Tony Manci MS @ExPhysUW
Clinical Exercise Physiologist @ymca_gwc | #CardiacRehabilitation | #ExerciseIsMedicine @UWMadison Alum instagram.com/tony.manci?igs… At The Gym Joined December 2022-
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For decades, beta blockers have been used routinely after heart attacks. A new randomized trial in people with preserved pump function (EF>50%) shows they're unnecessary, unhelpful nejm.org/doi/full/10.10… @NEJM #ACC24
A wearable cardioverter-defibrillator is a device used by pts at risk for SCD. Although CR is a class I recommendation in pts w/CVD, is it safe for those w/ WCDs? Dr. Rohrer et al. examine this question in this article: bit.ly/43f89Wu @DanielScherr3 @ManningerMartin
Can #exercise reverse atherosclerosis? Perhaps. Small randomized study of 6 mos high-intensity interval training in people with heart disease reduced plaque volume and slowed progression of atherosclerosis @ESC_Journals: academic.oup.com/eurjpc/article…
Today with my IM Residents: Me: Do you know we have a cardiac rehab? Them: 5 hands of 40 go up🖐️🖐️🖐️🖐️🖐️ Me: Do you know where Cardiac rehab is? Them: No hands go up The NNT with #CardiacRehab is 37, to prevent 1 death (vs 94 with statins or 108 with ACEI). REFER to CR please!
Synthesis of the currently available meta-analyses suggests that regular exercise may be beneficial for a broad range of functional tasks improving health-related quality of life in patients with PAD academic.oup.com/eurjpc/article… @m_piepoli
In >70,000 @uk_biobank participants, 4,000-4,500 steps per day linked with a markedly lowered risk of all-cause death and CV disease, further reduced to max w/ 9,000-10,500 steps/day, no Δ dose-response for sedentary time levels bjsm.bmj.com/content/early/…
The best time to exercise? Any time you can. “The current state of research provides evidence neither for nor against a specific time of the day being more beneficial, but provides evidence for larger effects when there is congruency between training and testing times.”…
About 1 in 3 adults do not get enough sleep. Shortened sleep is closely linked to higher rates of heart disease. Here is what you need to know. 📕Make Sure To Bookmark✅ 🧵👇 /1
And another interesting image. Non-cardiac patient.
What social media tells you to focus on: -ice baths -supplements -sauna -a new way to “detox” -lectins -anecdotes What you should actually focus on: -VO2 max -strength -Metabolic health -sleep -ApoB -Blood pressure -mental health
Apical hypertrophic cardiomyopathy (AHCM) is a rare phenotypic variant of #HCM. In this @CASEfromASE report, we introduce the “blueberry-on-top” phenomenon, a characteristic myocardial strain finding on TTE, to help identify AHCM cases. bit.ly/49DNa1Y
Sex Differences in Association of Physical Activity With All-Cause and CV Mortality. 📝 @DrMarthaGulati et al. “Women compared with men derived greater gains in all-cause and CV mortality risk reduction from equal doses of leisure-time PA.” jacc.org/doi/10.1016/j.… @JACCJournals
Exercise should be a vital sign at the doctor’s office.
Please take a 👀 at our ahead-of-print publication in @CircAHA. The 📝 was led by @sarahhoed and @NicolaRiccardo8. ahajournals.org/doi/abs/10.116…
Interesting editorial by @HeWaHippo on the benefits of muscle-building for reducing fat mass physoc.onlinelibrary.wiley.com/doi/abs/10.111…
#Thursday #LeapDay #QuotefortheDay “Life is peaks & valleys. All in passing moments. Humility & gratitude keep us grounded. Faith keeps us from hitting low. May you find acceptance & peace in both. May you find true friends through these times.” @HeartOTXHeartMD @ExPhysUW…
We often frame exercise as an “intervention”. But the reality is, our (increasingly) sedentary lifestyles are the real intervention. We were made to move. jamanetwork.com/journals/jama/…
Morning read. Important issue. Prehab? Rehab? Both? Exploring interventions to alleviate disuse‐induced muscle atrophy and anabolic resistance in older adults - LeGood - The Journal of Physiology - Wiley Online Library physoc.onlinelibrary.wiley.com/doi/10.1113/JP…
As a cardiologist here is the mistake I see way too many people make when it comes to heart disease. 📕Make Sure To Bookmark✅ 🧵👇 /1
Should impaired oxygen uptake with exercise PHT be a trigger for AVR in patients with aortic stenosis?
Should impaired oxygen uptake with exercise PHT be a trigger for AVR in patients with aortic stenosis?
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Should you avoid #exercise after eating or is it bad to exercise on an empty stomach? It depends. In this blog I discuss how exercise can both help and hinder digestion. drscottlear.com/2024/04/24/how…
Athletes get more sex. Cross-sectional study of 166 master athletes (ave. 57 yrs) reported a higher frequency of sexual engagement with partner than general population: tandfonline.com/doi/full/10.10… Female athletes also reported greater satisfaction than female non-athletes.
