Alex Sandhu (@atsandhu) 's Twitter Profile
Alex Sandhu

@atsandhu

Stanford heart failure, health services researcher

ID: 4427185585

calendar_today02-12-2015 03:33:08

807 Tweet

677 Followers

546 Following

Steve Greene (@sjgreene_md) 's Twitter Profile Photo

Costs? Intolerance? Inertia? Other? Primary reason for gaps in #GDMTworks endlessly debated. 🤔What if we had US physicians audit their own patient charts & report *WHY* they didn’t prescribe #GDMT for #HFrEF in each case? 🚨 Results in JACC Journals jacc.org/doi/epdf/10.10…

Costs? Intolerance? Inertia? Other? Primary reason for gaps in #GDMTworks endlessly debated.

🤔What if we had US physicians audit their own patient charts & report *WHY* they didn’t prescribe #GDMT for #HFrEF in each case?

🚨 Results in <a href="/JACCJournals/">JACC Journals</a> 

jacc.org/doi/epdf/10.10…
Rural PRO-CARE (@ruralheartcare) 's Twitter Profile Photo

The 2024 #AHA Strategic Network Annual Meeting has commenced in Irving, TX! We're looking forward to networking with the other #AHAHERN s! AHA Science

The 2024 #AHA Strategic Network Annual Meeting has commenced in Irving, TX! We're looking forward to networking with the other #AHAHERN s! <a href="/AHAScience/">AHA Science</a>
Dhruva Biswas, MD/PhD (@dhruva_biswas) 's Twitter Profile Photo

PHARM-HF presented by Dr Alex Sandhu Randomized Audit + Feedback VS Education arms to Increase HF Medication Optimization among Primary Care Pharmacists. Both arms 📈 in HF encounters 👩‍⚕️👨‍⚕️ and in GDMT optimization💊 ➡️Implications for community efforts to address suboptimal GDMT

PHARM-HF presented by Dr <a href="/ATSandhu/">Alex Sandhu</a>
Randomized Audit + Feedback VS Education arms to Increase HF Medication Optimization among Primary Care Pharmacists.
Both arms 📈 in HF encounters 👩‍⚕️👨‍⚕️ and in GDMT optimization💊
➡️Implications for community efforts to address suboptimal GDMT
AHA Science (@ahascience) 's Twitter Profile Photo

The PHARM-HF A&F study showed while education only or education with audit and feedback are effective in increasing HF-related encounters and medication management by primary care pharmacists, audit and feedback are modestly more effective. Watch for one #AHA24 attendee’s POV.

Gregg Fonarow MD (@gcfmd) 's Twitter Profile Photo

Dmitry Abramov Pradeep Natarajan JAMA Cardiology Mamas A. Mamas Javed Butler Marat Fudim, MD MHS Ahmed Sayed Initiating/optimizing/maintaining GDMT for HFrEF should have the same yearly reimbursement as performing 2 TAVRs, 5 AF ablations, and 10 PCIs based on the value provided Extending median survival 7-11 years, while ⬇️⬇️ symptoms, enhancing QOL, and ⬇️⬇️⬇️ 🏨

<a href="/DmitryAbramovMD/">Dmitry Abramov</a> <a href="/pnatarajanmd/">Pradeep Natarajan</a> <a href="/JAMACardio/">JAMA Cardiology</a> <a href="/mmamas1973/">Mamas A. Mamas</a> <a href="/JavedButler1/">Javed Butler</a> <a href="/FudimMarat/">Marat Fudim, MD MHS</a> <a href="/ASayedMD/">Ahmed Sayed</a> Initiating/optimizing/maintaining GDMT for HFrEF should have the same yearly reimbursement as performing 2 TAVRs, 5 AF ablations, and 10 PCIs based on the value provided 

Extending median survival 7-11 years, while ⬇️⬇️ symptoms, enhancing QOL, and ⬇️⬇️⬇️ 🏨
Gregg Fonarow MD (@gcfmd) 's Twitter Profile Photo

Out-of-pocket costs, cost-effectiveness, and value are important considerations Starting tomorrow, those with Medicare Part D will have a $2,000 annual cap on out-of-pocket spending for covered prescription drugs $166/month will get all HF/non-HF 💊 needed and more Q-GDMT now

Andrew P. Ambrosy, MD, MPH (@kpheartdoc) 's Twitter Profile Photo

PRO-HF trial tested if routine use of KCCQ in HF clinics improves QoL. No significant difference in QoL or clinical outcomes at 1 year. Future work needed to optimize PRO integration. Summary in #HREV (link.springer.com/article/10.100…). Mario Enrico Canonico Marc Samsky Alex Sandhu Jimmy Zheng

Andrew P. Ambrosy, MD, MPH (@kpheartdoc) 's Twitter Profile Photo

PHARM-HF A&F evaluated audit & feedback vs. education to optimize HF meds in VA primary care pharmacists. ✅ Both arms improved GDMT 📈 A&F led to modest gains in MRAs ⚠️ GDMT uptake still lags, especially in rural areas! (link.springer.com/article/10.100…) #HREV Jimmy Zheng Alex Sandhu

David Winchester @drdavemd.bsky.social (@drdavemd) 's Twitter Profile Photo

Comparing 9 different domains of patient outcomes in CV disease, Veterans Health performs equal or better than the community in 8, including HF, MI, PCI, and CABG mortality. Elizabeth Le Kreton Mavromatis Paul Heidenreich jacc.org/doi/10.1016/j.…

Luisa C C Brant (@luisa_brant) 's Twitter Profile Photo

Telemedicine interventions can reduce heart failure rehospitalizations. A potential strategy to confront the main cause of CV hospitalization in Brazil. Increases access and empowers patients. Our study, just published in JAHA. ahajournals.org/doi/10.1161/JA…

JAMA Internal Medicine (@jamainternalmed) 's Twitter Profile Photo

Changing the default prescription duration for statins to 90 days in an electronic health record system increased the proportion of 90-day prescriptions and reduced racial and socioeconomic disparities in prescription lengths. ja.ma/4chR8zq

David Winchester @drdavemd.bsky.social (@drdavemd) 's Twitter Profile Photo

HF, elective PCI, and acute MI mortality, all lower in Veterans Health compared to the community, tracking outcomes through CART database drives quality JACC Journals jacc.org/doi/10.1016/j.…