Ashok Krishnaswami @cardskrish
Boarded Geriatrics and Cardiology, #GeriatricCardiologist, Health outcomes, RCT. Clinician/Researcher, Aging advocacy, Views are my own. R/T != endorsement San Jose, CA Joined March 2010-
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Great opportunity: the @ClinSTARCC Distinguished Professor Program provides resources to enhance the #aging focus of subspecialty meetings @PepperOAIC @AgingInitiative @NIHAging @NIDUS_Delirium @DeprescribeUS @AmerGeriatrics
Great opportunity: the @ClinSTARCC Distinguished Professor Program provides resources to enhance the #aging focus of subspecialty meetings @PepperOAIC @AgingInitiative @NIHAging @NIDUS_Delirium @DeprescribeUS @AmerGeriatrics
TAVR in Older Adults - Moving Toward a Comprehensive Geriatric Assessment and Away From Chronological Age: @JACCJournals Family Series 🥸Work with the great @cardskrish. 😱Many thanks to Dr @CandiceSilvers1 for guidance and many revisions to make it better 🥸Summary 👇👇👇
🥸This was a plenary session for @AmerGeriatrics Society in 2023 in Long Beach, CA led by @Gwen_Bernacki @cardskrish @DrAROrkaby and turned into a comprehensive discussion found in here 👇👇👇 jacc.org/doi/10.1016/j.… 😱Thank you for reading this read -
A reflection of my journey in geriatric cardiology that I couldn’t have done without @DEF_gericard @MathewMaurer @Mwrich45 @DaeKimMD @wccaniomd, Karen Alexander & many others. Long way to go still. #ACC’24
Sugary beverages combined with inadequate breastfeeding during the first year of life are persistently associated with higher obesity risk; especially severe obesity independent of fetal exposure duration. @KPDOR @KPMedSchool @kpnorcal @AHAMeetings
It's great to see our @aboutKP is committed to improving #MentalHealth services in California by supporting Proposition 1. We recognize how physical, social, & mental well-being are all interconnected within #HealthCare. about.kaiserpermanente.org/news/propositi…
I would like to remind everyone that eventually we need a quick ascertainment of baseline (a few weeks BEFORE the event) geriatric function in older adults presenting with cardiogenic shock @DrDamluji @MichaelGNanna @AhmedIjazShah
I would like to remind everyone that eventually we need a quick ascertainment of baseline (a few weeks BEFORE the event) geriatric function in older adults presenting with cardiogenic shock @DrDamluji @MichaelGNanna @AhmedIjazShah
Cardiologists increasingly encounter cognitive frailty (cognitive impairment and physical frailty without dementia). Early diagnosis and intervention could reverse its course. #AHAJournals @NailaIjaz_MD @yasserj94 @cardskrish @MichaelGNanna @DrDamluji ahajrnls.org/3wnLRp9
Live from the wards: Why did this patient get admitted with ADHF? Was it “non-compliance”? Clock drawing makes cognitive impairment visible. Cardiologists need to be aware and assess cognition. #MiniCog @ParagGoyalMD
Congratulations to an amazing clinician/researcher!
Congratulations to an amazing clinician/researcher!
It's been a privilege to be a part of this outstanding team, feel so grateful for the opportunity and proud of everyone for this amazing collaboration. Special thanks to @DrAROrkaby @george_kuchel @DEF_gericard @DrDamluji and Dr. Alexander! #JACCAdvances pubmed.ncbi.nlm.nih.gov/37664644/
Excellent opinion piece by @RammyaMathew ! When will the @NHSEngland and administrators listen to frontline physicians who truly care for their patients? 🤔
Excellent opinion piece by @RammyaMathew ! When will the @NHSEngland and administrators listen to frontline physicians who truly care for their patients? 🤔
Our top 10 GeriPal #meded podcasts of the year based on most downloads in the first 30 days of publication: #1Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer geripal.org/gabapentinoids…
Just heard this @GeriPalBlog on redefining dementia. A must watch for any clinician with any interest in cognitive function @EWidera @AlexSmithMD @DLBHATTMD @JamalRanaMD @MDSolomonMD @DrDamluji @DrAROrkaby
Proud to be TPMG caring for @kpnorcal Members. Led by visionary @MariaAnsariMD ! We have members to care for, diseases to stomp out and research to do! The future is bright - Perhaps its time to wear shades 😀 @JamalRanaMD @MDSolomonMD #workhardplayhard @KPSanJose
Incredible influence direct/indirect(cont'd) @ParagGoyalMD D. Forman, M. Rich, @DrAROrkaby @DrDamluji @GoalsDriveCare @cynthiaboyd16 @MikeSteinman @LouiseAronson @davidreubenmd @ditchhaporia N.Wenger @Gwen_Bernacki K. Alexander J. Kirkpatrick, S. Hummel Now Back to work!
Incredible influence direct/indirect(cont'd) @ParagGoyalMD D. Forman, M. Rich, @DrAROrkaby @DrDamluji @GoalsDriveCare @cynthiaboyd16 @MikeSteinman @LouiseAronson @davidreubenmd @ditchhaporia N.Wenger @Gwen_Bernacki K. Alexander J. Kirkpatrick, S. Hummel Now Back to work!
