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Nassim Nicholas TalebCARDIOLOGY QUESTION Contradiction: -Large (n=116K) dose-response study for exercise showing a lowering of all cause & CVD mortality endurance up to 900 m/w -Smaller (n<600) <a href="https://forall.social/tags/ACC23" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#ACC23</a>: endurance exercise WORSENS all plaque burden, even at moderate levels.IMPLICATION Plaque⇏risk?

Viet Le, MPAS PA-C FACC FAHAAntithombotics are no joke. More on board = more bleed risk. 🩸<a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a> also is no joke. ⬆️⬆️ events. AntiThrombo help ⬇️events 🩸consider adding anticoag to antiplt (voyager/compass) in both PAD and/or CAD 🩸would love to hear thoughts on p2y12i+Xa rather than ASA+Xa <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHAMore on anti-thrombo🩸Too bad vorapaxar went away 🩸arterial thrombosis: platelet activation + thrombus (dual pathway inhibition) 🩸Read Compass! Not just <a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a>, but CAD (90% had it)=24% RRR on rivaroxaban👊🏾 🩸Voyager: early separation (3m), ongoing divergence. <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHAWhat about antithrombolytics in <a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a>?🩸 Risk for MACE/MALE ⬆️w/presence of polyvasc and/or sx/event. 🩸ASA may help, crosses unity line tho 🩸p2y12 helps, modestly - ticag may not be better than clopido<a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHA<a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a> - the forgotten <a href="https://med-mastodon.com/tags/ASCVD" class="mention hashtag" rel="tag">#ASCVD</a> component.🦵🏾MI/CVA events higher in PAD than in prior MI/CVA pts!!!! 🦵🏾Low use of statins/other LLT in PAD 👀😮 🦵🏾<a href="https://med-mastodon.com/tags/LLT" class="mention hashtag" rel="tag">#LLT</a> effective in PAD: statinize!<a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a>

Viet Le, MPAS PA-C FACC FAHAWhat did I learn from being a panelist at this <a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a> session? A lot. @baileyannRN @JVargheseMD @herbaronowMD @marcreixell @KimGSmolderen <a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a> @MarcBonaca

Viet Le, MPAS PA-C FACC FAHAI love the randomness of life. Or perhaps it is not random. @DrEugeneYang - saved me from turning around from the <a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a> <a href="https://med-mastodon.com/tags/tweetup" class="mention hashtag" rel="tag">#tweetup</a>. I get anxiety in groups. He came out of an elevator just as I turned to leave from the Ritz-Carlton. Result: up the elevator w/him. Thx 🙏🏾

Viet Le, MPAS PA-C FACC FAHASo, there I was just walking past the most amazing group of cardiologists and they invited me to take a picture with them. All amazing and accomplished experts. Lucky <a href="https://med-mastodon.com/tags/PhysicianAssociate" class="mention hashtag" rel="tag">#PhysicianAssociate</a>. <a href="https://med-mastodon.com/tags/advocacy" class="mention hashtag" rel="tag">#advocacy</a> <a href="https://med-mastodon.com/tags/equity" class="mention hashtag" rel="tag">#equity</a> <a href="https://med-mastodon.com/tags/acccvt" class="mention hashtag" rel="tag">#acccvt</a> <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHA<a href="https://med-mastodon.com/tags/VitaminD" class="mention hashtag" rel="tag">#VitaminD</a> has had back&forth data w/recent “neutral” clinical trials but “positive” analyses for reduced DM and dementia. <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a> <a href="https://med-mastodon.com/tags/PhysicianAssociate" class="mention hashtag" rel="tag">#PhysicianAssociate</a> <a href="https://med-mastodon.com/tags/HeartPA" class="mention hashtag" rel="tag">#HeartPA</a> <a href="https://med-mastodon.com/tags/PatientsHealthFirst" class="mention hashtag" rel="tag">#PatientsHealthFirst</a>We are enrolling in the Target D trial (Heidi May, PI), an RCT in ACS pat…<a href="https://lnkd.in/g77QsuVP" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://lnkd.in/g77QsuVP</a>

Viet Le, MPAS PA-C FACC FAHACoronary calcium is pathognomic for coronary atherosclerosis. We looked at CAC from cardiact PET and stand alone CT. Does the distribution of CAC predict 90-d or 1-yr MACE?<a href="https://med-mastodon.com/tags/PA" class="mention hashtag" rel="tag">#PA</a> <a href="https://med-mastodon.com/tags/HeartPA" class="mention hashtag" rel="tag">#HeartPA</a> <a href="https://med-mastodon.com/tags/PhysicianAssociate" class="mention hashtag" rel="tag">#PhysicianAssociate</a> <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>Over 7500 scans were analyzed and expec…<a href="https://lnkd.in/gx-zgMHx" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://lnkd.in/gx-zgMHx</a>

