Should discuss w your MD.

@KyleMandsager I have Coronary Calcium score of 570 & run 10 5k to 10k races a yr. Cardio Dr. James O'Keefe has a YouTube video saying opposite of your study: prolonged running CAUSES coronary calcium build-up. My scores have me worried that I am poster boy showing he is right. Thoughts?