Toishi Sharma, MD
@drsharmatoishiDedicated to the art & science of heart health | Interventional Cardiologist at Self Regional Healthcare, SC | Former @uvmcards fellow
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Triple board certified. This journey has been an honor and every day, I’m reminded of the privilege and responsibility I have in caring for my patients.
#Cardiology exams are all about the details we uncover at the bedside. These notes by @Dr_ibrahimHarbi are a great reminder of why the basics matter in every diagnosis. Worth sharing with your team or revisiting yourself. #cardiotwitter
🔴Physical examination in Cardiology⤵️ 🔹By @Dr_ibrahimHarbi Anki Notes #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter #medical #medEd #cardiotwitter #medicineball
It’s amazing how discoveries from over a century ago continue to shape heart and metabolic care today. #CardioTwitter #GLP1
1/ Over a century ago, scientists uncovered a curious link between the gut & the pancreas. This sparked decades of research, culminating in one of the greatest medical breakthroughs. This is the story of GLP-1 that I would like to share. 🧵
Managing #NSTEMI and #STEMI in older adults often feels like walking a tightrope — balancing risks and benefits. For anyone treating high-risk elderly patients, this is worth reflecting on. #CardioTwitter
Invasive Strategies in Older Adults Undergoing Revascularization for NSTEMI and STEMI: Insights from Two Recent Meta-Analyses Short summary is here. 👇👇👇 linkedin.com/pulse/invasive…
It’s always a challenge to balance bleeding risks and post-stent care. This new study brings new insights, showing that for certain patients, clopidogrel alone might be the safer choice. A nudge to rethink what’s best for each patient individually. #CardioTwitter
Long-Term Aspirin vs Clopidogrel After Coronary Stenting by Bleeding Risk and Procedural Complexity: @JAMACardio 🥸Clopidogrel monotherapy in HOST-EXAM for patients with high bleeding risk or complex PCI 😱 Everyday is a journal club: good morning :) 👇👇👇
Aspirin has its perks, but it’s not without trade-offs. In cases like anemia risks, weighing benefits vs. risks is crucial. #CardioTwitter #anemia
A reminder of the need to tailor our therapies – Up to 10% of older low-dose aspirin users will develop anemia over 5-yr: bit.ly/4fTcAv9 #EHJQCCO #CVD @cpgale3 @diogoasantosfer @adamtimmis
To those who matched, congratulations! To those who didn’t, remember - the heart of medicine is resilience. Whether the day brought joy or challenges, know that you're part of a community that believes in you. Your future patients are waiting for you. Keep going. #MatchDay2024
Interesting link between anti-obesity meds and reduced alcohol use. This aligns with what we see in practice. Managing obesity could offer more benefits than we think, even beyond weight loss. #CardioTwitter #AOM
Alcohol Use 🍺🍷🍸🥂🍹and Antiobesity Medication Treatment @JAMANetworkOpen 💥nearly half of those consuming alcohol at baseline ⤵️ alcohol use after AOM initiation We definitely see this clinically! 📎 jamanetwork.com/journals/jaman…
My new reading corner is ready and I’m so excited! Please share what’s the book you recommend I read?
It is disgraceful to see how a democratic nation is disintegrating to become theocratic and autocratic. It is the responsibility of every citizen to understand the value of having an open democracy. Persecution on the basis of religion or weakness of demographics is not the way…
Update : Reports indicate that Chinmay Prabhu has been taken to the DB office in Minto Road Dhaka. @DrSJaishankar and @ihcdhaka must pressurise the interim Government to immediately #FreeChinmoyKrishnaDas Prabhu and apologise unconditionally to the Hindus. @TulsiGabbard…
#RWMA detection is crucial in #TTE, but reader variability can affect accuracy. With deep learning, we're looking at a way to improve consistency and precision in assessments. Plus, it’s a great tool for teaching. #CardioTwitter #DeepLearning
Although regional wall motion abnormality (RWMA) detection is foundational to TTE, current methods are prone to interobserver variability. We aimed to develop a deep learning (DL) model for RWMA assessment and compare it to expert and novice readers. bit.ly/4cuVjra
#Bumetanide as a nasal spray feels practical — easier access, less invasive and just as effective. Imagine the impact on patient comfort and care. #cardiotwitter
Bumetanide nasal spray safe, has equivalent pharmacodynamic efficacy (urine/sodium output) compared to IV and PO bumetanide administration. View slides here: clinicaltrialresults.org/wp-content/upl…
A reminder that less isn’t always more. Tight SBP control can save lives but demands vigilance. We treat patients, not statistics. #AHA24 #CardioTwitter
Intensive SBP lowering in people with Type 2 diabetes and elevated SBP could be beneficial for reducing cardiovascular events, but increased risks of hyperkalemia and symptomatic hypotension suggest the need for careful monitoring. #AHA24 @AHAScience
🔴Evaluation and Management of Resistant Hypertension: Core Curriculum 2024 ⤵️ #openaccess 🔹buff.ly/4dn3BkI #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter
Excellent summary of management of cardiogenic shock! #CardioTwitter #HF #CardiogenicShock
#HFpEF in patients with obesity reminds us how complex care can be — it’s not just about managing the heart but addressing the whole person. #Tirzepatide offers hope for a more integrated approach, helping us move closer to treating both the cause and the condition. #CardioTwiter
Obesity is a major cause of heart failure preserved EF. Compared with placebo, weekly tirzepatide injections in patients with HFpEF & obesity demonstrated reductions in combined risk of CV death or worsening of heart failure events with improved health status. #AHA24 @AHAScience
With AI, we can catch early signs of disease progression in mild aortic stenosis that we might otherwise miss. This lets us step in sooner, before things get worse. It's a smarter, more proactive way and I am excited to see how it evolves. #CardioTwitter #AI #EHJDigital
Use of #AI to predict outcomes in mild aortic valve stenosis bit.ly/3YRzBrQ #EHJDigital #ArtificialIntelligence @BruiningNico @rafavidalperez @fwasselbergs @EACVIPresident
Radiation exposure during pregnancy is a valid concern, but with evolving safety protocols, there’s no reason women shouldn’t excel in the cath lab. It’s time we address these barriers and create safe working environments for all. #CardioTwitter #WomenInMedicine
Dr. @nadia_sutton suggests that one significant factor discouraging women from pursuing careers in the cath lab is the concern about radiation exposure during pregnancy, despite the success of current safety measures. radiactionmedical.com/protecting-and… #CardioTwitter #WIC #WomenInMedicine
Reflecting on an insightful session at Harvard Medical School with @SadhguruJV and @Surgeon_General Their discussion on 'Loneliness: In is the Only Way Out' shed light on the importance of inner reflection for mental wellness.
#SEQUOIA-HCM's new insights are remarkable — broad clinical efficacy with #aficamten marks a significant step forward in the management of #hypertrophiccardiomyopathy, potentially setting a new standard in treatment.
🆕 New analysis from SEQUOIA-HCM presented at #HFSA2024 and published in @JACCJournals shows treatment with aficamten in patients with oHCM was associated with broad clinical efficacy across multiple outcome domains. Read more on the findings + additional editorial commentary…
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