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Andrew Higgins Profile
Andrew Higgins

@AndrewHigginsMD

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295
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260

Crtitical Care Cardiology and Advanced HF / Transplant Cardiology @ClevelandClinic , IM @ColumbiaMed . Interests: CCC / CICU and MCS. Opinions my own.

Joined March 2020
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@AndrewHigginsMD
Andrew Higgins
1 year
End of first day of #CritCareCards23 symposium - always look forward to seeing old CCF friends - @venumenon10 legacy across several generations! @zilgiovineMD @AmitGoyalMD @PennyRampersad @RanLeeMD @AnnGageMD @carlosalviar and the next crop with Drs. Nandan and Keane @CCFcards
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@AndrewHigginsMD
Andrew Higgins
1 year
Excited for this collaboration and to build on the work @CardioNerds and others ( @AnnGageMD @jameshorowitzmd @JasonKatzMD @AndreaElliottUM among many others) have already been doing for years - taking education in cardiac critical care out of its silos! @RanLeeMD @PennyRampersad
@radcliffeCARDIO
Radcliffe Cardiology
1 year
👋We're delighted to welcome @AndrewHigginsMD to the #USCJournal editorial board as Section Editor for Critical Care Cardiology We look forward to working with you! @CardioNerds #CardioEd
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@AndrewHigginsMD
Andrew Higgins
1 year
Proud to see @rcstarling receive the incredibly well deserved Lifetime Achievement Award from #HFSA . Dr. Starling was one of the main reasons I found my way into Heart Failure and I’m grateful to continue to work with him - congratulations! #HFSA2023
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@AndrewHigginsMD
Andrew Higgins
5 months
Transitioning from #ACHD to #CCC - #CCCES24 continues - excited for the announcement of Society of Critical Care Cardiology with @JasonKatzMD as inaugural president - critical to organize and collaborate to confront the challenges facing our specialty.
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@AndrewHigginsMD
Andrew Higgins
2 years
Week one continues - Hands-on LVAD training for the new AHFTC fellows @vbluml with Marjorie Urban. @RanLeeMD in the back checking EPIC messages…
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@AndrewHigginsMD
Andrew Higgins
2 years
Had a blast running ECMO disaster scenarios all day with @PennyRampersad including this superstar multidisciplinary group with CCC/AHFTC fellow @zilgiovineMD representing #TeamWean and PCCM fellow @AparnaBhatMD for #TeamCrankItUp ! Outstanding course run by Dr. Sudhir Krishnan.
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@AndrewHigginsMD
Andrew Higgins
5 months
Excited to share our perspective in @JCardFail on Schrodinger’s Shock - an underappreciated challenge in conduction of cardiogenic shock trials - grateful to my co authors @AnnGageMD @seanvandiepen and @JasonKatzMD as well as to @ShashankSinhaMD for mentorship on the piece!
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@AndrewHigginsMD
Andrew Higgins
5 months
Day 2 of CCCES winding down - privileged to teach vents with CCF friend and alum @carlosalviar and spread the gospel of @emireles_c ! Waveform basics, autoPEEP, and challenges in Fontan ventilation at #CCCES24
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@AndrewHigginsMD
Andrew Higgins
1 year
The @CleClinicHVTI symposium on Evolving Concepts in HF Treatment and Recovery - absolutely packed for this agenda. Great to see @AmitGoyalMD on home turf again with @tavrkapadia and @rcstarling heading an all star line up! #HFSA2023 So many familiar faces reuniting too.
