John Mandrola, MD (@drjohnm) 's Twitter Profile
John Mandrola, MD

@drjohnm

Heart rhythm doc, writer for @Medscape, host of This Week in Cardiology podcast, cyclist, #MedicalConservative. The more you see, the harder medicine gets

ID: 139173680

linkhttps://johnmandrola.substack.com/ calendar_today01-05-2010 19:49:37

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John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

I just turned in a column on ABYSS. It's a really interesting trial to translate to clinical care. There were also meta-messages about evidence-based medicine. Stay tuned #ESCCongress

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

It’s late in London but here’s my hot take of the ABYSS trial #ESCCongress — Okay to stop beta blockers after MI (good EF) medscape.com/viewarticle/be…

Vinay Prasad MD MPH (@vprasadmdmph) 's Twitter Profile Photo

The non-inferiority bound was 10%. 😂 Anyone can parallel park in a space big enough to fit a school bus. A better question is: is there a single randomized trial that supports potassium supplementation for inpatients or outpatients?

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

Dr Zipes used to say …Mandrola, a broken clock is right twice a day. I was right about this one. 👇🏻 Docs ought to be less enamored w plausibility medscape.com/viewarticle/ma…

Elisa Haas, MD (@elisaahaas) 's Twitter Profile Photo

“The higher rate CV hospitalization alone drove the results of ABYSS. Death, MI, and stroke rates were nearly identical.  The most common reason for admission to the hospital in this category was for angiography.” “ABYSS, therefore, is consistent with REDUCE-AMI.”

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

I just sent in my column on RESHAPE-HF. Teaser -- I've come to believe that functional MR is a super-diverse condition. It's hard to study--like AF and unlike STEMI. Average results from trials are hard to apply to individual pts. Please do tune in later #ESCCongress

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

I agree with notion that we don't know enough about LAAO. But that is totally "our" fault for accepting this therapy before having proper trials. If only a fraction of patients who have had this procedure were randomized, we WOULD know! #ESCCongress

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

It’s late in London again. Here’s my hot take of the third TEER trial in functional MR, REHAPE HF2 You’d think 3 trials in one space would sort out the answer. #ESCCongress medscape.com/viewarticle/te…

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

The first sham-controlled AF ablation trial has been done. Twenty years (and millions of procedures) after we started doing this procedure. The study has limitations but it is a big step forward. I need to take some time to sort it out. For now, though, our profession should

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

One of the biggest and most ignored safety issues in hospital medicine: ECG computer reads. I’ve tried my entire career to have them removed so clinicians a) learn to read ECGs, and b) are not misled by wrong reads—like this one 👇🏻

John Mandrola, MD (@drjohnm) 's Twitter Profile Photo

Look up the definition of “elegant” It is a perfect word for this technique, which can replace $500 vascular closure devices. 👇🏻👇🏻 Problem is that stopcock makers don’t sponsor meetings or bring lunch or hire KOLs to speak. (Thx Piotr Futyma, MD for teaching me this trick)