David Winchester
@drdavemd.bsky.social
š¤ 108
š„ 89
š 398
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
Subanalysis from the ISCHEMIA trial, 25% of nuclear and 15% of echo read by the sites as moderate ischemia was none/mild read by the core lab
www.ahajournals.org/doi/epub/10....
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https://www.ahajournals.org/doi/epub/10.1161/CIRCOUTCOMES.125.012920
about 10 hours ago
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I appreciate a thorough manuscript review as much as the next author, but have you ever gotten a review with 2/3 the word count and almost the same number of references as the manuscript being reviewed?
about 13 hours ago
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@accintouch.bsky.social
continues to advocate for changes to Medicare's ambulatory specialty care model for heart failure
www.acc.org/Latest-in-Ca...
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Heart of Health Policy | ACC Urges Changes as Ambulatory Specialty Model Approaches - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2026/07/01/01/Heart-of-Health-Policy
about 14 hours ago
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Over 6 years, an academic center cardiology practice saw 16K new patients, 45% of which were via telemedicine, resulting in broader geographical reach and reduced wait times
www.ahajournals.org/doi/10.1161/...
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Telemedicine Use and Access to Care for New Patients at an Academic Cardiovascular Center: An Analysis of Geographic Reach and Wait Times | Journal of the American Heart Association
https://www.ahajournals.org/doi/10.1161/JAHA.125.047754
1 day ago
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Thanks to
@minnowwalsh.bsky.social
et al for the updated universal definition of heart failure
@accintouch.bsky.social
@escardio.bsky.social
@worldheart.org
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026):
https://www.jacc.org/doi/10.1016/j.jacc.2026.05.036
7 days ago
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Our summary of the latest
@accintouch.bsky.social
h guidelines on perioperative management are published in
@jama.com
jamanetwork.com/journals/jam...
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Perioperative Cardiovascular Medication Management for Noncardiac Surgery
This JAMA Clinical Guidelines Synopsis summarizes the 2024 recommendations from the American Heart Association and American College of Cardiology on perioperative cardiovascular medication management ...
https://jamanetwork.com/journals/jama/fullarticle/2846882
8 days ago
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Signals have arrived to cardiology fellowship process, almost every applicant and program used them, but did you know that the AVERAGE number of programs applied from a single candidate was 90 (down from 96)?
@jaccjournals.bsky.social
www.jacc.org/doi/epdf/10....
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Insights from the First Year of Program Signaling in Cardiovascular Disease Fellowship Recruitment:
View all available purchase options and get full access to this article.
https://www.jacc.org/doi/epdf/10.1016/j.jacc.2026.06.028
9 days ago
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Insightful comments from
@hmkyale.bsky.social
on the complexity of interpreting population level data and risk adjustment
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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When the Same Patient Is Not the Same Patient: The Will Rogers Phenomenon in Contemporary Cardiovascular Care
https://www.jacc.org/doi/10.1016/j.jacc.2026.05.009
12 days ago
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Meta-analysis finds that GLP1s improve outcomes for HFpEF but not HFrEF
www.ajconline.org/article/S000...
#cardiosky
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Divergent Efficacy of GLP-1 Receptor Agonists in HFpEF Versus HFrEF: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
GLP-1 receptor agonists (GLP-1 RAs) are increasingly evaluated for cardiovascular outcomes, including heart failure (HF), due to their weight-reducing and anti-inflammatory effects. Individual trials ...
https://www.ajconline.org/article/S0002-9149(26)00299-7/fulltext
12 days ago
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Federal charges for director of a CV practice in Florida for an $89 million health care fraud scheme involving unnecessary cardiovascular testing such as EKGs and echocardiograms performed on student athletes on college campuses.
oig.hhs.gov/fraud/consum...
#cardiosky
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Consumer Alert: Cardiovascular Testing Scam
The U.S. Department of Health and Human Services, the Centers for Medicare & Medicaid Services, and the Office of Inspector General (HHS-OIG) is alerting consumers, especially parents, caregivers, ath...
https://oig.hhs.gov/fraud/consumer-alerts/consumer-alert-cardiovascular-testing/
12 days ago
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We need to continue to encourage people to engage in aerobic activity to reduce risk of heart disease, but don't forget that resistance training benefits as well!
