General & Interventional Cardiologist @Texas_Heart 💉❤️, wife, mother, 👧🏽🐱🐶

Houston, TX
Joined February 2011
Briana Costello MD retweeted
An incredible number of trials published simultaneously in the NEJM: I honestly can’t quite wrap my head around what is happening. Congratulations to everyone involved. It was difficult to choose only five trials, but these are the ones I selected for the interventional cardiology highlights. #ESCCongress
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Briana Costello MD retweeted
Short-term survival of dual SGLT2i-MRA and four-class guideline-directed medical therapy in acute heart failure academic.oup.com/eurjhf/adva… #EJHF @ESC_Journals @HanCardiomd @AmrAbdin10 @GiuseppeGalati_
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OPTIMA-AF: Only 1-month of dual antithrombotic therapy followed by DOAC monotherapy proved to be noninferior in terms of efficacy & superior in terms of bleeding outcomes to the standard 12-month dual antithrombotic therapy post #PCI among pts w/ #AFib. 👇 bit.ly/4x9njuj
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Briana Costello MD retweeted
My #interventionalcardiology Toolkit 🧰⚙️🪛 No-reflow: distal drug delivery with standard #PCI equipment 🔗pcronline.com/Cases-resource… No-reflow is one of the most critical peri-procedural complications and the development of no-reflow can rapidly trigger cardiogenic shock. Emrullah Kiziltunc, Ender Ornek, Adnan Abaci and Mustafa Cetin from 🇹🇷 provide a step-by-step methodology to manage this situation. Reviewed by Manel Sabate. . #CardioEd #Cathlab @kiadeb87 @fjsawaya @sbrugaletta
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Briana Costello MD retweeted
Comparison of Drug-Coated versus Conventional Balloons for side branches in bifurcation lesions: OCVC-BIF Study Reduced side branch restenosis with DCB at 9 months ahajrnls.org/3RPKpXC
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Briana Costello MD retweeted
ACC/AHA & 9 other leading medical associations released an updated clinical guideline for managing #dyslipidemia. About 1 in 4 US adults has high LDL-C, raising risk of heart attack & stroke. Get the details in #JACC: jacc.org/doi/10.1016/j.jacc.… #ClinicalGuidelines #cvLipids #ASCVD
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Briana Costello MD retweeted
We knew clopidogrel was better a long time ago. And without a higher bleeding risk. Read CAPRIE. Was just really expensive at the time. Now it's my SAPT of choice for most pts when I'm stopping DAPT. Not novel.
Clopidogrel is superior to aspirin for cardiac outcomes beyond 1-year up to 5-years. Results from the STOPDAPT-2 ACS and STOPDAPT-2 Total Cohort. Should it be a lifelong maintenance therapy? @HirotWatanabeMD @MNatsuaki @KoYamamoto7 ahajrnls.org/3PlxLhD
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Briana Costello MD retweeted
In the large ROLLING STONE registry (1,005 pts, 23 Italian centers) comparing #IVL vs #atherectomy in calcified lesions, procedural success was similar, but IVL showed significantly ⬇️MACE & CV death at 30 days & 12 months. jacc.org/doi/10.1016/j.jcin.… #JACCINT @veronica_lio
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In the #Tuxedo2 #RCT of 1800 patients with #T2DM & #MVD in India undergoing #PCI, #ticagrelor not proven non-inferior to #prasugrel on PEP of #MACE Point estimates favoured prasugrel across endpoints Non-inferiority margin 5% Congrats @SripalBangalore & team #AHA25 @mmamas1973
🎙️NEW #AHA25 Late Breaker Discussion ✨ Dr @SripalBangalore joins host 🌟Dr @hvanspall to discuss findings from the TUXEDO-2 trial 📽️Watch here👉 radc.life/L1SJ04CP 📊#Ticagrelor did not meet non-inferiority compared to #prasugrel when added to aspirin as part of dual antiplatelet therapy in patients with multivessel disease undergoing #PCI. #DAPT #AHA2025 #CardioTwitter
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Briana Costello MD retweeted
This is what you get from Trump. Violence against people caring for your children, only because of their color and spanish accent. Witnesses say she has a work permit. Teaches kids spanish at an immersion school.
