David Winchester
@drdavemd.bsky.social
📤 94
📥 84
📝 197
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
Prevalence of pulmonary hypertension in HF is about 50%, with some variation depending on use of echo vs. RHC and HFpEF vs HFrEF. Unfortunately, the I2 heterogeneity is almost 100%
onlinelibrary.wiley.com/doi/epdf/10....
#cardiosky
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Prevalence of Pulmonary Hypertension in Individuals With Heart Failure: A Systematic Review and Meta‐Analysis
You have to enable JavaScript in your browser's settings in order to use the eReader.
https://onlinelibrary.wiley.com/doi/epdf/10.1002/clc.70197
1 day ago
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A trio of new documents lays out methods behind
@accintouch.bsky.social
and AHA guidelines, including a $120K threshhold for QALY in the US.
@jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...
www.jacc.org/doi/10.1016/...
www.jacc.org/doi/10.1016/...
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2025 ACC/AHA Clinical Practice Guidelines Core Principles and Development Process: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidel...
https://www.jacc.org/doi/10.1016/j.jacc.2025.06.013
3 days ago
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The Tuskegee Syphilis Experiment
@syskpodcast.bsky.social
omny.fm/shows/stuff-...
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The Tuskegee Syphilis Experiment - Stuff You Should Know
As part of our shameful history series, today we dive into the Tuskegee Syphilis Experiments of the 1930s, 40s, 50s, 60s and into the 70s.
https://omny.fm/shows/stuff-you-should-know-1/the-tuskegee-syphilis-experiment
3 days ago
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The
@accintouch.bsky.social
cosigned a letter from the
@ama-assn.org
to exempt physicians from the new, $100K H-1B visa application fee
searchlf.ama-assn.org/letter/docum...
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https://searchlf.ama-assn.org/letter/documentDownload?uri=%2Funstructured%2Fbinary%2Fletter%2FLETTERS%2Flfimg.zip%2FSign-on-Letter-Restriction-on-Entry-of-Certain-Nonimmigrant-Workers-Proclamation-9-25-25.pdf
3 days ago
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Mortality in type 1 MI is higher in the short term (<30days post discharge) and lower in the long term (>30 days)
www.ahajournals.org/doi/10.1161/...
@cianpmccarthy.bsky.social
#cardiosky
www.ahajournals.org/doi/10.1161/...
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Temporal Trends, Patient Characteristics, and Outcomes of Type 2 Versus Type 1 Myocardial Infarction Among Medicare Beneficiaries | Circulation: Cardiovascular Quality and Outcomes
BACKGROUND: Type 2 myocardial infarction (MI) is common among older adults and is associated with adverse outcomes in single-center studies. We aimed to examine temporal trends and compare outcomes be...
https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012136
5 days ago
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Accuracy of
#AI
based measurements on echocardiography
www.jacc.org/doi/10.1016/...
#cardiosky
@jaccjournals.bsky.social
6 days ago
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Coffee consumption and gut microbiota
www.nature.com/articles/s41...
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Coffee consumption is associated with intestinal Lawsonibacter asaccharolyticus abundance and prevalence across multiple cohorts - Nature Microbiology
Coffee consumption is associated with the presence and abundance of a specific member of the human gut microbiome, Lawsonibacter asaccharolyticus, and changes to the plasma metabolome.
https://www.nature.com/articles/s41564-024-01858-9
6 days ago
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Cardiologists, please consider signing up to for the @ACCinTouch Internal Medicine and Pediatrics programs, it has been a great experience this year to serve as a mentor!
www.acc.org/About-ACC/Di...
#cardiosky
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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
10 days ago
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The global health workforce needs more support to keep our population healthy
cardiovascularbusiness.com/topics/healt...
@chriskramermd.bsky.social
@accintouch.bsky.social
#cardiosky
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ACC: Global health workforce is in need of investment to combat noncommunicable diseases
The American College of Cardiology has committed to reducing morbidity and mortality from noncommunicable diseases by 30% by 2030, but significant investments will be needed to expand the healthcare w...
https://cardiovascularbusiness.com/topics/health-disparities/acc-global-health-workforce-need-investment-combat-noncommunicable-diseases
10 days ago
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Excellent review on Cardiac Amyloid Radionuclide Imaging or CARI
@asnc.bsky.social
www.journalofnuclearcardiology.org/article/S107...