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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Resistance Training, Aerobic Activity, Television Viewing, and Risk of Major Cardiovascular Events in U.S. Women:
https://www.jacc.org/doi/10.1016/j.jacc.2026.04.036
13 days ago
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Almost 20% of cardiologists identified for new CMMI model payment program for HF should not be on the list
@accintouch.bsky.social
cardiovascularbusiness.com/topics/healt...
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Hundreds of cardiologists incorrectly added to new mandatory payment model
When CMS shared a list of cardiologists being targeted with a brand new payment model, the American College of Cardiology identified a long list of apparent mistakes.
https://cardiovascularbusiness.com/topics/healthcare-management/healthcare-policy/hundreds-cardiologists-incorrectly-added-new-mandatory-payment-model
13 days ago
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Stepwise case from @curbsiders.bsky.social and
@cpsolvers.bsky.social
walks through a patient with loss of consciousness and the relevant differentials
audioboom.com/posts/891640...
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#529 A Case of Syncope with the Clinical Problem Solvers
Enjoy the ride as we go through a case of syncope with the Clinical Problem Solvers (https://clinicalproblemsolving.com/) ! Listen in awe as they break down their thought process when evaluating aā¦
https://audioboom.com/posts/8916400-529-a-case-of-syncope-with-the-clinical-problem-solvers
15 days ago
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Excellent, practical explanation of what diastolic dysfunction is and how to assess it using the most recent
@ase360.bsky.social
guidelines
#echofirst
www.ahajournals.org/doi/10.1161/...
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Past, Present, and Future of Evaluating Diastolic Function | Circulation: Cardiovascular Imaging
The assessment of left ventricular diastolic function started with invasive pressure measurements and is currently primarily based on echocardiographic imaging. The current approach to the diagnosis o...
https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.125.018986
16 days ago
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Incredible story about how more than a dozen doctors gave one man different opinions on his diagnosis and how he navigated the dilemma
omny.fm/shows/revisi...
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The Trust Diagnosis - Revisionist History
The episode centers on the dilemma of a man with an advanced, metastatic case of prostate cancer. His name is Dan. Every doctor he spoke to had a different opinion on what he should do ā or whether it...
https://omny.fm/shows/revisionist-history/the-trust-diagnosis
21 days ago
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Check out the new podcast from Dr. Manshadi, The Physicians Pulse
www.youtube.com/@ThePhysicia...
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The Physician's Pulse
Welcome to Physician's Pulse, a podcast hosted by Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This ...
https://www.youtube.com/@ThePhysiciansPulse
25 days ago
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TIL: there are companies that will manufacture custom supplements that you can label/brand/market however you want
www.npr.org/2026/06/05/n...
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Why is there a supplement craze if they donāt even work? : Planet Money
One reason the $70 billion supplement industry is set to double in the next seven years? Lax regulation.On today's show, we tell the story of a century-long battle between the U.S. government and ⦠yo...
https://www.npr.org/2026/06/05/nx-s1-5847893/why-is-there-a-supplement-craze-if-they-dont-even-work
27 days ago
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Study will screen patients with abnormal echo (diastolic dysfx, HF, VHD, LVH, etc.) for occult AFib with 7 day ECG screening q3mo for a year
www.ajconline.org/article/S000...
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Screening of Atrial Fibrillation/Arrhythmia Events in Patients With Abnormal ECHOcardiographic Parameters: The Randomized, Prospective SAFE-ECHO Study Design and Rationale
Atrial fibrillation (AF) screening is important because AF can be paroxysmal and asymptomatic. Although AF is closely linked to certain abnormal echocardiographic parameters, these parameters haveā¦
https://www.ajconline.org/article/S0002-9149(26)00250-X/fulltext
about 1 month ago
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Meta-analysis suggests that BB may reduce MACE in patients with HFpEF and HFmrEF
www.ajconline.org/article/S000...
