I've authored quality measures for 30+ years. My new @jaccjournals.bsky.social Editor's Page: what we built mattered — but it hasn't done enough. We now have the tools to build something better. To assist and improve. www.jacc.org/doi/10.1016/...

Seeing and Improving Care: The Next Frontier of Quality Measurement

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Dr. Kevin Billingsley joined the 'Health & Veritas' podcast to talk about how #robotics and advanced imaging are reshaping what it means to be a surgeon. insights.som.yale.edu/podcasts/hea... @yalesom.bsky.social @yalesph.bsky.social @thehowie.bsky.social @hmkyale.bsky.social #healthandveritas

Kevin Billingsley: The Making of the Modern Surgeon

Howie and Harlan are joined by Yale School of Medicine surgical oncologist Kevin Billingsley, who discusses how robotics and advanced imaging are reshaping what it means to be a surgeon and offers gui...

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On the new episode of #HealthandVeritas, Solomon Center affiliated faculty @thehowie.bsky.social and co-host @hmkyale.bsky.social speak with Dr. Stephen Latham about why the legal definition of death is becoming less useful as medical technologies progress. som.yale.edu/podcasts/hea...

Stephen Latham: The End of Irreversibility

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The vaccine safety study that did not disappear - @hmkyale.bsky.social on the medRxiv paper the FDA has reportedly blocked formal publication of neverdelegateunderstanding.substack.com/p/the-vaccin...

The Vaccine Safety Study That Did Not Disappear

Whatever the findings, government-commissioned research should be published

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Richard Sever@richardsever.bsky.social · 3mo ago

FDA blocked journal publication of COVID vaccine safety study in "act of censorship". But it's on medRxiv... www.medrxiv.org/content/10.1... www.nytimes.com/2026/05/05/u...

My dear 92-year-old mother-in-law did not survive her heart attack. The CCU team showed our family what cardiology at its best looks like, and it wasn't the technology. My @jaccjournals.bsky.social Editor's Page on the experience: www.jacc.org/doi/10.1016/...

Proud moment. My daughter’s Heartbeats essay at JACC, “Dueling Pursuits: Balancing Motherhood and Medicine,” reflects on pregnancy during med school and the structural barriers women continue to face. Honest, thoughtful, and important. @jaccjournals.bsky.social authors.elsevier.com/a/1mdcc_GjkR...

New Health & Veritas bonus episode with Ania Jastreboff, coinciding with the release of Enough: Your Health, Your Weight, and What It’s Like to Be Free (with Oprah Winfrey). “Having obesity is not a choice. It’s driven by biology.” @thehowie.bsky.social 🎧 insights.som.yale.edu/podcasts/hea...

Ania Jastreboff: Treating Obesity Without Shame

In this bonus episode, Howie and Harlan are joined by Ania Jastreboff, a Yale School of Medicine endocrinologist and an expert on the science of obesity. They discuss her new book, co-authored with Op...

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“Older adults were, and still are, at the center of cardiovascular care, but they remain on the margins of cardiovascular science.” My Editor’s Page in the new @JACCJournals issue reflects on why this gap persists, and what must change. www.jacc.org/doi/10.1016/...

Older Patients and Cardiovascular Disease: At the Center of Care, on the Margins of Science

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New JACC issue centers on cardiovascular care for older adults: • Frailty and BP control • Frailty as a prognostic tool in HF • Loss of Y chromosome and CV risk • Vascular cognitive impairment and dementia Age is not the whole story. 👉 JACC.org @jaccjournals.bsky.social

JACC Journals Exploring the Impact on Cardiovascular Medicine

Stay informed with JACC Family of Journals, published by the ACC | Providing updates in cardiovascular medicine for clinicians, specialists, and researchers.

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🎙️Bonus episode of Health & Veritas In this special episode, we talk w/Ezekiel Emanuel about his new book Eat Your Ice Cream, why wellness should not feel like punishment, and how evidence can support a life that includes joy. @thehowie.bsky.social Listen here 👉 insights.som.yale.edu/podcasts/hea...

Ezekiel Emanuel: Ice Cream and Other Keys to a Long Life

In a bonus episode, Howie and Harlan welcome oncologist, bioethicist, and public health expert Ezekiel Emanuel to discuss his new book, which counters the wellness industry by offering simple, evidenc...

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The Dry January Experiment: What happens to your blood pressure after just one less drink? Evidence from @jaccjournals.bsky.social suggests even light drinking affects your heart health. @yaleschoolofmed.bsky.social @yalesph.bsky.social 👉 neverdelegateunderstanding.substack.com/p/the-dry-ja...