#cardiosky
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How to perform and interpret cardiac amyloidosis radionuclide imaging (CARI)
Cardiac amyloidosis radionuclide imaging (CARI) has transformed the diagnostic approach to suspected transthyretin cardiomyopathy (ATTR-CM), enabling non-invasive diagnosis and reducing the need for b...
https://www.journalofnuclearcardiology.org/article/S1071-3581(25)00322-8/fulltext
10 days ago
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I personally welcome AI improvements of the current algorithms that attempt to pre-read ECGs
www.jacc.org/doi/10.1016/...
#cardiosky
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https://www.jacc.org/doi/10.1016/j.jacc.2025.02.008
11 days ago
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Most of the expansion of medical schools and residencies is occurring in sites where the "faculty" did not expect to become teachers
jamanetwork.com/journals/jam...
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The Accidental Teacher—Direct-Care Physicians Increasingly Placed in Teaching Roles
This Viewpoint discusses ways for health systems, professional societies, and academic physicians to develop and share effective teaching materials and strategies with community-based colleagues.
https://jamanetwork.com/journals/jama/fullarticle/2825798
11 days ago
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Great to hear Dr. Tony Bavry's voice again on this episode of
@cardionerds.bsky.social
discussing severe ASx aortic stenosis
www.cardionerds.com/427-the-appr...
#cardiosky
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320. TAVR and Stroke with Dr. Samir Kapadia
Join CardioNerds for an in-depth episode on the approach and management of asymptomatic severe aortic stenosis.
https://www.cardionerds.com/427-the-approach-to-asymptomatic-severe-aortic-stenosis-with-dr-parth-desai-and-dr-tony-bavry/
12 days ago
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Thanks to
@emjreviews.bsky.social
for the feature
www.emjreviews.com/cardiology/a...
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From Imaging to Advocacy: Interview with David E. Winchester
The technology that I use most frequently is coronary flow reserve combined with PET perfusion imaging and coronary artery calcium scoring...
https://www.emjreviews.com/cardiology/article/from-imaging-to-advocacy-interview-with-david-e-winchester/
14 days ago
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Asking for a friend … which jobs are safe from AI?
@planetmoney.bsky.social
www.npr.org/2025/09/10/n...
Is your job high on EPOCH?
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Asking for a friend … which jobs are safe from AI? : Planet Money
There’s one question we seem to be hearing everywhere: “Is my job safe from AI?” Dozens of you, our listeners, have written to us about this. Saying things like, “Maybe my yoga teacher side gig is act...
https://www.npr.org/2025/09/10/nx-s1-5534485/ai-onet-jobs-safe-list
18 days ago
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New collaboration with Dr. Pepine on the practice of NPO at midnight for cardiac cases. Congrats to Ethan Kramer for the great work!
@ufmedicine.bsky.social
www.sciencedirect.com/science/arti...
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NPO at midnight: A historical rule in need of evidence-based reform
https://www.sciencedirect.com/science/article/pii/S2666602225001065?via%3Dihub
19 days ago
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CMS is proposing to reassign CPT 78803, used for imaging of cardiac amyloidosis, to a new APC. The change will result in a 57 percent cut starting next year.
@asnc.bsky.social
#cardiosky
votervoice.net/ASNC/Campaig...
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PYP/Amyloid Code to Decrease 57% with Proposed APC Reassignment
Tell CMS This Proposal Must Not Be FinalizedThe Centers for Medicare & Medicaid Services (CMS) is proposing to reassign CPT 78803 to a new ambulatory payment classification (APC). This change woul...
https://votervoice.net/ASNC/Campaigns/129977/Respond
20 days ago
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The PARTHENOPE trial applied the DAPT score to customize duration of DAPT in patients with chronic and acute coronary syndromes, effectively reducing adverse events
@accintouch.bsky.social
www.jacc.org/doi/epdf/10....
#cardiosky
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Personalized or Standard Duration of Dual Antiplatelet Therapy after Percutaneous Coronary Intervention: PARTHENOPE Randomized Trial:
View all available purchase options and get full access to this article.
https://www.jacc.org/doi/epdf/10.1016/j.jacc.2025.08.040
21 days ago
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Practice made perfect, jumpstarting your research career from
@accintouch.bsky.social
www.acc.org/Latest-in-Ca...
