Discover and read the best of Twitter Threads about #ACC23
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1/10 Read SCAI’s expert summaries on the latest #InterventionalCardiology science presented at #CRT2023 and #ACC23 in this thread. #CardioTwitter 
2/10 BIOMAG-I: Third-Generation Magmaris Stent Posts Better 6-Month Results vs. Predecessor from #CRT2023 ➡️ scai.org/biomag-i-third…
📌STREAM-2 #ACC23
🔹TNK media dosis (estrategia farmacoinvasiva -EFI-) 🆚PCI 1⃣ria en adultos mayores c/IAMST sin PCI dentro de 1 h
🔸RCT 2:1.👥604. Edad ≈71 a. ♀️32%.
🔸4- pto final 1⃣rio a 30 días.
🏁Rtdos: EFI con 1/2 dosis TNK🧓c/IAMST es segura y eficaz
#CardioTwitter
🔹TNK media dosis (estrategia farmacoinvasiva -EFI-) 🆚PCI 1⃣ria en adultos mayores c/IAMST sin PCI dentro de 1 h
🔸RCT 2:1.👥604. Edad ≈71 a. ♀️32%.
🔸4- pto final 1⃣rio a 30 días.
🏁Rtdos: EFI con 1/2 dosis TNK🧓c/IAMST es segura y eficaz
#CardioTwitter
📌C. inclusión: > 60 años, IAMST < 3hs, ⛔️imposibilidad de PCI < 3hs.
📌Tto coadyuvante:
🔸EFI: AAS 150-325 + clopidogrel carga y mantenimiento + Enoxa sin bolo
🔹PCI 1⃣ria: DAP
🏁👥
🔸≈71 a
🔹KK I 92%
🔸PAS 134 mmHg, FC76 lpm
🔹IAM anterior 43%, inf. 56%
🔸PCIrescate EFI 34%
📌Tto coadyuvante:
🔸EFI: AAS 150-325 + clopidogrel carga y mantenimiento + Enoxa sin bolo
🔹PCI 1⃣ria: DAP
🏁👥
🔸≈71 a
🔹KK I 92%
🔸PAS 134 mmHg, FC76 lpm
🔹IAM anterior 43%, inf. 56%
🔸PCIrescate EFI 34%
✅Pto final 1⃣rio combinado (☠️, IC, IAM & shock a 30 días): EFI 12,8%🆚13,3% PCI 1⃣ria (RR 0.96-IC 95% 0.62-1.48)
🔸Pto 2⃣rio:☠️x todas las causas 7.3 vs 8.4 (p>0.05)
🔹☠️CV 7.3🆚8.4 (p>0.05)
🔸ACV 2.3🆚0.5 (p >0.05)
🔹Hemorragia intracraneana IC 1.5 vs 0 (pNS)
🔸Pto 2⃣rio:☠️x todas las causas 7.3 vs 8.4 (p>0.05)
🔹☠️CV 7.3🆚8.4 (p>0.05)
🔸ACV 2.3🆚0.5 (p >0.05)
🔹Hemorragia intracraneana IC 1.5 vs 0 (pNS)
#ACC23 #WCCardio LBCT one-liners:
1. CLEAR Outcomes: Bempedoic acid improves long-term CV outcomes and effectively reduces LDL-C compared with placebo among patients with either established ASCVD or those who have a high risk and w/ intolerance to statin therapy
1. CLEAR Outcomes: Bempedoic acid improves long-term CV outcomes and effectively reduces LDL-C compared with placebo among patients with either established ASCVD or those who have a high risk and w/ intolerance to statin therapy
2. TRILUMINATE Pivotal: Tricuspid TEER was safe for patients with severe TR, reduced the severity and was associated w/ an improvement in QOL
3. HALO: Baxdrostat at the doses studied did not significantly reduce SBP/DBP compared with placebo among patients with uncontrolled HTN
3. HALO: Baxdrostat at the doses studied did not significantly reduce SBP/DBP compared with placebo among patients with uncontrolled HTN
4. STOP CA: Those receiving chemo w/ anthracyclines for lymphoma were significantly less likely to show e/o cardiac dysfunction after taking atorvastatin for 12 mo
Using Pulsed field ablation rather than thermal modes through irreversible electroporation (IRE).
#ACC23 #CardioNerds
#ACC23 #CardioNerds
🔺 Pulsed field ablation resulted in 79.7% (paroxysmal) and 80.8% (persistent) clinical success. 🫀
#ACC23 #CardioNerds
#ACC23 #CardioNerds
🧵 @InariMedical FLAME trial (largest ever high risk PE study) presented today @ACCinTouch #ACC23 by Mitch Silver!
Details in this thread below
Details in this thread below
2/ The FLAME trial was 2 parallel prospective registries of high risk PE patients at 11 US hospitals. All patients had hypotension or arrest.
One arm (n=53) included pts treated with Flowtriever large bore embolectomy.
Pts in “context” arm (n=61) treated with other therapies
One arm (n=53) included pts treated with Flowtriever large bore embolectomy.
Pts in “context” arm (n=61) treated with other therapies
3/ There were few exclusion criteria so the aim was to enroll a very sick population.
