Has anyone heard of RemChol (cyclodextrin) and if so what are your thoughts? Recently asked by a friend of mine and I hadn’t heard of this before.

Just because someone says it on a podcast, doesn’t mean it’s true.

Crazy how much time clinicians must take to overcome false things people hear on podcasts/ social media.

A patient recently told me they were cursed with a fully functioning mind, trapped in a broken down body that severely limited what they could do.

A reminder that we need to be working hard now to fight off frailty and chronic disease. Our future selves will thank us.

A common misconception is the thought that low LDL-C might increase risk of hemorrhagic stroke or dementia. This great review provides a summary as to why these claims are unfounded.

acc.org/latest-in-card….

I’ve heard myths perpetuated by quacks that high-intensity interval training is bad (they incorrectly claim the normal and appropriate cortisol response is to blame).

I recently asked one of my nephrologist colleagues this question and they completely agreed. Protein restriction in CKD is likely overall harmful - we need adequate protein for many reasons.

Patient with Afib and Non-gender CHADSVASC less than 2. Assuming no DOAC, would you prescribe aspirin?

I spend a lot of time thinking about how to live longer. But even more important is getting the most out of every second of life. Bill Walton was the best at that. It was an honor to meet him! RIP to an all time great!

My patients are the best!

The current recommendation from the World Health Organization (WHO) states that “It is important to detect CVD as early as possible so that management with counselling and medicines can begin”

sciencedirect.com/science/articl…

'We don't need science, just listen to your body!'

85% of people over 50 have coronary plaque detectable by imaging, but only 8% have symptoms at that age

Our body speaks many languages. Abnormal tests is also your body telling you something
jacc.org/doi/epdf/10.10…

If my ejection fraction recovers can I stop my meds?

Within 6 months, relapse occurred in 44% of patients with recovered EF who had their meds withdrawn

thelancet.com/article/S0140-…

As an interventional cardiologist, I spend more time screening people for obstructive sleep apnea than I do for coronary artery disease.

Message from patient who had vague non-specific symptoms, and all of his cardiac testing I performed was negative (echocardiogram, angiogram,

If you have a patient with asymptomatic LV dysfunction - don't be reassured!

Asymptomatic LV dysfunction is associated with nearly 4 fold higher mortality rate than those with normal LV systolic function.

ahajournals.org/doi/10.1161/01…

I’m reviewing ISAR REACT 5 for Cardiology Trials Substack tomorrow

Prasugrel clearly superior to ticagrelor in ACS. Investigator-initiated. No industry.

Why is ticagrelor so popular? What am I missing?

A friend recently showed me a video of an influencer stating drinking aged urine is good for the microbiome.

Crazy to think people believe this stuff and yet we struggle to get 50% of post MI patients to take their statin.

In patients with Takotsubo’s, do you test for microvascular dysfunction?

An under-used therapy: Bariatric surgery was associated with an 88% reduction in major adverse liver outcomes and a 70% reduction in MACE over 10 years compared to matched controls. jamanetwork.com/journals/jama/…

Screening with carotid and femoral u/s: in low risk patients. 10 year follow-up: 39.28% of patients with non-stenosing plaques had a CVD event. 81.06% with stenosing plaques had a CVD pubmed.ncbi.nlm.nih.gov/11395035/

We likely under-estimate coronary CTA effective radiation dose by 46%. Does this change anyone's mind on how often we should be using this? Would love expert's opinion. Matthew Budoff MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Michael D. Shapiro Michael J. Blaha Dr. John A Rumberger, PhD, MD, FACC, MSCCT
ncbi.nlm.nih.gov/pmc/articles/P…