In HFrEF, lack of therapeutic urgency is: 🌎 Common 💵 Costly ☠️ Deadly Published in Circulation, 5 core "take-home" principles for rapid & intensive #GDMT as a foundational approach doi.org/10.1161/CIRCUL… Steve Greene Javed Butler

TONIGHT: Join Eugenia Gianos MD, Dr. Andrea Berger, Caroline Ong & Evelina Grayver, MD from Lenox Hill Hospital's Women's Heart Program to discuss topics such as clinical & research opportunities and advancing your career. Tune in here at 6pm 👉 bit.ly/46mxakn

So much fun!! Chopped cooking competition with PGY3s Northwell IM Residency - Firm 4 won! Honestly though everyone did amazing 🤩- so much talent! Northwell Department of Medicine Northwell Internal Medicine Chief Residents Eileen Kim Jared Honigman Sneha Shrivastava MD, MSEd Lauren Block

#TipsForNewDocs Patient doesn’t accept your recommendation. How to proceed and document? No: "Patient refuses X.” Yes: "Patient declines X due to __. I explained indications, risks, benefits of X: ___ and the potential consequences of declining X: ___. " #kittlesonrules

HFrEF Less GDMT is MORE: 🫀Symptoms 🚧Functional impairments 📈Poor health status 💥Serious adverse events 🏨 Hospitalizations ☠️ Preventable deaths Inertia is common, costly, and oh so deadly

So grateful to be a part of this incredible project! As a South Asian, projects like these are crucial to improve outcomes and ⬇️ mortality and morbidity. Strong work Humail Patel, Shreya Srivastava, MD MPH, Rajiv Jauhar !

Topline results of SURMOUNT-1 N=1.032 shows over 3y, tirzepatide vs placebo among individuals with prediabetes & overweight/obesity, reduced progression to T2D by 94% (along with ~20% weight loss). Not too shabby! investor.lilly.com/news-releases/… Eli Lilly and Company

Waiting for GLP-1a to make it into the guidelines for HF GDMT! Impressive results from the HFrEF subgroup analysis from #SELECTtrial

Matt Federbush representing Northwell Health Northwell Department of Medicine Northwell PCCM program discussing the safety and efficacy of our newly established Transbronchial Cryobiopsy program for diagnosis of DPLD at AABIP Zubair Hasan Dr. Mangala Narasimhan Sameer Khanijo Karen Friedman MD MS Linda Kurian

It is fitting to have this primer on upfront combination therapy in HFpEF from Steve Greene and Robert Mentz, MD out in #HREV (link.springer.com/article/10.100…) ahead of FINEARTS presentation at ESC. Growing therapeutic options! Muthu Vaduganathan Andrew J Sauer MD Mikhail Kosiborod

🆕 Hypertension Classification New AHA 2024 guidelines have omitted ❌Hypertensive urgency ❌Hypertensive crisis

A great read by one of our Northwell IM Residency pre-chiefs Shreya Srivastava, MD MPH !

2 things on my mind: 1- why are we still using ACE-inhibitors when we can use ARBs 2- losartan is the worst ARB no conflicts of interest, just being real.

New 2024 #ESCGuidelines on #Afib Clear pathways for management of 💡first-diagnosed AF 💡paroxysmal AF 💡persistent AF 💡permanent AF #ESCCongress European Society of Cardiology

New ESC guidelines for hypertension also including clinical frailty scale -highlighting tailor made care♥️ European Society of Cardiology #ESCCongress #frailty #geriatricmedicine #cardiology

Female gender was removed from CHADS-VASc score in new ESC guidelines for management of AF. Rationale : female gender is a risk modifier rather than risk factor for stroke. Now we have a CHADS-VA score.

Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction: NEJM 🥸 Finaarts-HF: In patients with mildly reduced EF or preserved EF, finerenone resulted in lower MACE (HF + CV Death) vs. placebo 😱very cool #ESCCongress #ESCCongress2024 Summary 👇

Exciting to see our residents presenting their research at national and international conferences! PGY2 Nadim and PGY3 Shreya Srivastava, MD MPH presented at the American Society of Preventive Cardiology and PGY2 Christian presented at the European Society of Cardiology! #MedX #MedTwitter

Do US Asians get equitable MI quality of care? In AHA Science GWTG of >700 US hospitals, Door-to-balloon time <90 mins less likely in Indian men, Filipina women vs. White OMT for MI less likely in Korean men vs White Circ: CQO: tinyurl.com/yck8me9d

Toxicity: 💔delaying GDMT initiation 💔 postponing titration 💔 discontinuing Unnecessary de-escalation of GDMT in🏨/pre-discharge was common and associated with ⬆️⬆️ 90-day ☠️ Inpatient Use of Guideline-Directed Medical Therapy During Heart Failu... sciencedirect.com/science/articl…