Phil Riley
@nwamacman.bsky.social
Player of Music
Caregiver for Hearts in Northwest Arkansas
Reader of Medical Journals
Teacher of the Art of Medicine
Practioner of Politics-Free Social Media
#CardioSky
#MedSky
Caregiver for Hearts in Northwest Arkansas
Reader of Medical Journals
Teacher of the Art of Medicine
Practioner of Politics-Free Social Media
#CardioSky
#MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
Good Viewpoint article Re: One Big Beautiful Bill Act
Under-discussed topic of limiting student loans to med students
#CardioSky #MedSky
Good Viewpoint article Re: One Big Beautiful Bill Act
Under-discussed topic of limiting student loans to med students
A Time of Health Care Delivery Uncertainty: A Call for Member Engagement
www.jacc.org
January 8, 2026 at 11:43 AM
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
Good Viewpoint article Re: One Big Beautiful Bill Act
Under-discussed topic of limiting student loans to med students
#CardioSky #MedSky
Good Viewpoint article Re: One Big Beautiful Bill Act
Under-discussed topic of limiting student loans to med students
December 22, 2025 at 4:35 AM
So then why don’t we just call “Prediabetes” DIABETES and quit messing around?
New definition of diabetes = Hgb A1C 5.7% or greater
Thoughts?
#CardioSky #MedSky
New definition of diabetes = Hgb A1C 5.7% or greater
Thoughts?
#CardioSky #MedSky
Reaching #prediabetes #remission is linked to a decades-long benefit, halving the risk of #cardiovascular death or hospitalisation for heart failure in diverse populations. Targeting remission might represent a new approach to cardiovascular prevention www.thelancet.com/journals/lan...
#OpenAccess
#OpenAccess
Prediabetes remission and cardiovascular morbidity and mortality: post-hoc analyses from the Diabetes Prevention Program Outcome study and the DaQing Diabetes Prevention Outcome study
Reaching prediatbetes remission is linked to a decades-long benefit, halving the risk
of cardiovascular death or hospitalisation for heart failure in diverse populations.
Targeting remission might rep...
www.thelancet.com
December 14, 2025 at 1:04 PM
So then why don’t we just call “Prediabetes” DIABETES and quit messing around?
New definition of diabetes = Hgb A1C 5.7% or greater
Thoughts?
#CardioSky #MedSky
New definition of diabetes = Hgb A1C 5.7% or greater
Thoughts?
#CardioSky #MedSky
I love this take! Medicine is nonbinary. Great points!
Start the next nHCM study with cMR (no scar with gadolinium) with supranormal LVEF +/- genetic testing as inclusion criteria. I think it will work. Doing a GREAT job as editor!
www.jacc.org/doi/10.1016/...
Start the next nHCM study with cMR (no scar with gadolinium) with supranormal LVEF +/- genetic testing as inclusion criteria. I think it will work. Doing a GREAT job as editor!
www.jacc.org/doi/10.1016/...
Interpreting the ODYSSEY-HCM Secondary Analyses: Biological Signals, Clinical Silence
www.jacc.org
December 10, 2025 at 1:49 AM
I love this take! Medicine is nonbinary. Great points!
Start the next nHCM study with cMR (no scar with gadolinium) with supranormal LVEF +/- genetic testing as inclusion criteria. I think it will work. Doing a GREAT job as editor!
www.jacc.org/doi/10.1016/...
Start the next nHCM study with cMR (no scar with gadolinium) with supranormal LVEF +/- genetic testing as inclusion criteria. I think it will work. Doing a GREAT job as editor!
www.jacc.org/doi/10.1016/...
Awesome
A 70-year-old man presented with several hours of shortness of breath and a slow heart rate that had been detected by the ballistocardiographic monitor in his commercial mattress. Read the full case details: nej.md/4iyuh5K
#MedSky #CardioSky
#MedSky #CardioSky
December 7, 2025 at 2:41 PM
Awesome
Y'all, this course was amazing! Highly Recommend.
⭐️⭐️⭐️⭐️⭐️
#CardioSky
Genetics of Heart and Vascular Disease - Mayo Clinic
cveducation.mayo.edu/store/geneti...
⭐️⭐️⭐️⭐️⭐️
#CardioSky
Genetics of Heart and Vascular Disease - Mayo Clinic
cveducation.mayo.edu/store/geneti...
cveducation.mayo.edu
December 7, 2025 at 12:14 AM
Y'all, this course was amazing! Highly Recommend.
⭐️⭐️⭐️⭐️⭐️
#CardioSky
Genetics of Heart and Vascular Disease - Mayo Clinic
cveducation.mayo.edu/store/geneti...
