BackTable Cardiology retweeted
Next up: Nikita Agarwal — serving aces on the tennis court and living for doggos! 🎾🐶
From Dallas to UCSD, she’s found a home at Hillcrest and a supportive team that makes cardiology a love-all game! 🫀
So happy to have you on the team, Nikita! 🐾 @UCSDCardiology
BackTable Cardiology retweeted
🫀 CardioNugget™ | Mediastinal Radiation
Thickening + calcification of the aorto-mitral curtain (AMC) is a characteristic echo finding of prior mediastinal radiation.
The AMC = fibrous continuity between the aortic and mitral valves → radiation causes progressive fibrosis → thickening → calcification.
💡 Why it matters: Extensive AMC calcification reflects more advanced radiation-associated cardiac injury and has been associated with increased mortality after cardiac surgery.
#CardioNugget #CardioTwitter #Cardiology #Echocardiography #EchoBoards #CardioOncology #RadiationHeartDisease #MedEd
BackTable Cardiology retweeted
I created LearnCoronary (learncoronary.com), an interactive tool designed to help general cardiology fellows and other early-career learners better understand coronary angiography and the spatial relationships between different angiographic views.
#cardiotwitter @OpenAI
BackTable Cardiology retweeted
The website is live at intro2echo.com and the github is at github.com/douyang/echodemo
It was really fun to make the free movement - the video doesn't do it justice, but you can free move both the TTE and TEE probe and it'll generate the 2D image in according to the 3D model.
There's a couple of chapters on common echo concepts and common diseases. Would love feedback!
I'm almost ready to share it, but Claude Code is very good at keeping consistency across views and chapters.
For example, I can specify a heart phenotype, and will make all the images consistent and physiologically plausible.
Even with unlimited time, I don't think I could create such a nice tutorial!
BackTable Cardiology retweeted
Sent someone for CABG recently whose identical twin also had CABG. I wonder if their coronary anatomy is also identical. Anyone ever cath twins?
BackTable Cardiology retweeted
I was asked by @HadyLichaaMD and @DrAnkitKPatel to join them on the @_backtablecards podcast and discuss why a cardiologist should or should not do an MBA
We ended up spending an hour discussing why a cardiologist should consider getting a business training
If you are interested in getting an MBA, please listen to the podcast: I post the YouTube link below - you can also listen to the podcast on the app.
The timestamps are here:
00:00 - Introduction
04:52 - Why Pursue an MBA
08:06 - Choosing the Right Program
11:15 - Building a Cardiovascular Center on Aging
14:54 - Balancing Clinical Work and Business School
18:48 - Focusing on Finance and Analytics
23:27 - Evaluating Programs and Medical Devices
29:47 - Reimbursement and Training Implications
33:05 - MBA Return on Investment and Opportunity Cost
36:28 - Who Should Consider an MBA
46:20 - Artificial Intelligence and Business Education 50:53 - The MBA’s Impact on Cardiology
54:33 - Closing Remarks
Many thanks to Hady and Ankit - great people spreading great ideas!
Take a look here
👇👇👇
youtu.be/wJVY1iPVbLo?is=a5Gz…
BackTable Cardiology retweeted
🫀 CardioNugget™ |
hsCRP can change your statin decision!
Patient has borderline PREVENT-ASCVD risk (3–<5%)?
Check for risk enhancers 👇
🔥 hsCRP ≥2 mg/L
TWICE
no identifiable cause of inflammation
➡️ High-intensity statin can be useful to reduce ASCVD events
(Class 2a recommendation — NEW in 2026)
⚠️ Don't act on one random elevated hsCRP — infection, trauma, inflammatory disease, etc. can transiently raise it.
#CardioNuggets #PreventiveCardiology #ASCVD #hsCRP #Lipidology
BackTable Cardiology retweeted
🫀 CardioNugget™ |
The new “CPR” of ASCVD risk assessment
The 2026 Dyslipidemia Guideline says: Don’t just calculate risk → refine it.
Think C → P → R 👇
🧮 C = CALCULATE
Start with PREVENT-ASCVD → “What does the calculator say?”