ICE arrest preschool teacher—drag her out of class in front of "traumatized" children. Agents slam her face-first into the outer glass door as they push her outside—then shove her against their vehicle. School was forced to close—as both teachers and parents became too afraid to show up at the location. The teacher has a legal work permit and passed a background check in order to teach at the Spanish immersion preschool and daycare—according to witness interviews. "We wanted to give our children the gift of speaking another language," said one parent. "It’s just such a welcoming and sunny and happy place. The teachers are encouraged to share their culture and traditions with the children." The incident occurred at Rayito de Sol preschool and daycare in the Roscoe Village neighborhood of Chicago, Illinois. #DemsUnited
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Briana Costello MD retweeted
A very nice study from #EACTS2025. I will cover today on the This Week in Cardiology podcast. Once again, guidelines are too aggressive. And biased toward action.
Despite a high incidence of new-onset AF after CABG (48%), AF burden was minimal after 30 days. Is long-term anticoagulation still warranted? @DFCapodanno @djc795 @mmamas1973 @DrMarthaGulati @mirvatalasnag @drjohnm @DLBHATTMD @SABOURETCardio @SVRaoMD @omendiz @ahakeem143 @Hragy
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Briana Costello MD retweeted
🚨 NEW: Netflix secretly recorded an interview with Dr. Jane Goodall in March, set to air only after her death. In it, she says she wishes Trump and Elon Musk could be blasted into space… and closes with: “Don’t lose hope.” Now that’s a final message.
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Briana Costello MD retweeted
My #Cardiology paper of the year: Daily Step Count in @JACCJournals The optimal steps to ⬇️ CVD events is NOT THAT HIGH! Totally achievable! Its easy to get discouraged by the marathoners, bodybuilders, etc. Sure that's great, but not necessary. Do enough, the benefits follow
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Agent ISR- YES!! Nearly three-quarters of the patients had intravascular image guided ISR PCI….and the outcomes were very good. Now that’s progress! Let’s next hope for rapid FDA approval of Agent coupled with wide adoption of intravascular imaging for all ISR cases.
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Briana Costello MD retweeted
Safety of Continuing #MRA Treatment in Patients with #HFrEF and Severe Kidney Disease In this study from the Swedish Heart Failure Registry of 33,942 HFrEF patients (EF < 40%): 📍51% received MRA, with varying rates across #eGFR levels. 📍Higher eGFR & severe HF features correlated with more MRA use. 📍MRA use didn't increase risk of renal events, all-cause ☠️, or 🏥 across eGFR levels, including severe #CKD onlinelibrary.wiley.com/doi/… @EJHFEiC @HFA_President @MarcoMetra @ESC_Journals
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Briana Costello MD retweeted
🌟Pub alert! While #preeclampsia (PE)⬆️CVD risk, how do we identify those ♀️whose arteries are already on a disease path? Led by @paquin_amelie ,we showed that PE ♀️who remain HTNsive have much worse arterial health, and may be prioritized for #CVPrev ➡️bit.ly/46pUBIK
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Briana Costello MD retweeted
Don’t miss this joint AHA/ACC webinar! Achieving gender equity in cardiology requires collaboration with our male allies! Join us to discuss what #HeForShe means in cardiology ! #AHAWIC #ACCWIC @gina_lundberg @PamTaubMD @RBP0612
🚨 CLCD #WIC Committee new webinar alert! Join a discussion with colleagues on what male allyship means for women in cardiology. Topics to include bias, discrimination, sponsorship, mentorship, and more! #HeForShe Register now ⏩ bit.ly/AHAWICwebinar @AHAScience @MonSangh
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Briana Costello MD retweeted
📷 "Honored to be in the company of these exceptional #WomenInCardiology. A memorable evening exchanging stories and charting the course for the WIC community's journey ahead. 💙👩‍⚕️ #CardioQueens #HeartbeatsAndHighHeels" 👠🩺#BarbiesinCardiology😍🥰💃#TCACC
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Briana Costello MD retweeted
Big news #ESC2023 and @NEJM In a placebo-controlled randomized trial of people with obesity + heart failure (with preserved ejection fraction). semaglutide (Wegovy) markedly improved symptoms, exercise time, reduced inflammatory markers (and weight loss) nejm.org/doi/full/10.1056/NE…
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Briana Costello MD retweeted
#ESCCongress #JACC LBCT SimPub: New from #DAPA-HF & #DELIVER: Benefit-to-risk ratio may favor continuation of #SGLT2i dapagliflozin in #HeartFailure pts w/ deterioration in kidney function to eGFR<25ml/min/1.73m2 bit.ly/3QU3AwK @safchat @mvaduganathan @scottsolomon
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