⭐️⭐️⭐️⭐️⭐️
#CardioSky
Genetics of Heart and Vascular Disease - Mayo Clinic
cveducation.mayo.edu/store/geneti...
Another "How did this get published" Article. Where are the editors?
#CardioSky
Effect of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention With Aspirin-Free Strategy | JACC: Asia www.jacc.org/doi/10.1016/...
#CardioSky
Effect of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention With Aspirin-Free Strategy | JACC: Asia www.jacc.org/doi/10.1016/...
Effect of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention With Aspirin-Free Strategy:
www.jacc.org
December 7, 2025 at 12:08 AM
Another "How did this get published" Article. Where are the editors?
#CardioSky
Effect of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention With Aspirin-Free Strategy | JACC: Asia www.jacc.org/doi/10.1016/...
#CardioSky
Effect of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention With Aspirin-Free Strategy | JACC: Asia www.jacc.org/doi/10.1016/...
Enjoy this Space Telescope Advent Calendar.
So cool!
#CardioSky #MedSky #AstroSky
www.theatlantic.com/photography/...
So cool!
#CardioSky #MedSky #AstroSky
www.theatlantic.com/photography/...
2025 Space Telescope Advent Calendar
Welcome to the 18th annual Space Telescope Advent Calendar, featuring remarkable images from NASA’s Hubble Space Telescope and James Webb Space Telescope. Every day until December 25, this page will p...
www.theatlantic.com
December 3, 2025 at 7:17 PM
Enjoy this Space Telescope Advent Calendar.
So cool!
#CardioSky #MedSky #AstroSky
www.theatlantic.com/photography/...
So cool!
#CardioSky #MedSky #AstroSky
www.theatlantic.com/photography/...
Well this stinks.
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
Outcomes of Stroke Prevention Strategies in Patients With Atrial Fibrillation and End-Stage Renal Disease:
www.jacc.org
November 27, 2025 at 3:01 PM
Well this stinks.
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
Reposted by Phil Riley
A European Heart Journal review of mortality in male bodybuilding athletes concludes that 'this study should alert the bodybuilding and medical communities to the need for improved preventive measures to promote safer sports participation'. Couldn't be clearer. academic.oup.com/eurheartj/ar...
Mortality in male bodybuilding athletes
AbstractBackground and Aims. Premature deaths of bodybuilders have raised questions about the safety and associated risks of this discipline. The main obje
academic.oup.com
November 27, 2025 at 9:40 AM
A European Heart Journal review of mortality in male bodybuilding athletes concludes that 'this study should alert the bodybuilding and medical communities to the need for improved preventive measures to promote safer sports participation'. Couldn't be clearer. academic.oup.com/eurheartj/ar...
Lipid Therapy Roadmap. So good! #CardioSky
November 22, 2025 at 3:50 PM
Lipid Therapy Roadmap. So good! #CardioSky
⭐️Cascade genetic testing is DCM⭐️
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
Cascade Screening in DCM: Where Are We in 2025
View all available purchase options and get full access to this article.
www.jacc.org
November 15, 2025 at 8:03 PM
⭐️Cascade genetic testing is DCM⭐️
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
Good reference article: normal cardiac measurement values in older adults
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Noninvasive Cardiac Imaging in Older Adults: Diagnostic Challenges and Prognostic Implications Across Modalities
Download article citation: If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
www.jacc.org
November 15, 2025 at 7:10 PM
Good reference article: normal cardiac measurement values in older adults
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Example of what not to publish … 🤦♂️
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
High Voltage, High Stakes: Assessing Cardiovascular Effects of Electromagnetic Fields From Electric Vehicles
www.jacc.org
November 15, 2025 at 7:01 PM
Example of what not to publish … 🤦♂️
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Good info to help with the onslaught of phone calls and emails
I spoke with two seasoned nutrition researchers about RFK Jr.’s anticipated recommendation. While they had different views on how harmful saturated fats are, they both agreed that simply upping consumption is a bad idea, and that dietary guidance should focus on foods, not nutrients. My latest.
RFK Jr to urge Americans to eat more saturated fats, alarming health experts
October 27, 2025 at 4:36 AM
Good info to help with the onslaught of phone calls and emails
This will be a great A.I. opportunity. Now we need an outcomes study about reducing events when finding CAC “opportunistically”. (Is it even ethical to not treat opportunistic CAC??)
