Director of ACHD @Hopkinskids @Hopkinsheart, @HopkinsMedicine, proud father, aspiring wine snob. Opinions are my own, I share what’s interesting to me
Baltimore, MD
Joined July 2015
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As are many others in view of the results of the recent US elections, I will be switching my platforms to #Instagram. Hopefully will find there a forum more dedicated to dissemination of truth/science!
Interesting and important for counseling: #AVB and #LBBB more common after #SAVR in #BAV versus #TAV AND LBBB associated with adverse outcomes. Why not PPM? Doesn't that also cause LBBB? @alexvdbruaene @AlexFrogoudaki @elena_gribaudo pubmed.ncbi.nlm.nih.gov/3944…
Ari Cedars retweeted
Across 🇺🇸, 100 centers performed reoperations after #ASO in patients between 10-35yo:
1⃣ Most commonly AV, aortic root, coronary procedures
📶 Increase in procedures (esp. left-sided)
🫶 11% major complications; 2% discharge mortality
@annalsthorsurg: annalsthoracicsurgery.org/ar…
Ari Cedars retweeted
#ISACHD #TopPick
Liver Imaging in Fontan Patients: How Does Ultrasound Compare to Cross-Sectional Imaging?
jacc.org/doi/10.1016/j.jacad…
@ralogon @CandiceSilvers1 @MAGatzoulis @MargaritaBrida @OktayTutarel_MD @kandavello @BCstyling @AriCedars @AdrienneK_PhD @DeZorzi_MD @DrAdaStefanescu @leighreardonmd
#ISACHD #TOPPICK
Clinical Course of TGA After Arterial Switch Operation in the Current Era
TGA-ASO patients have an excellent survival. However, ⬆️(re-)interventions are frequently seen in RVOT and LVOT
#Lifelong #care #CardioTwitter
doi.org/10.1016/j.jacadv.202…
As if more confirmation was needed, #Fontan is a SYSTEMIC DISEASE. Information on total body health status may improve outcomes. Plasma biomarkers/metabolomics as possible indicators? @AlexFrogoudaki @sasha_opo @AliZaidiMD @mgoschu pubmed.ncbi.nlm.nih.gov/3942…
Interesting that the associations with #SCD in #Fontan are described markers of Fontan failure (PLE/Plastic bronchitis, ventricular dilation/dysfunction, NYHA). What's the mechanism? @sasha_opo @alexvdbruaene @ShelbyKuttyMD @swatigar pubmed.ncbi.nlm.nih.gov/3945…
Ari Cedars retweeted
Akbar et al showed ACHD candidates who were willing to consider HCV+ and DCD offers were more likely be transplanted and had similar post-transplant outcomes as recipients of HCV- and DBD organs. @armaan_akbar @AhmetKilicMD @AriCedars
🔗 jhltonline.org/article/S1053…
Ari Cedars retweeted
ACTION members at #SVIM2024! Our fall meet-up was full of new ideas, innovation updates, data discussions, and strategy for 2025. Looking forward to future meetings at ISHLT and ASAIO next year!
#Collaboration #PedsHF #PedsVAD #MuscularDystrophy #Fontan
Ari Cedars retweeted
Excited to share our work looking at infective endocarditis in #ACHD! Despite more anatomically complex, lower IE mortality in ACHD vs. patients w/ structurally normal hearts. Thanks @StephenDolgner and @DrKeilaLopez for your mentorship! @CardiologyYoung pubmed.ncbi.nlm.nih.gov/3938…
Wow! Another important study on #Fontan related #Frailty. Could systemic metaboloic changes related to poor physical activity, physiologic, dietary and genetic factors be contributing to Fontan failure? Here 6MWD most impacted. @AdditionalVent @mgoschu pubmed.ncbi.nlm.nih.gov/3936…
Very interesting data on #insulinresistance in #Fontan. The more we know➡️Fontan is a systemic illness with body-wide metabolic consequences! Fontan #metabolomics anyone? @mgoschu @sasha_opo @alexvdbruaene @AdditionalVent pubmed.ncbi.nlm.nih.gov/3937…
Ari Cedars retweeted
Through collaboration and unity, a better future can be created. Thank you so much @ACHA_Heart and @AriCedars for organising such a wonderful regional conference for patients in Maryland, DC and Virginia, and thank you healthcare professionals for what you do for us
Data on #SCAI in #TOF, here in a younger population. SCAI3 still dominates, most common in those with more surgical stuff in the RVOT (RVOT patch, RV to PA conduit): Makes sense. Love the mechanistic approach! @swatigar @AlexFrogoudaki @alexvdbruaene pubmed.ncbi.nlm.nih.gov/3934…
I believe already reflected in the guidelines, but #BAV #aortopathy risk lower than #TAV, likely due to different pathophysiology. Truly important data to guide surgery! @ShelbyKuttyMD @swatigar @alexvdbruaene @AlexFrogoudaki pubmed.ncbi.nlm.nih.gov/3708…
Ari Cedars retweeted
Johns Hopkins #ACHD team rocking it at the #ACHA Heart to Heart Regional Conference today 🤩🔥
Phenomenal sessions & workshops led by the greatest Drs. Ari Cedars @AriCedars , Stacy Fisher @heartsavermom, Konstantinos Aronis @aroniskn , Duke Cameron & Guillermo Torres-Viera!🫀👏🏻
Wow, such an important study! Exercise impact on liver in #Fontan. Upshot: exercise, even high intensity, appears safe! Only 10 patients but granularity of physiologic assessment impressive. DONT RESTRICT! @alexvdbruaene @sasha_opo @ShelbyKuttyMD pubmed.ncbi.nlm.nih.gov/3721…
#FALD remains a vexing condition. FONLIVER score (elastography + Plt ct) performs well but not that much better than VAST, and VAST has outcomes data (here severe fibrosis histology was outcome). I'm sure more data to come. @swatigar @alexvdbruaene pubmed.ncbi.nlm.nih.gov/3926…
High PCWP ass with adverse outcomes in #TGA systemic RV. No surprise. The API data are surprising though. Excluding PCWP, all difference seems due to elevated systolic BP. No diff in HR, or CI. Need to think on this one! @AlexFrogoudaki @ShelbyKuttyMD pubmed.ncbi.nlm.nih.gov/3920…
RUBOTO, another failed pulmonary vasodilator trial in #Fontan. Perhaps we need to do a better job of identifying those who benefit and those who dont? Likely heterogeneous treatment effect. @sasha_opo @alexvdbruaene @swatigar pubmed.ncbi.nlm.nih.gov/3921…
#arrhythmia is a plague in #CHD. A🇩🇰national system analysis shows arrhythmia (heart block, SSS, A and V arrhythmia)⬆️prevalence and ass with⬆️mortality. Likely anatomy should be ignored here(more TGA than TOF?) @AlexFrogoudaki @alexvdbruaene @sasha_opo pubmed.ncbi.nlm.nih.gov/3923…