David Winchester
@drdavemd.bsky.social
📤 99
📥 87
📝 283
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
An amazing story of how serendipity led to an entirely new approach to research of the human neurological system @Radiolab
radiolab.org/podcast/brai...
#cardiosky
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Brain Balls
Scientists can now grow tiny, human brain balls. They’re useful, but are they alive?
https://radiolab.org/podcast/brain-balls
4 days ago
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ARPA announces program to support development of AI agents that can help provide CV clinical care to the 46% of U.S. counties that do not have a cardiologist
www.statnews.com/2026/01/13/a...
#cardiosky
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46% of U.S. counties don’t have a cardiologist. ARPA-H’s new agentic AI program could bring them specialized care
Haider Warraich was once the only cardiologist for more than 150,000 people in a rural county. Now he’s running an ARPA-H program to use agentic AI to provide universal access to specialty care.
https://www.statnews.com/2026/01/13/arpa-h-advancing-clinical-agentic-ai-use-heart-disease/
5 days ago
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From
@cardionerds.bsky.social
and
@mkittlesonmd.bsky.social
, the evaluation of advanced heart failure therapies
www.cardionerds.com/434-heart-fa...
#cardiosky
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434. Heart Failure: Advanced Therapies Evaluation with Dr. Michelle Kittleson
The advanced heart failure series launches with a discussion about advanced Therapies Evaluation with Dr. Michelle Kittleson.
https://www.cardionerds.com/434-heart-failure-advanced-therapies-evaluation-with-dr-michelle-kittleson/
5 days ago
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His Cancer Meds Were Nearly $1K A Pill. How Did That Happen?
www.npr.org/2025/05/14/1...
#cardiosky
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His Cancer Meds Were Nearly $1K A Pill. How Did That Happen? : Fresh Air
ProPublica reporter David Armstrong began investigating the pharmaceutical industry when he learned a single pill of his cancer treatment costs about the same as a new iPhone — but costs 25 cents to m...
https://www.npr.org/2025/05/14/1251284830/pharma-prices-investigation
6 days ago
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This may sound crazy, but CPR provided in TV and movies does not represent real-world situations
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Out-of-Hospital Cardiac Arrest and Compression-Only CPR on Scripted Television | Circulation: Population Health and Outcomes
https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012657
6 days ago
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"This is your brain on supplements" @PeterAttiaMD @Freakonomics
freakonomics.com/podcast/this...
#cardiosky
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https://freakonomics.com/podcast/this-is-your-brain-on-supplements/
7 days ago
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"A CACS of ≥1000 in women and ≥1400 in men identifies obstructive CAD at 90% specificity."
www.jscai.org/article/S277...
#cardiosky
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Sex-Specific Coronary Artery Calcium Score Threshold Predictive of Obstructive Coronary Artery Disease
Coronary computed tomography angiography and coronary artery calcium score (CACS) are rapidly being adopted for the noninvasive assessment of coronary artery disease (CAD). One of the primary limitati...
https://www.jscai.org/article/S2772-9303(25)01494-2/fulltext
7 days ago
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Half a million people have been diagnosed with Lyme disease in Australia, a place where the causal bacteria has never been found
art19.com/shows/the-ar...
www.cdc.gov.au/topics/commu...
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Overdiagnosed — How Our Obsession with Medical Testing and Labels Is Making Us Sicker
Modern medicine has given us incredible tools to peer inside the body and spot disease earlier than ever before. But with that power comes a problem: the more we look, the more we find — and not every...
https://art19.com/shows/the-art-of-manliness/episodes/3eda07e0-9cea-43f8-9a6b-6ed1dc74c507
8 days ago
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CMS has a new ambulatory care model that will substantially impact cardiology, stay tuned to this page for info from @ACCinTouch @Cardiology as it develops
www.acc.org/Tools-and-Pr...
#cardiosky
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Ambulatory Specialty Model For Heart Failure - American College of Cardiology
https://www.acc.org/Tools-and-Practice-Support/Advocacy-at-the-ACC/Advocacy-Priorities/Support-Clinicians-in-Providing-Equitable-Value-Based-Care/Ambulatory-Specialty-Model-For-Heart-Failure
8 days ago
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AI models and data centers and how they are affecting your electric bill
www.npr.org/2025/12/19/n...
