Fantastic lecture by the incomparable Manesh Patel who reminds us of not just how far we’ve come, but the urgent work left to do as we affirm our commitment to delivering the best care to our patients and pushing the frontiers of medicine!

Sad to be missing AHA but grateful for the opportunity to care for our patients at Duke Heart over the weekend. And for the generosity of Duke Cardiology Fellows PD Anna Lisa Chamis for sharing her tickets to the Duke/AZ Game with me! Go Duke!

Excited to welcome the #nextgeneration to Duke Heart Duke Cardiology fellows for 2024. All star group we are excited to have join us as partners. Tx to our fellowship leadership team, fellows+faculty on helping recruit this awesome group. Nishant Shah, MD Robert Harrison

I shamelessly stole this from Felson's Principles of Chest Roentgenology which is a fantastic little book on chest imaging and I encourage everyone to read

Two important articles on critical care cardiology in this issue of JACC! Proud of the work these individuals do!

Thanks! This was a blast to write with Mike Keller Megan Acho and Burton Lee! 5 signs of autopeep 1) persistent end exp flow 2) volume in ≠ volume out (flow in ≠ flow out) 3) pressure above peep during exp hold 4) ineffective triggering 5) broken tooth sign

An incisive article from the always thoughtful Emily Heil who first taught me about abx stewardship as a medical student.

Key caveat by Andrew Gelman et al.: “randomized controlled trials are themselves nonrandom observational comparisons: the people in the study won’t in general be representative of the population of interest”. RCT cohorts are convenience samples created by undefined selection forces.

“…reported 95% CIs imply inferences about some larger population [but]… are not based on probability sampling…RCT reports …implicitly assume away how convenience sampling influences the estimations of these group-specific outcomes” Pavlos Msaouel raises critical questions

I feel very vindicated by #medtwitter that I’m not the only person who cares about respiratory Tau and expiratory physiology

Willard Applefeld MD Nick Mark MD nick pulmcrit Matt Siuba IMCrit Alexander Lawandi Philippe Rola Pulm PEEPs 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 Ashley Miller Emily Fridenmaker SCAI Now Agreed. Excellent reference. Safe removal via manual pressure possible as well if accurately placed in the second portion of the axillary artery as referenced jscai.org/article/S2772-…

Great to kick off the 2024 Beaver Creek CV conference. One of the top meetings of the year. Duke Cardiology Duke Health Beaumont Health Christopher Granger Manesh Patel Mayo Clinic CV Willard Applefeld MD Andrew Andreae Jennifer Rymer

Couldn’t agree more- beaver creek cardiology conference has some of the highest yield teaching coupled with some of the best snow. One of the highlights of the year

Ski slopes, hot chocolate, and amazing cardiology at the #beavercreek cardiology conference! Manesh Patel Robert Mentz, MD Willard Applefeld MD Jennifer Rymer Sean Pokorney Andrew Andreae Daniel Mark Christopher Granger Duke Heart Duke Cardiology Fellows

Septic cardiomyopathy worsens over the first 48 and recovers by day 5-7. Not sure that a rodent model of septic cardiomyopathy where rats are sacrificed at 3hrs best capitulates pathophysiology and effective treatments

This is a VERY important teaching point from the master of toxicology Steve Curry

Absolute honor to present the work on septic cardiomyopathy and sepsis cardiac edema related reversible injury (SCERRI) I was lucky enough to do at NIH Clinical Center NIH Clinical Center and NHLBI Bethesda Labs to Duke Heart Duke Cardiology Fellows

Awesome to see so many Duke Cardiology Fellows shine American College of Cardiology ! Sarah Snow, MD Husam Salah Willard Applefeld MD Mark Kittipibul MD Belal Suleiman Dennis Narcisse Shahzeb Khan Tracy Wang Robert Mentz, MD Duke Health Duke Heart Duke Cardiology

Must read for anyone considering #criticalcarecardiology Saraschandra Vallabhajosyula, MD MSc #ACCcriticalcare American College of Cardiology Robert Roswell Ann Gage Shashank Sinha, MD, MSc, FACC, FAHA, FHFSA Samuel Bernard Andrea Elliott Jason N. Katz Adam May Carlos L. Alviar MD, FACC Penelope Rampersad MD, MSc, FRCPC, FACC BalimSenman CCCEnthusiasts Aniket Rali, MD, FACC, FCCP

Excellent post on Bayesian reasoning in differential diagnosis which new Housestaff would do well to read and internalize