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#AlexanderMountainFire as seen from Broomfield. Stay safe out there

Let’s go! On to gold medal game

In the new era of combined AF ablation/LAAC, is there still a role for structural ICs performing LAAC?

Congrats to BIDMC Nursing Eric Harrington RN, Nate Masterson RN, Kim Guibone DNP, APRN, FACC, and #BIDMC Alexanndra Murphy, RT, who were selected to present on "Nurse Led Sedation for TAVR" @ the American College of Cardiology Quality Summit!

1. See patient in acute pain 2. Prescribe pain medicine so they can avoid the ER 3. Patient goes to pharmacy, is told that pain medicine requires prior authorization by insurer (who gave no forewarning of such and will not reopen til next day) 4. Patient ends up in ER anyway

Tuttle Time!!!!

Wow! Practice changing EARLY TAVR RCT. For a long time, we waited for aortic stenosis patients to become symptomatic before considering therapy, based on old data (risk of surgery vs watchful waiting). ASYMPTOMATIC patients with severe AS, TAVR leads to a major reduction in MACE

I like to call “high-sensitivity troponin” by its other name, “low-specificity troponin”

"In interventional cardiology we will use the metric system to measure things." "Like catheter diameters Sir?" "No - those we will measure using French sizes." "What about wires Sir?" "We will measure those in inches" "Why Sir?" "No one knows"

A great session!

Back to ECMO here in Georgia Heart Institute and love it. Here’s why a retro perfusion cannula (that I started in Centre universitaire de santé McGill) is better than an antegrade (see below)

Cutting NIH to save budget is like cutting the front lobe of brain to lose weight. It’s <1% of body weight yet it governs reasoning and problem solving functions of the brain, basically determining how smart you are. Dumb move to send IT kids to do your brain surgery, America.

Congrats to Howard Herrmann, Dr Roxana Mehran Didier Tchetche and #SMART trial investigators for outstanding 2y data and outcomes #CRT2025, with excellent clinical and echo follow up! While no differences in hard endpoints (no surprise), what struck me the most is the adjudicated

Welcome ⁦thoughtful National Coverage Analysis on #TTVR published yesterday. Access to healthcare is critical and ⁦CMSGov⁩ decision is a testament. Great job! Treatment for TR enters a new era! ⁦SCAI⁩ ⁦American College of Cardiology⁩ cms.gov/medicare-cover…

On the day of #TCT_ME_ travel. 81-year-old female with very small annular size & area of 282 mm2 + little calcification! Treated with 23 Evolut FX plus with mean gradient dropped from 52 to 3 mmHg & no PVL Typical SMART trial patient Testament to the power of SE technology

The 10 most striking Kaplan-Meier curves (that I have seen) 🧵 1. Dual GLP1/GIP agonist, Tirzepatide, for prevention of type 2 diabetes in people with obesity It's easy to miss the dark blue line (15 mg group), because it never leaves the X axis:

AARON GORDON 3 FOR THE WIN!!! Denver Nuggets take Game 1 in a THRILLER 🤯

Chronic stent recoil occurred in 1 of 5 lesions treated with second- or newer-generation #DES requiring repeat #revasc, with severe calcium and nonuniform stent expansion identified as risk factors, and was associated with TLR. jacc.org/doi/10.1016/j.… #JACCINT #OCT