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Revisiting Beta-Blockers in Heart Failure With Preserved Ejection FractionāA Systematic Review and Meta-analysis
Despite advances in device therapy and the emergence of novel treatments, beta-blockers (BBs) remain a commonly prescribed medication in heart failure (HF). However, HF with preserved ejectionā¦
https://www.ajconline.org/article/S0002-9149(26)00107-4/fulltext
about 1 month ago
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CVD costs the US $500 billion a year with average hospitalizations costing about $20K each
www.ajconline.org/article/S000...
#cardiosky
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The Economic Burden of Cardiovascular Disease in the United States
Cardiovascular disease (CVD) is the leading cause of death in the United States and a major driver of healthcare spending. Combined direct costs, such as hospitalizations, procedures, and medications,...
https://www.ajconline.org/article/S0002-9149(26)00249-3/fulltext
about 1 month ago
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Randomized trial of ketones in acute decompensated HF shows a dose/time linkage to increase in cardiac output
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
about 1 month ago
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A story about how setting standards for products shared between manufacturers and that cross international borders can make things better for consumers and producers.
@99pi.org
99percentinvisible.org/episode/100-...
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100 Objects #2: 60-Degree Screw - 99% Invisible
A small metal screw, cut to a precise angle. How did one country quietly decide how the modern world holds together? In this episode, Roman and historian Daniel Immerwahr tell the story of the screw a...
https://99percentinvisible.org/episode/100-objects-002-60-degree-screw/
about 1 month ago
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2013-2023, volume of MUGA scans decreased 75%, now ~ 10,000 done annually in Medicare population @JNCjournal @almallahmo
www.journalofnuclearcardiology.org/article/S107...
#cardiosky
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National trends in MUGA utilization and reader workload (2013ā2023)
Multi-gated acquisition
https://www.journalofnuclearcardiology.org/article/S1071-3581(26)00023-1/fulltext
about 1 month ago
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"Breast artery calcium...on routine mammography identifies women at...cardiovascular risk...supporting its potential role as a scalable, no-added-cost marker to enhance cardiovascular risk assessment in women"
www.ajconline.org/article/S000...
#cardiosky
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Breast Arterial Calcification on Mammography and Cardiovascular Outcomes in Women: A Meta-analysis
Breast arterial calcification (BAC) is commonly observed on screening mammography and may provide a low-cost opportunistic marker to enhance cardiovascular risk assessment in women, in whom cardiometa...
https://www.ajconline.org/article/S0002-9149(26)00190-6/fulltext
about 1 month ago
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Antibiotic resistance and what food industries and medical researchers are doing to address it
@radiolab.bsky.social
radiolab.org/podcast/anti...
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Antibiotic Apocalypse
Can we win in the fight against antibiotic-resistant bacteria?
https://radiolab.org/podcast/antibiotic-apocalypse
about 1 month ago
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"The nocebo effect explained the problem [with statins]. It should not be our excuse for accepting it."
@hmkyale.bsky.social
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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Time to Move Beyond the Statin Nocebo Effect:
https://www.jacc.org/doi/10.1016/j.jacc.2026.04.002
about 2 months ago
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"How is AI reshaping human reasoning? What is cognitive surrender, and how do we avoid its negative impact?"
youarenotsosmart.com/2026/04/13/y...
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YANSS 337 ā How to preserve your critical thinking and avoid cognitive surrender when using AI to solve problems, make decisions, and learn new things
How is AI reshaping human reasoning? What is cognitive surrender, and how do we avoid its negative impact? What is system three thinking, and how can we get the most out of it? Artificial intelligeā¦
https://youarenotsosmart.com/2026/04/13/yanss-337-how-to-maintain-your-critical-thinking-and-avoid-cognitive-surrender-when-using-ai-to-solve-problems-make-decisions-and-learn-new-things/
about 2 months ago
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From 2019 to 2023, for patients with low risk chest pain presenting to the ED for evaluation, CV testing was increasingly deferred (67% to 82%)
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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Trends in the Evaluation of Acute Chest Pain: An Analysis of the Chest Pain-MI National Cardiovascular Data Registry
https://www.jacc.org/doi/10.1016/j.jcmg.2026.03.012
about 2 months ago
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Ivabradine vs. propranolol for POTS, both decreased HR, pts had higher SBP on ivabradine
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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Ivabradine, Propranolol, and Placebo for Postural Orthostatic Tachycardia Syndrome (POTS): A Randomized Crossover Trial
https://www.jacc.org/doi/10.1016/j.jacc.2026.03.167
about 2 months ago
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Amazing backstory about how pharmaceuticals get their names, including blockbusters like Viagra and Prilosec
@99pi.org
99percentinvisible.org/episode/667-...