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What AI data centers are doing to your electric bill : Planet Money
As a country, we are spending more to get data centers up and running than we spent to build the entire interstate highway system. (Yes, that’s inflation-adjusted.) With tech companies spending hundre...
https://www.npr.org/2025/12/19/nx-s1-5649814/ai-data-center-electricity-bill
11 days ago
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Bookmark this page to guide you through your next preop cardiac clinic appt
www.jacc.org/guidelines/p...
@accintouch.bsky.social
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Perioperative Guideline Cardiac Assessment Tool | JACC
Discover the JACC Interactive Tool for a stepwise approach to preoperative cardiac assessment, ensuring safe noncardiac surgery for patients with cardiovascular risks.
https://www.jacc.org/guidelines/perioperative-cardiovascular-management/interactive
12 days ago
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Use Of Independent Medical Review: Almost One-Half Of Coverage Denials Overturned
www.healthaffairs.org/doi/10.1377/...
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Health Affairs Journal
https://www.healthaffairs.org/doi/10.1377/hlthaff.2025.00716
13 days ago
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Congrats to Ohio ACC Chapter for this program at NEOCOM encouraging women to consider careers in Cardiology
@accintouch.bsky.social
thepulse.neomed.edu/articles/med...
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Medical students reflect on ACC event | the PULSE | NEOMED
https://thepulse.neomed.edu/articles/medical-students-reflect-on-acc-event/
13 days ago
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Nursing schools in Baltimore are piloting a primary care program adopted by Costa Rica, which effectively provides door-to-door care for 5 million people @tradeoffspod
tradeoffs.org/2024/06/06/n...
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A New Kind of Primary Care Comes to America
A group of nurses in East Baltimore is piloting a bold plan to bring basic primary care to everybody no matter their age, income or insurance. Can this idea from abroad take root in the United States?
https://tradeoffs.org/2024/06/06/neighborhood-nursing-costa-rica-primary-care/
13 days ago
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Mid-career cardiologists don't miss this opportunity to renew and spend time on your professional growth
@accintouch.bsky.social
www.acc.org/Features/201...
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Cardio Renew - American College of Cardiology
The ACC’s Cardio Renew program is designed to support mid-career ACC members through a virtual-based curriculum focused on resilience, reflection and reconnection.
https://www.acc.org/Features/2019/07/clinican-well-being-portal/Cardio-Renew
14 days ago
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Congratulations to Dr. Bourque, looking forward to your year as President of
@asnc.bsky.social
www.journalofnuclearcardiology.org/article/S107...
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Nuclear cardiology is exciting in 2026: Let's innovate together!
Pioneers have established nuclear cardiology as a fundamental tool in the evaluation of cardiovascular disease [1]. Contemporary clinicians and scientists are building on this strong foundation and ex...
https://www.journalofnuclearcardiology.org/article/S1071-3581(25)00463-5/abstract
15 days ago
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This video from
@jbcarmody.bsky.social
does a DEEP dive into an example from an internal medicine residency and how they develop their Match rank list based on a quantitative formula
www.youtube.com/watch?v=iRPz...
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How to Match at an Ivy League Residency Program
YouTube video by Sheriff of Sodium
https://www.youtube.com/watch?v=iRPz1UpZIdI
28 days ago
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Hey
#cardiosky
,
@glaucomflecken.bsky.social
got us a special gift for Christmas!!
youtu.be/IPQeB3LuxBs?...
🎄
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The Holidays at Glaucomflecken General
YouTube video by Dr. Glaucomflecken
https://youtu.be/IPQeB3LuxBs?si=sO-2zAxuX1zEddq2
29 days ago
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So proud to be part of this cardiac rehab team in @VeteransHealth
news.va.gov/143909/home-...
#cardiosky
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Home-based heart care helps Veteran - VA News
Army Veteran George Dale credits VA’s home-based heart care for changing the course of his life
https://news.va.gov/143909/home-based-heart-care-helps-veteran/
29 days ago
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"Nicotine is a Powerful CV Toxin—Regardless of Delivery Method" @ESC_Journals
academic.oup.com/eurheartj/ad...
