Armin A. Zadeh MD PhD MPH
@armin_zadeh
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Physician-scientist, Cardiologist, Professor at Johns Hopkins U.,Writer, JCCT Editor-in-Chief, Cardiac Disease, Prevention @CiccaroneCenter. Opinions my own.
Baltimore USA
Joined March 2015
RT @MartyMakary: Reporting incidental heart calcifications on CT scans that are not done to look at the heart is a great way to screen for…
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Irrational medical reimbursement policies endanger patient lives. Healthcare providers should not be put at a disadvantage for doing the right thing. Something needs to happen.
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@journalCCT @Heart_SCCT @CsFuss @AChoiHeart @lesleejshaw @anjali_chelliah Congrats to Allen Taylor @TaylorMHVIcard, Stephan Achenbach @Steph_Achenbach, Jim Min, Todd Villines @ToddVillinesMD, and the amazing JCCT Editorial Board for this achievement! We are on a great track!!
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RT @journalCCT: What wonderful news! @journalCCT has received a 5.4 impact factor #JIF! @Heart_SCCT cannot thank our editors, writers, rese…
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Time that @acgme and training programs address the embarrassing state of cardiac CT education. In the current issue of @journalCCT , the @Heart_SCCT @FiRSTSCCT Committee and Future Leaders Program reveal poor exposure to cardiac CT in training.
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It should be obvious that restricting abortion violates a person's Constitutional right of liberty--the quintessential American right. I wonder how Justice Thomas feels if he can't have a life altering procedure because of others' religious ideology?
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@BarackObama @PPFA @USOWomen SCOTUS' recent verdicts leave no doubt about its current state. Its calculated pursuit of an ideological agenda through abstruse and delusional reading of the Constitution represents an utter disgrace to this country and a betrayal of its founding fathers. We need to stand up.
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@LeeAFleisher @BeckersHR No hospital should get into financial peril by providing medical care (for COVID-19 patients) instead of routine surgeries. We need to reallocate resources from unnecessary procedures and surgeries to screening, prevention, and support of more providers. #MoreCareFewerProcedures
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@LeeAFleisher @BeckersHR Hospitals struggled during the pandemic because they missed revenue from routine surgeries and procedures, indicating a critical imbalance in resource allocation. CMS is at the center of this imbalance by disproportionally rewarding procedures over (nonprocedural) medical care.
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@GreggWStone Seems more like a desperate attempt of folks with conflict of interest ($$$) to undermine the results of ISCHEMIA because they don't like them. Why did we spend >$100M on a landmark study when folks hurry diluting results with old, irrelevant data? This is politics, not science.
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@GreggWStone Do you actually think this paper was conceived from a viewpoint of equipoise?? I do believe that the paper should not have been published given the many flaws and obvious bias. It DOES undermine my faith in the review system and editorial oversight.
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@GreggWStone CV death is subject to bias. I don't think patients care if they die of cardiac causes or bleed out from a procedure. What matters is alive or not. MI analysis is confounded by unequal allocation of DAPT. Still, overall MI risk was greater with revasc in ISCHEMIA using 4th UDMI.
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@GreggWStone The editorial by Brown/Boden nicely outlines the objections, e.g., cherry picking outcome variables, including outdated studies with inadequate MT, not considering unequal allocation of DAPT. Total mortality is not different. Happy to have the MI discussion.
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@DavidLBrownMD @kaulcsmc In theory, yes. In practice, CMS and insurers tend to bow to the lobbyists with the deepest pockets...
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Are we finally ready to shift resources from procedures to prevention? Thanks to @rblument1; @ScottZeger ; @webmd11, William Weintraub MD #MoreCareFewerProcedures
#CiccaroneCenter
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@mmamas1973 @ShelleyWood2 @TCTMD @TCTMD_Caitlin @arghavan_salles @DrMarthaGulati @MinnowWalsh @gina_lundberg @hvanspall @DrNasrien @MeenaZareh @purviparwani @CMichaelGibson @jgranadacrf I don't quite understand why it was a question to cover this story. Why wouldn't you?
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Acute kidney injury is still a concern with application of iv contrast in many patients, particularly, with repeated applications. We found little evidence to support such concern in patients with normal baseline CrCl undergoing CT and cardiac cath.
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@drjohnm @AndrewFoy82 What purpose does this serve? Limitations are stated. If anything, this commentary undermines trust in science. Worse, it gives credence to COVID deniers & may endanger others. How about late sequalae? Better to be fearful than sorry later. Sometimes being “too academic” is bad.
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