Discover and read the best of Twitter Threads about #FFR
Most recents (13)
I've been saying this the whole yr.
Earlier many disagreed saying the #Fed needs to go to 4, 5, 9%... to "kill" the #inflation but, just as I was saying, it turned out the #Fed can't do a thing to this #inflation as it's running its course no matter what the #Fed does.
🧵
1/22
Earlier many disagreed saying the #Fed needs to go to 4, 5, 9%... to "kill" the #inflation but, just as I was saying, it turned out the #Fed can't do a thing to this #inflation as it's running its course no matter what the #Fed does.
🧵
1/22
In hindsight what could have the #Fed done differently?
Their first policy mistake was not starting hiking #FFR in Mar 2021.
Still, I don't think they could have done much to this #inflation.
Maybe the peak #CPI YoY would be 8%-ish instead of 9.1% but not much less.
2/22
Their first policy mistake was not starting hiking #FFR in Mar 2021.
Still, I don't think they could have done much to this #inflation.
Maybe the peak #CPI YoY would be 8%-ish instead of 9.1% but not much less.
2/22
This is bc of the nature of this #inflation which was mostly caused by factors out of the #Fed's control.
Here is more on that (bear in mind this estimate was done in the early stages of hikes - I think May- by now MP has long eclipsed the demand %)
3/22
Here is more on that (bear in mind this estimate was done in the early stages of hikes - I think May- by now MP has long eclipsed the demand %)
3/22
Follow this #CardioTwitter #Thread
to get an overview of ALL
🚨#ESCcongress #HotLineSessions🚨
Including:
➡️14 #OnePager #CongressCards
➡️Links to on-demand stream
➡️Jorunal weblinks
➡️Hashtag of the author/presenter
PART 2 ⬇️
to get an overview of ALL
🚨#ESCcongress #HotLineSessions🚨
Including:
➡️14 #OnePager #CongressCards
➡️Links to on-demand stream
➡️Jorunal weblinks
➡️Hashtag of the author/presenter
PART 2 ⬇️
6.1/ #eBRAVE-AF - Smartphone-based #AF screening.
📕🔗: nature.com/articles/s4159…
On-demand ESC 📺: bit.ly/3Qc6SYp
#ESCcongress
📕🔗: nature.com/articles/s4159…
On-demand ESC 📺: bit.ly/3Qc6SYp
#ESCcongress
As expected, the @federalreserve’s Federal Open Market Committee continued to discuss its plans to reduce, or #taper, the pace of its #AssetPurchase program at yesterday’s meeting.
While the details of this discussion were fairly sparse, the Committee statement did state that: “If progress continues broadly as expected, the Committee judges that a moderation in the pace of asset purchases may soon be warranted.”
Further, at the recent #Fed conference in Jackson Hole, Wyo., and at the press conference, Fed #ChairPowell emphasized that both he and most Committee participants now consider the test of “substantial further progress” toward the #inflation mandate to be largely satisfied.
#ESCCongress #Hotlines
#RIPCORD2
Does routine #FFR measurements in assessment of CAD impact Chest pain eval?
🫀 open RCT: angio vs FFR
🫀 1o 🏥costs, QOL- 12m
🫀75% male enrolled, longer with FFR, more additional test with just cath
🫀 NS diff in 1o endpoint or clinical endpoints
#RIPCORD2
Does routine #FFR measurements in assessment of CAD impact Chest pain eval?
🫀 open RCT: angio vs FFR
🫀 1o 🏥costs, QOL- 12m
🫀75% male enrolled, longer with FFR, more additional test with just cath
🫀 NS diff in 1o endpoint or clinical endpoints
#ESCCongress #Hotlines
#RIPCORD2
Does routine pressure wire measurements in assessment of CAD for diagnosis of Chest pain?
🫀 No advantage of performing routine FFR
🫀 Not necessary, not beneficial, more complications
🫀FFR better used on specific patients rather than routine
#RIPCORD2
Does routine pressure wire measurements in assessment of CAD for diagnosis of Chest pain?
