Less-Is-More Cardiologist @DavidLBrownMD
Cardiologist, professor at Keck-USC; believer in science, evidence-based medicine, health care as a right, a single payer system, democracy, and tennis. Los Angeles, CA Joined March 2017-
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Congratulations to @ayeshasinghmd who gave an absolutely flawless presentation on our work to identify predictors of angina relief following revascularization in the ISCHEMIA trial. #ACC2024
If PCI as a "therapy" for stable ischemic heart disease is controversial, its role as a "prevention" for vulnerable plaques is even more controversial. In a few weeks, at ACC.24, the PREVENT investigators will present the results of a multicenter, open-label, randomized…
Another example of conflating association with causation. Almost any obs study of exercise will be positive b/c people that exercise are usually healthier to begin with. And a large sample size doesn't prevent cofounding. @NPR @AubreyNPR @DrMarthaGulati npr.org/sections/healt…
Honored to have been invited to participate with @ayeshasinghmd by @EuroInterventio in a debate on stenting of vulnerable plaque. Bottom line: please don't. eurointervention.pcronline.com/article/prophy…
Why so much overuse of hydralazine /isosorbide dinitrate as GDMT in HFrEF? VHEFT 1-no sig diff from placebo in pep ( secondary outcomes favored H/I) VHEFT2-H/I inferior to enalapril AHEFT- H/I beneficial when added to GDMT (not instead of it)
Excited to have @KECKSchool_USC superstar internal medicine resident, @ayeshasinghmd, present our studies on predictors of freedom from angina in the ISCHEMIA trial at @ACCinTouch.
Excited to have USC superstar internal medicine resident, @ayeshasinghmd, present our study on predictors of freedom from angina in the ISCHEMIA trial at @ACCinTouch.
On a related topic, how does one accept the results of ISCHEMIA and still find value in FFR?
Harlan. Ugh.
A Palestinian man thanks Hamas for making sure that all the Palestinian people who used to commute into Israel to work will now be unemployed. He also thanks Hamas for making sure Palestinian kids will no longer receive surgeries in Israel Great job!
When the extent of Hamas’ takeover of the Shifa Hospital becomes clear, a lot of international and UN agencies are going to look very, very silly as people rightfully ask: You should have known—why didn’t you say anything?
Does anybody else find it amusing that there are zero complaints about ORBITA 2 being too small or with too much single vessel disease or with too short a follow-up like there were with ORBITA1? What could be the difference?
If only there were a network of tunnels to protect civilians and hospitals. The Tunnels of Gaza nytimes.com/interactive/20…
If only there were a system of underground tunnels that civilians and hospitals could use to protect themselves. The Tunnels of Gaza nytimes.com/interactive/20…
Mamas A. Mamas @mmamas1973
73K Followers 41K Following Professor of Cardiology @KeeleUniversity. Research: CV Epidemiology. Associate Editor @CircIntv. Senior clinical editor @TCTMD. @BCIS_uk audit lead.Michelle Kittleson MD.. @MKIttlesonMD
40K Followers 418 Following #kittlesonrules | Cardiologist | Prof of Medicine @CedarsSinai | Author Mastering the Art of Patient Care available at https://t.co/zdJT2MVNhbSABOURETCardiologist @SABOURETCardio
28K Followers 14K Following President of CNCF. Member of the ACTION-Group. Associate Editor at Minerva Cardio-Angiology+Archives Med.Science-Scientific Director atAxis TV. tweets on my ownAndrew J Sauer MD @AndrewJSauer
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22K Followers 2K Following #cardiometabolic #prevention; Multimodality #cvimaging; Posts may be my opinions & are not medical advice; RT≠endorseEvandro Martins F. MD @evandrofilhobr
17K Followers 2K Following 🇧🇷Interventional Cardiologist #RadialFirst #CTO #imagefirst Tweets=own opinion≠Medical advice. Freestyle proceduralist passioned to make people feel better!Giuseppe Biondi-Zocca.. @gbiondizoccai
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30K Followers 626 Following Official twitter account of the European Heart Journal Editor-in-Chief. Tweets by Prof. Filippo Crea and his team. #EHJ.Dr Roxana Mehran @Drroxmehran
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1K Followers 2K Following Consultant Physician, Internist ...think HOUSE MD, loves life, art, music, the countryside.👸🏻 @ann_jenny99
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820 Followers 479 Following #single #love #fashion, traveler, around the world. Sharing moments, news and more of my life on TwitterAbhinav Aggarwal @AbhiAggarwalMD
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233 Followers 236 Following Global Trials Summit, 19-20 April 2024 - Watch leading trial results presented by PIs covering diabetes, atherosclerosis, heart failure & kidney diseaseSara Ersözlü, MD @ErsozluSara
509 Followers 1K Following Attending Cardiologist| University Hospital Zurich🇨🇭| Multimodality🫀 Imaging 🧲 ☢️| Heart Failure🫀| PCHF24-25| Rare Diseases| @SCMRorg SoMe| @FiRSTSCCTMirjana Cvetkovic @Mirjanaxxx
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0 Followers 23 FollowingAbi Watts @AbiWattsMD
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3K Followers 2K Following PD Intv Cards at BWH. Former Duke Cards Fellow, Osler Resident. Passionate re: intersection of critical care and intv cardiology. #GirlDad x2.Candace Thomas @tho83431
0 Followers 20 FollowingHossam.R.Elbenawi @hosambanawy
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17 Followers 235 Following Assistant Physician of Cardiac surgery and Transplantation HTTG, Medical University of Hannover 🇩🇪Matthew de Gannes @mdegannes
