The history of resident work hours, from Dr. Halstead's cocaine fueled pyramid program through to the ACGME, brought to you by @jbcarmody.bsky.social www.youtube.com/watch?v=exzY...
David Winchester
David Winchester
@drdavemd.bsky.social
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
115 followers90 following440 posts
Thorough evaluation of testosterone replacement therapy and the risk of CVD in JAHA www.ahajournals.org/doi/10.1161/...
I was fortunate to briefly meet Dr. Frye and thank him for writing "American Cardiology: The History of a Specialty and Its College", strongly recommend to understand trends that got us to where we are as a CV community www.jacc.org/doi/epdf/10.... @accintouch.bsky.social
The @accintouch.bsky.social Medical Student section has put together this webinar on common ward cases www.acc.org/Education-an...
@floridaacc The first chapter of the ACC, celebrates 40 years! www.dropbox.com/scl/fi/au6o3...
Dr. Krishna Patel and colleagues reported on >70K patients in the REFINE registry, showing that #CVNuc effectively stratifies CV risk, even in older (>75yrs) patients www.ahajournals.org/doi/10.1161/...
Tons of great data from MedAxiom in their 2026 compensation report on cardiology info.medaxiom.com/2026compsurvey Median salary per RVU is ~$60
@thecurbsiders.bsky.social explore how preventable CVD is and how to meet patients where they are when it comes to prevention audioboom.com/posts/887743...
@coffeezilla.bsky.social investigates various forms of healthcare fraud and the consequences, or lack thereof www.youtube.com/watch?v=9eWJ...
AI trained on nuclear cardiology content outperforms trainees on a board practice exam, then AI writes the paper @asnc.bsky.social www.journalofnuclearcardiology.org/article/S107...
Less than 2/3 of patients with atrial fib and elevated stroke risk prescribed oral anticoagulants at baseline, 12.5% were added in the year after diagnosis. @ahascience.bsky.social www.ahajournals.org/doi/10.1161/...
Panel discussion on @tradeoffs.org explores the amount and types of fraud that occur in Medicaid and how states are addressing it tradeoffs.org/2026/09/24/s...
More data showing tele-rehab achieves the same outcomes as in-person cardiac rehab academic.oup.com/ehjopen/adva...
@accintouch.bsky.social and The Physicians' Foundation are developing CardioSafe to address mistreatment of cardiologists and CVTeam members by patients cardiovascularbusiness.com/topics/patie...
How well does AI help medical students study and understand CV disease? Pretty good, but not yet great. @ufmedicine.bsky.social www.sciencedirect.com/science/arti...
@ACCintouch.bsky.social President Dr. Roxana Mehran tells her story of leadership in @JACCJournals.bsky.social www.jacc.org/doi/10.1016/...
The combination of blues and Swiss yodeling was a progenitor of today's American country music, with T for Texas (AKA Blue Yodel #1) as one of the earliest commercially successful songs en.wikipedia.org/wiki/Blue_Yo... 99percentinvisible.org/episode/685-... @99pi.org
Incredible and comprehensive statement on Food and Health from @accintouch.bsky.social @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
What role do beta blockers play in management of heart disease in 2026? www.jacc.org/doi/epdf/10.... @jaccjournals.bsky.social
Excellent research and QI presented at #accquality26 www.acc.org/Latest-in-Ca... @accintouch.bsky.social
A real pleasure to join @drroxmehran.bsky.social for this episode of #OnTheRox! www.youtube.com/watch?v=Vdgd... @accintouch.bsky.social
So exciting that abstracts from #ACCQuality26 are being published, I'd encourage everyone doing QI work to consider submitting for next year! www.jacc.org/events/confe...
