Cian McCarthy @CianPMcCarthy Twitter profile

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Cian McCarthy

@CianPMcCarthy

3 years

2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization now published! Here are my top takeaways! Thread/ Link:

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Cian McCarthy

@CianPMcCarthy

2 years

“ @InbarRaber and I are out of office from 5/11/22… please send any clinical or research questions to our new recruit, Charlie Aviv McCarthy”

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Cian McCarthy

@CianPMcCarthy

4 years

Now out in @JACCJournals we present interesting data from the largest, and first national, study of Type 2 MI in the United States! @JJheart_doc @DhavalKolte @jasonwasfy @mvaduganathan @MGHHeartHealth Thread/

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Cian McCarthy

@CianPMcCarthy

2 years

Just out in @CircAHA ⭐️ Led by co-chairs, Dr. Glenn Levine & @johnwmcevoy , pleased to share our @AHAScience Scientific Statement on the Management of Patients at Risk for and With LV thrombus! 1/ Link:

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Cian McCarthy

@CianPMcCarthy

4 years

My 15 highlights 💡from the 2020 ESC NSTE-ACS guideline: 1. Hs troponins recommeded over conventional assays 🧪 2. ESC 0'1 and 0'2 algorithms preferred over 0'3 3. TTE recommended for all patients.

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Cian McCarthy

@CianPMcCarthy

5 years

On a personal note, delighted to share that @InbarRaber and I are now engaged! 💍😀

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Cian McCarthy

@CianPMcCarthy

3 years

⚡️💥BREAKING 💥⚡️ The 2021 ACC/AHA/CHEST/SAEM/SCCT/SCMR Chest Pain guideline was published online today! Link to paper: Here are my personal takeaways! 👇 Thread /

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Cian McCarthy

@CianPMcCarthy

1 year

Graduated from @HarvardChanSPH @Harvard today with a Masters of Science in Epidemiology! Looking forward to putting the knowledge in to action! Special thanks to my wife @InbarMcCarthy for her support and my amazing mentors at @MGHHeartHealth and the future grad from our home👇

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Cian McCarthy

@CianPMcCarthy

2 years

Now out in @JACCJournals , pleased to share our @ACCinTouch Expert Consensus Decision Pathway on the Evaluation of Acute Chest Pain in the ED led by Chair @Mikekontos1 and Vice-Chair Dr. James De Lemos. Link: Thread👇 1/

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Cian McCarthy

@CianPMcCarthy

1 year

Out now in @JACCJournals and presented today @NCYIForum , in a prospective study of consecutively adjudicated cases of type 2 MI we sought to answer how common any plaque, obstructive CAD, and hemodynamically significant focal stenosis is in this population? 1/thread

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Cian McCarthy

@CianPMcCarthy

1 year

Delighted to receive K23 NOA from @nih_nhlbi . We will explore health status using PROMs for type 2 vs type 1 MI and use of cardiac rehab for type 2 MI. Very grateful to mentors @pnatarajanmd @JJheart_doc and advisory team @jspertus @jasonwasfy Drs. Kitzman, Huffman, and Doros 1/2

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Cian McCarthy

@CianPMcCarthy

5 years

Physicians are increasingly faced with elevated troponin levels. In our review, now available in @JAMACardio , Drs. @InbarRaber , @chapdoc1 , @HighSTEACS , @yadersandoval , @mrapple004 , @JJheart_doc , and I, provide a practical guide to myocardial injury. 👇

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Cian McCarthy

@CianPMcCarthy

4 years

Delighted to announce we enrolled our first patient in the DEFINE-Type 2 MI study today! @JJheart_doc @SandeepHedgire @ghoshhajra @SeanMurphyMBBCh @jasonwasfy @DanAmponsahMD @PaulaRambarat @Dr_ALevin @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

2 years

I am excited to share the results of the DEFINE Type 2 MI study at #ACC23 on Saturday! This is the 1st prospective study examining the prevalence of CAD and hemodynamically significant stenosis (FFRct) among patients with type 2 MI in the US. Swing by if free @JJheart_doc

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Cian McCarthy

@CianPMcCarthy

5 years

Wow!! So proud of this!! Our review article, led by @InbarRaber and @johnwmcevoy on aspirin in the primary prevention of CVD published in @TheLancet has won the best research article of the year at the Irish Healthcare Awards!! @mvaduganathan @DLBHATTMD @rblument1 @BidmcCvi

NIPC

@NIPCIRELAND

5 years

Thrilled to win best Research Paper of the Year award at the @HealthAwardsIrl tonight! Research winner was @johnwmcevoy ’s review of low dose #aspirin in the primary prevention of cardiovascular disease. #awardwinner #IHCAwards2019

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Cian McCarthy

@CianPMcCarthy

3 years

I received proofs today for an upcoming publication requesting turnaround within 48 hours.. Christmas Eve-Day.. I mean.. really??