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@AndrewHigginsMD
Andrew Higgins
1 year
Outstanding primer on ECMO by @RanLeeMD - another great noon conference highlighting the importance of patient selection, continuous monitoring, and troubleshooting - increasingly important as use proliferates @venumenon10 @CCFcards @vbluml @carmonarubio #MiriamJacob
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@AndrewHigginsMD
Andrew Higgins
2 years
Incredibly proud to see @ramontgo presenting OSPREY, the investigator initiated RCT of oral sodium loading he conducted during his fellowship @ CCF. Null hypothesis supported - adds to the growing literature challenging old dogma about inpatient sodium restriction @CCFcards
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@AndrewHigginsMD
Andrew Higgins
1 year
Starting the day off right with @JasonKatzMD explaining the use of Katzecholamines in cardiogenic shock - #CritCareCarda23
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@AndrewHigginsMD
Andrew Higgins
2 years
Proud to see @RanLeeMD holding court on a topic near and dear - TMCS for the failing RV. Great review of the distinct hemodynamic impact of direct (e.g, ProtekDuo) vs indirect (e.g, VA ECMO) RV unloading. Missing @PennyRampersad ! #CritCareCards22
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@AndrewHigginsMD
Andrew Higgins
2 years
It doesn’t feel like a CCU conference until @venumenon10 and @JasonKatzMD take the stage - tackling the always challenging intersection between cardiogenic and septic shock @HoustonShockHSS #HSS23
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@AndrewHigginsMD
Andrew Higgins
6 months
Jacob E Møller presenting the results of the long awaited DanGer Shock RCT - 13% absolute reduction in ACM with an NNT of 8 but at a cost - the expected increase in bleeding but also higher rates of dialysis - sure to be dissected in every journal club over the next year!
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@AndrewHigginsMD
Andrew Higgins
5 months
Blown away already by how much CCCES has grown in just one year - credit to @AndreaElliottUM @jason_bartos and the whole UMN crew - #CCCES24 - look at this audience of CCC here bright and early for Dr. Jamie Lohr’s sweeping overview of ACHD in the modern CICU!
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@AndrewHigginsMD
Andrew Higgins
11 months
Outstanding talk about the intersection of many cardiologists greatest fears - pregnancy and ACHD - by @JGhobrialMD - great session from @PennyRampersad #AHA23
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@AndrewHigginsMD
Andrew Higgins
6 months
Packed room of our @CCFcards fellows listening to updates on innovations in cardiac transplant with our new section head @NutritionHF - another outstanding noon conference @venumenon10 @RanLeeMD @MichaelFaulx
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@AndrewHigginsMD
Andrew Higgins
1 year
The always dynamic @CardsNYC hitting the high notes of POCUS - the “stethoscope of the 21st century” #CritCareCards23 @AnnGageMD @jameshorowitzmd @SamuelB316 @RanLeeMD
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@AndrewHigginsMD
Andrew Higgins
2 years
@AnnGageMD giving a tour de force as always - highlighting the increasing burden of advanced heart failure in the modern CICU. Panel moderated by the one and only @vbluml #HFSA2022
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@AndrewHigginsMD
Andrew Higgins
1 year
One of the best innovations for #CritCareCards23 was the addition of poster session with outstanding submissions by @CCFcards fellows @rrkeane and the Twitter-less Dr. Ani Nandan - next generation of critical care cardiology trainees! @RanLeeMD @PennyRampersad @venumenon10
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@AndrewHigginsMD
Andrew Higgins
4 months
Current AHFTC and future CCC fellow @satoshiboston (currently satoshicleveland) sharing his perspective on the HF pandemic in Japan with underutilization of durable LVAD and OHT, history of heart transplantation in Japan, and the road forward - outstanding conference! @CCFcards
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@AndrewHigginsMD
Andrew Higgins
11 months
Great session on complex pathologies kicking off at #AHA23 moderated by Drs. Courtney Bennett and @RanLeeMD - excited to see @SarahGorgis start us off with a case highlighting the challenges of managing mixed shock
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@AndrewHigginsMD
Andrew Higgins
6 months
Powerhouse lineup closing out the Inova Advanced Heart Failure & Shock Symposium - @JRogersMD1 , @mpsotka , and @PalakShahMD holding court on surgical options for end stage heart failure - where we’re going and how far we’ve come with HM3 and DCD. @ISHVnews @coconnormd @vbluml
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@AndrewHigginsMD
Andrew Higgins
5 months
After whirlwind of sim time this morning - Controversies (and outright arguments) over lunch on day two of #CCCES24 - intubation approaches, induction strategies, LV venting and much more!
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@AndrewHigginsMD
Andrew Higgins
6 months
Outstanding start to the day at the @ISHVnews Inova Advanced Heart Failure and Shock Symposium - @ShashankSinhaMD and @vbluml on state of the art phenotyping and device selection- more talks upcoming from @ReshadGaranMD , @AnnGageMD , @manreetkanwar , @RanLeeMD , @behnam_tehrani
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@AndrewHigginsMD
Andrew Higgins
6 months
Excellent series of didactic talks continuing in the #ACC2024 learning lounge - @PennyRampersad warning about the dangers of north south syndrome - stay vigilant! You can’t find what you don’t look for.