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42 Followers 139 FollowingGildo de Ruvo, MD @gildo_deruvo
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64 Followers 427 Following Life is like a snowball. As long as you find wet snow and long slopes, the snowball will get bigger and bigger.Daphne @MichelleBazzz
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433 Followers 2K Following 🇺🇸Love America, love dogs and cats Free womanMamas A. Mamas @mmamas1973
73K Followers 41K Following Professor of Cardiology @KeeleUniversity. Research: CV Epidemiology. Associate Editor @CircIntv. Senior clinical editor @TCTMD. @BCIS_uk audit lead.JACC Journals @JACCJournals
105K Followers 1K Following Official account representing the ACC's #JACCJournals, one of the most widely read & most impactful CV journal programs in the world. @ACCinTouch #JACCMichelle Kittleson MD.. @MKIttlesonMD
40K Followers 418 Following #kittlesonrules | Cardiologist | Prof of Medicine @CedarsSinai | Author Mastering the Art of Patient Care available at https://t.co/zdJT2MVNhbSABOURETCardiologist @SABOURETCardio
28K Followers 14K Following President of CNCF. Member of the ACTION-Group. Associate Editor at Minerva Cardio-Angiology+Archives Med.Science-Scientific Director atAxis TV. tweets on my ownAndrew J Sauer MD @AndrewJSauer
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34K Followers 846 Following Dr. Deepak L. Bhatt is Director of Mount Sinai Heart and the Dr. Valentin Fuster Professor of Cardiovascular Medicine. Bio and COI: https://t.co/ngtk4hxfDG.David J. Cohen, MD, M.. @djc795
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17K Followers 3K Following Adolph Hutter Professor at Harvard and @MGHHeartHealth. Director of HF and Biomarker Trials @BaimInstitute. @RedSox team doc. Deputy Editor @JACCJournals.Dr. Purvi Parwani @purviparwani
36K Followers 2K Following Cardiologist, Associate Prof of medicine , Director echo lab MMI #LLUH, tweets=myopinion #ACCImaging #whyCMR #Echofirst #YesCCT #WomenCVhealth🧘♀️ 🌱 🇮🇳 🇺🇸Ritu Thamman MD @iamritu
29K Followers 3K Following Associate Professor #cardiologist #SoMe editor @CircOutcomes @JournalASEcho #BOD @ase360 @PittHealthSci @ColumbiaMed @NUFeinbergMed #echofirst #NewJersey girlVenk Murthy MD PhD @venkmurthy
22K Followers 2K Following #cardiometabolic #prevention; Multimodality #cvimaging; Posts may be my opinions & are not medical advice; RT≠endorseGiuseppe Biondi-Zocca.. @gbiondizoccai
11K Followers 3K Following Cardiologist, scientist & former airborne officer https://t.co/ZE49jsBLQJEHJ Editor-in-Chief @ehj_ed
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21K Followers 441 Following Interventional Cardiologist, Professor of Medicine, Clinical Trialist, Founder Women As One, MomHenry Han @HanCardiomd
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20K Followers 1K Following Interventional Cardiologist, Cath Lab Director #CHIP #CTO #TAVR #PERT #imagefirst tweets personal views ≠medical advise #AFMC-O2 उद्यमेनैव हि सिध्यन्तिDavide Capodanno @DFCapodanno
19K Followers 670 Following Professor of Cardiology at University of Catania, Italy. Editor-in-Chief of @EuroInterventio.Harriette Van Spall, .. @hvanspall
16K Followers 2K Following Cardiologist @CIHR-funded Scientist @McmasterU Alum @HarvardHSPH. #ClinicalTrials #HF #ImplementationScience #DigitalHealth #DataSci #ResearchMethodsAnu Lala-Trindade @dranulala
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836 Followers 2K Following There's nothing cooler than cool # Welcome to my page. Join us for some interactive timeCCCEnthusiasts @CCCEnthusiasts
650 Followers 417 Following Your go-to space for Critical Care Cardiology! Strengthening our community & sharing resources: https://t.co/JNqZwVtmgh Founder: @BalimSenmanMDNegeen Shahandeh, MD @negeen_sh
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180 Followers 103 Following Chief of Medicine and Infectious Diseases faculty at Los Angeles General Medical CenterWemby @wemby
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88 Followers 347 Following **Startup MedTech Junkie** President XLR8 Medical | SurgiLux Medical | CELT ACD | Endovascular Engineering | https://t.co/J5eBzwhVxSCharles Jaco @charlesjaco1
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2K Followers 2K Following Being Boulderchick since 1998 . Continental Airlines •Naturally Boulder •Liberal Lattes• PM on Magic Music Movie @boulderada_jan on 🧵🦬 #SKOBUFFSAmy Faith Ho, MD MPH @amyfaithho
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718 Followers 18 Following Just joined the Twitter family and share some life. But this is not my main battleground 🤪🤪Elizabeth Stuart @Lizstuartdc
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5K Followers 5K Following Ex-Wall Streeter💃 Intergovernmental Strategist 📊🤓 @Stanford MPP📚Take a gratitude walk with me ☀️🏝️🌅Advocate for socio-economic equity & justice🗽#ENTJWe are proud to announce that our Cardiology Service will be awarded the highest distinction from the @ComunidadMadrid for our research on microvascular angina, in this case in patients with #LongCovid. shorturl.at/bnDK6 @CardioRed1 @IIS_IdISSC @SaludISCIII @PCRonline
10 years on Twitter/X! So many interactions and friendships along the way that only happened because of #CardioTwitter. h/t @DrSheilaSahni who got me started. 😊 #MyXAnniversary
@DavidLBrownMD I continue to see H/I used instead of ACE/ARNI in black patients with HFrEF and reasonable kidneys and then I just quit for the day and go home and start drinking or crying or both. It’s ugly.
