Not much has changed in AHF 🏨 weight change in the >2 decades since first reported in ADHERE

Contemporary Decongestion Strategies in Patients Hospitalized for Heart Failure: A National Community-Based Cohort Study | JACC: Heart Failure jacc.org/doi/10.1016/j.…

Alex Sandhu

Congrats to Jimmy Zheng on an insightful analysis showing wide variability in contemporary ADHF decongestion strategies and outcomes - an area of needed innovation in drug and device therapies Alex Sandhu Andrew P. Ambrosy, MD Ankeet S. Bhatt, MD, MBA Anu Lala-Trindade Marat Fudim, MD MHS

jacc.org/doi/10.1016/j.…

Astonishing results from the DanGer Shock Trial presented at #ACC24 and out in NEJM today.

In patients with ST-elevation MI with cardiogenic shock, Impella reduced all-cause mortality (45.8% Impella vs. 58.5% control) at 180 days.

Some thoughts on this ground breaking trial:

#CircACC24 #Simpub PRO-HF Trial: Routine patient-reported outcome assessment in heart failure clinic did not lead to changes in health status at one year #AHAJournals Alex Sandhu Stanford Department of Medicine ahajournals.org/doi/10.1161/CI…

#ACC24 Sulaiman Somani on Engage stage on #AI analysis of public perceptions on CAC on social media. 😐 to ☹️ sentiment from #Reddit ‼️ Fatima Rodriguez Stanford Department of Medicine Stanford Internal Medicine Chiefs

#ACC24 Alex Sandhu on the main stage presenting impact of routine KCCQ assessment on ☠️, 🏥, and 💊 at 1 year. Herculean effort 🔥 John Spertus Neil Kalwani Stanford Department of Medicine

#ACC24 Mugdha Joshi telemedicine use associated with lower GDMT rx for HFrEF ‼️ more comfort with virtual care needed + multi-d support 👩🏻‍⚕️💊 Alex Sandhu Stanford Internal Medicine Chiefs Duke Cardiology Fellows

#ACC24 Jimmy Zheng presenting on diuretic strategies in national sample of ADHF. Not much has changed since ADHERE registry Andrew P. Ambrosy, MD Stanford Department of Medicine

Jimmy Zheng describing GDMT rates across 20K hospitalizations in novel EHR dataset of national hospitals finding high discontinuation rates of inpatient GDMT #ACC24 . Andrew P. Ambrosy, MD Stanford Department of Medicine

So fun to get together with our Stanford Cardiology Translational Investigator Pathway (TIP) group! Amazing to see how this community of physician scientists thrive StanfordCVFellowship StanfordMedRes Stanford Department of Medicine

KBBQ for the Stanford Translational Investigator Program (TIP) Cardiology fellows! 6 generations (PGY 1-6) of fellows in the house. StanfordCVFellowship StanfordMedRes Daniel Li Jimmy Zheng

Ali Javed and I are pleased to share our latest work, in-press ahead of print at the European Heart Journal - Digital Health! euan ashley Matthew Wheeler European Society of Cardiology Journals @stancvfellows StanfordMedRes Stanford Center for Digital Health 1/6
academic.oup.com/ehjdh/advance-…

A quick reflection after 2 weeks on the inpatient teaching service:

Learning to be a good doctor is the slow accumulation of marginal (daily) gains.

Said differently, learn one new thing a day and in no time you’ll be an amazing physician.

7/ The PHARM-HF project, led by VA Palo Alto HCS and Stanford Medicine, will engage rural veterans living w/ heart failure by expanding the use of pharmacist-led titration of guideline directed medical therapy. Led by Paul Heidenreich, MD. VA HSR

When I was an intern, I didn't even know what GDMT stood for.

It was challenging for me to keep track of all of the heart failure medications.

There weren't any great resources to help me remember the key medications.

So I made one.

Let's go through them.

- Thread -

1/20

1/ 🚨 Housing is unaffordable for most resident physicians with limited institutional supports, our newest work in JAMA Network Open finds

jamanetwork.com/journals/jaman…

@TheBCRP Alex Butler Kate Michelson Jennifer Kesselheim

#OriginalResearch from Jimmy Zheng et al published in #CircHF :

Early CAD testing after new onset heart failure was associated with a modest mortality reduction, potentially mediated by subsequent statin use

ahajournals.org/doi/10.1161/CI… #AHAJournals
Stanford Medicine William Fearon

Excited our team's work on incidental CAC notification was recognized with the 2023 Hearst Health Prize! Recognition of a huge team effort w/ David Maron Fatima Rodriguez Bhavik Patel, MD MBA Bunkerhill Health Akshay Chaudhari Stanford AIMI Curt Langlotz and many more! prnewswire.com/news-releases/…

HF patients are more likely to be started + titrated on GDMT when seen by nurses or pharmacists dedicated to optimizing 💊

The typical outpatient model (3-6 month visits) does not work. Low-cost, high-touch care is the way.

Alex Sandhu Paul Heidenreich

onlinejcf.com/article/S1071-…

HF patients do better the more often they are seen/touched. This paper nicely examines the impact of nurses and pharmacists on HF patient outcomes, with patients more likely to align with GDMT onlinejcf.com/article/S1071-…