The Dry January Experiment

What Happens to Your Blood Pressure After Just One Less Drink?

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Do clinical trials expire? New heart attack studies show that evidence from 1980s may not apply to patients in 2025. Beta blockers are a case study in how medicine evolves, and how slowly our evidence base often keeps up. My latest Substack: neverdelegateunderstanding.substack.com/p/do-clinica...

Do Clinical Trials Expire?

What Beta Blockers Teach Us About How Medicine Learns

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After two years and thousands of manuscripts, I’ve learned that the real work of an editor isn’t gatekeeping — it’s partnership. My latest JACC Editor’s Page: The Partnership 🔗 www.jacc.org/doi/10.1016/... #MedTwitter #AcademicMedicine #Cardiology

After decades of disappointment in HFpEF, a new idea is shaking things up. Could heart failure with preserved EF actually be an adipose-driven disease? JACC’s latest issue explores “The Adipokine Hypothesis.” @jaccjournals.bsky.social 🔗 www.jacc.org/toc/jacc/cur...

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

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In this Editor’s Page, I outline why we believe authors can use AI tools to improve scientific writing—if they fully own what they submit. At JACC, we won’t stigmatize responsible use of AI. But we will insist on accountability. jacc.org/doi/10.1016/... @jaccjournals.bsky.social

Tools, Not Ghosts: Artificial Intelligence, Writing, and Responsibility

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In this Editor’s Page, I outline why we believe authors can use AI tools to improve scientific writing if they fully own what they submit. At JACC,we won’t stigmatize responsible use of AI. We will insist on accountability. www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @yalemed.bsky.social

Tools, Not Ghosts: Artificial Intelligence, Writing, and Responsibility

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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

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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/...

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/

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

“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

A conversation on Healthy Aging with @hmkyale.bsky.social and @thehowie.bsky.social @yaleschoolofmed.bsky.social insights.som.yale.edu/podcasts/hea...

Eric Topol: The Keys to Healthy Aging

Howie and Harlan are joined by physician, scientist, and author Eric Topol to discuss his new book, Super Agers: An Evidence-Based Approach to Longevity; the potential of individualized polygenic risk...

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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:

jacc.org

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

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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

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

In my new Substack post... Did you know air pollution can raise blood pressure? I break down a just-published JACC trial testing HEPA filters in homes near highways—and what it means for heart health. @jaccjournals.bsky.social 👉 neverdelegateunderstanding.substack.com/p/00314b6f-e...

Never Delegate Understanding

Making health and science understandable. Click to read Never Delegate Understanding, by Harlan Krumholz, a Substack publication. Launched 3 days ago.

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Can a HEPA filter protect the heart? My latest JACC #DeepDive explores a new trial of in-home air filtration—what it found, why the effect size matters, and how it fits into decades of research on air pollution and CVD risk. 🎧 www.jacc.org/digital-cont... @jaccjournals.bsky.social

Podcast Episode: Environmental Exposure as Intervention: HEPA Filtration and Blood Pressure Near Traffic Corridors | JACC Deep Dive

In this Deep Dive, Editor-in-Chief Dr. Harlan Krumholz explores a pragmatic, randomized crossover trial testing whether in-home HEPA filtration can reduce blood pressure in adults living near high-traffic roadways. The findings offer early insights into how targeted environmental interventions may influence cardiovascular risk—especially among individuals with elevated baseline systolic blood pressure.

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🎙️ New JACC This Week podcast! This issue features: 🔹 CSPACE RCT — CSP vs RV pacing in AV block 🔹 HEPA filtration & blood pressure 🔹 FLAVOUR 6-year follow-up—FFR vs IVUS 🔹 Editor’s Page: excess CV mortality in Black Americans 🎧 Listen: www.jacc.org/digital-cont... @jaccjournals.bsky.social

Podcast Episode: Pacing Strategies, Air Quality, and the Path to Equity | JACC This Week

In this week's JACC Deep Dive podcast, Dr. Harlan Krumholz highlights new science with direct clinical implications: a randomized trial showing conduction system pacing outperforms RV pacing in AV block, a pragmatic study suggesting HEPA filtration may modestly lower blood pressure, and long-term data from FLAVOR comparing FFR and IVUS-guided PCI. Also featured are a state-of-the-art review on heart failure therapy implementation, a brief report refining NT-proBNP thresholds for pre–heart failure, and an updated JACC Report Card revealing persistent cardiovascular mortality disparities among Black Americans.

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