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Cian McCarthy

@CianPMcCarthy

5 years

Congratulations to my better half @InbarRaber for matching to her top Cardiology fellowship choice: Beth Israel Deaconess Medical Center! So proud of you! @BidmcCvi

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Cian McCarthy

@CianPMcCarthy

3 years

In @JACCJournals Ueki et al examine the incidence & prognosis of various definitions of periprocedural MI among patients undergoing PCI. @JJheart_doc and I discuss periprocedural MI as an endpoint in clinical trials in the editorial 1/ A thread 👇

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Cian McCarthy

@CianPMcCarthy

3 years

Getting excited for ACC.22 next month! #ACC2022 Received my badge in the mail today.. It looks like I was accidentally promoted to treasurer… Would that make me your boss @JJheart_doc ? @ACCinTouch

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Cian McCarthy

@CianPMcCarthy

4 years

Congratulations to my better half @InbarRaber for presenting her important work on Gender Differences in Industry Payments among Cardiologists @BIDMC_Medicine Grand Rounds today! Much work to be done to narrow the gender salary gap in Cardiology! @johnwmcevoy @ACCinTouch

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Cian McCarthy

@CianPMcCarthy

6 months

Out today in @JAMA_current , in this Viewpoint available with free access, @jasonwasfy , @JJheart_doc , and I pose the question: Is Myocardial Infarction Overdiagnosed?

Is Myocardial Infarction Overdiagnosed?

This Viewpoint examines whether overdiagnosis rather than underdiagnosis may now be the dominant form of myocardial infarction misdiagnosis.

jamanetwork.com

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Cian McCarthy

@CianPMcCarthy

4 years

Now out in @CircOutcomes (simultaneous pub with #AHA20 ), we examine how frequently patients with type 2 MI are evaluated by a cardiologist and the association of this evaluation with testing and treatment. @jasonwasfy @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

3 years

Now out in @JACCJournals we 🔍 the association of the intro of ICD-10 codes for Type 2 MI and Types 3-5 MI on observed trends in hospitalizations, patient characteristics and outcomes for T1MI. @jasonwasfy @JJheart_doc @MGHCVFellows @MGHHeartHealth 1/

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Cian McCarthy

@CianPMcCarthy

2 years

Huge honour to be included in @CircAHA list of Outstanding Reviewers this year among such esteemed academics including @mchonig ! Lots of fascinating science published in the journal this year! @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

3 years

Christmas in Ireland with @InbarRaber

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Cian McCarthy

@CianPMcCarthy

1 year

Troponin 99th percentiles are a 🗝️component of MI diagnosis. In this @JACCJournals , @johnwmcevoy et al 🔍 these cut-offs using NHANES and how they vary by sex, race, and age. @JJheart_doc , Austin Vyas, and I discuss in editorial

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Cian McCarthy

@CianPMcCarthy

5 years

In our Viewpoint now online @TheLancet , we discuss current concerns regarding the supply of heparin and implications+contingencies in the event of a critical shortage. @connors_md @mvaduganathan @NilayPatelMD @DLBHATTMD @RahulSakhujaMD @MGHHeartHealth 1/

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Cian McCarthy

@CianPMcCarthy

5 years

Confused about the difference between type 2 MI and myocardial injury? What are the evaluation and coding implications? I discuss these issues in this article now published on . @ACCinTouch @keaglemd 👇

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Cian McCarthy

@CianPMcCarthy

5 years

Fantastic meeting today in ACC Heart House discussing the evaluation of ACS in the ED. Honored to be be part of this amazing committee led by Drs. Kontos and De Lemos. More guidance on this issue to come in the era of high sensitivity troponin assays! @MGHHeartHealth

American College of Cardiology

@ACCinTouch

5 years

The ACC would like to thank the Emergency Department Evaluation of Patients With Possible ACS Roundtable Planning Committee for their work on addressing recent trends related to the evaluation of patients with possible #cvACS in the ED.

