Professor of Cardiovascular Medicine, Honorary Consultant Cardiologist. Specialist adult cardiovascular care: putting research into practice to benefit patients
Okay, it’s finished. My first
#watercolour
in >25 years.
#AbstractHeart
. Inspired by the cath lab
@cardiorespLTHT
. From the head, no pencilling, just water,
#paint
, paper & fun. Let me know if you want a
#giclee
copy. Actual colours are lighter than in this photo. Please R/T🙂
Orthostatic tachycardia after
#COVID19
by
@trishgreenhalgh
@bmj_latest
“about 25% of
#LongCovid
patients may have dysautonomia & 2-14% will develop orthostatic tachycardia (
#POTS
) 6 to 8 months after infection.”
Anecdotally, seeing more & more of it.
The
@escardio
has temporarily suspended the memberships of the Russian Society of Cardiology & the Belarussian Society of Cardiologists in the ESC.
@trishgreenhalgh
6 open water drownings in Yorkshire in the last 6 days, Trisha (My parents made sure I was
@RLSSUK
competent & a good open water swimmer [with pyjamas on!], & always cautioned us about open water swimming). So tempting, yet so dangerous.
Delighted to announce that the
@TheBHF
have funded me to continue my research into the early detection of cardiovascular diseases, & on this occasion to develop
#FINDHFpEF
, a scalable routine electronic health records tool to detect (& diagnose & treat) individuals with
#HFpEF
Dear
#harrogatehour
, do you know of local businesses who can produce high quality prints of original artwork? I’ve been working on this...
#AbstractHeart
In this national longitudinal study of 4570 patients with
#heartattack
, attendance at
#CardiacRehab
was associated with a temporal improvement in health related quality of life (
#HRQoL
) at up to 12 months following hospital discharge.
@Heart_BMJ
.
There, I think it’s finished (perhaps a few minor stokes needed, then signing).
Please do suggest a name for the
#Watercolourpainting
DM me to purchase a giclee print copy.
Postural orthostatic tachycardia syndrome (
#POTS
) is a complex, multifaceted disorder that commonly affect young
#women
& impairs functional status & quality of life
#wondrmedical
Delighted to be appointed Chair of the
@escardio
EURObservational Research Programme (EORP): 26
#cardiovascular
registries, 80 countries, >140,000 patients; real world evidence to improve international cardiovascular care & outcomes.
Right, listen up. We need to do better; this is absolutely unacceptable:
In this UK survey, more than 1 in 10 cardiology trainees reported
#bullying
. Typically, by a Consultant Cardiologist.
@Heart_BMJ
@DGlaucomflecken
#antibullying
#EMPEROR_PRESERVED
:
✅ reduces
#heartfailure
hospitalisations (this is important)
❌ no statistically significant mortality effect (all-cause or cardiovascular)
❌ no statistically significant renal effects
❌ no clinically important quality of life effects
❌age <70
#HFpEF
Delighted to announce the first impact factor for
@ESC_Journals
#EHJQCCO
was announced today …
… It was 4.370❗️
A fantastic achievement. Thanks to all who have contributed with high quality science, & those who have reviewed & edited.
@Barbara_Casadei
@Steph_Achenbach
Takotsubo cardiomyopathy (broken
#heart
syndrome), is most commonly seen in post-menopausal
#women
who have a stressful event. The adrenaline surge stuns the heart & creates spasm in the coronary arteries. But what’s the prognosis?
@ESC_Journals
*UPDATE*
To all of you who have ordered a Giclée copy of
#AbstractHeart
, the printers should have finished next week; thereafter I will be posting a copy to you. Thanks for being patient!
If anyone else would like to purchase a copy, then please DM me.
#watercolourpainting
Whenever there is a trial not supporting cardiothoracic surgery, the surgeons are up in arms & defensive.
Whenever there is trial not supporting PCI, the ICs are up in arms & defensive.
Oldest daughter has very kindly spent a few hours preparing packaging & postage for
#AbstractHeart
. Thanks for your patience; hopefully your
#watercolourpainting
will be with you soon ... I’ll let you know when it is with the Royal Mail.
This week a patient told me that I “saved their life”.
Typically, I’m not an emotional person, but I paused for a moment & it brought a tear to my eye.
I said thank you for saying thank you, & we agreed that it wasn’t just me who helped.
It is a privilege to be in healthcare.
