Twitter thread coming on what @adamcifu @VPrasadMDMPH @AndrewFoy82 and I think is the BEST approach to pt care. This is …
The Case for Being a Medical Conservative.
https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltext …
Thanks to the @amjmed for publishing this.pic.twitter.com/PKJNHLVZwU
Twitter thread coming on what @adamcifu @VPrasadMDMPH @AndrewFoy82 and I think is the BEST approach to pt care. This is …
The Case for Being a Medical Conservative.
https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltext …
Thanks to the @amjmed for publishing this.pic.twitter.com/PKJNHLVZwU
Here you go Sam …I put the case against *percutaneous* LAAC on my Substack, including a video lecture. https://johnmandrola.substack.com/p/the-case-against-watchman-for-stroke … https://twitter.com/rational_doc/status/1451180554959966210 …
Agree — many times in the last year, I have sent notes to primary care clinicians to ask to start SGLT2i drugs. https://twitter.com/jeremysussman/status/1450838898612084738 …
Folks often say lockdowns worked. But for who did they work? Folks often say because the twitter class was protected, trickledown benefits protected those that delivered food and goods to the door. But trickledown health benefits is just a mirage that lets them sleep at night.
Great thread about the sclerosis of clinical translation of medical evidence. Meta-point here: this is an excellent use of observational registry data—to tell us what we are doing. https://twitter.com/DrJasonAndrade/status/1450474599817302020 …
I’ve been wrong about some things, but I really really doubt that I am wrong about closing the LAA with a foreign body exposed to blood in the arterial circulation. BTW — in the pivotal trials, Ischemic strokes were higher in the Watchman arm. Higher! https://twitter.com/EdgardPrihadi/status/1450202520723263496 …
Cooling after cardiac arrest — Yet another trial finding no benefit. This was the topic of my latest Substack. https://johnmandrola.substack.com/p/cooling-after-cardiac-arrest-the … Lessons transcend just one topic in ICU medicine https://twitter.com/gbiondizoccai/status/1450778525007556610 …
Outstanding paper. Also check out the accompanying editorial written by @TheSteigasaurus and me, entitled “turn it up to eleven.” Not every day you see a WW2 plane analogy in an EP journal.
https://www.jacc.org/doi/10.1016/j.jacep.2021.06.015 … https://twitter.com/JACCJournals/status/1450573980839124992 …
Strong writing and strong editing. FTW https://twitter.com/mwaltonshirley/status/1450450371181260807 …
In the last 3 months, travellers to Canada have spent almost $100 million on Covid testing. Is Canadian society better off and safer for this? https://www.brophyj.com/post/2021-10-19-covid-testing-among-travellers-to-canada/ …
Thank goodness for the Dutch —seemingly always doing trials on an important topic His bundle pacing is beautiful but it has its downsides. LBB appears to mitigate many of these negatives. But of course…trials are needed. Kudos. https://twitter.com/jluermans/status/1450540657127342083 …
You are successful if and only if you don’t act successful.
Important observation — Cardioversion not likely causal, but rather due to the fact that sinus rates are almost always lower than AF rates. Pro-tips — a) consider the value of cardioverting older patients and b) reduce drug doses post-conversion. https://twitter.com/CopCard/status/1449448713424936963 …
I stand by my take that the problem w weights is that they are too heavy. 
https://twitter.com/adalthousephd/status/1449427940220063754 …
The limits of shared-decision-making to reduce overtreatment 
I agree w the authors. #SDM = #Rightcare, whether or not it reduces low value care
Reducing low value care will require much much more work and shared understanding
@Migas2001 https://jamanetwork.com/journals/jamasurgery/fullarticle/2785096 …
The neutral Martian @drjohnm: key messages on TAVR and left main disease at #EACTS2021
@rafasadabapic.twitter.com/7kSeOqHlwA
Thank you @EACTS for the honor to present.
What a thrill it was to have an in-person meeting.
Surgeons and cardiologists learn from each other.
Remember…much of EP today started with heart surgeons. (pacing, WPW, AF, VT ablations). https://twitter.com/DVervoort94/status/1449311265860505600 …
A brilliant @BidmcCvi Grand Rounds by @LisaRosenbaum17
“If we could strip away all the metrics, the essence of quality would boil down to 5 words… Know me, know my story”pic.twitter.com/aJ3BSUxVbf
SOP … for our beloved ‘Rue’pic.twitter.com/aj2h7VVZ7J
Serious question for #cardiotwitter
Of the 3 seminal CABG vs Medical trials, CASS, ECSS, VA, two of the three were solidly nonsignificant for mortality.
Why did CABG become so accepted as normal?
Thoughts appreciatedpic.twitter.com/PBvjy4fgA7