→ Estimate 10-year ASCVD risk
👤 P = PERSONALIZE
Now ask → “What does PREVENT NOT know about my patient?”
Look for risk enhancers such as:
• Family history of premature ASCVD
• ↑ Lp(a) / apoB / hsCRP
• Chronic inflammatory disease
• Persistently ↑ TG or LDL-C
• Reproductive risk factors
• Higher-risk ancestry
🫀 R = RECLASSIFY + REASSESS
Still unsure about lipid-lowering therapy?
→ Consider CAC to reveal whether atherosclerosis is actually present
→ Reclassify risk and reassess treatment.
🧠 Think of it as:
PREVENT = estimated risk
⬇️
Risk enhancers = personalize the estimate
⬇️
CAC = break the tie when uncertainty remains
💡 CPR = Calculator → Patient → Plaque
#CardioNuggets #PreventiveCardiology #ASCVD #Lipidology #CAC #PREVENT
BackTable Cardiology retweeted
#CarotidRevascularization 2026 comprehensive review
Hot off the press & Free for 45 days
We summarized the most important aspects of #CarotidArteryDisease management for your quick review
kwnsfk27.r.eu-west-1.awstrac…
@timir_paul @MichaelMegalyMD @zghouzi @BaylorCardio @BinitaShahMD @SCAI @SripalBangalore @DougDrachmanMD @mirvatalasnag @fjsawaya @kerrigjl @samitshahmd @DrAmirKaki @agtruesdell @Babar_Basir @sanjum @monteleoneMD @sahilparikhmd @ACCinTouch @Pooh_Velagapudi @aayshacader @EricSecemskyMD @KardiologieHH @SVRaoMD @Allison_Dupont @piccoloraf @vascularIR @SDhandMD @AnkurKalraMD @chrisme43177172 @AntoniousAttall @adityadoc1 @djc795 @DrJayMohan @adnanalkhouli @JayMathewsMD @DrLouMDPhD @JGrapsa @cardiojaydoc02 @DLBHATTMD @kmadass @PLooserMD @AaronFrittsMD @DrDamluji @jaygirimd @hvanspall @mmamas1973 @venkmurthy @t_intheleadcoat
BackTable Cardiology retweeted
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.
BackTable Cardiology retweeted
Has anyone ever seen this happen with angioseal?
Plug introducer wasn't pushed all the way into the sheath so the plug deployed inside the angioseal sheath. Wouldn't budge.
Bail out= Had to cut the sheath—> wire—> new device and hemostasis.
#CardioX #SafeFemoral #LoveMyFellows @RadialFirstBot
BackTable Cardiology retweeted
CardioNugget™ 🫀 |
How often should you check Lp(a)?
🧬 Think of Lp(a) as your genetically determined lipid “fingerprint.”
🔹 WHO? → Measure at least once in ALL adults
🔹 WHEN? → Once in adulthood is usually enough
🔹 WHY only once? → Lp(a) is ~80–90% genetically determined and remains relatively stable throughout life
🔹 High Lp(a): ≥125 nmol/L (≥50 mg/dL) = ASCVD risk enhancer
♻️ Repeat testing? Usually NO.
Unlike LDL-C, Lp(a) doesn't meaningfully fluctuate with diet/lifestyle, so serial monitoring generally adds little.
⚠️ Consider repeating when the initial value may not represent the patient's baseline (e.g., measured during an acute illness) or when a specific clinical/treatment situation makes reassessment useful.
Bottom line:
LDL-C → follow serially 📈
Lp(a) → usually measure once 🧬
#CardioNuggets #Cardiology #PreventiveCardiology #LpA #ASCVD #Lipidology
BackTable Cardiology retweeted
How are new clinical trials shaking up pulmonary embolism care?
Dr. Timothy Fernandes (@DrTimFernandes) and Dr. Robert Lookstein (@roblookstein) join Dr. Harris Chengazi (@ChengaziMD) to break down what the latest data from STORM-PE, HI-PEITHO, and PE-TRACT mean for real-world cases, and why guidelines are struggling to keep up with who actually gets treated in practice.
Access the full episode in the BackTable app:
backtable.com/shows/vi/podca…
This podcast is supported by Penumbra.