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Cian McCarthy

@CianPMcCarthy

6 years

Navigating the U.S. visa/Greencard system can be a very stressful experience for IMGs, especially around residency/fellowship application periods. After 2 years of work, delighted to have my greencard approved today! 🇺🇸 🇮🇪 Thanks to @MGHMedicine , @jmvyasmdphd for the support

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Cian McCarthy

@CianPMcCarthy

4 years

Now out in @CircAHA , led by @johnwmcevoy and @alanpjacobsen , we review the historical & contemporary data for aspirin in chronic coronary syndrome/stable CAD with input from @DLBHATTMD @InbarRaber @rblument1 @WijnsWilliam . Is lifelong aspirin sacrosanct?

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Cian McCarthy

@CianPMcCarthy

5 years

In this issue of @JACCJournals , Drs. Chang, @mvaduganathan and I discuss shortfalls of current systems of cardiometabolic care, the need for cardiometabolic specialists, and provide a proposed framework of a dedicated cardiometabolic training program.

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Cian McCarthy

@CianPMcCarthy

4 years

Very proud of my better half @InbarRaber presenting data from @BidmcCvi on their Women in Cardiology Resident Coaching program along with @MeghanYorkMD and @AliMCorley ! Lots of fantastic work underway! #closethegap #ACCWIC

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Cian McCarthy

@CianPMcCarthy

6 years

Myocardial injury is now the most common cause of ⬆️ troponin. Eggers et al. report 5-year MACE rate of 15% @JACCJournals In the accompanying editorial, @JJheart_doc and I confront the trivialization of myocardial injury. 👇

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Cian McCarthy

@CianPMcCarthy

2 years

Huge congratulations to @tigerstatdoc for winning the Early Career Investigator Award in Preventative Cardiology at #AHA22 ! @MGHCVFellows @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

4 years

Very impressive results! 15% mean drop in body weight in the semaglutide group (average loss of 15kg)!! Once-Weekly Semaglutide in Adults with Overweight or Obesity | NEJM

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Cian McCarthy

@CianPMcCarthy

4 years

Now out in @EClinicalMed , open access journal of @TheLancet , we provide our early experience with patients hospitalized with COVID-19 at Mass General Brigham. @jasonwasfy @MGHMedicine

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Cian McCarthy

@CianPMcCarthy

3 years

Hs-troponin assays are ✅ for ❌ MI. Yet, ⬆️ of unclear etiology are common. In this important study, @johannesneuman @dirkwestermann derive 🧪 scores to differentiate T1MI, T2MI + myocardial injury. @JJheart_doc and I discuss next steps in the editorial

Dirk Westermann

@dirkwestermann

3 years

@johannesneuman showed nicely how future biomarker panels might distinguish different NSTEMIs with @bacc data. @RTwerenbold @Nils_Soensen @JACCJournals @DGK_org @YoungDgk

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Cian McCarthy

@CianPMcCarthy

2 years

Congratulations to @JonWCunningham and @AndrewOseran on their ACC YIA! Two fantastic studies!

American College of Cardiology

@ACCinTouch

2 years

Winners of the Young Investigator Award in Outcomes Research Category: 🥇 Jonathan Cunningham, MD @JonWCunningham 🥈 Andrew Oseran, MD @AndrewOseran #ACC23 #WCCardio #TheFaceofCardiology

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Cian McCarthy

@CianPMcCarthy

5 years

Thanks @JJheart_doc for the amazing tickets to the @RedSox with @InbarRaber ! I am very lucky to have a mentor like you #wellness #postcall

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Cian McCarthy

@CianPMcCarthy

2 years

As we head into St. Patrick's day ☘️☘️, many across the globe will celebrate wearing green, attending parades, and for some, sipping a Guinness. However, many in the academic community may not be aware that @GuinnessIreland has produced more than just stout..