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Nicotine and the cardiovascular system: unmasking a global public health threat
Abstract. Nicotine-containing products, whether combustible or smokeless, pose a growing threat to cardiovascular (CV) health. While tobacco smoking contin
https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaf1010/8377624
about 1 month ago
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"Our biggest challenge is not scientific knowledge or options for therapy, it's implementation" Thanks Dr. Sperling and
@thecurbsiders.bsky.social
audioboom.com/posts/881896...
#cardiosky
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#508: ASCVD Risk & Lipids Update! PREVENT, ApoB, Lp(a) + Next-Gen Therapies
Master cardiovascular disease prevention! Learn how to apply the new PREVENT risk calculator, use the CPR framework for risk reclassification, and interpret ApoB and Lp(a) in modern lipid management. ...
https://audioboom.com/posts/8818968-508-ascvd-risk-lipids-update-prevent-apob-lp-a-next-gen-therapies
about 1 month ago
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Among patient with echo showing severe aortic stenosis, 74.3% of men had it in their problem list, compared to 64.1% for women.
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
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Sex Differences in the Clinical Recognition of Significant Aortic Stenosis:
https://www.jacc.org/doi/10.1016/j.jacadv.2025.102370
about 1 month ago
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review of genetic cardiac diseases which concludes a diagnostic yield over half for causes of HCM and long QT syndrome
www.ahajournals.org/doi/10.1161/...
#cardiosky
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American Heart Association Journals
https://www.ahajournals.org/doi/10.1161/JAHA.125.044924
about 1 month ago
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Amazing analysis from 9 countries evaluating risk after T1MI, T2MI, acute injury, and chronic injury showing 4x higher CV risk after T1MI and 2x higher non-CV risk for the others
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
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Cardiovascular Risk Across Myocardial Injury and Infarction Categories Using the Universal Definition: An Individual Patient-Level Data Meta-analysis:
http://www.jacc.org/doi/10.1016/j.jacc.2025.11.043
about 1 month ago
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From 2020-2025, unfilled advanced heart failure and transplant fellowship spots increased from 30% to 52%
www.ajconline.org/article/S000...
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Increasing Rate of Unfilled Training Positions in the Advanced Heart Failure and Transplant Cardiology Match
Anticipated shortages in the cardiologist workforce have sparked increased research and scrutiny of cardiology fellowship training in the United States (US).1,2 Aging patient populations and advances ...
https://www.ajconline.org/article/S0002-9149(25)00511-9/fulltext
about 1 month ago
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When troponin was a terrible assay, it was a great test; when it became a great assay, it became a terrible test (Dr. Robert Jesse); can "long-form" troponin help fix it?
academic.oup.com/eurheartj/ad...
#cardiosky
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Long forms of cardiac troponin T for myocardial infarction diagnosis: the SuperTROPO study
AbstractBackground and Aims. Elevated cardiac troponin levels are a frequent finding in emergency department patients, often without a clear cause. Current
https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaf975/8371124
about 1 month ago
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Lesser observed in the 2026 Medicare Fee schedule are cuts to imaging for amyloidosis (57%, CPT 78803) and the technical payment for stress testing (28%, CPT 93017)
www.asnc.org/news/cms-fin...
@accintouch.bsky.social
@asnc.bsky.social
#cardiosky
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CMS Finalizes Hospital Outpatient Payments for 2026 - ASNC
On Friday, Nov. 21, the Centers for Medicare & Medicaid Services (CMS) released the Hospital Outpatient Prospective Payment System final rule, which sets Medicare payment policy for 2026. Despite ASNC...
https://www.asnc.org/news/cms-finalizes-hospital-outpatient-payments-for-2026/
about 1 month ago
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Reducing the diameter of the coronary sinus to reduce angina and mortality is an idea that goes back >80 yrs and was first tested in a surgical approach by Dr. Claude Beck
www.ajconline.org/article/S000...
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Principles of Coronary Sinus Narrowing to Relieve Myocardial Ischemia and Improve Angina
Effective therapy for patients suffering from refractory angina remains a major unmet need. Chronic angina, which is refractory to medical and interventional therapies, affects patients who are not su...
https://www.ajconline.org/article/S0002-9149(25)00539-9/fulltext
about 1 month ago
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Final projects for my @UF Honors class are in, students create
#SoMe
on a topic in health care they won't get in premed classes. One interviewed prehealth undergrads avoiding medical school due to debt, duration of training, and lifestyle concerns đź‘€
about 1 month ago
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"Plasma concentrations of Lp(a) are approximately 70-90% genetically determined and remain remarkably stable over an individual's lifetime"
www.acc.org/Latest-in-Ca...
