@DrBase_AMD

Resident Physician @ValleyHealth | Former Scientist @Harvard & @BWH | CCU @SUMS | ACC Medical Resident❤️‍🩹 | Cardiology Applicant AAMC ID 14490685 🩺 | 🏀 Fan

 Las Vegas, NV
linktr.ee/drbase
Joined January 2018
  • Tweets424
  • Following561
  • Followers453
60Media
Humbled to receive the Nevada ACP Governor’s Chapter Service Award! Truly didn’t expect this. My focus has always been simple: supporting colleagues, driving research, and expanding medical education. Grateful to @ACPIMPhysicians Nevada leadership and my peers. Onward! 🩺❤️ #ACP
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Brett Sperry, MD
@BrettSperryMDOct 12
Need a small RCT with a digoxin strategy for acute HFrEF. It’s sometimes tough to disentangle the effects of acute digoxin loading from vasodilator titration, but anecdotally there seems to be a benefit - particularly in new onset HFrEF in “shocky” patients and chronic patients not candidates for advanced therapies (oftentimes coupled with deprescribing beta blockers) @maz_hanna
OpenSource Cardiology
@opensourcecardsOct 12
In a series of 10 low-output HFrEF patients, IV digoxin loading and vasodilator titration were associated with increased median cardiac index from 1.45 to 2.70 L/min/m² at 24 hours; all four on IV inotropes were weaned off. Time for an RCT with digoxin in low output HF. opensourcecardiology.org/doi… @maz_hanna @ChonyAlbertMD @WilsonTangMD @NutritionHF @rcstarling
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Edgar Argulian
@argulianOct 13
Echo NY this Saturday — great talks, strong engagement, and lots of interest. Practical insights to sharpen your echo skills and improve your practice, at every level. mssm.cloud-cme.com/ECHO26
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David Ouyang, MD
@David_OuyangOct 3
I built an interactive echocardiography tutorial with Claude Code. Chapter 07: a 3D heart, the standard imaging views, the probe position, and simulated ultrasound video.
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🔥Outstanding analysis and perspective by Dr. Mandeep Mehra in JACC HF on AHTC Fellowship training in US 🔥’AHFTC crisis is not a referendum on the intellectual appeal or clinical importance of HF medicine; it is a verdict on the design of fellowship and early-career proposition’ 🔥Many parallels outside AHFTC as well 🔥Early leadership concept will be challenging since it needs to consider those mid career future leaders-in-waiting in the leadership pipeline doi.org/10.1016/j.jchf.2026.… @ShashankSinhaMD @AndrewJSauer @hvanspall @HeartOTXHeartMD @iamritu @JasonKatzMD @DrMarthaGulati @dranulala
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ASPC
@ASPCardioSep 30
Does the flu shot protect more than your lungs? New episode of The Heart of Prevention: Dr. Keerthana Pakanati @Kpakanati3 sits down with Dr. Alison Bailey @a_l_bailey to unpack the growing link between influenza and cardiovascular disease, including what the cardiovascular analysis of FLUNITY-HD reveals about heart failure hospitalization risk. They dig into where flu vaccination might fit alongside statins and antihypertensives in the preventive cardiology toolkit, how to think about high-dose vs. standard-dose vaccination in older adults, and what evidence gaps remain. Listen now: art19.com/shows/the-heart-of… @SanofiUS provided financial sponsorship for the production of this podcast and had no influence or involvement in the review, approval, or development of any content. #PreventiveCardiology #Cardiology #InfluenzaVaccine #HeartHealth
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ASPC
@ASPCardioOct 1
Check out some of the highlights from #ASPC2026! 🎉 The weekend was packed with insightful speakers, fascinating new research, engaging discussions, and—most importantly—a wonderful community of colleagues coming together to prevent cardiovascular disease. Thank you to everyone who made ASPC 2026 such a memorable event.❤️ #ASPC2026 #ASPCCongress #PreventiveCardiology #CardiovascularHealth #CVDPrevention
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Alison L. Bailey, MD
@a_l_baileyOct 1
Kicking off our #Rural CV Care conference with @docsok99 and a keynote from Dr. Larry Rhodes—a true legend in rural health care @WVUKids sharing what he’s learned in his career. Some of the best wisdom I’ve heard and makes me proud to be a Mountaineer! 💙💛 @wvudeptofmed @WvuCvFellows @WestVirginiaU
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NEJM
@NEJMSep 27
In patients with #AFib and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results and Research Summary: nej.md/4ii61XB #ESCCongress
This image contains an excerpt from the Research Summary "Anticoagulation for Atrial Fibrillation with Intermediate Stroke Risk" published in the New England Journal of Medicine. It includes a visual representation of a patient with atrial fibrillation and an intermediate risk of stroke. Patient demographics are detailed as 1803 adults, average age of 60 years. The bottom half contains illustrations of the two treatment options: direct oral anticoagulant (DOAC) therapy or no anticoagulation. A prompt to read the full Research Summary at NEJM.org sits at the bottom.

ALT This image contains an excerpt from the Research Summary "Anticoagulation for Atrial Fibrillation with Intermediate Stroke Risk" published in the New England Journal of Medicine. It includes a visual representation of a patient with atrial fibrillation and an intermediate risk of stroke. Patient demographics are detailed as 1803 adults, average age of 60 years. The bottom half contains illustrations of the two treatment options: direct oral anticoagulant (DOAC) therapy or no anticoagulation. A prompt to read the full Research Summary at NEJM.org sits at the bottom.