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ACC Practice Made Perfect: Acing the Transition: How to Kickstart Your Research Career - American College of Cardiology
https://www.acc.org/Latest-in-Cardiology/Articles/2025/09/05/13/28/PMP_05sep2025
21 days ago
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In a randomized trial, ivabradine had no effect on reducing post-op MI
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Ivabradine in Patients Undergoing Noncardiac Surgery: a Randomized Controlled Trial | Circulation
Background: Perioperative beta-blockade lowers heart rate and decreases the risk of myocardial infarction but increases the risk of hypotension, death, and stroke. Ivabradine, a selective heart rate–l...
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.125.076704
27 days ago
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From
#ESCCongress
2025, the POTCAST trial showed that among patients with an ICD, setting a goal of high normal potassium was associated with fewer arrhythmia events
www.nejm.org/doi/full/10....
#cardiosky
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Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias | NEJM
Hypokalemia and even low-normal plasma potassium levels increase the risk of ventricular arrhythmias among patients with cardiovascular disease. An assessment of a strategy of actively increasing p...
https://www.nejm.org/doi/full/10.1056/NEJMoa2509542
27 days ago
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In this large cohort study, typical angina with zero CAC was associated with 3.9% MACE over 3.5 years with 27% prevalence of obstructive CAD, although note that zero sx with zero CAC in the same cohort had 9.8% prevalence of obstructive CAD
link.springer.com/article/10.1...
#YesCCT
#cardiosky
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The role of chest pain symptoms in predicting coronary artery disease severity and MACE events in patients with zero CAC: a study from a large CCTA cohort - The International Journal of Cardiovascular...
Coronary artery calcium (CAC) is a well-established predictor of major adverse cardiovascular events (MACE) and is considered a key marker in the assessment of coronary artery disease (CAD). While its...
https://link.springer.com/article/10.1007/s10554-025-03454-2
27 days ago
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The story of how GLP-1 drugs were made available through compounding pharmacies and why they still are despite resolution of shortages
@planetmoney.bsky.social
www.npr.org/2025/08/22/n...
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Buy discount Ozempic here now click this link : Planet Money
In the past couple years, demand has gone wild for drugs like Ozempic – and its cousins, Zepbound, Wegovy, and Mounjaro. For people who had never been able to lose weight before, suddenly the numbers ...
https://www.npr.org/2025/08/22/nx-s1-5511707/ozempic-zepbound-wegovy-monjauro-knockoff-generics
about 1 month ago
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It's almost time for
#ASNC2025
!
#CVNuc
#ThinkPET
@asnc.bsky.social
#cardiosky
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about 1 month ago
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The @CardioNerds and @venkmurthy break down imaging for ATTR cardiomyopathy
www.cardionerds.com/422-diagnosi...
#cardiosky
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422. Diagnosis of Transthyretin Amyloid Cardiomyopathy (ATTR-CM) with Dr. Venkatesh Murthy
Explore the biology of transthyretin amyloid cardiomyopathy with Dr. Daniel Judge covering pathophysiology, diagnosis, and treatment advances.
https://www.cardionerds.com/422-diagnosis-of-transthyretin-amyloid-cardiomyopathy-attr-cm-with-dr-venkatesh-murthy/
about 1 month ago
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Concise clinical guidance from @ACCinTouch on immunizations as part of CV care
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
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2025 Concise Clinical Guidance: An ACC Expert Consensus Statement on Adult Immunizations as Part of Cardiovascular Care: A Report of the American College of Cardiology Solution Set Oversight Committee
https://www.jacc.org/doi/10.1016/j.jacc.2025.07.003
about 1 month ago
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Cardiologists have room to improve their own lifestyle practices, but seriously 8% still use tobacco?
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
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Dietary and Lifestyle Habits of Cardiologists: Perception vs Practice
https://www.jacc.org/doi/10.1016/j.jacc.2025.06.021
about 1 month ago
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Hey
#CVNuc
community, get ready for business because Taylor Swift's dad just had CABG and they found it on his MPS
youtu.be/M2lX9XESvDE?...
@asnc.bsky.social
#cardiosky
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Taylor Swift on Reclaiming Her Masters, Wrapping The Eras Tour, and The Life of a Showgirl | NHTV
YouTube video by New Heights
https://youtu.be/M2lX9XESvDE?si=ns2LLY9knqAKRfZN
about 1 month ago
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Addition of troponin, BNP, and CRP to traditional risk factors improved the c-statistic for future MACE, from 0.812 to 0.819.
jamanetwork.com/journals/jam...