19 million non-cardiac chest CT's done annually in the US, each one an opportunity to identify and treat occult CAD www.ahajournals.org/doi/10.1161/... #cardiosky
Opportunistic Detection of Coronary Artery Calcium on Noncardiac Chest Computed Tomography: An Emerging Tool for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Assoc...
Coronary artery calcium (CAC) is a marker of subclinical atherosclerosis that confers
increased risk of atherosclerotic cardiovascular disease. Measured by noncontrast
cardiac computed tomography, CAC...
www.ahajournals.org
October 21, 2025 at 10:12 AM
This will be a great A.I. opportunity. Now we need an outcomes study about reducing events when finding CAC “opportunistically”. (Is it even ethical to not treat opportunistic CAC??)
Great case of THROMBUS crossing PFO — the so called “Paradoxical” thrombus — the thing we all look for and never find … a Moby Dick moment #CardioSky #Cardiology #MedSky
You don't see these things every day😯
Massive intracardiac embolism, affecting both right and left sided chambers (and the pulmonary artery).
Presentation with a 2-week history of atypical symptoms, with acute deterioration the day before surgery.
#ansky #cardiosky #echosky #echofirst
Massive intracardiac embolism, affecting both right and left sided chambers (and the pulmonary artery).
Presentation with a 2-week history of atypical symptoms, with acute deterioration the day before surgery.
#ansky #cardiosky #echosky #echofirst
October 21, 2025 at 10:06 AM
Great case of THROMBUS crossing PFO — the so called “Paradoxical” thrombus — the thing we all look for and never find … a Moby Dick moment #CardioSky #Cardiology #MedSky
State-of-the-Art CT Coronary Angiography … it’s all about the tools and a slow heart rate. #ProtonCountingCT #CardioSky
www.jacc.org/doi/epdf/10....
www.jacc.org/doi/epdf/10....
Photon-Counting Computed Tomography in Cardiac Imaging:
View all available purchase options and get full access to this article.
www.jacc.org
October 18, 2025 at 2:52 PM
State-of-the-Art CT Coronary Angiography … it’s all about the tools and a slow heart rate. #ProtonCountingCT #CardioSky
www.jacc.org/doi/epdf/10....
www.jacc.org/doi/epdf/10....
Nice thoughtful guidance for LV thrombus intervention. #MedSky
🫀 Management of Antithrombotic Therapy in Left Ventricular Thrombus ⬇️
📌 Valeriani et al. report a Position Paper of the Italian Society of Hemostasis and Thrombosis (SISET) on the management of left ventricular #thrombosis
🆓 on TH! 👉 www.thieme-connect.de/products/ejo...
#CardioSky #HemeSky
📌 Valeriani et al. report a Position Paper of the Italian Society of Hemostasis and Thrombosis (SISET) on the management of left ventricular #thrombosis
🆓 on TH! 👉 www.thieme-connect.de/products/ejo...
#CardioSky #HemeSky
September 27, 2025 at 11:41 AM
Nice thoughtful guidance for LV thrombus intervention. #MedSky
Great case from JACC! So many things to learn here!
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
Acute Viral Myocarditis in a Young Woman
www.jacc.org
September 27, 2025 at 11:26 AM
Great case from JACC! So many things to learn here!
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
Great article for residents. LGE establishes the basis for re-entry for V-Tach. #CardioSky
#SCD
academic.oup.com/eurheartj/ar...
#SCD
academic.oup.com/eurheartj/ar...
Late gadolinium enhancement imaging and sudden cardiac death
Abstract. The prediction and management of sudden cardiac death risk continue to pose significant challenges in cardiovascular care despite advances in the
academic.oup.com
September 22, 2025 at 10:49 AM
Great article for residents. LGE establishes the basis for re-entry for V-Tach. #CardioSky
#SCD
academic.oup.com/eurheartj/ar...
#SCD
academic.oup.com/eurheartj/ar...
Great article for folks developing DNR policy at their hospitals
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
Reconsidering Routine DNR Reversal for Interventional Cardiac Procedures:
www.jacc.org
September 20, 2025 at 12:40 PM
Great article for folks developing DNR policy at their hospitals
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
WOW!! Aspirin is killer! Trial funded by Bayer Pharmaceuticals too!! But, the answer isn’t super straightforward.
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation | NEJM
The appropriate antithrombotic regimen for patients with chronic coronary syndrome who are at high atherothrombotic risk and receiving long-term oral anticoagulation remains unknown. We conducted a...
www.nejm.org
August 31, 2025 at 4:24 PM
WOW!! Aspirin is killer! Trial funded by Bayer Pharmaceuticals too!! But, the answer isn’t super straightforward.
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....