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(1/)Let’s review venous insufficiency! Remember veins require valves and muscle tone to get blood back to the heart! Many of our patients suffer with chronic venous insufficiency daily! It’s vastly under diagnosed! Video credit- Brandon Seltzer animations #Cardiotwitter #Veins

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients: #1 Fluids in septic shock #2 Mobilisation and long-term cognitive impairment #3 NIV for extubation of obese patients #4 Nutrition before extubation A thread 🧵👇 #FOAMcc #SCCM2023

1/🏥It's your first night alone in the CCU 😵‍💫You admit a patient with syncope due to complete heart block 🕡HR is 30 bpm with a wide ventricular escape rhythm You wonder if it's time for your first #TVP, but 🔆is it indicated? 🔆& how are you going to set it up for success?

1/ Had a great time writing this EP Lab Digest article with Bradley-Cardia tinyurl.com/mryk3cwe 2️⃣ different perspectives (IC And EP) using different devices (watchman/ amulet) for LAAC in the community center. Let’s take a dive into two different LAAC programs #Tweetorial

1/ #HFpEF treatment algorithm #tweetorial. This is the algorithm I currently use to treat HFpEF based on evidence we have thus far and my anecdotal experience treating patients over the past 16 years in the NM Cardiovascular HFpEF Clinic.

40. Epistemic Luck: You know that if you’d lived in a different place or time, read different books, had different friends, you’d have different beliefs. And yet, you’re convinced that your current beliefs are correct. So, are you wrong, or the luckiest person ever?

Here's a list of 50 useful sentences for excellent academic writing. It will take 5 minutes to add these to your dissertation:

Amid the bewildering cacophony of info, how do people decide what to believe? They tend to automate their reasoning in 1 of 5 ways. As such, there are 5 kinds of "NPC", each with its own customs and shortcuts to "truth". Learn to recognize each with this handy guide. THREAD:

A NEW MENTAL MODEL MEGATHREAD HAS ARRIVED! In 20 tweets I’ll summarize 20 key principles to understand the world. Estimated reading time: 4 minutes. Value: potentially a lifetime.

55 Y pt with ACS underwent PCI to prox. Rest vessels w/ mild disease. Pts new EF is 32%. GDMT optimized. Pt remains electrically stable. Would you discharge this patient with a wearable cardioverter defibrillator (WCD)? Answer prior to reading TWEETORIAL below

1/n After 10+ yrs, I left the Ivory Tower to open my own #irad practice in a completely different state. Piece of 🎂! What I didn’t expect is the difficulty & bureaucracy of getting on insurance plans. Here’s what I learned from what the insurance companies told me… Doctors On Social Media

Historic day in AI. First, OpenAI changed the AI video world and Google made enormous progress in LLM capabilities. Then we saw huge developments from Meta, Slack, CodeSignal, X/Grok, Microsoft, University of Michigan, LangChain, and Magic. Here's EVERYTHING you need to know:

1/ OPTION LAAC device vs DOAC post a fib ablation N=1600, f/u 3y PEP (death, stroke or SE) NI margin 5% RD, 1.5 RR Result: 41 vs 44, 5.3% vs 5.8% (c/w 10% assumed), RD: -0.5%, UL 1.8%; HR 0.91, 0.59-1.39 NI met for RD and RR margin nejm.org/doi/full/10.10…

Atrial Fibrillation: JAMA 🥸 Nice review in JAMA on AF by Darae Ko, MD, MSc, FAHA and team; congratulations. 😱 20-points here 👇👇👇

🧵 A Cardiologist's Guide to Interpreting CPET 1️⃣ What is CPET? A cardiopulmonary exercise test (CPET) evaluates how well the heart, lungs, and muscles work together during exercise. It's key for diagnosing unexplained dyspnea and assessing functional capacity. 🚴‍♂️🏃‍♀️

Medical therapy and outcomes in REVIVED-BCIS2 and STICHES: an individual patient data analysis: European Society of Cardiology Journals 🥸 Cool analysis from REVIVED-BCIS2 and STICHES 😱 Summary 👇👇👇

1/ Renal Denervation- which system works? The two main players in the space are ultrasound guided (@ReCorMedical Paradise) and radio frequency (Medtronic Coronary and Renal Denervation Solutions Simplicity). When starting a new program how do you choose? Let’s review #RDN #CardioX #NephroX #NoCOI

antibubble Eric Schoen, MD You have demonstrated that you do not understand how this works, so I will demonstrate this for you and anyone who wants to read this: When CMS creates the fee schedule, there are 3 components to each code: -wRVU -peRVU -mpRVU Additionally, each code has a facility payment

Congrats, you’re a brand-new attending. You just finished residency, and now someone hands you a contract that says: “$39 per RVU” Cool, cool… What the heck is an RVU? And how much money is that? 👇

🧵HFpEF: A Fellow’s Guide to a nebulous syndrome HFpEF isn’t straightforward. Thanks to a stellar breakdown by Dr. Kim Hong, here’s a high-yield thread you’ll want to save.👇 #CardioTwitter #HFpEF #FellowTips