David Winchester
@drdavemd.bsky.social
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
The Unique Value of the American College of Cardiology for Cardiac Electrophysiologists www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @drjcheungep.bsky.social #cardiosky
Elevating Practice: The Unique Value of the American College of Cardiology for Cardiac Electrophysiologists
www.jacc.org
November 25, 2025 at 3:11 PM
The Unique Value of the American College of Cardiology for Cardiac Electrophysiologists www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @drjcheungep.bsky.social #cardiosky
I appreciate that in this scientific statement on epicardial coronary physiological measurements, the authors expressly state that using angiographic assessment alone is only slightly better than a coin flip. www.ahajournals.org/doi/10.1161/... #cardiosky @sripalbangalore.bsky.social
November 24, 2025 at 1:41 PM
I appreciate that in this scientific statement on epicardial coronary physiological measurements, the authors expressly state that using angiographic assessment alone is only slightly better than a coin flip. www.ahajournals.org/doi/10.1161/... #cardiosky @sripalbangalore.bsky.social
A personalized framework for BP mgmt in pts > 80, in general benefits > harms for intensive BP lowering, those tolerant of potential risks had the greatest benefits www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Hypertension in the Oldest Old:
www.jacc.org
November 18, 2025 at 6:54 PM
A personalized framework for BP mgmt in pts > 80, in general benefits > harms for intensive BP lowering, those tolerant of potential risks had the greatest benefits www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Thanks to the Tennessee Chapter of ACC for the invite to talk about @accintouch.bsky.social, the speakers and posters were amazing!
November 15, 2025 at 6:21 PM
Thanks to the Tennessee Chapter of ACC for the invite to talk about @accintouch.bsky.social, the speakers and posters were amazing!
"In this meta-analysis including individual-patient data from five RCTs, beta-blocker...did not reduce...death..., myocardial infarction, or HF in pts with an LVEF>=50% after MI without other indications for beta-blockers." www.nejm.org/doi/full/10....
Beta-Blockers after Myocardial Infarction with Normal Ejection Fraction | NEJM
The benefit of beta-blockers after myocardial infarction in patients with a preserved
left ventricular ejection fraction (LVEF) is unclear. We conducted a meta-analysis
at the individual-patient le...
www.nejm.org
November 13, 2025 at 6:41 PM
"In this meta-analysis including individual-patient data from five RCTs, beta-blocker...did not reduce...death..., myocardial infarction, or HF in pts with an LVEF>=50% after MI without other indications for beta-blockers." www.nejm.org/doi/full/10....
Transforming Cardiovascular Leadership Through Strategic Investment www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @chriskramermd.bsky.social @accintouch.bsky.social #cardiosky
Transforming Cardiovascular Leadership Through Strategic Investment:
www.jacc.org
November 13, 2025 at 5:01 PM
Transforming Cardiovascular Leadership Through Strategic Investment www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @chriskramermd.bsky.social @accintouch.bsky.social #cardiosky
Myocardial blood flow for ischemic heart disease, a great review of different imaging modalities www.jacc.org/doi/epdf/10.... @jaccjournals.bsky.social #cardiosky
Myocardial Blood Flow Assessment and Reporting for Ischemic Heart Disease: Cardiac PET, MR, CT, and Echocardiography
View all available purchase options and get full access to this article.
www.jacc.org
November 13, 2025 at 3:39 PM
Myocardial blood flow for ischemic heart disease, a great review of different imaging modalities www.jacc.org/doi/epdf/10.... @jaccjournals.bsky.social #cardiosky
In the OCEAN trial, patients with successful AFib ablation at least 1 year prior, aspirin was noninferior to DOAC for stroke www.nejm.org/doi/full/10.... #cardiosky
Antithrombotic Therapy after Successful Catheter Ablation for Atrial Fibrillation | NEJM
Whether successful catheter ablation for atrial fibrillation eliminates the need for long-term oral anticoagulant therapy is unknown. We conducted an international, open-label, randomized, blinded-...
www.nejm.org
November 13, 2025 at 2:40 PM
In the OCEAN trial, patients with successful AFib ablation at least 1 year prior, aspirin was noninferior to DOAC for stroke www.nejm.org/doi/full/10.... #cardiosky
Photon counting CT dramatically improves signal-to-noise ratios by directly measures x-ray photons, instead of indirect measurement of visible light photons as with traditional CT. www.jacc.org/doi/10.1016/... #YesCCT #cardiosky @jaccjournals.bsky.social
Photon-Counting Computed Tomography in Cardiac Imaging:
View all available purchase options and get full access to this article.
