1/ Step-by-step “CORONARY FUNCTION TESTING” for #ANOCA #INOCA PREPARATION: 1. Hold all vasodilators for 48 hours (exceptions = hydralazine, clonidine, doxazosin) 2. Hold caffeine for 24 hours (for adenosine) #CardioTwitter

Attention interventional cardiologists. We (and our cath lab staff) have risked our lives and livelihood for long enough with heavy lead aprons. Enough is enough. SCAI Wellbeing Task Force is on your side. #SCAI2024 #CardioTwitter

Patient with #SCAD. Now has CP (exactly same as scad MI pain) consistently every time she eats. No GI issues prior to event. Anyone seen this? Any basis? Jacqueline Saw Sharonne Hayes MD Dr Shariq Shamim Umair Khalid

3. Identify exact location of graft ostia in relation to sternal wires🍥 4. Use saline injections to confirm engagement (T wave changes) if normal pressure waveform💉 5. Print out CT info, and paste it on the screen so you could use it as a map during the case 🧵 3/4

Super inspirational as I recover from my own surgery this Memorial Day. Tough post op course but turning the corner. Just a few weeks and will be back - with new lead ;)

On Oct 7th, my Israeli cousin was camping close to areas attacked by Hamas. The thought of her being kidnapped, or worse, still haunts me. A college acquaintance lost family in the attacks of his kibbutz. But I don’t write much about the victims of Oct 7th or the hostages. 1/17

Wonderful work led by Asaad Nakhle, MD @kjkunkelmd Obadah Aqtash MD, FACC, RPVI Jelena Z. Arnautovic @HFHCardioFellow Henry Ford Hospital Internal Medicine Residency Safety & efficacy of aminophylline in the prevention of bradyarrhythmias w/ cor atherectomy. 138 pts, 4.3% risk of bail out TVP Timothy Henry Link ... sciencedirect.com/science/articl…

The cumulative exposure to elevated LDL cholesterol over time and its magnitude drives atherosclerosis and is preventable with early intervention nature.com/articles/s4156… Nature Reviews Cardiology

“All of the disasters I have seen. 40 mission trips, 30 years, Ground Zero, earthquakes, all combined does not equal the level of carnage I saw against civilians in Gaza.” - Jewish American physician Dr. Mark Pelmutter

THREAD 🧵 Israel’s war on Gaza, one of the deadliest and most destructive in recent history, has killed nearly 42,000 Palestinians. 🔴 LIVE updates: aje.io/xsvoho

In years to come, students in university departments around the world will be studying the propaganda embedded in this headline. As someone who regularly lectures in sociology, journalism and media studies, I could teach an entire lesson on the title alone. For example: 1.

A Palestinian child trapped under the rubble awaits help. What a heartbreaking scene.

“To all the world’s leaders, I remind you of your responsibility to ensure respect for international humanitarian law as set out in the Geneva Conventions. These are universally accepted and binding norms developed to preserve the very bare minimum of humanity." - Volker Türk

44 medical students from Gaza arrived in Pakistan to continue their 4th year studies at Rawalpindi Medical College. They will be given housing and Arabic translators and will be able to do house jobs in PK after their studies. Make this go viral please! John Cusack Marcia Cross

Must-Know STEMI Equivalents:

This is truly commendable by the American Academy of Pediatrics —the first medical society I know to publicly stand for the children of Gaza amidst Israel’s genocide. RT to show your appreciation for American Academy of Pediatrics. May this courageous act spark a wave of compassion and justice,

How I Talk About Left Main PCIs - And You Should Too!* 🧵 (*A suggestion of course!) This is one of the cases from my talk on MCS for high risk PCI. Case first, then the analysis. 86 year old man, unstable angina, EF 40%, turned down for CABG at OSH, transferred with IABP.

Is it helpful to define beforehand that PCI is unlikely to result in an acceptable post-PCI FFR prior to entering the cath lab? Join us in MSP June 5-6, 2025 to learn the latest in modern coronary physiology mplsheart.org/physiology

Effect of Frailty on In-Hospital Mortality and Complications of PCI: An NCDR Registry Report: JACC Journals 🥸 Great work by my friend Ajar Kochar and team: Dr. Deepak L. Bhatt 😱 Frailty in NCDR 👇👇👇