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Ask Your Doctor About - 99% Invisible
Watching television in the middle of the day can feel like half the words on the screen have been scrambled. Ebglyss. Bimzelx. Cobenfy. The brand names of prescription drugs have drifted so far from o...
https://99percentinvisible.org/episode/667-ask-your-doctor-about/
about 2 months ago
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"in a sample of 1000 patients...CCTA would result in an inappropriate estimate of risk in 81 patients compared with risk estimation based on the RCRI alone." VISION trial of CCTA for periop CV risk
www.bmj.com/content/350/...
#cardiosky
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https://www.bmj.com/content/350/bmj.h1907.long
about 2 months ago
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Point of care troponin can accelerate decision making in the ED, but also have a nontrivial chance of false positive test in patients with no evidence of ACS
@jaccjournals.bsky.social
www.jacc.org/doi/epdf/10....
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False-Positive High-Sensitivity Troponin I in Clinical Practice
Reader environment loaded
https://www.jacc.org/doi/epdf/10.1016/j.jaccas.2026.107387
about 2 months ago
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Screening Strategies for Identification of Transthyretin Amyloid Cardiomyopathy
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
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Screening Strategies for Identification of Transthyretin Amyloid Cardiomyopathy:
View all available purchase options and get full access to this article.
https://www.jacc.org/doi/10.1016/j.jchf.2026.103018
about 2 months ago
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What Makes Judy Faulkner Run? An interview with the long time CEO of Epic systems and her philosophy of the company and its products
@Freakonomics.bsky.social
freakonomics.com/podcast/what...
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https://freakonomics.com/podcast/what-makes-judy-faulkner-run/
2 months ago
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Doctors Hated the No Surprises Act. Now Some Are Getting Rich Off of It.
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Doctors Hated the No Surprises Act. Now Some Are Getting Rich Off of It.
Doctors are winning big paydays from insurers under a law intended to protect patients and rein in high prices.
https://tradeoffs.org/2026/04/30/doctors-hated-the-no-surprises-act-now-some-are-getting-rich-off-of-it/
2 months ago
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Among people aged 18-65, methamphetamine use may be responsible for almost 15% of heart attacks and was the strongest predictor of mortality
www.ahajournals.org/doi/10.1161/...
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Methamphetamine Use Among Adult Patients Presenting With Acute Coronary Syndrome: A SingleāCenter Retrospective Cohort Study | Journal of the American Heart Association
https://www.ahajournals.org/doi/10.1161/JAHA.125.046514
2 months ago
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The Art of Manliness: Become an Automatic Millionaire
art19.com/shows/the-ar...
@artofmanliness.bsky.social
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The Art of Manliness
The Art of Manliness Podcast aims to deepen and improve every area of a man's life, from fitness and philosophy, to relationships and productivity. Engaging and edifying interviews with some of the wo...
https://art19.com/shows/the-art-of-manliness
2 months ago
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Cranberries are not effective for treating hypertension
onlinelibrary.wiley.com/doi/abs/10.1...
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The Effect of Cranberry Consumption on Blood Pressure: A Systematic Review and MetaāAnalysis of Randomized Controlled Trials
We examined the effects of cranberry consumption on blood pressure. Cranberry consumption has no significant effect on systolic (SBP) and diastolic blood pressure (DBP). Cranberry consumption provide...
https://onlinelibrary.wiley.com/doi/abs/10.1002/clc.70254
2 months ago
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Great discussion with Dr. Sam Jones and Dr. Newton Wiggins on advocacy through
@accintouch.bsky.social
www.acc.org/latest-in-ca...
