David Winchester
@drdavemd.bsky.social
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
From 2019 to 2023, the rate of deferred testing for low risk chest pain in the ED rose from 67% to 82% @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Trends in the Evaluation of Acute Chest Pain: An Analysis of the Chest Pain-MI National Cardiovascular Data Registry
jacc.org
It looks like @clarivateag.bsky.social has finally shut down the email address that you could use to automatically track your manuscript reviews, quite a shame because it was a product that actually made life as an academic easier.
"Both ivabradine and propranolol reduce tachycardia and symptoms in POTS, supporting their use, but variability in response suggests that individualized treatment selection is warranted." www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Ivabradine, Propranolol, and Placebo for Postural Orthostatic Tachycardia Syndrome (POTS): A Randomized Crossover Trial
jacc.org
Excellent advice from @hmkyale.bsky.social on how to write a manuscript discussion @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
The Discussion: Where Every Paragraph Has a Job
jacc.org
New research on the use of cardiac imaging modalities comparing VA to Medicare www.sciencedirect.com/science/arti...
Use of Advanced Coronary Artery Disease Imaging Within Veterans Affairs Facilities Compared to Medicare Beneficiaries
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sciencedirect.com
Mechanistic RCT showing how decreased preload and afterload result in lower myocardial work and coronary blood flow @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Effect of Sublingual Nitroglycerin on Absolute Coronary Blood Flow: A Randomized Double-Blind Placebo-Controlled Mechanistic Study
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jacc.org
State of the art review on when to withdraw aspirin in patients with CAD and/or stents www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Aspirin Withdrawal in Patients With Coronary Artery Disease:
jacc.org
Nearly half of physicians surveyed have considered leaving practice (44%,up from 35% last year), including 25% burnout and 16% early retirement www.medcentral.com/reports/medi...
The Evolution of Medical Practice 2026: How Physicians Are Navigating Rising Complexity Amid Stagnant Pay
MedCentral’s third annual physician survey reveals how physicians are managing among rising retirements, personal health issues, and complex chronic disease care.
medcentral.com
Subanalysis from the ISCHEMIA trial, 25% of nuclear and 15% of echo read by the sites as moderate ischemia was none/mild read by the core lab www.ahajournals.org/doi/epub/10....
ahajournals.org
I appreciate a thorough manuscript review as much as the next author, but have you ever gotten a review with 2/3 the word count and almost the same number of references as the manuscript being reviewed?
@accintouch.bsky.social continues to advocate for changes to Medicare's ambulatory specialty care model for heart failure www.acc.org/Latest-in-Ca...
Heart of Health Policy | ACC Urges Changes as Ambulatory Specialty Model Approaches - American College of Cardiology
acc.org
Over 6 years, an academic center cardiology practice saw 16K new patients, 45% of which were via telemedicine, resulting in broader geographical reach and reduced wait times www.ahajournals.org/doi/10.1161/...
Telemedicine Use and Access to Care for New Patients at an Academic Cardiovascular Center: An Analysis of Geographic Reach and Wait Times | Journal of the American Heart Association
ahajournals.org
Thanks to @minnowwalsh.bsky.social et al for the updated universal definition of heart failure @accintouch.bsky.social @escardio.bsky.social @worldheart.org @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026):
jacc.org
Our summary of the latest @accintouch.bsky.social h guidelines on perioperative management are published in @jama.com jamanetwork.com/journals/jam...
Perioperative Cardiovascular Medication Management for Noncardiac Surgery
This JAMA Clinical Guidelines Synopsis summarizes the 2024 recommendations from the American Heart Association and American College of Cardiology on perioperative cardiovascular medication management ...
jamanetwork.com
Signals have arrived to cardiology fellowship process, almost every applicant and program used them, but did you know that the AVERAGE number of programs applied from a single candidate was 90 (down from 96)? @jaccjournals.bsky.social www.jacc.org/doi/epdf/10....
Insights from the First Year of Program Signaling in Cardiovascular Disease Fellowship Recruitment:
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jacc.org
Insightful comments from @hmkyale.bsky.social on the complexity of interpreting population level data and risk adjustment @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
When the Same Patient Is Not the Same Patient: The Will Rogers Phenomenon in Contemporary Cardiovascular Care
jacc.org
Meta-analysis finds that GLP1s improve outcomes for HFpEF but not HFrEF www.ajconline.org/article/S000... #cardiosky
Divergent Efficacy of GLP-1 Receptor Agonists in HFpEF Versus HFrEF: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
GLP-1 receptor agonists (GLP-1 RAs) are increasingly evaluated for cardiovascular outcomes, including heart failure (HF), due to their weight-reducing and anti-inflammatory effects. Individual trials ...
ajconline.org
Federal charges for director of a CV practice in Florida for an $89 million health care fraud scheme involving unnecessary cardiovascular testing such as EKGs and echocardiograms performed on student athletes on college campuses. oig.hhs.gov/fraud/consum... #cardiosky
Consumer Alert: Cardiovascular Testing Scam
The U.S. Department of Health and Human Services, the Centers for Medicare & Medicaid Services, and the Office of Inspector General (HHS-OIG) is alerting consumers, especially parents, caregivers, ath...
oig.hhs.gov
We need to continue to encourage people to engage in aerobic activity to reduce risk of heart disease, but don't forget that resistance training benefits as well! @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...