www.jacc.org
November 12, 2025 at 7:40 PM
Photon counting CT dramatically improves signal-to-noise ratios by directly measures x-ray photons, instead of indirect measurement of visible light photons as with traditional CT. www.jacc.org/doi/10.1016/... #YesCCT #cardiosky @jaccjournals.bsky.social
CRISPR-Cas9 has been used in humans to reduce non-HDL cholesterol by ~50% (also reduced HDL by ~24%) www.nejm.org/doi/full/10.... #cardiosky
Phase 1 Trial of CRISPR-Cas9 Gene Editing Targeting ANGPTL3 | NEJM
Angiopoietin-like protein 3 (ANGPTL3) inhibits lipoprotein and endothelial lipases. ANGPTL3 loss-of-function genetic variants are associated with decreased levels of low-density lipoprotein cholest...
www.nejm.org
November 12, 2025 at 1:51 PM
CRISPR-Cas9 has been used in humans to reduce non-HDL cholesterol by ~50% (also reduced HDL by ~24%) www.nejm.org/doi/full/10.... #cardiosky
Cardiac Rehab continues to be one of the least utilized Class 1 recommendations in all of Cardiology www.ahajournals.org/doi/10.1161/...
American Heart Association Journals
www.ahajournals.org
November 11, 2025 at 10:47 PM
Cardiac Rehab continues to be one of the least utilized Class 1 recommendations in all of Cardiology www.ahajournals.org/doi/10.1161/...
Thank you and welcome home to all who served, it is an honor to work for the Veterans Health Administration
November 11, 2025 at 10:39 PM
Thank you and welcome home to all who served, it is an honor to work for the Veterans Health Administration
Patients are people, so are doctors. Getting to know your doctor is associated with better patient satisfaction. www.ahajournals.org/doi/10.1161/... #cardiosky
Who Is That Cardiology Fellow? A Cluster Trial Examining the Impact of Cardiology Fellows' Biographical Information on Patient Perceptions of Patient‐Centered Care | Journal of the American Heart Asso...
www.ahajournals.org
November 10, 2025 at 4:45 PM
Patients are people, so are doctors. Getting to know your doctor is associated with better patient satisfaction. www.ahajournals.org/doi/10.1161/... #cardiosky
PCSK9i reduced MACE in primary prevention population, RRR 25%, ARR 1.8%, NNT~ 56. $239/mo on Goodrx. 4.5 yrs f/u X 12 months of tx X 56 ~ $722K to prevent one MACE. www.nejm.org/doi/full/10.... #cardiosky
Evolocumab in Patients without a Previous Myocardial Infarction or Stroke | NEJM
The proprotein convertase subtilisin–kexin type 9 (PCSK9) inhibitor evolocumab reduces
the risk of major adverse cardiovascular events (MACE) among patients with a previous
myocardial infarction, s...
www.nejm.org
November 10, 2025 at 3:42 PM
PCSK9i reduced MACE in primary prevention population, RRR 25%, ARR 1.8%, NNT~ 56. $239/mo on Goodrx. 4.5 yrs f/u X 12 months of tx X 56 ~ $722K to prevent one MACE. www.nejm.org/doi/full/10.... #cardiosky
The DECAF trial, presented at AHA last week, showed that in patients with atrial fibrillation, random assignment to drinking 1 caffeinated coffee a day resulted in less AFib recurrence when compared to coffee abstinence. jamanetwork.com/journals/jam... @jama.com #cardiosky
Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation
This clinical trial compares the effect of caffeinated coffee consumption vs abstinence from coffee and caffeine on recurrent atrial fibrillation.
