the skeptical cardiologist @skepcard
Preventive cardiologist, blogger, musician, enlightened manager of atrial fibrillation, seeker of the truth about diet and cardiovascular disease theskepticalcardiologist.com Encinitas, CA Joined April 2014-
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Does red meat consumption increase mortality? A: LOL Read this analysis of the analyses. You can get any hazard ratio you like, depending on …sit down for this … analytic choices @BrianNosek et al has been replicated. H/t @skepcard jclinepi.com/article/S0895-…
I am shocked!
Grilling the data: application of specification curve analysis to red meat and all-cause mortality - Journal of Clinical Epidemiology jclinepi.com/article/S0895-…
"That's right," said Squeers, calmly getting on with his breakfast; "keep ready till I tell you to begin. Subdue your appetites, my dears, and you've conquered human natur. This is the way we inculcate strength of mind, Mr. Nickleby," -Wackford Squeers
Waste Not - Here's How x.com/i/broadcasts/1…
Maybe the eternal search for an effective HFpEF med is finally over? Amazing! Another win for GLP-1 receptor agonists, now in heart failure with preserved ejection fraction (HFpEF)
Maybe the eternal search for an effective HFpEF med is finally over? Amazing! Another win for GLP-1 receptor agonists, now in heart failure with preserved ejection fraction (HFpEF)
Semaglutide recently received a FDA indication for secondary CVD prevention in obese patients without diabetes mellitus. Learn more from an expert analysis on "Who to Select For Treatment With Semaglutide: A Look at the SELECT Trial" bit.ly/3xoqxAz #cvPrev
Interesting perspectives. For me, the age of the patient with zero CAC determines its value in guiding treatment decision. A 70 year old man with a zero CAC and high LDL is much less worrisome than a 45 year old man with same numbers.
Interesting perspectives. For me, the age of the patient with zero CAC determines its value in guiding treatment decision. A 70 year old man with a zero CAC and high LDL is much less worrisome than a 45 year old man with same numbers.
Two thoughts. One that’s Lyn Ashley my then wife. And two Mike looked so like a legendary German whose name we couldn’t speak that we all got the giggles.
Two thoughts. One that’s Lyn Ashley my then wife. And two Mike looked so like a legendary German whose name we couldn’t speak that we all got the giggles.
I'm biased but better words were never spoken about Lp(a) 😀🧐 Take a listen
I'm biased but better words were never spoken about Lp(a) 😀🧐 Take a listen
A sea cucumber eating x.com/i/status/17691…
I agree with Dr. Pollock. Microplastics may not be great for our health, but this paper is too flawed to inform us Discussed in detail on #TWICardiology podcast podcasts.apple.com/au/podcast/mar… Transcript here: medscape.com/viewarticle/10…
I agree with Dr. Pollock. Microplastics may not be great for our health, but this paper is too flawed to inform us Discussed in detail on #TWICardiology podcast podcasts.apple.com/au/podcast/mar… Transcript here: medscape.com/viewarticle/10…
The anti-aging field is rife with quackery
The anti-aging field is rife with quackery
@AnzaBorregoPark many #wildflowers blooming. This was the only desert lily we spotted.
Cannot emphasize the need for all U.S. physicians to have an alternative to the ABMS/ACGME monopoly on continuing professional development market this way. Please take the time to help create an alternative to MOC. It will pay off in the future 👇
Cannot emphasize the need for all U.S. physicians to have an alternative to the ABMS/ACGME monopoly on continuing professional development market this way. Please take the time to help create an alternative to MOC. It will pay off in the future 👇
Ok, so this is how it works: 1⃣ a vegan Saudi Prince, founder of KBW ventures, states that dairy is the "root of all environmental evil" 2⃣ KBW Ventures pumps $$$ into PlantBasedNews 3⃣ PlantBasedNews pumps out anti-dairy articles 4⃣ meanwhile KBW funds fake dairy industries
The program provides an objective assessment of 3 key biomarkers that are known to reflect longevity and a way to easily monitor changes in those biomarkers over time. @skepcard open.substack.com/pub/theskeptic…
The future of preventive cardiology? AI guided coronary plaque assessment beats human for MACE prediction. My #Cleerly PAV% 3.6 @Cleerlyhealth @drjohnm jacc.org/doi/10.1016/j.…
John Mandrola, MD @drjohnm
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Final poll results: with 677 responses, after PREVENT, 35% are ready to treat non-flow-limiting asymptomatic vulnerable plaques with preventive PCI to improve prognosis. 65% are not yet believers. 4 other trials are ongoing and more are being designed.