What an amazing @CCCEnthusiasts Journal Club on DanGer Shock! Incredibly multidisc discussion, including old guys like me and young trainees! Everyone had a voice. Thanks to the investigators for a wonderful trial to discuss! @CHassager @SVRaoMD @ElliottMillerMD @Babar_Basir
Too much of medical science is simply an exercise in showing something (usually a profitable something) works. Trials are not supposed to be for marketing. Trials are experiments for learning truths about nature. Positive or null, it does not matter.
Tweets announcing that you enrolled a pt into a trial are better than industry ads w cakes. But perhaps it’s best not to announce your belief that the industry product will be a game-changer. I’m not a trialist, but I don’t think that’s how science should work
My son was watching the whole WNBA draft last night. As a divorced dad with just the two of us boys at home since he was 2, safe to say my work here is done 😊 @WomenAs1 @PennCVWomen @baileyannRN @DrMarthaGulati @DrRosanel @KTamirisaMD @drmalissawood @EllauziRama #genderequity
Normal LAD, distal stent placed by an IC in a normal LAD, third cine is for the previously normal LAD which has a 100% non indicated stent.. The Stenters are killing our sub-speciality, they have to be stopped
I am passionate about neutral studies, but only when their results are true negatives, not false negatives due to low statistical power. I particularly appreciate them when they eliminate drugs with seemingly routine indications but are actually poorly supported by literature or…
Exhilarating to have @metrics52 speak to a packed room as our @SmithBIDMC Visiting Professor. Thank you for being a source of inspiration for all of us.
Honored to host Nobel Laureate Professor Josh Angrist as the 2024 @SmithBIDMC Visiting Professor this morning. Phenomenal talk on instrumental variable methods and their application in cardiovascular research and clinical trials!
It was a highlight of my career so far getting to work with such an exceptional surgeon, innovator, educator, and curious investigator - love to see @JacobNiall moving the needle in transplant care!
@JacobNiall Speaking @ISHLT on Real World Clinical Outcomes of DCD Heart Transplantation from the OCS Heart Perfusion Registry: Benchmarking to Other Preservation Methods @DukeHeartCenter @DukeSurgery @DukeHrtFailure @_adevore @richa_agarwalMD
Medicinal leech jar in the collection of the National Museum of American History ca. mid 1800s. About the same time as Arizona’s anti-abortion law was written.
For instance, how do you have lumen diameter of < 4mm and it not be a severe lesion? I am asking
@drjohnm The criteria of MLA of <4 mm sq and plaque burden of > 70% is easy to measure. However in proximal vessels MLA of <4.5 mm sq is considered a significant stenosis, regardless of “vulnerability.” 1/n
@drjohnm The other criteria are not so much. As most labs are not quantifying lipid rich plaque or TCFA routinely. The use of imaging is <10-20% of cases. There have been numerous threads on Twitter on why is this. Many labs and operators simply don’t know how 2/2
@DavidLBrownMD @VPrasadMDMPH 650K followers I'm doing twitter wrong
@DavidLBrownMD @CMichaelGibson Hard to definitley know the cause, or even if PCI really reduce events (unlikely, but possible). But the biases are there.
@DavidLBrownMD @Hragy Or maybe you can make the same trial with blinding and placebo arm to see if ischaemia-driven target-vessel revascularisation, hospitalisation for unstable and progressive angina are really reduced. Or if Substraction anxiety is the only reason they are reduced in this trial
In the FULL REVASC trial, randomizing 1542 patients with STEMI or very-high-risk NSTEMI and multivessel CAD to FFR-guided complete revascularization vs no further revascularization, revascularization was not associated with a lower risk of a composite of death, MI, or unplanned…