#VI671 #CV50 #PulmonaryEmbolism #STORMPE #HIPEITHO #MechanicalThrombectomy #ClinicalTrials @MountSinaiDMIR @ucsdpccm
BackTable Cardiology retweeted
Out in @CircAHA our clinician's corner on Postpartum Monitoring for Hypertensive Disorders of Pregnancy Through Community-Clinical Linkages | Circulation
doi.org/10.1161/CIRCULATIONA…
by @fmetlock @modeldoc @DrKLindley and me highlighting the importance of community care models in HDP
BackTable Cardiology retweeted
Anyone doing this- prolonged balloon inflation during STEMI
“primary PCI assigned 1:1 to POP (stent inflation to ≥14 atm maintained until pressure stability, defined as no pressure drop ≥0.3 atm over 30 seconds) or conventional rapid inflation–deflation stenting”
#CardioX
BackTable Cardiology retweeted
Sham-controlled, randomized, and double-blind: the COSIRA II trial has the makings to make big waves in the management of refractory angina.
@ziadalinyc
This podcast is supported by @ShockwaveIVL.
#angina #PCI #CAD #coronarysinusreducer #COSIRA #stresstest #CV14
BackTable Cardiology retweeted
The use of antiplatelet therapies often requires a delicate balance between bleeding and clotting. Drs. Hady Lichaa and Hayder Hashim discuss how the pharmacokinetics of some of the most commonly used antiplatelet drugs, such as Clopidogrel, Prasugrel and Ticagrelor play into their use. Dr. Hashim explains how cases of Acute Coronary Syndrome (ACS), unstable angina and myocardial infarction tend to involve simpler lesions and thus procedures are completed quicker than cases which involve calcium modification. When Dr. Lichaa inquires about GP2b3a (Glycoprotein IIb/IIIa) inhibitors, Dr. Hashim highlights their use when there are large thrombus burdens or if there is no re-flow or slower flow during procedures. GP2b3a (Glycoprotein IIb/IIIa) inhibitors are used with caution due to their bleeding risks and prolonged effect, but P2Y12 inhibitors such as IV Cangrelor, have a faster wash-out period.
Watch the full episode here: youtu.be/KhK2SI9vZN8?si=G6VA…
This campaign is supported by an educational grant from Chiesi.
#CV19 #AcuteCoronarySyndrome #ACS #AntiplateletTherapy #DAPT #MyocardialInfarction #STEMI #InterventionalCardiology
BackTable Cardiology retweeted
@HadyLichaaMD shares his approach to a case of severe chronic iliac vein stenosis with @SDhandMD in a recent backtable cases session 👏 here's a teaser 😘 #medEd #IC #irad @DrJayMohan @EricSecemskyMD @JayMathewsMD @KateKearney4 @AmitGoyalMD
BackTable Cardiology retweeted
🫀 CardioNugget™:
Who is at highest risk for radiation-induced heart disease (RIHD)?
• Radiation at age <50
• Pre-existing CV risk factors/CVD
• High cumulative dose >30 Gy or fractions >2 Gy/day
• Tumor in/adjacent to the heart
• Anterior/left-sided chest radiation
• Older techniques: lack of shielding/cobalt radiation
• Concurrent chemotherapy — especially anthracyclines
💡 RIHD can manifest years later as CAD, HF (often HFpEF), valvular disease, pericardial disease, conduction/autonomic abnormalities, and porcelain aorta.
#CardioNugget #CardioOncology #Cardiology #MedEd
BackTable Cardiology retweeted
What does it take to build a pulmonary embolism response team (PERT) when you are not at a large academic center?
Dr. Harris Chengazi (@ChengaziMD) asks Dr. Timothy Fernandes (@DrTimFernandes) and Dr. Robert Lookstein (@roblookstein) how their teams handle PE alerts, first-call responsibility, and escalation to ICU or ECMO, all while working within their available resources.
Access the full episode in the BackTable app:
backtable.com/shows/vi/podca…
This podcast is supported by Penumbra.
#VI671 #CV50 #PulmonaryEmbolism #PERT #InterventionalRadiology #CriticalCare @MountSinaiDMIR @ucsdpccm