#acc23 — Public Fediverse posts

CARDIOLOGY QUESTION
Contradiction:
-Large (n=116K) dose-response study for exercise showing a lowering of all cause & CVD mortality endurance up to 900 m/w
-Smaller (n<600) #ACC23: endurance exercise WORSENS all plaque burden, even at moderate levels.

IMPLICATION Plaque⇏risk?

CARDIOLOGY QUESTION
Contradiction:
-Large (n=116K) dose-response study for exercise showing a lowering of all cause & CVD mortality endurance up to 900 m/w
-Smaller (n<600) #ACC23: endurance exercise WORSENS all plaque burden, even at moderate levels.

IMPLICATION Plaque⇏risk?

Antithombotics are no joke. More on board = more bleed risk.

🩸#PAD also is no joke. ⬆️⬆️ events. AntiThrombo help ⬇️events
🩸consider adding anticoag to antiplt (voyager/compass) in both PAD and/or CAD
🩸would love to hear thoughts on p2y12i+Xa rather than ASA+Xa
#ACC23

More on anti-thrombo

🩸Too bad vorapaxar went away
🩸arterial thrombosis: platelet activation + thrombus (dual pathway inhibition)
🩸Read Compass! Not just #PAD, but CAD (90% had it)=24% RRR on rivaroxaban👊🏾
🩸Voyager: early separation (3m), ongoing divergence.
#ACC23

What about antithrombolytics in #PAD?

🩸 Risk for MACE/MALE ⬆️w/presence of polyvasc and/or sx/event.
🩸ASA may help, crosses unity line tho
🩸p2y12 helps, modestly - ticag may not be better than clopido

#ACC23

#PAD - the forgotten #ASCVD component.

🦵🏾MI/CVA events higher in PAD than in prior MI/CVA pts!!!!
🦵🏾Low use of statins/other LLT in PAD 👀😮
🦵🏾#LLT effective in PAD: statinize!

#acc23

What did I learn from being a panelist at this #PAD session? A lot.

@baileyannRN @JVargheseMD @herbaronowMD @marcreixell @KimGSmolderen #acc23 @MarcBonaca

I love the randomness of life. Or perhaps it is not random.

@DrEugeneYang - saved me from turning around from the #acc23 #tweetup. I get anxiety in groups. He came out of an elevator just as I turned to leave from the Ritz-Carlton.

Result: up the elevator w/him. Thx 🙏🏾

So, there I was just walking past the most amazing group of cardiologists and they invited me to take a picture with them.

All amazing and accomplished experts.
Lucky #PhysicianAssociate. #advocacy #equity #acccvt #ACC23

So, there I was just walking past the most amazing group of cardiologists and they invited me to take a picture with them.

All amazing and accomplished experts.
Lucky #PhysicianAssociate. #advocacy #equity #acccvt #ACC23

#VitaminD has had back&forth data w/recent “neutral” clinical trials but “positive” analyses for reduced DM and dementia.

#ACC23 #PhysicianAssociate #HeartPA #PatientsHealthFirst

We are enrolling in the Target D trial (Heidi May, PI), an RCT in ACS pat…https://lnkd.in/g77QsuVP

Coronary calcium is pathognomic for coronary atherosclerosis. We looked at CAC from cardiact PET and stand alone CT. Does the distribution of CAC predict 90-d or 1-yr MACE?

#PA #HeartPA #PhysicianAssociate #ACC23

Over 7500 scans were analyzed and expec…https://lnkd.in/gx-zgMHx

Proud of my #PA Colleague @Lross246, Pres Elect of @APAC_Cardiology. Great things are happening 2023-2025.

What a great APAC presence at #acc23. Panelists in #PAD #LBCT #prevention

#PhysicianAssociate

So neat to sit as a society president @APAC_Cardiology next to gov (@avolgman) and section leader (@Andrea_Price317) to welcome new #FACC/#AACC

#acccvt #ACC23

Proud to serve my Cardiology #PA/#PhysicianAssociate community.

The past ~2yrs have been amazing.

A huge thanks to my colleagues for supporting #teambasedcare w/#APP colleagues ⁦@APAC_Cardiology⁩ ⁦@UtahAPA⁩ ⁦@Intermountain⁩ #acc23 https://www.linkedin.com/posts/hcplive_viet-le-pa-c-reflects-on-his-journey-of-activity-7038569564753821696-bDqd?utm_source=share&utm_medium=member_ios

Repping @MyASNC , Pres. @almallahmo and @APAC_Cardiology

#convocation #acc23

What a great case @Shikha_Cardio! Lyme disease and AV conduction block w/PPM placement.

#ACC23
Discussing findings with @KirkKnowlton

#Fasting, #HF, and #covid19 -

For those that practice periodic fasting, @DrBenjaminHorne et al found ⬇️HF hospitalizations in those dx’d w/Covid19
@Intermountain

#ACC23

When you catch up to the Alberts and do not necessarily need to pushups… 😂😂😂

Please attend Mike’s talk on pharmacotherapeutics in Obesity. This landscape is changing fast!
@DrDave01 @MichaelAlbertMD
#ACC23

So fun to catch up my friend! @LaneyJonesRx #ACC23 We are #acccvt! 👊🏾

President, Pres-Elect (@Lross246), and Past President (@AmySimonePA).

We ARE Physician Associates👊🏾 @APAC_Cardiology

Why we #ACC23. #TeamBasedCare #PAs

Happening now in #WIC lounge. Discussion on career flexibility.

@SharonneHayes @MinnowWalsh @DrToniyaSingh @gina_lundberg

Why we #ACC23 - learn from, support on another. #HeForShe

Remember, at home, at work, at conference: #KeepArtieHealthy

Take time to keep your brain and heart healthy.

Why we #acc23 - for our patient communities, for our friends and families, for us.

#ExerciseIsMedicine #DropandGiveMe20
Yes, I plan to go back for beignets too 😂😂 https://twitter.com/i/web/status/1632729961197862915

Thank you @JamalRanaMD for stopping to say hi.

I am so grateful for #acc23 to meet so many wonderful colleagues IRL

Dropped by to say hi to my friend @cwojcik
#ACC23

Stopping in to congratulate @shelbyK88 and Michelle Lim PA-C on @EsperionInc #ClearOutcomes Trial.

Why we #acc23. Celebrate successes for therapeutics

Please come to the #acccvt lounge.

Why we #acc23 - to build our networks, meet friends IRL, and enjoy an amazing conference - @baileyannRN

Does disproportionate #CAC (>50 and >100% increase over expected) predict 90-day and 1-year MACE over total CAC score?

#ACC23

So great to meet IRL @MichaelAlbertMD ☺️🙏🏾

Looking forward to your #obesity talk!

Some day we may do #Dropandgiveme20 #acc23

In an era of increased awareness surrounding #APOB, are we measuring this more and how does is relate to LDL-C?

@ldjande3 leading out on @Intermountain data. #acc23 #llt @KirkKnowlton

#ACCCVT #PA #PhysicianAssociate presence is strong at #acc23 @Lross246 @DistyPearson Michael Clark

Finding one of the #carrotsquad ☺️

Listening in on controversies in lipid management 😮, great presentations and food for thought.

Why we #acc23 - meet dear friends and listen to awesome #science, challenge our assumptions