Resistance Training, Aerobic Activity, Television Viewing, and Risk of Major Cardiovascular Events in U.S. Women:
jacc.org
Almost 20% of cardiologists identified for new CMMI model payment program for HF should not be on the list @accintouch.bsky.social cardiovascularbusiness.com/topics/healt...
Hundreds of cardiologists incorrectly added to new mandatory payment model
When CMS shared a list of cardiologists being targeted with a brand new payment model, the American College of Cardiology identified a long list of apparent mistakes.
cardiovascularbusiness.com
Stepwise case from @curbsiders.bsky.social and @cpsolvers.bsky.social walks through a patient with loss of consciousness and the relevant differentials audioboom.com/posts/891640...
#529 A Case of Syncope with the Clinical Problem Solvers
Enjoy the ride as we go through a case of syncope with the Clinical Problem Solvers (https://clinicalproblemsolving.com/) ! Listen in awe as they break down their thought process when evaluating a…
audioboom.com
Excellent, practical explanation of what diastolic dysfunction is and how to assess it using the most recent @ase360.bsky.social guidelines #echofirst www.ahajournals.org/doi/10.1161/...
Past, Present, and Future of Evaluating Diastolic Function | Circulation: Cardiovascular Imaging
The assessment of left ventricular diastolic function started with invasive pressure measurements and is currently primarily based on echocardiographic imaging. The current approach to the diagnosis o...
ahajournals.org
Incredible story about how more than a dozen doctors gave one man different opinions on his diagnosis and how he navigated the dilemma omny.fm/shows/revisi...
The Trust Diagnosis - Revisionist History
The episode centers on the dilemma of a man with an advanced, metastatic case of prostate cancer. His name is Dan. Every doctor he spoke to had a different opinion on what he should do — or whether it...
omny.fm
Check out the new podcast from Dr. Manshadi, The Physicians Pulse www.youtube.com/@ThePhysicia...
The Physician's Pulse
Welcome to Physician's Pulse, a podcast hosted by Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This ...
youtube.com
TIL: there are companies that will manufacture custom supplements that you can label/brand/market however you want www.npr.org/2026/06/05/n...
Why is there a supplement craze if they don’t even work? : Planet Money
One reason the $70 billion supplement industry is set to double in the next seven years? Lax regulation.On today's show, we tell the story of a century-long battle between the U.S. government and … yo...
npr.org
Study will screen patients with abnormal echo (diastolic dysfx, HF, VHD, LVH, etc.) for occult AFib with 7 day ECG screening q3mo for a year www.ajconline.org/article/S000...
Screening of Atrial Fibrillation/Arrhythmia Events in Patients With Abnormal ECHOcardiographic Parameters: The Randomized, Prospective SAFE-ECHO Study Design and Rationale
Atrial fibrillation (AF) screening is important because AF can be paroxysmal and asymptomatic. Although AF is closely linked to certain abnormal echocardiographic parameters, these parameters have…
ajconline.org
Meta-analysis suggests that BB may reduce MACE in patients with HFpEF and HFmrEF www.ajconline.org/article/S000...
Revisiting Beta-Blockers in Heart Failure With Preserved Ejection Fraction—A Systematic Review and Meta-analysis
Despite advances in device therapy and the emergence of novel treatments, beta-blockers (BBs) remain a commonly prescribed medication in heart failure (HF). However, HF with preserved ejection…
ajconline.org
CVD costs the US $500 billion a year with average hospitalizations costing about $20K each www.ajconline.org/article/S000... #cardiosky
The Economic Burden of Cardiovascular Disease in the United States
Cardiovascular disease (CVD) is the leading cause of death in the United States and a major driver of healthcare spending. Combined direct costs, such as hospitalizations, procedures, and medications,...
ajconline.org
Randomized trial of ketones in acute decompensated HF shows a dose/time linkage to increase in cardiac output www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social #cardiosky
A story about how setting standards for products shared between manufacturers and that cross international borders can make things better for consumers and producers. @99pi.org 99percentinvisible.org/episode/100-...
100 Objects #2: 60-Degree Screw - 99% Invisible
A small metal screw, cut to a precise angle. How did one country quietly decide how the modern world holds together? In this episode, Roman and historian Daniel Immerwahr tell the story of the screw a...
99percentinvisible.org