William Fearon @wfearonmd
Cardiologist at Stanford University School of Medicine Stanford Joined June 2018-
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Interventional Cards Twitter—need your help to assess current global trends in invasive coronary physiology use. Please take 2 min to fill out this quick survey! @wfearonmd @esbrilakis @djc795 @EricSecemskyMD @nadia_sutton @yctweeter @jgschwartzmd surveymonkey.com/r/CK88KQ3
In an era of increasing aortic valve-in-valve procedures what have we learned? A call for papers for our special themed issue “Redo Aortic Valve Interventions”. Deadline May 15, 2023. #TAVR #SAVR #Cardiotwitter #AHAJournals ahajournals.org/journal/circin…
#TeamScience meeting discussion at CV Medicine Division @StanfordDeptMed 2 facilitate greater collaborations among faculty within division/department & outside.@HeartBobH @TheMahaf @Joseph_C_Wu @EldrinL @joshuawknowles @euanashley @salernomdphd @Paul_P_Cheng @HanZhuMD @wfearonmd
Most of us have seen patients with low EF and CAD who have benefitted from PCI. The key is how to best identify these patients. REVIVED gives us pause in treating all patients. We need to get better at identifying those who are most likely to benefit. #CardsJC
Although viability was demonstrated, one wonders if all lesions treated were responsible for ischemia. Ischemia-producing lesions are the ones most likely to benefit from PCI. #CardsJC
Also more angina in STITCH. The low rate of significant angina in REVIVED is important to note. Those patients with significant angina are the ones who are most likely to benefit from PCI with respect to quality of life. #CardsJC
It is always hard to enroll all comers in studies like this where the treatment strategies are so different. Slow enrolment with few patients per month from each center suggests that this was a select population. Need to take this into account when analyzing the results. #CardsJC
The Impact of Serial Coronary Stenoses on Various Coronary Physiology Indices. ahajournals.org/doi/10.1161/CI… @wfearonmd #AHAJournals
Congrats @JungMinAhn5 on publishing these data in @CircIntv evaluating cross-talk from serial lesions with NHPRs and FFR. doi.org/10.1161/CIRCIN…
Post-PCI FFR in FAME 3. What do the numbers tell us? A LBCT @Crf #TCT2022 and published simultaneously in Circulation: Cardiovascular Interventions: ahajournals.org/doi/10.1161/CI… @PirothZ @keulards @wfearonmd #AHAJournals #ACCFIT #TCTConference #Cardiotwitter
#OriginalResearch SimPub #ACC22: New data from #FAME3 RCT: In 3-vessel CAD, FFR-guided #PCI and #CABG yielded similar #QoL after 12mo, but earlier improvements with #PCI @wfearonmd #AHAJournals ahajrnls.org/3NUtsE8
#EAPCI Quality of Life After FFR-Guided PCI Compared w/ CABG ahajournals.org/doi/pdf/10.116… @PCRonline @escardio @ESC_Journals #ACC22
A key question that needs to be answered about higher event rates in FFR-deferred ACS patients c/w FFR-deferred stable pts is whether the events are due to the FFR-deferred lesion or the ACS substrate. #CardsJC
Great ? about PCI outcome in diabetics and low SYNTAX score. We will have to look. There may not be that many! #CardsJC
We need to study more women and minorities. FAME 3 really failed in a big way in this respect. #CardsJC
Great ?regarding how FFR use prior to randomization may have affected enrolment. Likely a % of patients with 3V CAD being considered for CABG had FFR measured and had PCI b/c only 1 or 2 ves + by FFR. Suspect, including these patients would have improved outcomes w/ PCI #CardsJC
Plan to do a substudy exploring outcomes in FAME3 PCI patients with imaging guidance #CardsJC
I think we can advise patients that with low SYTAX score (and especially low functional SYNTAX score) the data suggests better outcomes with PCI and more similar to those with CABG. #CardsJC
We did try to exclude the highest risk. We did not mandate SYNTAX score measurement, but patients could only have 1 CTO. Of course, there is a lot more that goes into lesion complexity, but need to balance pragmatism with idealism in planning and executing trials. #CardsJC
David J. Cohen, MD, M.. @djc795
16K Followers 684 Following Interventional and Structural Cardiologist. Dir. of Clinical and Outcomes Research, @crfheart. Director of Acad. Affairs, @StFrancis_LI. Die-hard Red Sox fan.Mamas A. Mamas @mmamas1973
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741 Followers 631 Following Cardiology fellow @StanCVFellows | Former Internal Medicine resident @YaleMed @YNHH | Cardiovascular disease prevention, biomarker and drug discoveryHow best to achieve hyperemia in assessment of coronary microvascular function. In-vivo validation of hyperemia #cardiotwitter #AHAJournals @wfearonmd @kuniaki_0125 @MintenLennert ahajrnls.org/3UhYKJP