🫀 No advantage of performing routine FFR
🫀 Not necessary, not beneficial, more complications
🫀FFR better used on specific patients rather than routine
#ESCCongress #Hotlines
#RIPCORD2
FFR in Chest Pain evaluation
🫀 Patients had low complexity of disease
🫀 Assessment of 30-50% lesion based on protocol may have contributed to the NS findings
🫀 Less selective use: more complications with #FFR
@Steph_Achenbach @mirvatalasnag
#RIPCORD2
FFR in Chest Pain evaluation
🫀 Patients had low complexity of disease
🫀 Assessment of 30-50% lesion based on protocol may have contributed to the NS findings
🫀 Less selective use: more complications with #FFR
@Steph_Achenbach @mirvatalasnag
Thread on the 🔥talk by @HolgerNef on:
➡️Future perspectives in interventional Cardiology (#IC)
- The next 5 years...a lot to come -
#DGKJahrestagung 2021 @AGIKinterv
➡️Future perspectives in interventional Cardiology (#IC)
- The next 5 years...a lot to come -
#DGKJahrestagung 2021 @AGIKinterv
3/ The value of physiology in #CAD
#FFR #iFR #QFR
➡️Utilization and Outcomes of Measuring Fractional Flow Reserve in Patients With Stable Ischemic Heart Disease
Data by @rushiparikh11:
sciencedirect.com/science/articl…
#DGKJahrestagung 2021 @AGIKinterv
#FFR #iFR #QFR
➡️Utilization and Outcomes of Measuring Fractional Flow Reserve in Patients With Stable Ischemic Heart Disease
Data by @rushiparikh11:
sciencedirect.com/science/articl…
#DGKJahrestagung 2021 @AGIKinterv
#Tweetorial on #ASNC2020 session
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
🔘 Strengths/Limits of Lesion Specific vs Myocardial Ischemia
🔘 Comparing Dx Accuracy of Tests
🔘 Ischemia Testing in #INOCA
🔘 How to Select Best Noninvasive Test
1/9
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
🔘 Strengths/Limits of Lesion Specific vs Myocardial Ischemia
🔘 Comparing Dx Accuracy of Tests
🔘 Ischemia Testing in #INOCA
🔘 How to Select Best Noninvasive Test
1/9
DOI: doi.org/10.1016/j.ijca…
Drs @SukhNijjer, @jerd10 and @RicardoPetraco. What are your views on @DavidLBrownMD fallacies of FFR?
As a budding interventional cardiologist, I like to hear all opinions and sides to the story :)
Drs @SukhNijjer, @jerd10 and @RicardoPetraco. What are your views on @DavidLBrownMD fallacies of FFR?
As a budding interventional cardiologist, I like to hear all opinions and sides to the story :)
“In conclusion, FFR in isolation is of no proven clinical value in the evaluation of patients with suspected ischemia. The ESC guidelines continue to promote an outdated paradigm for the evaluation of suspected ischemia that focuses on the focal epicardial stenosis.”
The 4 fallacies
1/4 - The first fallacy is the foundational premise of FFR that ischemia caused by a focal obstructive epicardial coronary stenosis is on the direct pathway to death or MI and therefore should be a target of revascularization
1/4 - The first fallacy is the foundational premise of FFR that ischemia caused by a focal obstructive epicardial coronary stenosis is on the direct pathway to death or MI and therefore should be a target of revascularization
Let us talk about the #FED #FOMC's 1st #MonetaryPolicy meeting of 2020. Specifically, let us talk about the puzzle that is a flatter #PhillipsCurve...
The #FederalOpenMarketCommittee (#FOMC) of the #FederalReserveBank (#FED) of the #US concluded its 1st meeting of 2020 on the 29th January 2020. As expected, the FED did not change rates but left the #KeyPolicyRate, the #FederalFundsRate (#FFR) in the 1.5%-1.75% range...
Indeed, if one considers the #FED #Dotplot of December 2019, the decision to keep rates unchanged would not come as a surprise. What I wanted to focus on today is some key passages in the statement, highlighted in yellow in the screenshot below...its all #PhillipsCurve...
Lets talk about the upcoming 1st meeting of the #FED #FOMC (28-29 January 2020). Specifically, lets talk about the #DOTS...
⚡️ Coronary Microvascular Dysfunction is Associated with Significant Plaque Burden & Diffuse Epicardial Atherosclerotic Disease
@JACCJournals
interventions.onlinejacc.org/content/12/15/…
#JACCINT #CMD #CardioTwitter
Let's discuss this paper in 2 Tweets 👇
@JACCJournals
interventions.onlinejacc.org/content/12/15/…
#JACCINT #CMD #CardioTwitter
Let's discuss this paper in 2 Tweets 👇
⚡️ #YesCCT Coronary Plaque Assessment #Tweetorial ⚡️
By @CoronaryDoc + @AChoiHeart
✅ Why Plaque Assessment?
