Rural patients have longer reperfusion times, less primary #PCI , more fibrinolytics, & lower acuity than urban patients, but no difference in adjusted mortality. ja.ma/3Mo0Weu Dustin Hillerson, MD Khaled M Ziada Tracy Wang American College of Cardiology #cardiotwitter

RCT of 94 pts w intermediate-high–risk PE, cCDT compared w anticoagulation monotherapy didn't decrease the proportion of pts with a 3-mo right ventricle to left ventricle ratio of >0.9 but was associated with improvement in other imaging parameters. ja.ma/3CSzwcq

Serial hsTnT assessment may further refine risk stratification for cardiovascular events in patients with established atherosclerosis and may be useful to inform decision-making for therapies. ja.ma/3ThoLr1

Serial hsTnT assessment may further refine risk stratification for cardiovascular events in patients with established atherosclerosis and may be useful to inform decision-making for therapies. ja.ma/3Tg5ztG

RCT of 94 pts w intermediate-high–risk PE, cCDT compared w anticoagulation monotherapy didn't decrease the proportion of pts with a 3-mo right ventricle to left ventricle ratio of >0.9 but was associated with improvement in other imaging parameters. ja.ma/3MQDN4E

Acute type A aortic dissection still may carry a high mortality for pts not receiving surgery. Mortality for non-operative patients with Type A aortic dissection was 0.5% per hr (23.7% at 48 hrs). Among those with planned surgery, 48 hr mortality was 4.4%. ja.ma/3MrieqT

Among intermediate-risk patients with symptomatic severe aortic stenosis, clinical outcomes at 5 years were similar and bioprosthetic valve performance remained stable after transcatheter aortic valve replacement and surgery. ja.ma/3Mucs7Z #OrigResearch

Additional work is needed in the field of cardiology to mitigate adverse work environment conditions as well as to promote practices that support work-life balance. ja.ma/3SWngye #BriefReport

Nicholas M. Pajewski, PhD, and Daniel W. Jones, MD, discuss their research with JAMA Cardiology Associate Editor Gregg C. Fonarow, MD. ja.ma/3yDCsrR AMA Ed Hub™ #Podcast

In a secondary analysis of SPRINT, the mortality benefits of intensive BP control attenuated after the trial, while outpatient systolic BP increased by an average of 7 mm Hg for participants in the intensive treatment group. ja.ma/3CyE9Ie #Research

Additional work is needed in the field of cardiology to mitigate adverse work environment conditions as well as to promote practices that support work-life balance. ja.ma/3MnbASJ #BriefReport

Nicholas M. Pajewski, PhD, and Daniel W. Jones, MD, discuss their research with JAMA Cardiology Associate Editor Gregg C. Fonarow, MD. ja.ma/3eqTZwG AMA Ed Hub™ #Podcast

In a secondary analysis of SPRINT, the mortality benefits of intensive BP control attenuated after the trial, while outpatient systolic BP increased by an average of 7 mm Hg for participants in the intensive treatment group. ja.ma/3rNhGCb #Research

A man in his mid-50s with a history of mitral valve repair presented to the emergency department with complaints of recent-onset palpitation. Take the #ClinicalChallenge . What would you do next? ja.ma/3xjTvP2

#Casereport : a man in his 60s with a history of metastatic #ProstateCancer and #AorticValveReplacement presented with increasing shortness of breath. ja.ma/3d8nGlD

Findings suggest that sex hormone concentration influences the systemic concentrations of hs-cTn and NT-proBNP in healthy people. ja.ma/3SZOuDC #BriefReport

Risk of dissection is low for non-syndromic pts with ascending aortic aneurysm. Risk higher w larger size, but with a 6.0cm inflection point, early surgery for Pts <5.5 cm should be selective, as the risks from aortic surgery may outweigh the benefits. ja.ma/3T2AcCt

Findings suggest that sex hormone concentration influences the systemic concentrations of hs-cTn and NT-proBNP in healthy people. ja.ma/3McyEmX #BriefReport

Risk of dissection is low for non-syndromic pts with ascending aortic aneurysm. Risk higher w larger size, but with a 6.0cm inflection point, early surgery for Pts <5.5 cm should be selective, as the risks from aortic surgery may outweigh the benefits. ja.ma/3V26eAf