@accintouch.bsky.social
#cardiosky
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Feature | Lipoprotein(a): An Independent Risk Factor For CV Disease - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2025/12/01/01/Feature-Lipoprotein-a
about 1 month ago
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Article didn't bury the lede: "Cardiac rehab (CR) remains one of the most underutilized interventions in cardiovascular medicine despite overwhelming evidence that it saves lives, improves quality of life and is cost effective"
www.acc.org/Latest-in-Ca...
@accintouch.bsky.social
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Feature | Maximizing Recovery: Cardiac Rehab in Contemporary CV Care - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2025/12/01/01/Feature-Maximizing-Recovery
about 1 month ago
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ACC Masters, Quality Summit, and other
@accintouch.bsky.social
programs supporting young clinicians in their careers. Thanks for sharing, Dr. Spaeth!
www.acc.org/Latest-in-Ca...
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Online Exclusive | Full Circle: Rediscovering the Heart of Quality Improvement - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2025/12/01/01/Online-Exclusive-Full-Circle
about 1 month ago
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Gamifying step counts resulted in 1000 more daily steps than a control program in patients with PAD
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Effect of Gamification Plus Automated Coaching to Increase Physical Activity Among Patients With Peripheral Artery Disease: The GAMEPAD Randomized Controlled Trial | Journal of the American Heart Asso...
https://www.ahajournals.org/doi/10.1161/JAHA.124.038921
about 1 month ago
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Is the oldest therapy for HF back? RCT shows digitoxin reduces mortality and hospitalization in HFrEF by ~15%
www.nejm.org/doi/10.1056/...
#cardiosky
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Digitoxin in Patients with Heart Failure and Reduced Ejection Fraction | NEJM
The therapeutic efficacy of the cardiac glycoside digitoxin in patients with heart failure and reduced ejection fraction is not established. In this international, double-blind, placebo-controlled ...
https://www.nejm.org/doi/10.1056/NEJMoa2415471
about 1 month ago
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Women in Cardiology, join the Florida ACC in South Florida this winter for an amazing meeting at the Mayfair House Hotel!
accfl.org/event-6390986
@melissalylemd.bsky.social
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Florida Chapter, American College of Cardiology - Women Cardiologists 2026
https://accfl.org/event-6390986
about 1 month ago
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Thanks to
@accintouch.bsky.social
h Innovation Committee for this detailed guide on using the Apple Watch in a clinical setting!
www.acc.org/leveragingap...
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Apple Tool - American College of Cardiology
Leveraging Apple Watch For Cardiovascular Care
https://www.acc.org/leveragingapplewatch
about 1 month ago
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Surgical Precision: One doctor's quest to show how video games can save lives
@99pi.org
www.wbur.org/endlessthrea...
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Surgical Precision: One doctor's quest to show how video games can save lives
Dr. James "Butch" Rosser was a pioneer in minimally invasive surgery in the 1990s. When he credited his skills to video games, people dismissed him. The prevailing narrative was that kids who played v...
https://www.wbur.org/endlessthread/2025/10/21/hidden-levels-video-game-surgery
about 2 months ago
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Please apply for the @ACCinTouch Cardiology Mentorship Program and guide trainees towards careers in cardiology, deadline is next week
www.acc.org/About-ACC/Di...
#cardiosky
@asnc.bsky.social
@scmrorg.bsky.social
@scct-heart.bsky.social
@ase360.bsky.social
@heartrhythmsociety.bsky.social
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ACC Internal Medicine and Pediatric Cardiology Programs - American College of Cardiology
ACC is dedicated to creating a strong, diverse and inclusive pipeline of future cardiovascular physicians and scientists. ACC's Internal Medicine and Pediatric Cardiology Programs are designed to intr...
https://www.acc.org/About-ACC/Diversity-and-Inclusion/ACC-Internal-Medicine-Cardiology-Programs
about 2 months ago
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Florida is short about 3,800 doctors, 66/67 counties have primary care shortages, and over 1/3 of Florida Ob/Gyn docs plan to stop delivering babies in the next 2 years.
www.flmedical.org/florida/Flor...