Each arm was compared to historical benchmark of the primary endpoints that was derived through an observational SRMA that was recently published @MyJSCAI :
jscai.org/article/S2772-…
Each arm was compared to historical benchmark of the primary endpoints that was derived through an observational SRMA that was recently published @MyJSCAI :
jscai.org/article/S2772-…
📌#REVIVED_BCIS2 #ACC23
⛔️PCI vs OMT💊no mejoró el pronóstico o recuperación FSVI en CAD crónica incluso con miocardio viable.
⛔️Viabilidad no se asoció a mejoría pronóstica.
✅La cicatriz (scar) predijo pronóstico y recuperación del VI independiente de FSVI y extensión CAD.
⛔️PCI vs OMT💊no mejoró el pronóstico o recuperación FSVI en CAD crónica incluso con miocardio viable.
⛔️Viabilidad no se asoció a mejoría pronóstica.
✅La cicatriz (scar) predijo pronóstico y recuperación del VI independiente de FSVI y extensión CAD.
📄PCI vs OMT💊en👥ptes con CAD. Mas información relevante en enfermedad coronaria crónica de la mano de REVIVED.
✅La carga (% de volumen) de cicatriz predijo pronóstico (HR 1.18).
⛔️Ningún monto de miocardio viable predijo pronóstico o recuperación del VI.
#Cardiotwitter
✅La carga (% de volumen) de cicatriz predijo pronóstico (HR 1.18).
⛔️Ningún monto de miocardio viable predijo pronóstico o recuperación del VI.
#Cardiotwitter
🆘“Nephrology Stopped the Diuretics: Renal Considerations in the Management of Heart Failure” 🫘 🫀
#ACC23 #CardioNerds @CardioNerds
Dr. Alison Grazioli discussed the response to diuretics in HF:
#ACC23 #CardioNerds @CardioNerds
Dr. Alison Grazioli discussed the response to diuretics in HF:
What happens after you start loop diuretics?
🔸Net Na loss
🔸Short term Anti-Natruresis: ↗️Na retention
🔸Nephron remodeling
‼️Na loss may be equivalent to Na retention‼️
🔸Net Na loss
🔸Short term Anti-Natruresis: ↗️Na retention
🔸Nephron remodeling
‼️Na loss may be equivalent to Na retention‼️
Patients with decompensated HF will need higher doses of diuretics due to decreased renal blood flow:
#ACC23 #CardioNerds @CardioNerds
#ACC23 #CardioNerds @CardioNerds
Former @USNavy Rear Admiral and previous @WhiteHouse physician?!
Dr Mariano for our @KelleyBizMed keynote tonight is a GREAT excuse for having to miss #ACC23
Amazing story and an amazing role model. 1/
Dr Mariano for our @KelleyBizMed keynote tonight is a GREAT excuse for having to miss #ACC23
Amazing story and an amazing role model. 1/
😮 @KelleyBizMed 2/
😮 @KelleyBizMed 3/
#Imaging In #Athletes from @mmartinezheart’s phenomenal talk at @LLUHealth
➡️ physiological adaption in athletes common
➡️ not every “abnormal” finding is a pathology #Echofirst #whyCMR must to evaluate
➡️ ekg interpretation jacc.org/doi/abs/10.101…
➡️ physiological adaption in athletes common
➡️ not every “abnormal” finding is a pathology #Echofirst #whyCMR must to evaluate
➡️ ekg interpretation jacc.org/doi/abs/10.101…
➡️ type of cardiac remodeling depend on the sports and activity
Eccentric
Nondilated concentric
LV concentric
➡️ increased LV size and lower EF not uncommon- Stroke volume
Eccentric
Nondilated concentric
LV concentric
➡️ increased LV size and lower EF not uncommon- Stroke volume
#ACC23 #WCCardio is jam packed w/ >300 sessions over 3 days w/ >80 live-streaming sessions around the world 🔥
Here’s how you can make the most of it👇🏻 (🧵)
@ACCinTouch @DougDrachmanMD @EdwardFryMD @Pooh_Velagapudi @agtruesdell @KBerlacher @taraloujones @SarasVallabhMD
1/5…
Here’s how you can make the most of it👇🏻 (🧵)
@ACCinTouch @DougDrachmanMD @EdwardFryMD @Pooh_Velagapudi @agtruesdell @KBerlacher @taraloujones @SarasVallabhMD
1/5…
1. Are you attending #ACC23 #WCCardio in-person?
Great!
‘Coz you can install the App & get everything you need to navigate the meeting 👇🏻
iPhone: apps.apple.com/us/app/acc-23-…
Android: play.google.com/store/apps/det…
#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd
2/5…
Great!
‘Coz you can install the App & get everything you need to navigate the meeting 👇🏻
iPhone: apps.apple.com/us/app/acc-23-…
Android: play.google.com/store/apps/det…
#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd
2/5…
2. Not very App savvy? No problem!
You can use ACC Online Program Planner to build an itinerary that meets all your needs 👇🏻
abstractsonline.com/pp8/#!/10674
#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd #MedStudentTwitter
3/5…
You can use ACC Online Program Planner to build an itinerary that meets all your needs 👇🏻
abstractsonline.com/pp8/#!/10674
#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd #MedStudentTwitter
3/5…