‘Very short episodes (≤10-20 s/day) of AHRE/subclinical
#AFib
are irrelevant, as not associated with longer episodes or increased risk of
#stroke
/ systemic embolism. However, longer episodes (minimum 5-6 min) are associated with increased risk of
#AF
, ischaemic stroke & MACE’
National sample of
#USA
adults, suggests that those who engage in both aerobic & muscle strengthening activities have 40% reduced risk of death.
@bmj_latest
😶, writing another grant to address a
#cardiovascular
topic that needs resolving:
If continuing beta-blocker treatment beyond 1 year after a
#heartattack
improves outcomes for people with normal
#heart
function - randomised clinical trial.
Drawing could put a face on SARS-CoV-2 & allow for a better grasp of the reality of the
#COVID19
pandemic. Twenty children aged 4 - 14 years were asked to draw a
#coronavirus
as they imagined it, without reference to any model
@bmj_latest
The EMPEROR-Preserved trial met its primary endpoint & demonstrated significant risk reduction with
#empagliflozin
for the composite of
#cardiovascular
death or heart failure hospitalisation in adults with
#heartfailure
with preserved ejection fraction.
Our publication in
@NatRevCardiol
evidencing the huge burden that
#cardiovascular
disease has across
#Europe
In Europe:
❌CVD is the commonest cause of death
❌More
#women
than men die from CVD
❌Geographic variation
.
Don’t underestimate the power of positive
#feedback
. (Tough start to the week, one way or another, softened by this result from the
@LeedsHospitals
@cardiorespLTHT
friends & family test). Thanks! 😊 🌈
#NHS
2023 ACC/AHA/ACCP/HRS guideline for
#AFib
Note the new classification (based on stages) & associated management recommendations
Stage 1 ▶️ At risk for AF
Stage 2 ▶️ Pre AF
Stage 3 ▶️ AF
Stage 4 ▶️ Permanent AF
QRISK4 for cardiovascular disease risk prediction.
Includes 7 new risk factors for men & women:
brain
#cancer
lung cancer
#downsyndrome
blood cancer
#COPD
oral cancer
learning disability
& 2 new risk factors in women:
pre-eclampsia
postnatal
#depression
A smartphone application using
#AI
technology to detect aortic stenosis from electronic heart sounds achieved a sensitivity, specificity, accuracy & F1 value of 97.6%, 94.4%, 95.7% & 0.93, which was higher than a consensus of cardiologists
@ESC_Journals
Our systematic review & meta-analysis found 59 prediction models for incident
#heartfailure
applicable in the community. They had high risk of bias, variables missingness, low certainty of evidence & lack of impact studies meaning utility is uncertain.
@TheBHF
funded me to work out if the GRACE risk score was effective in admissions with suspected NSTEACS
The findings are in
@bmj_latest
UKGRIS:parallel group cluster RCT with clinical events captured through routine national data
In this meta-analysis of 17 RCTs of all-comers with NSTEACS, Dr Tom Kite found that an early versus delayed invasive strategy did not ⬇️ all-cause mortality, MI, admission for heart failure, repeat re-vascularisation, or ⬆️ major bleeding or stroke.
#AbstractHeart
seems to have generated quite some interest! DM me if you want to order a print copy. (Thanks to those of you who have already ordered; I’m waiting for the test print before I contact you to confirm).
I’ve blended the clouds some more ...
#Askwith
Moor in Winter 2020, looking south towards
#Otley
& the Chevin, from the Westward track before the steep drop towards Timble.
#NorthYorkshire
. (Better to
#cycle
northwards along the tops given the prevailing wind).
‘A decline in eGFR in the context of a stable or improving clinical [heart failure] condition should therefore not be cause for concern & should not lead to discontinuation of life-saving HFrEF therapies.’
~1/2 patients undergoing coronary angiography for known or suspected
#angina
have nonobstructed epicardial coronary arteries, & microvascular angina &/or vasospastic angina may be relevant by
@ColinBerryMD
@JACCJournals
This morning, I'm writing a few slides for a talk, & find the
@escardio
Atlas of Cardiology suite of publications an asset for background 'burden of
#cardiovascular
disease' information (but as an author of the work, I'm biased!)
Do take a look.👀
Delighted to inform you that our CLARITY randomised controlled trial has been funded by the
@NIHRresearch
HTA, seeking to address the most serious manifestation of peripheral arterial disease.
Looking forward to releasing our Quality Indicators for
#HeartFailure
These will be the first suite
@escardio
#QualityIndicators
for heart failure developed in conjunction with
#HFA_ESC
Aiming to improve care & outcomes for people with heart failure
Watch this space