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Reposted by Sarah Hudson

David Winchester @drdavemd.bsky.social · Jun 4

Concentrating your physical activity as a "weekend warrior" has similar benefit to exercise spread across the week www.ahajournals.org/doi/10.1161/... #cardiosky

Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality | Journal of the American Heart Association

www.ahajournals.org

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Reposted by Sarah Hudson

David Winchester @drdavemd.bsky.social · Jun 4

Presence of breast implants is associated with a higher likelihood of a positive stress test (OR 1.78; 95% CI, 1.11-2.26; P = .02), leading to more cath, but lower likelihood of PCI www.amjmed.com/article/S000... #cardiosky

Women with Breast Implants Have Higher Adjusted Abnormal Cardiac Testing and Coronary Angiography but Lower Coronary Intervention

Breast implants interfere with myocardial perfusion imaging (single photon emission computed tomography) and echocardiographic windows, leading to increased false-positive results. To validate this co...

www.amjmed.com

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Reposted by Sarah Hudson

UK Health Security Agency @ukhsa.bsky.social · Jun 4

The MHRA today released new guidance for #Phage therapy in the UK. This will provide direction for scientists and researchers working to make this treatment a reality for patients. 🔬 🧪

🔗 www.gov.uk/government/n...

Dr Colin Brown, deputy director at the UK Health Security Agency, responsible for AMR, said:

“Phage therapy truly has the potential to transform the way we treat bacterial infections, especially as resistance to antibiotics grows. At UKHSA, we’re developing new ways to help increase phage therapy use and research, including a bacteriophage collection where scientists can both access and deposit phages. In time, we hope solutions like phage therapy can become a first-line treatment option.”

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

5) Don’t forget 50% dissections occur post partum so need period of monitoring pre discharge. Other post partum considerations in slide below.

#cardiosky

Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

4) Vaginal birth is preferred mode of delivery in most aortopathy pts

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

3) For pts with known aortopathy, it is important to involve the whole team and have birth plan in place early; avoid ergometrine if possible

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

2) 90% of women who dissect during pregnant had no prior diagnosis of aortopathy

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

Why it is important to be aware of aortopathy in pregnancy: 5 learning points from Dr von Klemperer’s #BCS2025 talk

1) if a pregnant woman has an aortic dissection, there is a 20-50% mortality and significant morbidity

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

Reliable information on Spontaneous Coronary Artery Dissection (SCAD) for both pts and HCP:

beatscad.org.uk

Website highlighted by Dr Adlam at #bcs2025

#cardiosky #cardioed

Beat SCAD - Supporting SCAD Patients and Funding Research

Beat SCAD is dedicated to raising awareness and supporting those affected by Spontaneous Coronary Artery Dissection (SCAD). Explore resources and find support.

beatscad.org.uk

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 4

If a woman had SCAD in pregnancy, how likely are they to have recurrent SCAD if they get pregnant again?

~9% risk, according to Dr David Adlam at #BCS2025

#cardiosky

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Reposted by Sarah Hudson

Tharusha Gunawardena (he/him) @tharusha.bsky.social · Jun 3

Some interesting learning points from BCS

1) if new AF more than 24h (not 48h) then should do TOE or if on doac for more than three weeks

2) Anticoagulate all HCM with AF

3) CHADVA now not chadsvasc (removes ambiguity of female sex modifier)

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 3

Maths as a stressor to help increase HR for stress echo? Poster at #bcs2025 shows maths does increase HR… but doesn’t decrease need for dobutamine or atropine #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 3

What is being scanned in a London CMR scanner? Slide shared by Dr Dan Sado at #bcs2025 #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 3

Graph of NHS imaging activity in England - interesting slide shared by Dr Rebecca Schofield at #bcs2025

Sarah Hudson @sarahhudsonuk.bsky.social · Jun 3

Use of echo in pts presenting to critical care with shock- the NEAT-ECHO study showed it altered management or aided diagnosis 54% of the time. Slide shared by Dr Ingram at #bcs2025 #cardiosky

Link to study:
pubmed.ncbi.nlm.nih.gov/39158704/

Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

Placebo control trials are standard for medications but not for procedures - Dr Al-Lamee (the force behind the Orbita trials) gave a persuasive talk at #bcs2025 about why placebo control trials for procedures are also needed.

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

If a screening test that is done over consecutive years has a false positive rate of 10%, by occasion 7 the prob of a false + is 0.522, therefore prep pts to ‘expect a false +’

Maths lesson at #bcs2025 by the superb @kityates.bsky.social

#cardiosky #medsky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

What are the benefits of GLP-1RA apart from weight loss?

Great summary slide of RCT evidence shown by Prof Tan at #bcs2025

#cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

Why treat obesity? Compelling slide shown by Prof Tricia Tan at #bcs2025 using a famous historical figure as an example. #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

The effect of sugar industry influence on a 1967 paper- money well spent in terms of impact on opinions for years to come. Slide shared be Dr Soukoulis at #bcs2025 #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

Prof Kotecha highlights possible targets to improve management of AF- @escardio.bsky.social guidelines discussed at #bcs2025 #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

DCCV: safety first! Remember risk of stroke: AF duration for unanticoagulated DCCV ⬇️to 24hrs in most recent @escardio.bsky.social guidelines. Slide shown by Prof Kotecha #bcs2025 #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

Ischaemic heart disease endotypes- great slide shared by Prof Colin Berry at #BCS2025 - note how small vessel disease is more common in women #cardiosky

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Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

The BCS annual conference seems a good time to try and find those in the UK cardiology community on BlueSky - here’s a starter pack of those I’ve found so far, any more?

go.bsky.app/QdzJcFB

Sarah Hudson @sarahhudsonuk.bsky.social · Jun 2

It’s BCS annual conference time! Looking forward to 3 days of learning and catching up with the cardiology community, and sharing on BlueSky some of the take home messages #cardiosky

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