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EARLY TAVR my view… Imagine this scenario: you are a pt with asymptomatic aortic stenosis and are offered to participate in a trial in which you may receive TAVR or conservative treatment…until you develop symptoms and then you can get a TAVR (probably free) TCTMD Mamas A. Mamas

You get randomized to conservative treatment. You were told TAVR may be the best solution, but…unless you start with symptoms you get what were randomized to. Patrick Myers Rafa Sádaba Eduard Quintana. What do you think happens next??? John Mandrola, MD theheartorg | Medscape Benoy Shah MD

The primary outcome of this trial was planned to benefit TAVR. This trial says nothing of the benefit of early TAVR nor of the natural history of AS. Its history is not “natural” considering pts know they are in the CTRL arm and may receive TAVR if they say they are symptomatic

Estoy conmocionado por las noticias que llegan de España, donde a raíz de masivas inundaciones muchas personas han perdido sus vidas. Mis más sinceras condolencias a los familiares de las víctimas. Estamos en diálogo con el Gobierno español sobre posibles ayudas.

Everyone knew this and acted accordingly to urgently stop further #globalwarming. Right? Right..? #Valencia #Spain

Imagen de la zona de Valencia el 8 de octubre y misma imagen de ayer esa.int/ESA_Multimedia…

Torrential rains caused deadly flooding and extensive damage in the province of Valencia, located in eastern Spain. These #Landsat images show the extent of flooding as of October 30, 2024. More: go.nasa.gov/3Az6voJ

Latest NASA global temperature data. Earth has never been hotter since Homo sapiens discovered agriculture in the early Holocene. Likely even since 120,000 years ago. Fossil coal, oil and gas emissions caused it. We need to stop making it worse. Yes, we can if we want to. 🧵

On the bright side, we now have an answer to the Fermi Paradox

A thought for today: we live in the dictatorship of the stupid and ignorant.

Please #medtwitter and #cardiotwitter, give Bluesky a chance. Less funny videos, less ads and better behavior. bsky.social/about

Within 48 hours I gained more than a hundred followers on blue 💙🌤️ sky. Doctors and medical professionals from many specialties. But still missing cardiac surgery and more cardiology. EACTS should consider opening an account.

📌Estudio AUTHEARTVISIT de TAVI vs. SVA: SVA globalmente presenta un 50% más de superviv que el TAVI a medio-largo plazo, siendo especialmente mayor en el grupo de 65-75 años, donde se triplica. academic.oup.com/ejcts/article/… 📘Lee el análisis en nuestro blog: secce.es/estudio-authea…

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We’re now also on BlueSky bluesky Sign up here with this starter pack that will mean you automatically follow people interested in climate and health bsky.app/start/did:plc:…

I am participating in a SoMe platform 💙🌤️ that is run by 20 people. It works 👍🏻, I don’t get spammed with ads and funny videos. The guy that killed Twitter has thsds of employees, allows Spam, Bots and BS. He is now responsible for making the US government more efficient.

Once Burned, Twice Shy, Cardiologists Ditch X for Bluesky | tctmd.com tctmd.com/news/once-burn…

Concerns were raised with the 5 year data of PARTNER 3 regarding mortality (higher with TAVR). The 6 year data posted at the U.S. FDA show that curves continue to diverge…..