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Cian McCarthy

@CianPMcCarthy

6 years

In this study now available @JACCJournals with upcoming presentation at #ACC19 , we examine the utilization of cardiac rehabilitation for Type 2 MI. @SeanPTMurphy1 @JJheart_doc @AvinainderSingh @JACohenMD @mvaduganathan @jasonwasfy @MGHHeartHealth 👇

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Cian McCarthy

@CianPMcCarthy

4 years

As one of @jjheart_doc mentees for the past 5 years, I can definitively say this is an INCREDIBLE opportunity! Jim has knocked down so many doors for me and we have published 35 papers together in that period. Come join our group!

James Januzzi Jr MD

@JJheart_doc

4 years

📢Job opportunity! Interested in a research fellowship in my study group? We have a 2-year position available! Plenty of mentorship and publishing opportunities. Follow the link below for more information! #HeartFailure #GDMTworks #biomarkers

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Cian McCarthy

@CianPMcCarthy

4 years

@CMichaelGibson and I preview the upcoming @theheartorg #BackToHeart2020 conference With an exiciting line-up of talks from: @HeartBobH @DLBHATTMD @manesh_patelMD @JavedButler1 @JJheart_doc @Drroxmehran @FaRodriguezMD @AmiBhattMD @RosovskyRachel @BinitaShahMD @MkosiborodMD

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Cian McCarthy

@CianPMcCarthy

6 years

Now available in @JAMA_current , examining changes to the HRRP this year, we find that there is a ⬇️ in penalization for all hospitals; the largest reduction was seen in hospitals of low socioeconomic status (91.6% to 77.6%) @mvaduganathan @ambarish4786

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Cian McCarthy

@CianPMcCarthy

6 years

In our viewpoint now available at JAMA, @JJheart_doc , @mvaduganathan and I discuss why we need evidence based therapies for T2MI and outline potential areas for investigation @JAMA_current Type 2 Myocardial Infarction—Diagnosis, Prognosis, and Treatment

Type 2 Myocardial Infarction—Diagnosis, Prognosis, and Treatment

This Viewpoint reviews what is known about myocardial infarction (MI) caused by oxygen supply-and-demand mismatch (type 2 MI) and differences from MI caused by coronary artery disease, as well as...

jamanetwork.com

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Cian McCarthy

@CianPMcCarthy

2 years

Congratulations to @DrPRao for his excellent presentation on Plasma Proteomic Profiles of BP response during exercise for the Genomic and Precision Medicine Early Career investigator award! Finds TGFBR3 as a marker of protection against HF and HTN! @BidmcCvi @BIDMCVFellows

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Cian McCarthy

@CianPMcCarthy

1 year

Excited to be back in Philly for #AHA23 this weekend! Swing by room 103A on Monday at 9.45am for the latest on diagnosing acute MI! Excellent line-up including @HannaGaggin @venumenon10 @yadersandoval @loridanielsmd @HighSTEACS @PaulCremerMD

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Cian McCarthy

@CianPMcCarthy

2 years

Our latest study led by star research fellow and cardiology fellowship applicant @RezaMohebiMD now out in @JACCJournals ! Highlights by @JJheart_doc below! Much work to do in the prevention of CV disease!!

James Januzzi Jr MD

@JJheart_doc

2 years

Out today in @JACCJournals is our work focused on projecting future prevalence of cardiovascular risk factors and disease in the United States. Published at Credit goes to @RezaMohebiMD for his hard work on this very interesting project. A 🧵...

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Cian McCarthy

@CianPMcCarthy

6 years

Our contemporary review on LV thrombus post MI; with discussion on NOAC use and dual vs triple therapy. @johnwmcevoy @mvaduganathan @DLBHATTMD @JJheart_doc Left Ventricular Thrombus After Acute Myocardial Infarction

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Cian McCarthy

@CianPMcCarthy

5 years

In our study now available in @JACCJournals , we examine sex differences in patient characteristics, treatment strategies and outcomes for type 2 MI. @SeanMurphyMBBCh @AvinainderSingh @mvaduganathan @JJheart_doc @JACohenMD @mjonesoconn @jasonwasfy 👇

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Cian McCarthy

@CianPMcCarthy

3 years

3/ Let’s start with acute chest pain in the ED. The committee advise against using the term atypical chest pain; instead favoring categorizing as cardiac, possibly cardiac, and non-cardiac chest pain. I like this concept a lot!

