Harlan M. Krumholz
@hmkyale.bsky.social
1.9K followers 7 following 68 posts
Committed to my family, friends, and colleagues - working to make the future better than the past.
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hmkyale.bsky.social
Physician certification should not be an ordeal; it is in vast need of improvement.
My @jaccjournals.bsky.social Journals Editor’s Page explores how we can modernize physician certification to be relevant, humane, and effective.
🔗 www.jacc.org/doi/10.1016/...
Rethinking Physician Certification: A Call for a Modern, Meaningful Standard
www.jacc.org
hmkyale.bsky.social
For anyone who has wanted a clear, authoritative summary of inflammation and cardiovascular disease, and where the science is heading, here it is.
The 2025 ACC Scientific Statement on Inflammation and Cardiovascular Disease. @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement: A Report of the American College of Cardiology
www.jacc.org
hmkyale.bsky.social
This is an extraordinary report from @ihmeuw.bsky.social and published in @jaccjournals.bsky.social; it demonstrates that cardiovascular disease is a global scourge. And we are failing to leverage what we know to save lives. www.jacc.org/doi/10.1016/...
Reposted by Harlan M. Krumholz
tbplante.bsky.social
Congratulations to @uvmlarnermed.bsky.social medical student, Sarah Krumholz, for winning the Outstanding Research Publication award for her study in REGARDS investigating risk of hypertension by sRAGE level! Very well deserved!

Her paper: pubmed.ncbi.nlm.nih.gov/40708351/
hmkyale.bsky.social
The next leap is computable quality.

Living, real-time intelligence from routine clinical data that will:

-Support accountability
-Fuel improvement
-Accelerate discovery
hmkyale.bsky.social
But most current measures fail this test.

Registries = richer than claims but costly, delayed, and not built for improvement

Claims = coarser, even more delayed

Neither delivers what clinicians need at the point of care.
hmkyale.bsky.social
Door-to-balloon time proved what’s possible.

When hospitals had real-time feedback, mortality for STEMI dropped—without new drugs or devices.
The lesson?

👉 Quality improves when data are timely, trusted, and actionable.
hmkyale.bsky.social
Quality measurement was once a breakthrough.
But today it’s too slow, too costly, and too disconnected from daily care.

It’s time to reinvent it.

🆕 My Editor’s Page in JACC: www.jacc.org/doi/epdf/10....

@jaccjournals.bsky.social @yalemed.bsky.social
Computable Quality
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www.jacc.org
Reposted by Harlan M. Krumholz
mirandashafer.bsky.social
“Everyone thinks their genes are the cause for them getting an age-related disease, it’s actually your immune system.” - @erictopol.bsky.social the author of Super Agers on #HealthandVeritas podcast
pod.link/1588414491/e... @thehowie.bsky.social @hmkyale.bsky.social
pod.link
hmkyale.bsky.social
New @JACCJournals: Guiding the AI Revolution in CV Medicine
I lay out 5 operational principles—from rigorous validation to bias reduction—to make AI safe, equitable & impactful in cardiology.
➡️ www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social @yalemed.bsky.social @yaleschoolofmed.bsky.social
Guiding the AI Revolution in Cardiovascular Medicine:
www.jacc.org
hmkyale.bsky.social
Biology, not blame.
That’s the message from #ESCCongress.
Fat is not just storage, it’s an organ.
Its signals may drive heart failure and more.
Read my take: Fat, Reframed: A Turning Point in Heart Disease.
substack.com/home/post/p-... @jaccjournals.bsky.social @yaleschoolofmed.bsky.social
Fat, Reframed
A Turning Point in Heart Disease
substack.com
Reposted by Harlan M. Krumholz
snigdhajain.bsky.social
1/4
Rehabilitation can ⬆️ Functional Independence and ⬇️ Long-term Cognitive Impairment among #ICU survivors. But how often do hospitals deliver it?

Led by @yalemedicine.bsky.social resident Jose Victor, our paper bit.ly/41p9fPT in @accpchest.bsky.social provides insights
hmkyale.bsky.social
New @JACCJournals Editor’s Page: A Disquieting Plateau
🫀 Cardiovascular mortality progress has stalled
📉 In some areas, it’s reversing
💡 We must confront what’s happening on our watch—and what comes next
👉 authors.elsevier.com/a/1lfjn2d9GI...
#CardioTwitter #HealthEquity @jaccjournals.bsky.social
hmkyale.bsky.social
Did COVID-19 really age our arteries?

A major new study says yes—esp in women. But is it true?

I take a deeper look to see if the evidence matches the headlines.

Read it here → neverdelegateunderstanding.substack.com/p/did-covid-...

#COVID19 @virusesimmunity.bsky.social @yalemed.bsky.social
Did COVID Age Our Arteries?
A Closer Look at the Evidence
neverdelegateunderstanding.substack.com
hmkyale.bsky.social
“Never delegate understanding.”

That quote stuck with me—and it’s now the title of my new Substack.

I’ll be writing about health, science, & how these things can be understandable.

Subscribe here → neverdelegateunderstanding.substack.com/subscribe

#health #science #medicine @yalemed.bsky.social
Subscribe to Never Delegate Understanding
Making health and science understandable. Click to read Never Delegate Understanding, by Harlan Krumholz, a Substack publication. Launched 2 days ago.
neverdelegateunderstanding.substack.com
hmkyale.bsky.social
From device safety to novel valve design—the new JACC This Week podcast covers:
🔹 Clinician-led device safety
🔹 MASTER DAPT recurrent events
🔹 Drug-coated balloons for complex ISR
🔹 Polymer surgical mitral valve
Listen: bit.ly/4ove0Bn
#JACCPodcast #Cardiology @jaccjournals.bsky.social
Podcast Episode: Device Safety, DAPT Strategy & Structural Innovation | JACC This Week
In this episode of JACC This Week, Editor-in-Chief Dr. Harlan Krumholz explores device safety, abbreviated DAPT, drug-coated balloons, and a novel surgical polymer valve. Plus: expert insights on car...
bit.ly
Reposted by Harlan M. Krumholz
jaccjournals.bsky.social
We’re drowning in data, but are we helping patients? In this #JACC Editor’s Page, Dr. @hmkyale.bsky.social challenges us to ask better questions in #HeartFailure care. If you think you know HF, read this: www.jacc.org/doi/10.1016/... #CardioSky #MedSky