#CoronaryPhysiology #IntravascularImaging #TCTAP2024 The Series of F A M E Studies ⭐️⭐️⭐️ A P A R A D I G M S H I F T in Our Thinking 🤔 About Interventional Cardiology 🫀 👋@wfearonmd #DrFearonInTheHouse #TCTAP #TCTAPSmiles @summitmd_cvrf
#CoronaryPhysiology #IntravascularImaging #TCTAP2024 Angio-Based Physiology to Guide Cases 🪜 Clear steps on H O W to use it and handy technical features 🛠️ ALL-RISE outcomes study enrolling 👋@wfearonmd #TCTAP #summitmd_cvrf @summitmd_cvrf
#TCTAP2024 #AngioBasedPhysiology 💥A comprehensive talk on Why and How to perform Wire-Free, Drug-Free Physiological Assessment in Clinical Practice 👇 @summitmd_cvrf #CardioTwitter
Great study in an area that needs more data. A negative iFR is helpful, a positive one maybe not so much. @wfearonmd @HashimHayder @SukhNijjer
Do #iFR and #FFR provide meaningful information in patients with severe Aortic Stenosis? #cardiotwitter #AHAJournals @dukwoo_park ahajournals.org/doi/10.1161/CI…
OCT-based functional stenosis assessment. Imaging derived physiology to assess the significance of intermediate coronary stenosis @wfearonmd @ziadalinyc @DrAllenJ @BuccolaJana #cardiotitter #AHAJournals ahajournals.org/doi/abs/10.116…
🌉 M Y O C A R D I A L B R I D G I N G 🌟Dr William Fearon: Myocardial bridge: a hidden solution? The Physiology Course 16th edition: A New Wave! 🗓️ April 15-17, 2024 📍 @orsiacademy 🇧🇪 🔗 coreaalst.com/physiology #ANewWave #ORSIAcademy #TPC24 #CoronaryPhysiology…
Reconnecting with friends who share a passion for education and physiology is just one of the highlights of the Physiology Course #TPC24 @DrAllenJ @JEscaned @BernardBruyne @divaka_perera @DrKeeble @wfearonmd @yadersandoval @jeroen_sonck
Last group in the hands-on session in the Physiology Course #TPC24 👏💪🏻 @divaka_perera @wfearonmd @DrKeeble
Grateful for @ziadalinyc mentorship & @wfearonmd @Herms2James insightful moderation! Couldn't have asked for a better team to discuss my work on coronary calcified nodules! @ACCinTouch #ACC24 #ComplexPCI #OCT #Atherectomy #CoronaryIVL
♂️ 65yr - typical angina - previous PCI in the LAD The stent looks good, and FFR in the LAD is 0.89 🧐 Looks like a bridge 🌉 💉 Start dobutamine 20-40-50 μg/kg/min 🤓 RFR down to 0.73 and pain 📌Hemodynamic significant myocardial bridge! @wfearonmd @JEscaned @Hragy
Please welcome the new #TPC24 Social Media Ambassadors!🎉 🌟Our inspirational influencers in the field will be highlighting key content from The Physiology Course, sharing their impressions, and giving their insights and perspectives. 💭 🚀 Follow their accounts now for…
Take your love of science inquiry and writing to the next level with this unique opportunity to become an Associate Editor for Circulation: Cardiovascular Interventions. Applications now being accepted: ahajournals.org/circinterventi… @CircAHA @AHAScience #AHAJournals
Working on the final details of the Physiology Course 2024 #TPC24 📆15 and 16 April It’s going to be be a great educational experience 🤩 @OptimaCTO @OLVZaalst @orsiacademy @wfearonmd @JEscaned @ziadalinyc @rallamee @DrKeeble @CoreAalst
Differential Impact of Fractional Flow Reserve Measured After Coronary Stent Implantation by Left Ventricular Dysfunction | JACC: Asia jacc.org/doi/10.1016/j.… @wfearonmd @nicvdintvcard @nicvd_karachi @hahn_rt @ziadalinyc @rzakir12 @UretskyBarry @ACCinTouch @SCAI @TCTMD @crfheart
#CoronaryPhysiology #PCI #CABG F A M E 3 • LESSONS LEARNED • UPDATE on interesting subanalyses incl - WOMEN - DIABETICS - CTO & C O S T ANALYSIS - coming at #EuroPCR 2024 @wfearonmd in da house @CRT_meeting #CRT2024
#CoronaryPhysiology #CRT2024 Full house this PHYSIOLOGY-FOCUSED morning in DC 🇺🇸 • Fundamentals • Diffuse vs focal • Discordance … and now live case from St Francis with physiology, OCT, lithotripsy More to come in Lincoln @OPCILive @MortonKern @wfearonmd
@willsuh76 Depends how much she likes pizza 🍕. Despite what many New Yorkers think, it's better in New Haven. If pizza isn't a priority, though, hard to argue with free tuition.
@RichardAFerraro @wfearonmd In other words: yes there are few clinical scenarios where no anti anginals are tolerated. But there are 0 clinical scenarios where sham PCI are offered to pts despite significant short term relief of angina in trials. The purpose wasn’t to change clinical practice.
@CardioNerdsJC Restricting PCI to pts who fail maximally tolerated antianginal meds may inadvertently select the group w/ least to gain. The only way to test the unattenuated efficacy of PCI on angina was by NOT mandating the failure of antianginal meds as a precondition for PCI. #CardsJC