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Cian McCarthy

@CianPMcCarthy

6 years

Thank you @JWatch and @hmkyale for highlighting our important study on misclassification of type 2 MI presented today at #ACC19 with simultaneous publication in @JAMACardio . @SeanPTMurphy1 @JACohenMD @AvinainderSingh @mvaduganathan @JJheart_doc @jasonwasfy @MGHHeartHealth

NEJM Journal Watch

@JWatch

6 years

Type 2 Myocardial Infarctions: How Accurate Is the Coding? @hmkyale weighs in on implications of @JAMACardio study results. Presentation at #ACC19

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Cian McCarthy

@CianPMcCarthy

1 year

Huge congratulations to my sister @aoifeamc for publishing her first music book for children 📕! I am sure it will be a fantastic resource for teachers and pupils! Very proud of you! @FolensEducation

Beaumont GNS

@beaumontoffice

1 year

Congratulations to Miss Mc Carthy on the publication of her book "Into Music" for 5th & 6th Class. A fantastic achievement and great to see it in print! 🎶🎵

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Cian McCarthy

@CianPMcCarthy

4 years

Thanks to @haseebqazi for bringing a birthday 🎂 to the fellows room today at @MGHHeartHealth for @annievanb @RachelCFrankMD and I after our recent birthdays! We are lucky to have such great subspecialty fellows at MGH!!

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Cian McCarthy

@CianPMcCarthy

3 years

Thank you for the opportunity to discuss high-sensitivity troponin in primary prevention at the 18th Brazilian Congress of Atherosclerosis. Fantastic session @rauldsf_santos @MGHHeartHealth

International Atherosclerosis Society (IAS)

@atherosociety

3 years

Joint symposium with @DepartamentoSbc presenting @khurramn1 @MBittencourtMD @zorzanelli @CianPMcCarthy Peter Libby and Jose Rocha Faria ! How to stratify CVD risk?

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Cian McCarthy

@CianPMcCarthy

5 years

Much discussion over the last 24 hours on the 3rd universal definition of MI data (UD-MI) from the EXCEL trial. But how were the troponin cut-offs for the definition of type 4 MI chosen by the UD-MI committee? They were arbitrarily chosen.... 👇

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Cian McCarthy

@CianPMcCarthy

4 years

We are incredibly proud in Ireland of our deep connection with the United States and of president-elect @JoeBiden Irish Ancestry ☘️

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Cian McCarthy

@CianPMcCarthy

6 years

In this 2nd study now available @JACCJournals with upcoming presentation at #ACC19 , we examine the contemporary etiologies, treatment strategies, and outcomes of LV thrombus. @SeanPTMurphy1 @AvinainderSingh @mvaduganathan @JJheart_doc @DLBHATTMD 👇

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Cian McCarthy

@CianPMcCarthy

5 years

Could this be the end of vancomycin? 😜 @NinoNJ @DrDanRestrepo Antibacterial Activity of Ticagrelor Against Resistant Gram-Positive Bacteria

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Cian McCarthy

@CianPMcCarthy

6 years

In this Viewpoint, now available in @JAMA_current , Drs. Inbar Raber, @rwyeh and I, discuss the current interface between health insurance and mobile/wearable health devices. ⌚️📱 @SmithBIDMC @BIDMC_IM @MGHMedicine @MGHHeartHealth 👇 1)

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Cian McCarthy

@CianPMcCarthy

4 years

14. Long term beta blocker not routinely recommended in absence of LV dysfynction/HF. Can however consider it. 15. Notably, guideline did not differentiate type 1 and type 2 MI in their recommendations. Will you be applying these recommendations to your type 2 MI patients?!

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Cian McCarthy

@CianPMcCarthy

1 year

I am very much looking forward to discussing the current status and future directions for type 2 MI tomorrow @CVRIDublin @irishcardiacsoc

Cardiovascular Research Institute Dublin - CVRI

@CVRIDublin

1 year

We are delighted to share an exiting line up for our upcoming Dublin Cardiovascular Research Forum lectures. Register via our website - @materprivate @RCSI_Irl

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Cian McCarthy

@CianPMcCarthy

3 years

Travel update! 1am Boston flight cancellation means another night in DC and day at @ACCinTouch @JKhambhati #ACC22 ! We do it for the science…