I see this phenomenon every day . My/our goals are to answer 3 questions: does my patient have atherosclerosis (not just CAD), how bad is it, and most importantly, what do I do about it.
MODERN CARDIOVASCULAR PRIMARY PREVENTION AND MORE IN GENERAL CARDIOVASCULAR MEDICINE IS CENTERED AROUND CARDIAC CT No. This is not a question. It's a fact. academic.oup.com/eurheartj/adva… #PCCT #photoncounting #QuantumHD #CT #computedtomography #coronaryarterydisease #naeotomalpha
👉Atherosclerosis evaluation and CV risk estimation using CCTA ☝️The direct disease visualization of CCTA has the potential to be used synergistically with indirect markers of risk to significantly improve prevention of MACE, pending large-scale randomized evaluation. 🔓Open…
@drjohnm @theheartorg Well-put, @drjohnm. A first hint that we might be able to improve outcomes by targeting vulnerable plaque for local therapies. But lots of work to be done including figuring out how to identify these pts non-invasively, which is critical to eventual application of any strategy.
Preventive stents for "vulnerable" plaque made a big splash at the #ACC2024 The PREVENT trial is an interesting and bold study. But. But. It's just a beginning. My thoughts are up on @theheartorg medscape.com/viewarticle/pr…
One of the students in Peru created this. I thought it would be rude not to share it. It's a warning display by a pleasing fungus beetle (Gibbifer sp.)
@ChrisMorell I doubt if that (antioxidants etc.) really has any noticeable effect. Observational data can’t prove it, and interventional support is lacking or worse.
Fibre content in UPF - @CMonteiro_USP & @smithbarryc keep making wild claims, but looking at the data, the difference is not really that worrying: The difference between NOVA 3 and NOVA 4 is about 0. 3 g/100g - unlikely the cause of diseases.
The Honorable Jeremy C Daniel has a chance to end the monopoly on US physicians’ board certified fees with his upcoming ruling on the Lazarou v ABPN.org. We are watching this case closely medtees.com/content/ABPNDo… @SenDuckworth @SenatorDurbin @acgme @AmerMedicalAssn
Reality: Growth in 10-yr @ABIMcert board certification fees. For what? It clearly is not about patient care or safety. This trend cannot continue if you want to have working US physicians at your @acgme hospitals @linakhanFTC @FTC @SenatorDurbin @SenDuckworth
Part 1 of a 2 part episode of the @OptispanPodcast where I discuss recent claims around a supplement for aging in dogs. Part 2 will be a deep dive into the actual data. Spoiler alert: it's not pretty. I believe this is indicative of a much larger problem where the lines between…
In our latest Longevity This Week episode, @mkaeberlein examines the recent claims of a company founded by @davidasinclair about their supplement's ability to reverse age-related decline in dogs. youtu.be/-ujIfZXGbDA
@drjohnm @AnilMakam @eemoin Definitely agree. I think many “customs” of note writing are arbitrary and boring. A note can be: 1. Thoughtful 2. Personal 3. Succinct All at once.
@drjohnm @AnilMakam I think what @eemoin and @AnilMakam are saying is not that notes are intrinsically critical, but that the process of recording your thoughts and developing them is one in the same. For me, writing a note is formalizing my thinking. I often fine tune my plan in the process.
It’s an honor to visit a hospital where so much important evidence comes from. I was shocked at the high proportion of Danish patients who are randomized in clinical trials.
What a pleasure to present a critical appraisal of the ORBITA II trial and discuss it with @drjohnm ! Many excellent take-Home messages @AUHCardio @DCAcademyDK @cardio_dk
Thank you to the Aarhus University crew for an unforgettable ride. My legs are tingling. Little known fact: Denmark is not flat!
@JimRice1111 @DrMorganLevine @FitFounder True, but the development of cures that do work is slowed when the entire field is viewed as doing shoddy science. This is at least part of the reason geroscience has been underfunded relative to the state of the science for the past 20 years and that continues to this day
I agree with @DrMorganLevine here. We need more true experts in longevity to speak out and provide credible counterpoint to the misinformation, pseudoscience and hype. I believe @FitFounder and others are often well-intentioned, but do not sufficiently understand the science…
I’m going to say it—longevity/aging influencers are killing the science. Yes, they bring attention, but it makes the field look like pseudoscience & snake oil sales We need to attract scientific talent not groupies and when posts like this are rampant, it’s a losing battle.