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@AndrewHigginsMD
Andrew Higgins
2 years
@JerryEstepMD doing a deep dive into the epidemic of right ventricular dysfunction in critical illness outside of the CICU. Echo early and echo often! Under recognized in sepsis and ARDS - see also recent work by @SimGaneriwalMD @msiuba @HoustonShockHSS
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@AndrewHigginsMD
Andrew Higgins
6 months
Packed house on a Sunday afternoon to hear @carlosalviar hold court on the importance of hemodynamic phenotyping in cardiogenic shock and @AnnGageMD sharing some hard earned wisdom on pericardiocentesis in the CICU #ACC2024
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@AndrewHigginsMD
Andrew Higgins
2 years
All star (and CCF trained!) CICU pharmacist @sylvie_francine leading off the next session with a focused talk on sedation in the CICU setting. CCF alums @carlosalviar and @AnnGageMD as well as our own @venumenon10 rounding out a great panel. @CCFcards #critcarecards22
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@AndrewHigginsMD
Andrew Higgins
1 year
Second day of #CritCareCards23 kicking off with an all star panel on DEIB in CCC moderated by boxing champion @AndreaElliottUM - @carlosalviar @RickyHansra @BalimSenmanMD . @PennyRampersad emphasizing that representation at every level of training and leadership matters.
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@AndrewHigginsMD
Andrew Higgins
6 months
Emotionally powerful session as #ACC2024 winds down with @EBohula and @carlosalviar moderating outstanding talks from @rachkataria @DrRobRoswell @SarahChuzi and Drs. Melanie Sulistio and Fernando Bacal on loss and burnout in the CICU. Be kind to yourselves too.
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@AndrewHigginsMD
Andrew Higgins
3 years
Dr. Michael Solomon from @NIHCritCare bringing it home. Looking forward to the addition of CCC as a section within the ACC and defining a clear training pathway - many paths to the same CICU! @zilgiovineMD @vbluml @RanLeeMD @JasonKatzMD @jameshorowitzmd #CritCareCards21
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@AndrewHigginsMD
Andrew Higgins
6 months
@msiuba Sometimes you have a problem and you think… “I’ll try albumin.” Now you have two problems.
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@AndrewHigginsMD
Andrew Higgins
2 years
Day 2 of @HoustonShockHSS kicks off with a focused session on RV dysfunction after durable LVAD implantation - outstanding pro / con between @DRJoycewald and Dr. Phyllis Billia on early versus delayed RV support #HSS23
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@AndrewHigginsMD
Andrew Higgins
2 years
CCF AHFTC superstar fellow @PieterMartensMD Presenting a fantastic moderated poster on the intersection between electrical storm and cardiogenic shock @WilsonTangMD #HFSA2022
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@AndrewHigginsMD
Andrew Higgins
1 year
Whirlwind first day with an incredible amount of high yield content and hands on simulation - the unbelievable mobile ECMO unit and @jason_bartos running a rapid introduction to ECMO circuits and cannulation - @UMN_CCCEdSummit @AndreaElliottUM @JasonKatzMD @garima_d7
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@AndrewHigginsMD
Andrew Higgins
6 months
@ShashankSinhaMD underscoring the importance of speaking same language when categorizing cardiogenic shock, referencing recent work by @vbluml - how we label a patient immediately begins to inform how we conceptualize their urgency and next steps in management #LanguageMatters
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@AndrewHigginsMD
Andrew Higgins
6 months
Ready to watch friends become enemies at CCC Family Feud! Join us in the Murphy ballroom! Rooting for Dr. Hall’s team with Ran “The Shocker” Lee and Ann Twelve-Gage. If you didn’t see Mike Solomon’s Steve Harvey moustache live, you missed out.