@mirvatalasnag And not only you don’t bill by the hour, but very often you don’t even get compensated as you should be, besides the pay gap.
Advice from a tree -Stand tall and proud -Go out on a limb -Remember your roots -Drink plenty of water -Be content with your natural beauty -Enjoy the view
@ExPhysUW @KTamirisaMD @DrMarthaGulati @mirvatalasnag @MonSangh @ggvela @ErinMichos @cardioPCImom @VietHeartPA @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 @AliElzieny @BartoszHudzik @cardiacpolymath @DavidWienerMD @AliRacaniere @BirkhoelzerS @Hinaheartdoc @GiuseppeGalati_ @DocSavageTJU It must be such a memorable time!
@KTamirisaMD @DrMarthaGulati @MonSangh @ggvela @ErinMichos @rahatheart1 @cardioPCImom @VietHeartPA @ExPhysUW @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 These are adorable @KTamirisaMD I don’t have access to my old family photos unfortunately but instead here’s my lil one…now not so little anymore
@rahatheart1 @KTamirisaMD @DrMarthaGulati @mirvatalasnag @MonSangh @ggvela @ErinMichos @cardioPCImom @VietHeartPA @ExPhysUW @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 @BartoszHudzik @cardiacpolymath @DavidWienerMD @AliRacaniere @BirkhoelzerS @Hinaheartdoc @GiuseppeGalati_ @DocSavageTJU Here’s mine 😅 with my queen sister 😍 it’s funny that I like the classic style since I was so young 🤣
@ExPhysUW @rahatheart1 @DrMarthaGulati @mirvatalasnag @MonSangh @ggvela @ErinMichos @cardioPCImom @VietHeartPA @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 @AliElzieny @BartoszHudzik @cardiacpolymath @DavidWienerMD @AliRacaniere @BirkhoelzerS @Hinaheartdoc @GiuseppeGalati_ @DocSavageTJU ❤️😀😂 Or let’s blame it on the sun
QT a pic of a younger you Me with my sister. I’m holding her head like a watermelon 😅 Thanks @DrMarthaGulati 🏷️
QT a pic of a younger you When my mum would comb out my curls because she didn’t understand them… but I still wore hearts ♥️ at a young age!
@rahatheart1 @DrMarthaGulati @mirvatalasnag @MonSangh @ggvela @ErinMichos @cardioPCImom @VietHeartPA @ExPhysUW @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 @AliElzieny @BartoszHudzik @cardiacpolymath @DavidWienerMD @AliRacaniere @BirkhoelzerS @Hinaheartdoc @GiuseppeGalati_ @DocSavageTJU You look cute! @rahatheart1
@KTamirisaMD @DrMarthaGulati @mirvatalasnag @MonSangh @ggvela @ErinMichos @cardioPCImom @VietHeartPA @ExPhysUW @DrJenniferCo_Vu @DrRosanel @iamritu @purviparwani @skarim01 @RBP0612 Lovely pics @KTamirisaMD, here's a pic with my beloved father, may he rest blissfully in eternal peace.
QT a pic of a younger you Thanks for 🏷️ @DrMarthaGulati Miss my ❤️❤️ momma when I look at my baby/kid pic. She had style - dressed us in real cute clothes (maybe a bit tearful in the garden one🤣) #Memories #nostalgia @mirvatalasnag @MonSangh @ggvela @ErinMichos…
QT a pic of a younger you When my mum would comb out my curls because she didn’t understand them… but I still wore hearts ♥️ at a young age!
QT a #younger you.
I am an interventional cardiologist & I take care of patients with a heart attack at all hours of the day including 2:00 am calls & then continue my usual rounds & clinical work the next morning Unlike lawyers, we don’t bill by the hour..
@sgremminger Doctors also seem to be the only 9-5 (many 9-4) profession left. I don’t know a singly lawyer who works the schedules doctors work.
Take a moment to watch this - ❤️❤️❤️❤️ #Heartwarming @HeartOTXHeartMD @hvanspall @DrJenniferCo_Vu @DrRosanel @DrJMieres @ErinMichos @ExPhysUW @cardioPCImom @DrMarthaGulati @rajdoc2005 @iamritu @biljana_parapid @mirvatalasnag @VietHeartPA @mmamas1973
Cheetah cub and rescue pup are best friends at Cincinnati Zoo.
#SaturdayThoughts #Photography “Darkness or brightness Stay still. Go with the flow. Do good. Be Good.” Eclipse picture from our backyard. (My hubby took it as I was in Atlanta) @HeartOTXHeartMD @ExPhysUW @avolgman @DrMarthaGulati @DrRosanel @cardioPCImom @rajdoc2005…
This drug class is exceeding all expectations, well beyond weight loss, with new clinical trial data this week for heart disease and #Parkinsons A rundown and where we're headed in the new Ground Truths (link in profile) and a companion podcast w/ @DanielJDrucker
@ExPhysUW But its preserved EF, unlike reduced EF where the benefits are known!