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A short educational hook🪝on the aortic complex: What do we actually measure on intraoperative TEE? And when?🫀#echofirst Bonus: histology🔬
Alberto Cereda@AlbertoCereda1Sep 27
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Eric Topol
@EricTopolSep 23
Peripheral arterial disease is the focus of a new @TheLancet series with 3 articles, open-access thelancet.com/journals/lance… thelancet.com/journals/lance…
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Edgar Argulian
@argulianSep 24
Echo NY 2026 is coming! 🫀 Join us for practical, case-based education on echocardiography and structural heart interventions. 🔹 Mitral, aortic & tricuspid interventions 🔹 Imaging pearls & pitfalls 🔹 Practical tips for everyday practice 🔹 Outstanding Mount Sinai & invited faculty For physicians, sonographers, fellows, residents, and cardiovascular imaging enthusiasts. 📍 Mount Sinai | 🗓️ Echo NY 2026 mssm.cloud-cme.com/ECHO26
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Great to be in Las Vegas for #ASNC2026, learning from leaders in cardiac imaging and nuclear cardiology. Fascinating discussions on PET, SPECT, amyloidosis, AI, and the rapidly evolving role of advanced cardiovascular imaging. @BrettSperryMD @DorbalaSharmila @ACCinTouch
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Brett Sperry, MD
@BrettSperryMDSep 17
#ASNC2026 starting! Great to see so many old friends and connect with new ones. It’s been a monumental effort to plan this meeting with @PaulCremerMD and @roxanacampisi over the last year. Couldn’t have done it without the help of Kelly and Michelle from @MyASNC. Hope you enjoy what we’ve put together!
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New in @JACCJournals: Case Reports 🫀 Syncope & TdP mimicking LQT2: • OTC berberine can cause severe IKr blockade & TdP • R/O extrinsic triggers before assuming genetic LQTS Grateful to co-authors & mentors! @masry_hicham 🔗 jacc.org/doi/10.1016/j.jacca… #CardioTwitter @ACCinTouch

Recurrent Torsades de Pointes Precipitated by Berberine Supplement:

jacc.org
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🫀2026 ESC心不全ガイドライン、ついに公表。 2021年版＋2023年アップデートから「かなり」変わりました。まず要点だけ👇 ✅️HFmrEFが消滅。HFrEF＝LVEF <50%、HFpEF＝LVEF ≥50%の2分類に ✅️MRAとSGLT2阻害薬がLVEF問わずClass I（HFpEFでは非ステロイド性MRAも可‼️） ✅️GDMTをFMT（基盤治療）とAMT（追加治療）に再定義、デバイス/カテーテル治療はGDIT ✅️肥満合併HFにセマグルチド／チルゼパチド（IIa）が初登場 ✅️M-TEERがClass Iに格上げ ✅️心臓リハビリと緩和ケアがClass Iに ✅️ATTR-CMにvutrisiran（silencer）が推奨に追加（Class I A） 詳細はスレッドで🧵 escardio.org/guidelines/clin…
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ASPC
@ASPCardioAug 25
Reminder 🩺 New CardioCore Lecture: Hypercortisolism — Recognizing a Hidden Driver of Cardiovascular Risk Wednesday, August 26, 2026 | 6:00–7:00 PM EDT Some patients keep facing hypertension, diabetes, obesity, and accelerated CV disease despite optimal risk factor management. Hypercortisolism may be an underrecognized, treatable cause. Join Dr. Jorge Plutzky @jplutzkymd (Director, Preventive Cardiology, Brigham and Women's Hospital) as he covers the pathophysiology, clinical features, and cardiovascular consequences of hypercortisolism — plus when to suspect it, how to screen, and referral pathways. Moderated by Dr. Charles German @DrGermanMD (Georgetown University). Register: aspconline.org/hypercortisol… Support for this program provided by Corcept Therapeutics. #PreventiveCardiology #CVRisk #Hypercortisolism #CardioCore
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Gregg Fonarow MD@gcfmdAug 24
📉⚡ Early + complete GDMT = best outcomes The four pillars work fast 🚀 and work best together 🛡️ Simultaneous/rapid sequencing to all four components of quadruple GDMT at 🎯 doses (as well tolerated) should be the standard of care for all ❤️‍🩹 #GDMT #HeartFailure nitter.cf/gcfmd/status/209190524…
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Sudarshan Balla@sudarshanballaAug 24
Putting 2 and 2 together - what next? What other echo parameter/s are useful #echofirst @WvuCvFellows @CASivaram1 @argulian @iamritu #ACCFIT @cardiooncCMB @harshi_md
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🫀 Cardiac Masses: Location = Diagnosis Left atrium (interatrial septum) •Myxoma (most common) •Rare: Sarcoma (rapid growth, invasion), lymphoma (immunocompromised) Left ventricle •Thrombus (post-MI, low EF) •Fibroma (kids) •Rare: Lipoma, metastatic disease Right atrium •Thrombus (catheters, AF) •Metastasis (lung, breast, renal) •Rare: Primary cardiac lymphoma, angiosarcoma Right ventricle •Thrombus •Sarcoma •Rare: Rhabdomyosarcoma (peds), metastatic melanoma Valves •Papillary fibroelastoma (small, mobile, embolic) •Rare: Lambl’s excrescences (benign but confusing) Pericardium •Metastatic disease (most common overall) •Rare: Mesothelioma, pericardial sarcoma Multiple chambers / infiltrative •Metastases •Rare: Amyloid pseudotumor, inflammatory masses 📌 Clinical pearl: Rapid growth, invasion, or effusion = think malignant, even if imaging looks “benign. Graphic from Cardiophilia. #Cardiology #cardiox #medicine #doctor – at Pontiac, MI
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