Anna O'Kelly, MD

@annaokellymd

3 years

Many #ACC22 photos and memories forthcoming, but for now it’s all the @MGHCVFellows love waiting for our JetBlue flights to Boston @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

5 years

‘History is unfortunately repeating itself’: 6 things to know about the potential heparin shortage @NilayPatelMD @DLBHATTMD @mvaduganathan @connors_md @RahulSakhujaMD

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Cian McCarthy

@CianPMcCarthy

3 years

7/ Congratulations to all the authors led by Chair Dr. Jennifer Lawton and vice-Chair @HollandTamis ! @SripalBangalore @SVRaoMD @Drroxmehran @GarimaVSharmaMD

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Cian McCarthy

@CianPMcCarthy

3 years

Back by popular demand 🙌 Going Back to the Heart of Cardiology @theheartorg returns this December (6th to 10th)! Awesome session line up (see details in thread below) chaired by @HeartBobH and moderated by @CMichaelGibson & @FaRodriguezMD Register 👇

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Cian McCarthy

@CianPMcCarthy

5 years

@InbarRaber presenting on Gender differences in Industry payments to Cardiologists. Number of men receiving industry payments is higher than women both in US and UK as is mean payment. @johnwmcevoy @drmalissawood @ddefariayeh @Drroxmehran @ErinMichos @AartiAsnaniMD @IAmDrIbrahim

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Cian McCarthy

@CianPMcCarthy

3 years

6/ For patients with diabetes and multivessel disease including LAD, revascularization with CABG preferred to PCI

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Cian McCarthy

@CianPMcCarthy

4 years

**New in @JAHA_AHA ** Perhaps when home-time is more important than ever, we examine home-time (pre-COVID) as a patient-centered outcome after type 2 MI @jasonwasfy @JJheart_doc @SeanMurphyMBBCh @mjonesoconn @mvaduganathan @AvinainderSingh @JACohenMD 1/

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Cian McCarthy

@CianPMcCarthy

5 years

@SeanMurphyMBBCh presenting on the prognostic utility of the GRACE, TIMI, and TARRACO risk scores in Type 2 MI. #AHA19 Simultaneous publication in @JACCJournals @JJheart_doc @jasonwasfy @JACohenMD @mjonesoconn @AvinainderSingh @mvaduganathan @MGHMedicine @MGHHeartHealth

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Cian McCarthy

@CianPMcCarthy

7 years

Two things that always frustrate me on rounds: 1) An elevated hsTn being referred to as ‘Rule in’ when the patient does not have an MI 2) An elevated hsTn being labeled T2MI when there is no evidence of ischemia @JJheart_doc

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Cian McCarthy

@CianPMcCarthy

6 years

Should patients with type 2 MI be excluded from the Hospital Readmission Reduction Program? We discuss in this weeks edition of @JACCJournals @mvaduganathan @JJheart_doc @AvinainderSingh @jasonwasfy @HannaGaggin @RonBlankstein

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Cian McCarthy

@CianPMcCarthy

3 years

2/ First, huge congratulations to the chair @DrMarthaGulati , vice-chairs Drs. Levy and Mukherjee and the writing committee including @DLBHATTMD , @RonBlankstein @RBP0612 @labunne @ErikHessMD @docHj @lesleejshaw . Incredible work! Not an easy task to put this together..

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Cian McCarthy

@CianPMcCarthy

3 years

3/ In general, revascularization is recommended (Class 1) for stable ischemic heart disease for 1) refractory angina despite medical therapy, 2) left main disease, 3) ischemic cardioyopathy and suitable for CABG. See this figure for details

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Cian McCarthy

@CianPMcCarthy

6 years

Our study, lead by @SammyElmariahMD demonstrating the potential utility of multiple biomarkers to diagnosis Aortic Stenosis @JJheart_doc @IAmDrIbrahim Multiple biomarker panel to screen for severe aortic stenosis: results from the CASABLANCA study

Multiple biomarker panel to screen for severe aortic stenosis: results from the CASABLANCA study

Objective Severe aortic valve stenosis (AS) develops via insidious processes and can be challenging to correctly diagnose. We sought to develop a circulating biomarker panel to identify patients with...

openheart.bmj.com

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Cian McCarthy

@CianPMcCarthy

3 years

4/ For stable CAD undergoing PCI, DAPT for 6 months recommended. Shorter (1-3 months) or longer courses are reasonable in select patients. For ACS undergoing PCI, 12 months of DAPT recommended but shorter or longer courses possible also

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Cian McCarthy

@CianPMcCarthy

3 years

New study led by @InbarRaber @mahrifai and @johnwmcevoy . Male cardiologists submitting higher reimbursed charges than women even after accounting for experience, panel complexity, procedural subspecialty and volume of codes. More education 📖📚 needed to narrow the gap!

