San Antonio, TX
Joined December 2009
So excited to announce my new medical podcast HeartSuccess on cardiovascular disease is available on iTunes, Google Music & major podcast services. Please LISTEN, SUBSCRIBE, RATE US and SPREAD the word if you enjoy it!#heartsuccess #cardiology #podcasts #medicalpodcast #Health
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Mahek Shah, MD retweeted
We are just getting started
💊 Quadruple GDMT for HFrEF now costs <$1/day 🤯 
$25.21/month for all 4 drugs generic via Cost Plus Drugs 💰 Net savings per patient/year: 
🏥 $9,477 vs 2-drug therapy (32× offset) 
🚑 $23,470 vs no GDMT (78× offset) More than pays for itself🫀 Implement now!
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STAREE trial Statin use among older adults without CVD Most experts state how the trial supports statin use amongst the elderly ARR at 6 years is 2.3%. No survival advantage NNT =256 pts/year #fantasyland #esc2026
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The IRS test for tax exemption is “community benefit.” Median nonprofit hospital spends 2.3% of revenue on charity care. For-profit competitors spend 3.8%.
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What a legend Inspired generations and generations of physicians
The American Heart Association mourns the passing of the legendary cardiologist Eugene Braunwald, M.D., widely recognized as one of the most influential figures in the history of cardiovascular medicine. Over seven decades, his work reshaped the understanding and treatment of heart disease, leading many to call him the father of modern cardiology. Braunwald was a lifelong contributor to the American Heart Association, helping advance its research and scientific mission, and was honored with some of the Association’s highest honors for his lasting influence on cardiovascular care and research. His influence extended well beyond his own discoveries, as generations of Association‑supported investigators, clinicians and academic leaders were trained by Braunwald or guided by the clinical trial standards and mentorship models he helped establish. newsroom.heart.org/news/amer…
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Buyer ignorance is easy to exploit
Almost right. It’s more expensive because CEOs of self insured companies, hire the biggest insurance companies to manage their spend on care. Resulting in them having no idea how they spend their money. Look up those same prices from transparent surgery centers. Or better yet, the cash price from the same hospitals they use If CEOs realized that every penny they save on healthcare goes right to the bottom line, they might get a clue So hospitals with monopoly power over charge. Absolutely. But even they would charge less if CEOs knew how their benefit costs worked Costpluswellness.Com
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Tell me you don't see patients without telling me you don't see patients Writers have lost touch with reality #Lipidguidelines
Lipid guidelines contains 14 management flow charts How is a gen cardiologist or primary care doc supposed to be guided by such a document? Should be 3-4: prim prevention, sec prevention, diabetes and maybe special circumstances (FH or TG > 300) It's not that complicated
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The 800-pound gorilla HHS Appointee Study (2023): A study in Health Affairs tracked appointees across the Department of HHS (includes FDA) between 2004-2020. It found that 32% of government appointees exited directly into private industry at the end of tenure #revolvingdoor
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Mahek Shah, MD retweeted
pVO2 recovery by @GLewisCardiol - an important new measure on CPET. Derivation from an observational study at MGH, application in SEQUOIA-HCM shows how aficamten improved pVO2 recovery compared to placebo An excellent read here ahajournals.org/doi/10.1161/… #CardioTwitter
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Excited to lead our world class Pulmonary Hypertension team Officially, PHA accredited center of excellence!! Multidisciplinary team w/ heart failure, pulm critcare & lung transplant expertise on board Methodist Hospital, San Antonio, TX #PHAaccredited #CenterofExcellence #PAH
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Double bagel in a final. Thats new. #Wimbledon2025
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The curse has been lifted. Championship glory after 36 years. #WtcFinal2025 #AUSvsSA
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(1/4)Disappointing - if not surprising - news on the AL #amyloidosis space, with the failure of birtamimab to change outcomes in advanced AL amyloidosis. 🙁Thoughts below…
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Mahek Shah, MD retweeted
3 out of 7 newly diagnosed ATTR-CM patients that I saw in 1 day didnt have ATTR-CM (2 on therapy). Just really tough to interpret PYP scans with blood pooling, and due to cavity size and shape they simply appeared as myocardial uptake to those reading them. That is why we are running REVEAL (Evuzamitide in suspected cardiac amyloidosis). Cant afford making such mistakes. clinicaltrials.gov/study/NCT… #CardioTwitter #CVNuc
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Must’ve missed all those chapters on Excited delirium in Harrisons #TasersKill
NEW: Last night on @LastWeekTonight @iamjohnoliver discussed “Excited Delirium” - a debunked diagnosis by several professional associations - and why it should be banned from use. Watch here ⤵️
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Mahek Shah, MD retweeted
I missed this presentation. Higher than we would have expected in terms of positive rate in carpal tunnel release. Important data #ACC25 #CardioTwitter #MEDIQACC25
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Mahek Shah, MD retweeted
Big news: A new bill supporting Physician-Owned Hospitals just dropped. It is a turning point. If passed, this bill removes key restrictions on physician-owned hospitals, especially those that serve rural and underserved areas. What can you do? •Contact your representative •Join advocacy groups like the PHA. •Share this post to spread awareness •Build or partner with POHs in your region We don’t need fewer hospitals. We need better ones—physician-led, transparent, efficient, and community-focused. Let’s bring healthcare back to the hands of those who deliver it. congress.gov/bill/119th-cong… #physicianled #ruralhealth #POH #healthcarefreedom @RepLouCorrea @RepMGriffith @RepKevinHern @RepGonzalez @RepJohnJoyce @gopdoctors @physicianhosp
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