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ACC Practice Made Perfect: How to Get Your Start in Advocacy - American College of Cardiology
https://www.acc.org/latest-in-cardiology/articles/2026/04/20/15/21/pmp_20apr2026
3 months ago
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For 2 hours of some of the most wholesome medical content you will find on the internet, watch
@glaucomflecken.bsky.social
and
@realdoctormike.bsky.social
talk about
#SoMe
, comedy, medfluencers, and of course, Visine
www.youtube.com/watch?v=49T3...
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Medical Influencers Need Help | Dr. Glaucomflecken
YouTube video by Doctor Mike
https://www.youtube.com/watch?v=49T38wuqF1M
3 months ago
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Dr. Bob Wachter visits Tradeoffs to discuss the future of AI in healthcare
tradeoffs.org/2026/03/05/w...
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āWe Canāt Afford All These Humansā: A Doctor's Take on AI in Health Care
We talk with physician and writer Bob Wachter about why heās cautiously optimistic that artificial intelligence will usher in a āgolden ageā of medicine ā and the questions he still has about these po...
https://tradeoffs.org/2026/03/05/we-cant-afford-all-these-humans-a-doctors-take-on-ai-in-health-care/
3 months ago
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@deptvetaffairs.bsky.social
has been leading the way with cardiac rehab by implementing home based models. Veteran enrollment increased 3% from 2012-2022 while Medicare decreased 2%. Still lots of work to go getting this proven strategy to heart patients!
www.ahajournals.org/doi/10.1161/...
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Trends in Cardiac Rehabilitation Participation Among Veterans and Medicare Beneficiaries With Stable Heart Failure, 2012 to 2022 | Journal of the American Heart Association
On April 14, 2026, the AHA Journals will be under maintenance. Some features (alert sign-ups, article/issue purchases, account customizations/activations, and comment submissions) may be unavailableā¦
https://www.ahajournals.org/doi/10.1161/JAHA.125.046945
3 months ago
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State of the art in cardiogenic shock
www.ajconline.org/article/S000...
#cardiosky
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Cardiogenic Shock: A State-of-the-Art Review
Cardiogenic shock (CS) is a life-threatening state of poor tissue perfusion, historically thought to be caused by acute myocardial infarction (AMI) but increasingly linked to non-AMI etiologies, most ...
https://www.ajconline.org/article/S0002-9149(26)00068-8/fulltext
3 months ago
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Congrats to
@dineshkalra.bsky.social
and the Kentucky ACC for your advocacy on Prior Auth reform!
legiscan.com/KY/bill/HB17...
@accintouch.bsky.social
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Kentucky HB176 | 2026 | Regular Session
Summary (2026-04-01) AN ACT relating to prior authorization. [delivered to Governor]
https://legiscan.com/KY/bill/HB176/2026
3 months ago
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Vast areas of the US have little to no access to cardiac CT, MRI, or PET @jaccjournals @bsky.social
www.jacc.org/doi/10.1016/...
#cardiosky
#whyCMR
#YesCCT
#CVNuc
3 months ago
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"skinny" labels for generic drugs to be tested by SCOTUS
tradeoffs.org/2026/03/26/g...
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Generic Drugs Head to the Supreme Court
The justices are set to hear Hikma v. Amarin, a battle over drug patents that could raise costs for patients and change the way generic companies do business.
https://tradeoffs.org/2026/03/26/generic-drugs-head-to-the-supreme-court/
3 months ago
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In patients with HF, diet w/legumes& veg led to better outcomes, grains led to worse outcomes
#foodismedicine
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
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Diet and Clinical Outcomes in a Heart Failure Population:
https://www.jacc.org/doi/10.1016/j.jchf.2025.102728
3 months ago
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So proud to be part of the
@accintouch.bsky.social
Chapters and share in their many successful programs!
#cardiosky
www.acc.org/Latest-in-Ca...
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Feature | State of the States 2025: ACC Chapters Advancing CV Care Through Education, Advocacy, and Connection - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2026/04/01/01/State-of-the-States-2025
3 months ago
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Noninvasive imaging for coronary artery anomalies
#cardiosky
onlinelibrary.wiley.com/doi/full/10....
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https://onlinelibrary.wiley.com/doi/full/10.1111/echo.70441
3 months ago
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Using AI in medical education
www.sciencedirect.com/science/arti...
3 months ago
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