Just got notified today of official geriatrician status. #GeriatricCardiologist Incredible influences in my life @MatMaurer @wccaniomd @JamalRanaMD @MDSolomonMD @KPSanJose @KPDOR @MariaAnsariMD @RZChipMD @AlexSmithMD @EWidera @DocForGrandma @MathewMaurer
Dr. Martha Gulati ♥.. @DrMarthaGulati
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28K Followers 1K Following JAHA - Journal of the American Heart Association Tweets/RT are not medical advice. RT/follows do not imply endorsement.Shaton @Shaton210235
37 Followers 1K FollowingDr. Martha Gulati ♥.. @DrMarthaGulati
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75 Followers 59 FollowingWolf Blitzer @wolfblitzer
1.7M Followers 2K Following I anchor CNN's The Situation Room (@CNNSitRoom) Weekdays 6PM ET and have a front row seat to history.Dana Bash @DanaBashCNN
633K Followers 2K Following Co-Anchor CNN State of the Union, Anchor Inside Politics, Chief Political Correspondent, CNNGreat opportunity: the @ClinSTARCC Distinguished Professor Program provides resources to enhance the #aging focus of subspecialty meetings @PepperOAIC @AgingInitiative @NIHAging @NIDUS_Delirium @DeprescribeUS @AmerGeriatrics
Thanks to @ACCinTouch #Geriatrics Section for inviting Clin-STAR funded Distinguished Professor Malaz A. Boustani @mboustan to participate & speak w/ attendees about incorporating implementation science into their work. Learn about this program: bit.ly/35zrFPQ @NIHAging
@DrDamluji @CandiceSilvers1 @JACCJournals @cardskrish Congratulations @cardskrish and team 👏🏼
Thx to @JACCJournals and Dr Silversides again
🥸This was a plenary session for @AmerGeriatrics Society in 2023 in Long Beach, CA led by @Gwen_Bernacki @cardskrish @DrAROrkaby and turned into a comprehensive discussion found in here 👇👇👇 jacc.org/doi/10.1016/j.… 😱Thank you for reading this read -
🥸 40. Emphasizing holistic care and moving away from chronological aging to include physical, cognitive, and functional domains, will improve quality of life for older adults post-TAVR. 😱 Figure shows comprehensive assessment pre-, during, and post TAVR procedures in elderly👇
🥸39. Collaborative efforts between cardiologists, geriatricians, and other specialists are important for advancing TAVR care in older pts.
🥸 38. In TAVR care, integrating patient & family preferences in managing periprocedural code status is vital. 😱 Most programs address it, but only 25% have clear policies. This underscores the need for patient-centered decision-making regarding DNR orders.
🥸37. Community awareness and education about the complexities of treating older adults with AS are vital. 😱 For referring primary care
🥸36. Developing guidelines that incorporate geriatric assessments can lead to better Mx of older adults with CV conditions. 😱 @ACCinTouch @American_Heart @SCAI - Older adults derive most benefits from procedures but are at the highest risk! Need comprehensive discussion!
🥸35. Policymakers must recognize the importance of geriatric evaluations in improving cardiovascular care for older adults. 😱 On reimbursement for these complex patients and starting cardiovascular aging programs
🥸33. The evolving landscape of geriatric cardiology presents opportunities for enhancing patient care through interdisciplinary approaches. #InterdisciplinaryCare 🥸 34. Advocating for the inclusion of geriatric assessments in cardiology training programs is essential.
🥸32. Understanding the specific needs of older adults with AS is critical for developing targeted therapies and care strategies.
🥸 31. Ongoing studies are exploring how CGA can be efficiently implemented in cardiac care settings.
🥸 30. Future research should focus on integrating CGA into routine clinical practice to enhance care for older adults with AS.
🥸29. Effective TAVR involves not just addressing the valve issue but also managing the complex needs of the geriatric population. 😱 Yes - to avoid the 10-20% who do not do well after TAVR among old survivals.
🥸28. Technological advances, including the use of AI and telemedicine, offer new possibilities for managing AS in older adults. 😱 Diagnosis of all geriatric conditions can be automated if machine learning is applied to EMRs.
🥸27. Advanced care planning must consider the patient's overall goals and medical conditions, not just the procedural aspects.
🥸26. Emphasizing patient preferences and values is key to optimizing TAVR outcomes and aligning with individual health goals. #PatientCenteredCare 😱Of course great work by @KritiKalra092 in @FrontiersIn 👇👇👇 frontiersin.org/articles/10.33…
🥸25. The integration of geriatric principles in cardiology is set to revolutionize care for older adults with cardiovascular diseases. 😱 Many leading the way - @MichaelGNanna @Ajar_Kochar @DrAROrkaby @ParagGoyalMD @minjikwak2 @omsmanu and others
🥸24. The role of cardiac rehabilitation in improving functional outcomes post-TAVR is increasingly recognized. 😱 With @DEF_gericard