As #ACCQuality26 comes to a close, we're reflecting on an inspiring couple of days full of learning, collaboration and innovation. Looking to join us next year? Mark your calendar 📆 for Oct. 5-7, 2027, in San Antonio! https://bit.ly/4iALRsa
Study finds that strength training does not increase risk of ventricular arrhythmia in patients with arrhythmogenic cardiomyopathy www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
MFR is a continuous variable, using a single, arbitrary cutoff to define "abnormal" ignores the utility of a more nuanced approach, even using 4 categories us better than 2 www.journalofnuclearcardiology.org/article/S107... #CVNuc @asnc.bsky.social
#YesCCT did not improve outcomes for acute chest pain patients, but some subgroups would be interesting to analyze, almost 20% of subjects had prior revasc and while 22% had obstructive CAD on CCT, only 11% went on to cath www.nejm.org/doi/pdf/10.1... #ESCCongress
Add it to the list of things that get better with exercise.... www.healio.com/news/cardiol... #ESCCongress
Time spent on prior authorization accounts for more than the entire shortage of doctors in the US health care system www.economicliberties.us/our-work/ban... Source: @econliberties.bsky.social
"The digital transformation of medicine, designed with humanism at its core, need not distance us from our patients" @jaccjournals.bsky.social @hmkyale.bsky.social www.jacc.org/doi/10.1016/...
Further proof that cardiology has the best trial names, the MARY-JANE trial evaluated the acute effects of inhaled cannabis on cardiac ectopy www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
@jbcarmody.bsky.social has the goods on the research arms race in the most recent Match data, watch what happens at this bookmark when you shift from reporting mean aggregate research projects to median disaggregated data youtu.be/r3O2fwq5YO0?...
Advocacy by @accintouch.bsky.social related to Medicare's final rule for inpatient payment www.acc.org/Latest-in-Ca...
From 2019 to 2023, the rate of deferred testing for low risk chest pain in the ED rose from 67% to 82% @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
It looks like @clarivateag.bsky.social has finally shut down the email address that you could use to automatically track your manuscript reviews, quite a shame because it was a product that actually made life as an academic easier.
"Both ivabradine and propranolol reduce tachycardia and symptoms in POTS, supporting their use, but variability in response suggests that individualized treatment selection is warranted." www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Excellent advice from @hmkyale.bsky.social on how to write a manuscript discussion @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
New research on the use of cardiac imaging modalities comparing VA to Medicare www.sciencedirect.com/science/arti...
Mechanistic RCT showing how decreased preload and afterload result in lower myocardial work and coronary blood flow @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
State of the art review on when to withdraw aspirin in patients with CAD and/or stents www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Nearly half of physicians surveyed have considered leaving practice (44%,up from 35% last year), including 25% burnout and 16% early retirement www.medcentral.com/reports/medi...
Subanalysis from the ISCHEMIA trial, 25% of nuclear and 15% of echo read by the sites as moderate ischemia was none/mild read by the core lab www.ahajournals.org/doi/epub/10....
@accintouch.bsky.social continues to advocate for changes to Medicare's ambulatory specialty care model for heart failure www.acc.org/Latest-in-Ca...
Over 6 years, an academic center cardiology practice saw 16K new patients, 45% of which were via telemedicine, resulting in broader geographical reach and reduced wait times www.ahajournals.org/doi/10.1161/...
Thanks to @minnowwalsh.bsky.social et al for the updated universal definition of heart failure @accintouch.bsky.social @escardio.bsky.social @worldheart.org @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Our summary of the latest @accintouch.bsky.social h guidelines on perioperative management are published in @jama.com jamanetwork.com/journals/jam...
Signals have arrived to cardiology fellowship process, almost every applicant and program used them, but did you know that the AVERAGE number of programs applied from a single candidate was 90 (down from 96)? @jaccjournals.bsky.social www.jacc.org/doi/epdf/10....
Insightful comments from @hmkyale.bsky.social on the complexity of interpreting population level data and risk adjustment @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Meta-analysis finds that GLP1s improve outcomes for HFpEF but not HFrEF www.ajconline.org/article/S000... #cardiosky