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@AndrewHigginsMD
Andrew Higgins
2 years
Laser focused talk on troubleshooting the failing RV by @anjalivaidyaMD . Worth watching the recording if anyone missed it. @msiuba , you’ve got to come next year to support the people’s ventricle … #critcarecards22 @jameshorowitzmd
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@AndrewHigginsMD
Andrew Higgins
1 year
@AnnGageMD and @carlosalviar kicking off #CritCareCards23 ! Looking forward to a packed schedule again this year - amazing lineup
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@AndrewHigginsMD
Andrew Higgins
6 months
@karleekhoffman leading IM grand rounds and outlining the heartbreaking epidemic of peripartum cardiovascular disease. Partnership between OB and cardiology critical and prospective evidence needed - stay tuned for bromocriptine data from REBIRTH - she’s enrolling now!
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@AndrewHigginsMD
Andrew Higgins
3 years
@PennyRampersad Absolutely killing it while highlighting the benefit of thorough hemodynamic phenotyping in cardiogenic shock (credit to @ReshadGaranMD ’s critical work in this space) while acknowledging the very real risks involved #CritCareCards21
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@AndrewHigginsMD
Andrew Higgins
2 years
@HoustonShockHSS Great personal look into the heroic labor that goes into being an editor by Dr. Jagat Narula @LubbDup - consistently humbled by the commitment of @dranulala @robmentz and the entire JCF team @vbluml @rcstarling
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@AndrewHigginsMD
Andrew Higgins
1 year
Outstanding session featuring ⁦ @jameshorowitzmd ⁩ ⁦ @criticalecho ⁩ ⁦ @AndreaElliottUM ⁩ ⁦ @WApplefeld ⁩ ⁦ @ChrisBarnettMD ⁩ ⁦ @sionis_a ⁩ on roads to CCC - 7 critical care cardiologists, 7 very different paths - moderator inimitable ⁦ @AnnGageMD
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@AndrewHigginsMD
Andrew Higgins
1 year
Great case based discussions to close out @HoustonShockHSS - audience engaged to the last minute. Healthy dissent and debate on very challenging cases. Outstanding conference - kudos to the organizing team and speakers. Looking forward to #HSS24 @JumeanMarwan @CardioNerds #HSS23
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@AndrewHigginsMD
Andrew Higgins
4 years
Fantastic work validating early unloading, but can we all just agree that ECPella sounds much better than ECMella? We’re not putting in Imellas... @RanLeeMD @AnnGageMD @AmitGoyalMD @RaynerHartleyMD @JenelleBadulak
@BenediktSchrage
Benedikt Schrage
4 years
Fresh off the press: Our new manuscript on LV unloading in cardiogenic shock patients treated with VA-ECMO! A thread 1/14
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@AndrewHigginsMD
Andrew Higgins
2 years
@JasonKatzMD highlighting the growing importance of social media in disseminating ( @AmitGoyalMD would say democratizing) our advances in real time. @ThomasMDas to speak more about this later today! @CardioNerds #critcarecards22
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@AndrewHigginsMD
Andrew Higgins
1 year
@JasonKatzMD on the hot seat with weaning questions from @susannaprice - Jason, is The Price Is Right still your favorite TV show? #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
2 years
@JasonKatzMD kicking off the second annual NYU CCC symposium - exciting agenda this year! @jameshorowitzmd @SamuelB316 @carlosalviar @CardsNYC #CritCareCards22
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@AndrewHigginsMD
Andrew Higgins
1 year
@zilgiovineMD @CleClinicHVTI @HeartCentennial @RanLeeMD @CCFcards @CCF_PCCM I’m not crying, you’re crying… proud to have been a part of your training and to have you join such a great group @HeartCentennial @AnnGageMD . PS when your laser dies, it needs AG13 batteries.
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@AndrewHigginsMD
Andrew Higgins
1 year
@carlosalviar and Dr. Courtney Bennett bringing some new theatrical flair to the perennial echo versus noninvasive hemodynamic debate l! #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
1 year
Outstanding crash course on LVAD patient selection, phenotyping, and risk assessment by @gtsayer at Heart Failure Management for General Cardiology - high yield for anyone with an interest in durable support! @JerryEstepMD @NirUrielMD
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@AndrewHigginsMD
Andrew Higgins
3 years
@CCFcards alum @AnnGageMD again debating @thiele_holger on a topic near and dear to my heart - the use of IABP in both AMICS and in nonischemic CS. #CritCareCards21 . Strongly advocate for continued role in carefully selected patients. Don’t throw the baby out with the bathwater!