#cardiosky
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Prognostic Value of Cardiovascular Biomarkers in the Population
This study evaluates the prognostic value of routinely available cardiovascular biomarkers when added to established risk factors in the identification of individuals at high risk for atherosclerotic ...
https://jamanetwork.com/journals/jama/fullarticle/2818624
about 1 month ago
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REBOOT: HFrEF on @thecurbsiders with @MKIttlesonMD
audioboom.com/posts/871873...
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REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1
We’re taking a break this week, but we’ll be back next week with a brand-new episode.
https://audioboom.com/posts/8718730-reboot-458-heart-failure-with-reduced-ejection-fraction-kittleson-rules-outpatient-heart-failu
about 1 month ago
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Counterfeit pills often contain undisclosed substances, 99.3% of "oxycodone" were laced with fentanyl
jamanetwork.com/journals/jam...
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Substances in Counterfeit Prescription Pills Seized by Law Enforcement, 2017-2022
This study examines substances identified during testing of counterfeit prescription pills seized by law enforcement in Rhode Island from 2017 to 2022.
https://jamanetwork.com/journals/jama/fullarticle/2818376
about 1 month ago
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Defibrillator/pacemakers can experience interference from radiation therapies, this study shows an event rate of 1.1%, primarily device resets with data loss. All events occurred with neutron producing radiation procedures
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Safety of Contemporary Radiation Therapy in Patients With Cardiac Implantable Electronic Devices: Implications for Clinical Practice | Journal of the American Heart Association
https://www.ahajournals.org/doi/10.1161/JAHA.125.042937
about 1 month ago
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Machine learning model was better at predicting 30-day MACE in the ED than the HEART score. Might be related to the model using both the HEART score and adding another 50+ variables.
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Using Machine Learning to Risk Stratify Emergency Department Patients With Chest Pain but No Acute Myocardial Infarction: A Multicenter Retrospective Analysis | Journal of the American Heart Associati...
https://www.ahajournals.org/doi/10.1161/JAHA.125.041915
about 1 month ago
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@asnc.bsky.social
on Capitol Hill this summer, advocating for patients and our CV Team
#CVNuc
#cardiosky
www.journalofnuclearcardiology.org/action/showP...
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https://www.journalofnuclearcardiology.org/action/showPdf?pii=S1071-3581%2825%2900154-0
about 1 month ago
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healthimaging.com/topics/medic...
SHINE Technologies is moving closer to restoring domestic production of molybdenum-99
@asnc.bsky.social
#CVNuc
#cardiosky
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Shine working toward U.S. production of Mo-99 for SPECT imaging
Greg Piefer, PhD, chief executive and founder of SHINE, a Wisconsin-based radiopharmaceutical company that is building the world’s largest medical isotope production facility in Janesville, Wisconsin,...
https://healthimaging.com/topics/medical-imaging/nuclear-medicine/shine-working-toward-us-production-mo-99-spect-imaging
about 1 month ago
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www.iheart.com/podcast/274-...
James Gunn: when someone makes you upset or angry, do something nice for someone else
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James Gunn - I Think You're Overthinking It | iHeart
I mean SURE we could discuss the massive success of Superman and return of the hilarious hit show Peacemaker or even some of the future plans for DC Studios (and we do), but we also have a great conve...
https://www.iheart.com/podcast/274-i-think-youre-overthinking-20632230/episode/james-gunn-290043528/
about 1 month ago
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Bold considerations for how we could rethink using hsTn for diagnosing MI
www.ahajournals.org/doi/10.1161/...
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Disrupting the Status Quo: Reimagining How We Use Troponin for Diagnosing Myocardial Infarction | Circulation: Cardiovascular Quality and Outcomes
https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012131
about 1 month ago
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61% of physicians report moderate influence of medical misinformation on patients in the last year with 86% of reporting an increase over the past 5 years.
physiciansfoundation.org/research/the...