✅ High Risk Plaque Features
✅ Plaque Characterization/Quantification
✅ Supporting Clinical Data
#CardioTwitter #ACCImaging #SCCT2019 @heart_scct @journalCCT
1/14
By @CoronaryDoc + @AChoiHeart
✅ Why Plaque Assessment?
✅ High Risk Plaque Features
✅ Plaque Characterization/Quantification
✅ Supporting Clinical Data
#CardioTwitter #ACCImaging #SCCT2019 @heart_scct @journalCCT
1/14
2/14
As #SCD or #MI is 1st symptom of #atherosclerosis in 2/3 of pts, early ID of #CAD is of paramount importance
#YesCCT allows for
✅ ID of plaque
✅ Quant. of plaque
✅ Characterization of plaque
✅ Arterial remodeling
Lin, @LubbDup & @lesleejshaw: bit.ly/2x1b5Yz
As #SCD or #MI is 1st symptom of #atherosclerosis in 2/3 of pts, early ID of #CAD is of paramount importance
#YesCCT allows for
✅ ID of plaque
✅ Quant. of plaque
✅ Characterization of plaque
✅ Arterial remodeling
Lin, @LubbDup & @lesleejshaw: bit.ly/2x1b5Yz
3/14
Serial angiographic studies have demonstrated an accelerated & rapid plaque progression before most cases of ACS
Rapid plaque growth ➡️ plaque rupture ➡️ thrombus formation ➡️ MI
@LubbDup & @JonathonLeipsic et al: bit.ly/2WIt5Bj
Serial angiographic studies have demonstrated an accelerated & rapid plaque progression before most cases of ACS
Rapid plaque growth ➡️ plaque rupture ➡️ thrombus formation ➡️ MI
@LubbDup & @JonathonLeipsic et al: bit.ly/2WIt5Bj
What’s Your “Shear Stress”?
Want to Know More?
Relax & Read ⤵️ #Tweetorial by @CoronaryDoc + @arnavkumar
⚡️Coronary Wall Shear Stress in 12 Tweets ⚡️
1/12
Main Readings:
1) interventions.onlinejacc.org/content/early/…
2) ow.ly/XmD130mc9X8
3) link.springer.com/article/10.100…
#ACCImaging @ACCCardioEd
Want to Know More?
Relax & Read ⤵️ #Tweetorial by @CoronaryDoc + @arnavkumar
⚡️Coronary Wall Shear Stress in 12 Tweets ⚡️
1/12
Main Readings:
1) interventions.onlinejacc.org/content/early/…
2) ow.ly/XmD130mc9X8
3) link.springer.com/article/10.100…
#ACCImaging @ACCCardioEd
2/12
Wall shear stress (#WSS) is the frictional force of blood exerted tangential to endothelial surface of vessel wall & expressed in variety of units (1Pa=1N/m2=10 dynes/cm2)
It is derived from
• luminal geometry
• flow rate
• blood viscosity
• near wall velocity values
Wall shear stress (#WSS) is the frictional force of blood exerted tangential to endothelial surface of vessel wall & expressed in variety of units (1Pa=1N/m2=10 dynes/cm2)
It is derived from
• luminal geometry
• flow rate
• blood viscosity
• near wall velocity values
3/12
In vivo WSS calculations are derived from computational fluid dynamic (#CFD) simulations created from reconstructed 3D vessel geometries (from biplane angio/IVUS/OCT/CT/MR) combined with patient-specific pulsatile inlet/outlet velocity values (Doppler wire or other methods)
In vivo WSS calculations are derived from computational fluid dynamic (#CFD) simulations created from reconstructed 3D vessel geometries (from biplane angio/IVUS/OCT/CT/MR) combined with patient-specific pulsatile inlet/outlet velocity values (Doppler wire or other methods)
Intro/10 #STEMI #tweetorial #FITSurvivalGuide for #ACCFIT. Organized by @dr_chirumamilla. @ACCCardioEd @ACCinTouch
1/10 #STEMI from ruptured plaque, less plaque erosion. @BraunwaldEugene pic demonstrates LDL oxidized, glycated➡️cytokines release express adhesion molecules➡️monocytes roll, diapedesis➡️ingest LDL, become foam cell➡️SMC migrate, proliferate➡️some apoptosis➡️plaque