Inbar McCarthy MD

@InbarMcCarthy

3 years

Out now in @JAMACardio we examined gender differences👩🏻‍⚕️👨🏻‍⚕️in Medicare reimbursements @johnwmcevoy @mahrifai @CianPMcCarthy @Drroxmehran @ErinMichos @AartiAsnaniMD @mvaduganathan @drmalissawood @DrNasrien 1/

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Cian McCarthy

@CianPMcCarthy

6 years

Very proud of friend and mentor @johnwmcevoy presenting the aspirin component of 2019 ACC/AHA guideline. Aspirin downgraded to class IIb for high risk patients for primary prevention of CVD. @EoinDonnellan1 @SeanPTMurphy1 @ErinMichos @rblument1 @dramitkhera

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Cian McCarthy

@CianPMcCarthy

5 years

@JJheart_doc @thebyrdlab @bnallamo @dr_chirumamilla @AkhilGulati @heartdoc45 @mirvatalasnag @ShelleyZieroth @AnastasiaSMihai @HeartOTXHeartMD @aymanka @rwyeh @RogueRad @alessacolaMD @ESilvermanMD @RanaAwdish @arghavan_salles @catjacarol01 @JJcolemanMD @elliotthaut @meganranney @sue_bornstein @SusanHingle @MCarneyMD @DelthiaRicks @DrAmyParish @WednesdayMartin @chngin_the_wrld @Paleophile @DanielaSieff @Australia @guacamolebio @KimberlyRicks1 @maggiemfox @MishaLawless @MParshleyMD @doctorbecca1 @sagar_ankita @dhpomerantz @DarilynMoyer @PDX_Tom @Sting64r @csdaisysmith @TTUHSC 1. I was born & grew up in Ireland 2. I play flute, keyboard, and guitar (all badly) 3. I choked eating chicken while at dinner with friends, requiring the Heimlich maneuver from a co-resident @su1001r ! @InbarRaber @SeanMurphyMBBCh @mvaduganathan @johnwmcevoy @jasonwasfy

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Cian McCarthy

@CianPMcCarthy

3 years

2/ For stable CAD and left main stenosis, CABG is recommended (Class 1). PCI is a reasonable option if low-medium anatomic complexity and if equally suitable to PCI compared to CABG (Class IIa)

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Cian McCarthy

@CianPMcCarthy

6 years

Kini and colleagues derive a simple risk score to predict 90-day readmissions after AMI @ambarish4786 and I discuss the optimal duration of value-based programs and competing risk of mortality in the accompanying editorial

Predicting and Preventing Hospital Readmissions in Value-Based Programs | Circulation: Cardiovasc...

www.ahajournals.org

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Cian McCarthy

@CianPMcCarthy

3 years

3/ Radial artery is recommended in preference to saphaneous vein graft for 2nd conduit for CABG. Radial access recommended over femoral access for PCI for ACS and stable CAD

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Cian McCarthy

@CianPMcCarthy

4 years

11. CMR recommended for MINOCA cases without clear cause. 12. Advanced age should not change your diagnostic and therapeutic strategies. 13. LDL target is 55. Repeat in 4-6 weeks and add zetia if needed, repeat again in 4-6 weeks and add PCSK9 if needed

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Cian McCarthy

@CianPMcCarthy

8 months

Now in #RadiologicClinics , we review the evolving role of cardiac CT in cardiac EP @baliyan_vinit @AnushriParakh @mrandhawaMD @JinjinCao_ and Dr Sadia Sultana! Role of Computed Tomography in Cardiac Electrophysiology - Radiologic Clinics

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Cian McCarthy

@CianPMcCarthy

3 years

Join the #BackToHeart21 virtual event December 6-10, covering heart failure, anticoagulation, lipid mgmt, and the most relevant #CardioTwitter topics today. Submit your abstracts 📃! All proceeds benefit @ABCardio1 + @WomenHeartOrg . Register Here:

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Cian McCarthy

@CianPMcCarthy

3 years

One of my first publications was this review article on trimetazidine back in 2016! For anyone interested in learning more about this agent! 👇

The role of trimetazidine in cardiovascular disease: beyond an anti-anginal agent

Abstract. With evidence for efficacy in such diverse clinical settings such as stable coronary artery disease, reperfusion injury, and contrast-induced nep

academic.oup.com

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Cian McCarthy

@CianPMcCarthy

4 years

6. Prasugrel preferred over ticagrelor if undergoing PCI 💊 7. Both preferred over clopidogrel unless not available 8. UFH preferred to LMWH for NSTEMI 💉

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Cian McCarthy

@CianPMcCarthy

4 years

4. If rule-out using ED algorithm but still have concern for ACS, a non-invasive modality is preferred to invasive coronary angio 5. Pre-treatment with P2Y12 not recommended prior to invasive coronary angiogram

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Cian McCarthy

@CianPMcCarthy

5 years

So much learning and a lot of fun rounding with @realdocthomas on the Heart Failure service today! Great mix of cases, bedside teaching, and chalk talks. Very lucky to have such amazing teachers @MGHHeartHealth !

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Cian McCarthy

@CianPMcCarthy

3 years

5/ For hemodynamically stable STEMI patients with multivessel disease, staged PCI of non-infarct vessel recommended (Class 1). Elective CABG is reasonable after primary PCI also (Class IIa). Multivessel PCI at the time of primary PCI not recommended for STEMI with shock

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Cian McCarthy

@CianPMcCarthy

4 years

Lots of buzz about this colchicine trial this morning.. I’ll hold my breath until I see how close it “approached statistical significance”.... Colchicine reduces the risk of COVID-19-related complications

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Cian McCarthy

@CianPMcCarthy

6 years

Ahead of the new ACC/AHA aspirin guidelines, which will be presented at #ACC19 this weekend, @SeanPTMurphy1 @johnwmcevoy and I discuss the evidence for and against weight-based aspirin dosing. @MGHMedicine @MGHHeartHealth @HopkinsMedicine 👇

John William McEvoy

@johnwmcevoy

6 years

Aspirin for the Primary Prevention of Cardiovascular Disease: Weighing Up the Evidence

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Cian McCarthy

@CianPMcCarthy

5 years

Congrats @johnwmcevoy @rblument1 and team! Important study!! Association Between Isolated Diastolic Hypertension Defined by the 2017 ACC/AHA Blood Pressure Guideline and...

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Cian McCarthy

@CianPMcCarthy

3 years

Recovered from #AHA21 ? Looking for a conference that provides updates on all of the major advancements in cardiology this past year? Join the #BackToHeart21 virtual event Dec 6-10th. Register: @CMichaelGibson @HeartBobH preview the CV prevention session

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Cian McCarthy

@CianPMcCarthy

3 years

8/ For intermediate risk group, non-invasive testing generally needed, stratified by known or unknown CAD, unless recent normal stress test <1 year of normal CTCA within 2 years. See these key figures for details.

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Cian McCarthy

@CianPMcCarthy

4 years

9. Invasive angiography recommended within 24 hours for "high-risk" patients. "Diagnosis of NSTEMI by algorithm" is considered high-risk. 10. If transient ST elevation and resolution of symptoms, invasive angiogram within 24 hours (rather than immediate) favored

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Cian McCarthy

@CianPMcCarthy

5 years

Following the recent publication of the updated AHA/ACC primary prevention guideline, we take a deep dive into the evidence for & against aspirin in the primary prevention of CVD, led by Dr. Inbar Raber of @BIDMC_IM and @johnwmcevoy . Now available in @TheLancet

John William McEvoy

@johnwmcevoy

5 years

Very proud of this paper. @CianPMcCarthy @mvaduganathan @DLBHATTMD @rblument1 @NIPCIRELAND @nuigalway @HSELive The rise and fall of aspirin in the primary prevention of cardiovascular disease

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Cian McCarthy

@CianPMcCarthy

3 years

5/ High-sensitivity troponins preferred to conventional troponin assays as they more efficiently and accurately evaluate for acute myocardial injury.

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