jamanetwork.com
November 10, 2025 at 2:09 PM
The DECAF trial, presented at AHA last week, showed that in patients with atrial fibrillation, random assignment to drinking 1 caffeinated coffee a day resulted in less AFib recurrence when compared to coffee abstinence. jamanetwork.com/journals/jam... @jama.com #cardiosky
Concise clinical guidance from @ACCinTouch on the assessment and management of cardiac amyloidosis @JACCJournals @MKIttlesonMD @PanjrathG www.jacc.org/doi/epdf/10.... #cardiosky
Transthyretin Cardiac Amyloidosis Evaluation and Management: 2025 ACC Concise Clinical Guidance
www.jacc.org
November 7, 2025 at 5:10 PM
Concise clinical guidance from @ACCinTouch on the assessment and management of cardiac amyloidosis @JACCJournals @MKIttlesonMD @PanjrathG www.jacc.org/doi/epdf/10.... #cardiosky
"In elderly patients with NSTEMI, routine invasive strategy does not improve primary outcomes of all-cause mortality or cardiac-related death but may reduce recurrent myocardial infarction and the need for urgent revascularization." www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Routine Invasive vs Conservative Management of NSTEMI in Elderly Patients: Updated Meta-Analysis of Randomized Trials
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www.jacc.org
November 3, 2025 at 3:01 PM
"In elderly patients with NSTEMI, routine invasive strategy does not improve primary outcomes of all-cause mortality or cardiac-related death but may reduce recurrent myocardial infarction and the need for urgent revascularization." www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
A team from UWashington successfully removed a bullet from a patient's right ventricle, via a transfemoral approach, then closed the venotomy sire with Perclose 👀 www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Percutaneous Removal of a Bullet From the Right Ventricle:
www.jacc.org
November 3, 2025 at 2:27 PM
A team from UWashington successfully removed a bullet from a patient's right ventricle, via a transfemoral approach, then closed the venotomy sire with Perclose 👀 www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
@accintouch.bsky.social Provides feedback to FTC on non-compete clauses, using data from the BOG paper on the topic www.acc.org/~/media/31EC... #cardiosky
www.acc.org
November 2, 2025 at 10:09 PM
@accintouch.bsky.social Provides feedback to FTC on non-compete clauses, using data from the BOG paper on the topic www.acc.org/~/media/31EC... #cardiosky
Physical activity improves just about everything, in latest HTN mgmt GL's, diet was #1 and exercise was #2 among 22 nonpharma strategies for BP lowering www.jacc.org/doi/10.1016/... www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College o...
www.jacc.org
October 29, 2025 at 1:53 PM
Physical activity improves just about everything, in latest HTN mgmt GL's, diet was #1 and exercise was #2 among 22 nonpharma strategies for BP lowering www.jacc.org/doi/10.1016/... www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
MedAxiom's Annual report on Cardiology productivity, compensation, and workforce is now available info.medaxiom.com/2025compsurvey @accintouch.bsky.social #cardiosky
2025 Comp Survey
Gain strategic insights for 2026 with our 2025 Cardiovascular Provider Compensation & Production Survey, designed exclusively for cardiology professionals.
info.medaxiom.com
October 28, 2025 at 4:36 PM
MedAxiom's Annual report on Cardiology productivity, compensation, and workforce is now available info.medaxiom.com/2025compsurvey @accintouch.bsky.social #cardiosky
Interesting review summarizing the psychological impact that ICDs can have on patients www.ajconline.org/article/S000... #cardiosky
The Psychological Impact of Implantable Cardioverter Defibrillators: A Narrative Review
Implantable cardioverter defibrillators (ICDs) are critical to the prevention of sudden
cardiac death caused by life-threatening arrhythmias such as ventricular tachycardia
and fibrillation. While the...
www.ajconline.org
October 27, 2025 at 7:58 PM
Interesting review summarizing the psychological impact that ICDs can have on patients www.ajconline.org/article/S000... #cardiosky
Care Innovations: Introducing the OUTPACE Framework for Health Care Quality Improvement www.ahajournals.org/doi/10.1161/... #cardiosky
Care Innovations: Introducing the OUTPACE Framework for Health Care Quality Improvement | Circulation: Cardiovascular Quality and Outcomes
Equitable, timely, and evidence-based care remains a central goal across health care
ecosystems, yet significant quality gaps, care variability, and health disparities
persist. Professional societies,...
www.ahajournals.org
October 22, 2025 at 2:44 PM
Care Innovations: Introducing the OUTPACE Framework for Health Care Quality Improvement www.ahajournals.org/doi/10.1161/... #cardiosky
Outcomes study would be welcome, some are being considered. Agree about opportunity for AI, but there is already ample evidence that qualitative mild/moderate/severe visual assessment correlates well, if we could only convince all radiologists to draw attention to this finding
October 21, 2025 at 7:12 PM
Outcomes study would be welcome, some are being considered. Agree about opportunity for AI, but there is already ample evidence that qualitative mild/moderate/severe visual assessment correlates well, if we could only convince all radiologists to draw attention to this finding
When your patient dies, thoughtful reflections from @jaccjournals.bsky.social s editor @hmkyale.bsky.social www.jacc.org/doi/10.1016/...
When Your Patient Dies:
www.jacc.org
October 21, 2025 at 7:08 PM
When your patient dies, thoughtful reflections from @jaccjournals.bsky.social s editor @hmkyale.bsky.social www.jacc.org/doi/10.1016/...