Viet Le, MPAS PA-C FACC FAHAProud of my <a href="https://med-mastodon.com/tags/PA" class="mention hashtag" rel="tag">#PA</a> Colleague @Lross246, Pres Elect of @APAC_Cardiology. Great things are happening 2023-2025. What a great APAC presence at <a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a>. Panelists in <a href="https://med-mastodon.com/tags/PAD" class="mention hashtag" rel="tag">#PAD</a> <a href="https://med-mastodon.com/tags/LBCT" class="mention hashtag" rel="tag">#LBCT</a> <a href="https://med-mastodon.com/tags/prevention" class="mention hashtag" rel="tag">#prevention</a> <a href="https://med-mastodon.com/tags/PhysicianAssociate" class="mention hashtag" rel="tag">#PhysicianAssociate</a>

Connor Tice, MDPoster @ <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Philipp Grätzel von GrätzEndlich wieder ne kontroverse Studie 😉 Beim <a href="https://mastodon.online/tags/ACC23" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#ACC23</a> Kongress der US-Kardiologen in New Orleans wurde die randomisierte <a href="https://mastodon.online/tags/TRILUMINATE" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#TRILUMINATE</a> Studie vorgestellt, zeitgleich publiziert 👇. Ordentlich Diskussionen, auch weil prominent in NewYorkTimes gefeatured. (1/x) <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2300525?query=featured_home" rel="nofollow noopener noreferrer" target="_blank">https://www.nejm.org/doi/full/10.1056/NEJMoa2300525?query=featured_home</a>

Viet Le, MPAS PA-C FACC FAHASo neat to sit as a society president @APAC_Cardiology next to gov (@avolgman) and section leader (@Andrea_Price317) to welcome new <a href="https://med-mastodon.com/tags/FACC" class="mention hashtag" rel="tag">#FACC</a>/#AACC<a href="https://med-mastodon.com/tags/acccvt" class="mention hashtag" rel="tag">#acccvt</a> <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHAProud to serve my Cardiology <a href="https://med-mastodon.com/tags/PA" class="mention hashtag" rel="tag">#PA</a>/#PhysicianAssociate community. The past ~2yrs have been amazing. A huge thanks to my colleagues for supporting <a href="https://med-mastodon.com/tags/teambasedcare" class="mention hashtag" rel="tag">#teambasedcare</a> w/#APP colleagues ⁦@APAC_Cardiology⁩ ⁦@UtahAPA⁩ ⁦@Intermountain⁩ <a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a> <a href="https://www.linkedin.com/posts/hcplive_viet-le-pa-c-reflects-on-his-journey-of-activity-7038569564753821696-bDqd?utm_source=share&utm_medium=member_ios" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.linkedin.com/posts/hcplive_viet-le-pa-c-reflects-on-his-journey-of-activity-7038569564753821696-bDqd?utm_source=share&utm_medium=member_ios</a>

Brett Sperry, MDThis interesting case of ours was published today on the last day of <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>We have been very interested in the optimal time point for PYP imaging in diagnosing ATTR cardiac amyloidosis at @MidAmericaHeart --- RT @CircImaging Case of complete resolution of TcPYP uptake after treatment of ATTR cardiac amyloidosis on SPECT imaging. Imaging at multiple time points may be needed to assess response to therapy <a href="https://med-mastodon.com/@BrettSperryMD" class="u-url mention">@BrettSperryMD</a> @TimBateman6 <a href="https://med-mastodon.com/@M" class="u-url mention">@M</a>… <a href="https://twitter.com/CircImaging/status/1632863660442779650" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://twitter.com/CircImaging/status/1632863660442779650</a>

Viet Le, MPAS PA-C FACC FAHARepping @MyASNC , Pres. @almallahmo and @APAC_Cardiology <a href="https://med-mastodon.com/tags/convocation" class="mention hashtag" rel="tag">#convocation</a> <a href="https://med-mastodon.com/tags/acc23" class="mention hashtag" rel="tag">#acc23</a>

Viet Le, MPAS PA-C FACC FAHAWhat a great case @Shikha_Cardio! Lyme disease and AV conduction block w/PPM placement. <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a> Discussing findings with @KirkKnowlton

Viet Le, MPAS PA-C FACC FAHA<a href="https://med-mastodon.com/tags/Fasting" class="mention hashtag" rel="tag">#Fasting</a>, <a href="https://med-mastodon.com/tags/HF" class="mention hashtag" rel="tag">#HF</a>, and <a href="https://med-mastodon.com/tags/covid19" class="mention hashtag" rel="tag">#covid19</a> -For those that practice periodic fasting, @DrBenjaminHorne et al found ⬇️HF hospitalizations in those dx’d w/Covid19 @Intermountain <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

Viet Le, MPAS PA-C FACC FAHAWhen you catch up to the Alberts and do not necessarily need to pushups… 😂😂😂Please attend Mike’s talk on pharmacotherapeutics in Obesity. This landscape is changing fast! @DrDave01 @MichaelAlbertMD <a href="https://med-mastodon.com/tags/ACC23" class="mention hashtag" rel="tag">#ACC23</a>

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