@floridamedical.bsky.social
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Takeaways from Florida’s physician workforce report
https://www.flmedical.org/florida/Florida_Public/News/2025/Florida_physician_workforce_report.aspx
about 2 months ago
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Survey suggests cardiologists have varying opinions on the inclusiveness of the specialty, article buried the lede that the survey response rate was 83% 🤯
cardiovascularbusiness.com/topics/patie...
#cardiosky
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Is the field of cardiology empowering or stifling? Cardiologists share their perspective
Some cardiologists feel the specialty is inclusive and nothing needs to change, but not everyone agrees with that sentiment. A new survey detailed the perspective of more than 1,500 cardiologists.
https://cardiovascularbusiness.com/topics/patient-care/care-delivery/field-cardiology-empowering-or-stifling-cardiologists-share-their-perspective
about 2 months ago
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MRAs as an underappreciated option for management of HTN
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
#cardiosky
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Mineralocorticoid Receptor Antagonist Use in Hypertension to Prevent Heart Failure:
View all available purchase options and get full access to this article.
https://www.jacc.org/doi/10.1016/j.jchf.2025.02.021
about 2 months ago
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The Doctor Won't See You Now "The U.S. has a physician shortage, created in part by a century-old reform that shut down bad medical schools."
freakonomics.com/podcast/the-...
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https://freakonomics.com/podcast/the-doctor-wont-see-you-now/
about 2 months ago
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One unique opportunity with AI in medicine is to help search for treatments for rare diseases
@radiolab.bsky.social
@davidfajgenbaum.bsky.social
radiolab.org/podcast/the-...
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The Medical Matchmaking Machine
David Fajgenbaum almost died five times before he found his own cure. Now he wants to use AI to find every cure.
https://radiolab.org/podcast/the-medical-matchmaking-machine
about 2 months ago
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Recently purchased a first edition book on nuclear cardiology published in 1977, the chapter on myocardial perfusion written by none other than Dr. Zaret
#cvnuc
#cardiosky
@asnc.bsky.social
about 2 months ago
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Should I trust AI to diagnose me?
tradeoffs.org/2025/10/30/s...
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Should I Trust AI to Diagnose Me?
Physician and New Yorker writer Dhruv Khullar says artificial intelligence is a powerful tool to get quicker and more accurate diagnoses. But it can also be dangerous.
https://tradeoffs.org/2025/10/30/should-i-trust-ai-to-diagnose-me/
about 2 months ago
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The Unique Value of the American College of Cardiology for Cardiac Electrophysiologists
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
@drjcheungep.bsky.social
#cardiosky
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Elevating Practice: The Unique Value of the American College of Cardiology for Cardiac Electrophysiologists
https://www.jacc.org/doi/10.1016/j.jacep.2025.09.040
about 2 months ago
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I appreciate that in this scientific statement on epicardial coronary physiological measurements, the authors expressly state that using angiographic assessment alone is only slightly better than a coin flip.
www.ahajournals.org/doi/10.1161/...
#cardiosky
@sripalbangalore.bsky.social
about 2 months ago
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A personalized framework for BP mgmt in pts > 80, in general benefits > harms for intensive BP lowering, those tolerant of potential risks had the greatest benefits
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
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Hypertension in the Oldest Old:
https://www.jacc.org/doi/10.1016/j.jacadv.2025.102306
2 months ago
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Thanks to the Tennessee Chapter of ACC for the invite to talk about
@accintouch.bsky.social
, the speakers and posters were amazing!
2 months ago
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"In this meta-analysis including individual-patient data from five RCTs, beta-blocker...did not reduce...death..., myocardial infarction, or HF in pts with an LVEF>=50% after MI without other indications for beta-blockers."
www.nejm.org/doi/full/10....
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Beta-Blockers after Myocardial Infarction with Normal Ejection Fraction | NEJM
The benefit of beta-blockers after myocardial infarction in patients with a preserved left ventricular ejection fraction (LVEF) is unclear. We conducted a meta-analysis at the individual-patient le...
https://www.nejm.org/doi/full/10.1056/NEJMoa2512686
2 months ago
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