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@AndrewHigginsMD
Andrew Higgins
5 years
Great work by @RanLeeMD - keeping housestaff up to date on an increasingly complex population
@RanLeeMD
Ran Lee, MD, FACC
5 years
With an evolving #criticalcarecardiology pt population, we implemented a #meded #CICU handbook to educate/empower our housestaff to confidently care for this advanced cohort. High yield topics including #MCS #MV #hemodynamics #shock . See our e-abstract findings virtually #ACC20 !
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@AndrewHigginsMD
Andrew Higgins
1 year
@venumenon10 and Mike Solomon bookending amazing morning on past / future of CCC. Now more than ever need evidence to guide us - submit an abstract to #AHA23 “Critical Care Cardiology”, apply for travel stipends and awards! @AHAScience @AHA_AcuteCVCare @3CPRCouncil @CardioNerds
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@AndrewHigginsMD
Andrew Higgins
6 months
@RanLeeMD and Elmo highlighting the dangers of the devil you know - balancing risk and benefit of heparinization on VA ECMO. #ACC2024
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@AndrewHigginsMD
Andrew Higgins
2 years
The always impressive @drtracykpaul tackling one of the most challenging intersections in cardiology - pregnancy and cardiac critical illness. #critcarecards22
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@AndrewHigginsMD
Andrew Higgins
1 year
@AnnGageMD reminding that more to cardiac critical care than the heart - challenging dogma on holding enteral feeds pre-extubation (we’re all guilty of chronically under nourishing our CS patients), combating “anemia of chronic investigation” with peds tubes. #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
3 years
Excellent, practical talk on clinical management of valvular emergencies by @ColumbiaMedRes alum, the always outstanding @SamuelB316 #CritCareCards21
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@AndrewHigginsMD
Andrew Higgins
1 year
@ThomasMDas @HoustonShockHSS @CardioNerds @av1hs @jeffrey_wang24 @AmitGoyalMD @KatieV_MD When other fellows heard about the coming ACHD tsunami in the CICU, they fled for higher ground. We got this picture of @ThomasMDas as it hit:
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@AndrewHigginsMD
Andrew Higgins
2 years
Dr. Joel Hardin emphasizing the “ACHD tsunami” of patients our CICU’s will be facing in the coming years. How we support these patients and adequately justify severity of illness for transplant status remains a challenge @JGhobrialMD @SBhattacharyaMD @HoustonShockHSS #HSS23
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@AndrewHigginsMD
Andrew Higgins
3 years
We finally got a chance to bring the HF fellows to TopGolf in between COVID waves. Thanks for your constant hard work! Not pictured - ⁦ @zilgiovineMD ⁩ who was holding down the fort, Brian Hsi who I’m sure had a good excuse, Rob Montgomery (busy winning) ⁦ @MariaMountis
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@AndrewHigginsMD
Andrew Higgins
1 year
The seemingly inexhaustible @carlosalviar spreading the gospel of @emireles_c at @UMN_CCCEdSummit as day 1 starts to wind down - highlighting the need for improved education in mitigating a critical source of CICU morbidity. @AndreaElliottUM @jason_bartos @garima_d7
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@AndrewHigginsMD
Andrew Higgins
1 year
@AmitGoyalMD introducing the winners of the first annual #CritCareCards23 poster session with @JennaSkowronski @nazliokumus - great submissions. Can’t believe how fast this conference grew up! Look forward to their publication in our @CardioNerds partnered journal #USCardiology
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@AndrewHigginsMD
Andrew Higgins
2 years
After an emotional start with two moving testimonials from cardiogenic shock survivors, @BurkhoffMd kicks off the first of a series outstanding talks @HoustonShockHSS - sharing the gospel of early invasive hemodynamic phenotyping @CardioNerds
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@AndrewHigginsMD
Andrew Higgins
1 year
Failed to tag my close colleague @RanLeeMD who spoke about his journey from Michigan to CCF and about the critical importance of year-to-year programmatic stability to fellows who are trying to plan often several years in advance - #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
6 months
Outstanding panel to start the day - challenges in mechanical support with @carlosalviar @PennyRampersad @RanLeeMD @AnnGageMD @ElliottMillerMD @aniket_rali @docsabe
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@AndrewHigginsMD
Andrew Higgins
1 year
Believe it or not, this is not @criticalecho ranking the best cardiology specialties… @UMN_CCCEdSummit
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@AndrewHigginsMD