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The Effect of Misinformation and Disinformation on Physicians’ Ability to Provide Quality Care | The Physicians Foundation
Misinformation and disinformation in healthcare has the potential to threaten patient safety by spreading falsehoods that impact decision-making. It also
https://physiciansfoundation.org/research/the-effect-of-misinformation-and-disinformation-on-physicians-ability-to-provide-quality-care/
about 1 month ago
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I love how easy it is these days to create your own flowcharts and other visuals using free software solutions. I made this simplified flowchart of excellent 2024 @ACCinTouch periop management guidelines using
draw.io
#cardiosky
about 1 month ago
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When you push your field to the boundary, you may be the only person in the room that realizes when something bad has happened, and that can be very isolating; The Journey to Better: Dr. Jesse Kane - Courage to Evolve
www.drjourneytobetter.com
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The Journey to Better
Dr. Bill Lombardi has been one of the highest-volume complex PCI and chronic total occlusion (CTO) operators in the world for over a decade. He's always striving to improve his skills and methods to p...
http://www.drjourneytobetter.com
about 1 month ago
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Getting ready for
#ASNC2025
, and this year I get to drive down to Orlando instead of flying! Two of my mentees will be presenting posters on appropriate use and on prognosis of MPS in patients with CKD on 9/4 at 5:30p
@asnc.bsky.social
about 1 month ago
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From Vessel to Bone by @CuriousClinPod tells the story of atherosclerosis and how vessels calcify.
sites.libsyn.com/270773/113-f...
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The Curious Clinicians: 113 - From Vessel to Bone
This week, Tony poses a hard question: Why does calcium deposit in blood vessels? You can read the show notes ! to obtain AMA PRA Category 1 Credits™ (0.5 hours), Non-Physician Attendance (0...
https://sites.libsyn.com/270773/113-from-vessel-to-bone
about 2 months ago
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Great summary on ultraprocessed foods, acknowledging that you can also have unhealthy unprocessed foods and healthier foods that are processed
www.ahajournals.org/doi/10.1161/...
#cardiosky
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Ultraprocessed Foods and Their Association With Cardiometabolic Health: Evidence, Gaps, and Opportunities: A Science Advisory From the American Heart Association | Circulation
Ultraprocessed foods and beverages (UPFs) pose a growing public health challenge. Commonly defined by the Nova system, UPFs are industrially processed products made with additives or ingredients not c...
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001365
about 2 months ago
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The story of discovering the polymerase chain reaction, or PCR
@radiolab.bsky.social
radiolab.org/podcast/the-...
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The Age of Aquaticus
How a tiny worm that loves hot water changed the trajectory of modern science.
https://radiolab.org/podcast/the-age-of-aquaticus
about 2 months ago
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"The proportion of women in cardiac imaging increased from 10.5% (1,987 of 18,893 physicians) in 2013 to 14.2% (2,856 of 20,065 physicians) in 2022, representing a 35% increase"
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
#cardiosky
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https://www.jacc.org/doi/10.1016/j.jcmg.2025.03.008
about 2 months ago
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ECG (93010) reimbursed about $10 by CMS
www.cms.gov/medicare/phy...
if you use AI, the reimbursement is $128.90
www.medicaleconomics.com/view/cms-set...
Does AI make diagnosis 10x or improve outcomes by 10x?
#cardiosky
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Search the Physician Fee Schedule | CMS
https://www.cms.gov/medicare/physician-fee-schedule/search?Y=0&T=4&HT=0&CT=3&H1=93010&M=5
2 months ago
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Reclaiming Agency Through Nonclinical Competency
@chriskramermd.bsky.social
@accintouch.bsky.social
www.jacc.org/doi/10.1016/...
#cardiosky
#medsky
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Reclaiming Agency Through Nonclinical Competency:
https://www.jacc.org/doi/10.1016/j.jacc.2025.06.007
3 months ago
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New from
@accintouch.bsky.social
and Dr. Sherman, the Benevolence Fund offers emergency grants to trainees facing financial hardships
www.acc.org/Membership/J...
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ACC Benevolence Fund - American College of Cardiology
Providing Critical Support to Future Cardiologists in Times of Need
https://www.acc.org/Membership/Join-Us/Benefits/Award-Programs/ACC-Benevolence-Fund
3 months ago
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Excellent review of refractory angina, mechanisms, treatments, and more
academic.oup.com/eurheartj/ad...
#cardiosky
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Refractory angina: mechanisms and stratified treatment in obstructive and non-obstructive chronic myocardial ischaemic syndromes
Abstract. The diagnosis of refractory angina has conventionally been limited to patients with angina and ischaemia secondary to obstructive atherosclerotic
https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaf284/8180268
3 months ago
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Signals have arrived for cardiology fellowship interviews, the average applicant is applying to 91.6 programs🤯
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social
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Signaling 101 for Cardiovascular Disease Fellowship Recruitment:
https://www.jacc.org/doi/10.1016/j.jacc.2025.06.005
3 months ago
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