Here, I was acutely aware of PAD component. Thank you #23FellowsAPP @SVM_tweets

Vasc Sx consult for possible intervention to relieve symptoms. Also referred for Supervised Exercise. https://twitter.com/i/web/status/1638759097028980736

I love that we are looking at guideline directed medical therapies in “pillars”.

Also, good to acknowledge that these diseases are part of cardiometabolic-renal management
#gdmt #diabetes #23FellowsAPP - also shared by @GuiseppeGalati_
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RT @GiuseppeGalati_
👆👇 High time to go for #CardiacRehabilitation
The 5th pillar of #HFrEF
@JJheart_doc @hvanspall @annakatebarton @SABOURETCardio @DLBhattMD @MiguelCamafort @AndreasGevaert @a…
https://twitter.com/GiuseppeGalati_/status/1638498318949941248

Pt w/polyvascular dz (all 3 vasc beds, cabg+later pci, cva, pad)+DM+CKD3

Meds are going to be “legion”

What is most impactful to mortality to address first? #23FellowsAPP @SVM_tweets @ASPCardio @CMHC_CME

All exams in clinic today after a #vascularmedicine conference

#23FellowsAPP @SVM_tweets @AliMoranVascMed @DKadiandodov @andrew_galmer @JayBishopMD @herbaronowMD @EstherSHKimMD @heatherlgornik

Excellent rundown by @stanhenkin on the thought process one should follow on discolored “blue” extremities.

✋no surprise - H&P
🦵🏾differential drives labs, imaging, and physiologic tests
✋🦵🏾 - expose them digits 👀, auscultate too

#23FellowsAPP @SVM_tweets

On the APP side. Great primer by Katherine Hays DNP.

Love these 6 key pieces to thinking about ulcer assessment for etiology and management.

@APAC_Cardiology #23FellowsAPP
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RT @SVM_tweets
Be sure to catch Primer to Ulcers and Wound Care—happening now at the #23FellowsAPP!

@RKolluriMD @herbaronowMD @Angiologist @evratchford @ASchmaier @VMJ_SVM @stanhenkin @EditorValerie @shishem @YogenKanthi @EstherSHKimMD @adityasharmamd https://…
https://twitter.com/SVM_tweets/status/1637501691120549895

RT @Angiologist
Iliac vein compression (May-Thurner)? @adityasharmamd tells us “NOT (just) because it’s there”. #23FellowsAPP @SVM_tweets @GParmar_MD @sthomas013s @IhsanKaadanMD @DKadiandodov

RT @GBarnesMD
@stanhenkin @SVM_tweets @Angiologist @heatherlgornik @mnyoung1 @DKadiandodov @RitikaVrma @GParmar_MD Yes! Yes! Yes! I can’t tell you how often I’ve spoken to well-meaning ED clinicians about a “massive” #PE because they saw a lot of clot on the CT scan. Avoid use of “massive” to describe acute PE. Use @escardio risk criteria (high risk, intermediate risk, etc) #23FellowsAPP

RT @GBarnesMD
What is your therapeutic approach to Raynaud’s syndrome? Here is what @stanhenkin recommended for #23FellowsAPP @SVM_tweets attendees.

RT @adityasharmamd
⁦@GBarnesMD⁩ says do not dose adjust DOACs in acute VTE for patients with renal dysfunction #23fellowsapp ⁦@SVM_tweets⁩

RT @heatherlgornik
Important pearl from @adityasharmamd in re May Thurner Syndrime never treat it just because it "is there". Many patients with MTS Asx. Need a compelling indication for intervention for this condition #23FellowsApp @SVM_tweets

RT @heatherlgornik
So many tips on anticoagulant choice by @GBarnesMD crammed into a few minutes. One key reminder --- #DOACs are NOT dose adjusted for VTE Rx. If significant CKD need to choose anticoagulant carefully #23FellowsApp

1) A coach can be “A” pathway to help you develop your career path

2) when planning goals/path, revisit intentionally from time to time

3) stress may be high w/leadership; find your unwind

4) leadership can be accidental, lean into opportunities

#leadership #23FellowsAPP

Great leadership panel - @SVM_tweets #23FellowsAPP

@adityasharmamd @GBarnesMD @DKadiandodov

Why we attend conferences. #23FellowsAPP @SVM_tweets.

Lovely meeting you IRL @heatherlgornik

Thanks @GParmar_MD. I was not aware of the data and papers (you were author on) RE: statin and ⬇️death and amputation, ⬆️walk distance.

After statin, then Eze ➡️pcsk9i in #PAD.

@SVM_tweets #23FellowsAPP #HeartPA #PhysicianAssociate @APAC_Cardiology

Thanks @GBarnesMD for providing a great talk on managing DM in pts w/PAD
#23FellowsAPP @SVM_tweets

🩸 take care of risk factors: ✋🚬; control HTN/DM; add high intensity statin; aspirin 81 mg
🩸add riva 2.5 mg po bid
🩸#flozinate
🩸➡️pcsk9i

#PAD #HeartPA #PhysicianAssociate

RT @SVM_tweets
Next at #23FellowsAPP—Learn more about Peripheral Artery Disease with Rebecca Brown, PhD, MEd, RN and more!

@RKolluriMD @herbaronowMD @Angiologist @evratchford @ASchmaier @VMJ_SVM @stanhenkin @EditorValerie @shishem @YogenKanthi @EstherSHKimMD @adityasharmamd

Great intro to @SVM_tweets by @herbaronowMD at the #23FellowsAPP course.

#VascularMedicine so important to #ASCVD management.

@APAC_Cardiology #PhysicianAssociate #HeartPA