Andrew Higgins
2 years
@ThomasMDas @JasonKatzMD @RanLeeMD @Ajar_Kochar @ShashankSinhaMD @AnnGageMD @SandeepNathanMD @AmitGoyalMD @SarasVallabhMD @ClevelandClinic @PennyRampersad Truly think that room is the core of the unit - can’t imagine our CICU without the immediate availability of specialized nursing, fluoroscopy, and a well stocked procedural toolkit. #cardsjc
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@AndrewHigginsMD
Andrew Higgins
1 year
@ShashankSinhaMD @AmitGoyalMD @CardioNerds @JasonKatzMD @BalimSenmanMD @RanLeeMD @AnnGageMD @KBerlacher Every time I go to a @CardioNerds dinner I’ve gotten to know such genuine, thoughtful new colleagues ( @melsulistio most recently last night)- @AmitGoyalMD has a gift for bringing people together! #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
3 years
@AmitGoyalMD @MarkBelkinMD @CardioNerds @vbluml @JasonKatzMD @JCardFail @robmentz @dranulala @AshishCorrea @QuentinYoumans @noshreza @ShashankSinhaMD @AndrewJSauer @RyanTedfordMD @DrMarthaGulati @EiranGorodeski @CCFcards @zilgiovineMD Great to see such a breadth of perspectives on a topic of increasing importance. Agree that delineating the core components of the skillset and defining milestones / tiers of training (regardless of the pathway chosen) will be critically important.
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@AndrewHigginsMD
Andrew Higgins
1 year
Luminary Dr. Dave Morrow outlining the challenges we face in CS and some wise words from @ShashankSinhaMD - data drawn from the wrong questions is worse than no data at all. #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
2 years
@carlosalviar emphasizing the importance of watching carefully for deleterious heart lung interactions while on positive pressure ventilation - you don’t find what you don’t look for! Preaching the gospel of @emireles_c @msiuba #critcarecards22
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@AndrewHigginsMD
Andrew Higgins
6 months
Happening now - @SarasVallabhMD and @AnnGageMD doing a deep dive on an underdiscussed problem in the CICU - race and sex disparities in identification and management of acute cardiac illness. We can’t do better if we don’t assess how we’re failing. #acc2024
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@AndrewHigginsMD
Andrew Higgins
2 years
Great Q&A on “How I Built This” with PERT team experts - excellent point by @AWitkin reinforcing earlier arguments by @jameshorowitzmd - a “low risk” PE may not be a “low risk” situation - multidisciplinary discussion critical on these casss #CritCareCards22
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@AndrewHigginsMD
Andrew Higgins
1 year
@AndreaElliottUM channeling Rocky Balboa versus @seanvandiepen - punching through some of the problems with negative trials in ECPR #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
2 years
Luminary @BillONeillMD talking about the emerging role of LAVA ECMO in selected cases - amazing support option for valvular shock but with major logistical hurdles for rapid delivery @HoustonShockHSS #HSS23
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@AndrewHigginsMD
Andrew Higgins
6 months
@AnnGageMD @ACCinTouch @carlosalviar Had fun writing this pericardial sim with @AnnGageMD and running several dozen people through their first taps this weekend - spreading the gospel of the Ministick for pericardial access. Huge shout out to @carlosalviar and Chris Keenan for orchestrating amazing sim center again!
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@AndrewHigginsMD
Andrew Higgins
1 year
@WesElyMD emphasizing the dangers of “malignant normality” - we’ve come a long way toward fighting systematic oversedation in the ICU (see this amazing midazolam ad from the 90’s) but we have a long way to go to. @UMN_CCCEdSummit @AndreaElliottUM @garima_d7
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@AndrewHigginsMD
Andrew Higgins
2 years
Outstanding summary of the state of neuroprognostication in 2022 by NYU neurologist Jennifer Frontera followed by a great culmination with a multidisciplinary panel at #critcarecards22
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@AndrewHigginsMD
Andrew Higgins
6 months
Inova HF symposium continues - Great review from @FudimMarat on both the state of the evidence for iron repletion in HF + real world breakdown of challenges to implementation - big gap between placing an order and truly addressing iron deficiency @ISHVnews
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@AndrewHigginsMD
Andrew Higgins
3 years
@msiuba Always glad when people bring this up - particularly the latter case. Reverse triggering is an under recognized epidemic and leads to a positive feedback loop of oversedation that can take days to undo. Always screen for this - you don’t find what you don’t look for.
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@AndrewHigginsMD
Andrew Higgins
6 months
@dranulala @KadoshBernard @ShashankSinhaMD @NavinKapur4 @manreetkanwar @JHMontfort10 @ReshadGaranMD @BurkhoffMd @JasonKatzMD @manesh_patelMD @RanLeeMD @Drroxmehran @SVRaoMD @DrMarthaGulati @ShelleyZieroth @jennifer_rymer @SrihariNaiduMD @carlosalviar Continued signal towards higher complications in women - would love to see this stratified by vessel sizing. So much to unpack before we leap to broader utilization but at least a step towards hope with careful patient selection.
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@AndrewHigginsMD
Andrew Higgins
2 years
@GreggWStone underscoring the perennial challenges in obtaining high quality evidence in cardiogenic shock and setting the stage for RECOVER IV. @HoustonShockHSS #HSS23
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@AndrewHigginsMD
Andrew Higgins
1 year
@dranulala emphasizing understanding patient trajectories and exit strategies early in their shock course - don’t wait to involve HF team for consideration of advanced therapies if high pre test probability for failure #CritCareCards23
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@AndrewHigginsMD
Andrew Higgins
2 years
@MichaelTongMD - Great talk emphasizing the importance of a tailored approach to tMCS and touching on the the distinct challenges in mechanical support for female versus male patients - one size does not fit all. Packed session moderated by @Dr_Eileen_Hsich #HFSA2022
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@AndrewHigginsMD
Andrew Higgins
2 years
@RanLeeMD @EiranGorodeski @rachkataria @jteerlinkmd @AnnGageMD @zilgiovineMD @JasonKatzMD @vbluml Agree. As alluded to by @vbluml during the session, we also have to confront that any additional critical care time during AHFTC year must come at the expense of developing an already broad heart failure skillset. The only holistic solution I see is a structural reconfiguration.
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@AndrewHigginsMD
Andrew Higgins
2 years
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@AndrewHigginsMD
Andrew Higgins
2 years
@ThomasMDas @CardioNerds @AmitGoyalMD @KatieV_MD @jeffrey_wang24 Agree - under appreciated topic. Salvaging the macrohemodynamic situation is the first step, but the toll our therapy takes on the microcirculation can’t be ignored.
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@AndrewHigginsMD
Andrew Higgins
6 months
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@AndrewHigginsMD
Andrew Higgins
2 years
@EiranGorodeski @rachkataria @jteerlinkmd Starting to look awfully similar to a critical care fellowship year in its entirety? 😃 @AnnGageMD @RanLeeMD @zilgiovineMD @JasonKatzMD
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@AndrewHigginsMD
Andrew Higgins
3 years
Outstanding lecture on the evolution of the CICU and Critical Care Cardiology as a discipline by @JasonKatzMD happening now! @jameshorowitzmd #CritCareCards21
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@AndrewHigginsMD
Andrew Higgins
3 years
Correction - that’s actually @ramontgo ‘s head the prior photo. @RanLeeMD @SBhattacharyaMD @karleekhoffman @BrianHsiMD . Thanks to Miriam Jacob for putting together such a great class, and to @Dr_Eileen_Hsich for your support (and camera work!)
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@AndrewHigginsMD
Andrew Higgins
6 months
@SamuelB316 spreading the gospel of critical care diastology on a Sunday morning. Only at #ACC2024 ! @carlosalviar @RanLeeMD @AnnGageMD
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@AndrewHigginsMD
Andrew Higgins
2 years
David Feldman switching it up and talking about the other end of the shock hospitalization, highlighting the importance of maintaining HFimpEF patients on the the therapies that improved them in the first place. #GDMTworks @HoustonShockHSS
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@AndrewHigginsMD
Andrew Higgins
2 years
@IAmDoctorAbhi @VCUHealthHeart @JasonKatzMD @BurkhoffMd @RanLeeMD @jameshorowitzmd @ShashankSinhaMD @CardsNYC To kick it off - I think starting with the foundations is important - quality hemodynamics and rapid recognition / staging of shock
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