David Winchester
@drdavemd.bsky.social
Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
A mentor of mine used to say that clinic was like a gas and would expand to occupy all available space (i.e. time). Seems that this observation also applies to EHR time. www.healthaffairs.org/doi/10.1377/...
Changes In Primary Care Physicians’ Electronic Health Record Patterns After They Reduced Clinical Visit Volume | Health Affairs Journal
Primary care physicians face increasing workload pressures. Some are delivering fewer patient visits, potentially in response to these pressures. However, the relationship between reduced visit…
www.healthaffairs.org
February 3, 2026 at 5:06 PM
A mentor of mine used to say that clinic was like a gas and would expand to occupy all available space (i.e. time). Seems that this observation also applies to EHR time. www.healthaffairs.org/doi/10.1377/...
Study suggests that healthcare worker "Pata-Gucci" fleece jackets are more likely to carry pathogens than other long sleeved items, including white coats www.cambridge.org/core/journal...
Healthcare worker long-sleeved attire contamination: a prospective observational study | Infection Control & Hospital Epidemiology | Cambridge Core
Healthcare worker long-sleeved attire contamination: a prospective observational study
www.cambridge.org
February 3, 2026 at 3:40 PM
Study suggests that healthcare worker "Pata-Gucci" fleece jackets are more likely to carry pathogens than other long sleeved items, including white coats www.cambridge.org/core/journal...
REBOOT episode of @thecurbsiders with @MKIttlesonMD on HFpEF audioboom.com/posts/878408... #cardiosky
REBOOT: #460 Heart Failure with Preserved Ejection Fraction
We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (https://x.com/MKIttlesonMD) (Cedars Sinai (...
audioboom.com
February 3, 2026 at 2:59 PM
REBOOT episode of @thecurbsiders with @MKIttlesonMD on HFpEF audioboom.com/posts/878408... #cardiosky
Among patients with periop MI, management by a cardiologist was associated with improved clinical outcomes #cardiosky
academic.oup.com/eurheartj/ad...
academic.oup.com/eurheartj/ad...
Peri-operative myocardial infarction/injury after non-cardiac surgery: association between cardiologist evaluation and outcomes
AbstractBackground and Aims. Peri-operative myocardial infarction/injury (PMI) is a common cardiac complication following non-cardiac surgery. It remains u
academic.oup.com
February 2, 2026 at 5:07 PM
Among patients with periop MI, management by a cardiologist was associated with improved clinical outcomes #cardiosky
academic.oup.com/eurheartj/ad...
academic.oup.com/eurheartj/ad...
A thought provoking hypothesis about simultaneous measurement of myocardial and renal blood flow, using PET www.ahajournals.org/doi/10.1161/... #cardiosky
Prognostic Significance of Noninvasive Simultaneous Renal and Cardiac Perfusion: Interrogating Mechanisms of Cardiovascular-Kidney Interactions | Circulation: Cardiovascular Imaging
BACKGROUND: Physiologic interaction between the cardiovascular and renal systems is pivotal in
the understanding of disease and as a target for therapeutic interventions, as highlighted
in the cardiov...
www.ahajournals.org
February 2, 2026 at 2:32 PM
A thought provoking hypothesis about simultaneous measurement of myocardial and renal blood flow, using PET www.ahajournals.org/doi/10.1161/... #cardiosky
@jaccjournals.bsky.social and @hmkyale.bsky.social introducing novel submission categories for the cardiology community to contribute www.jacc.org/doi/10.1016/... #cardiosky
Introducing Brief Features in <i>JACC</i>:
www.jacc.org
January 30, 2026 at 2:40 PM
@jaccjournals.bsky.social and @hmkyale.bsky.social introducing novel submission categories for the cardiology community to contribute www.jacc.org/doi/10.1016/... #cardiosky
I am honored to have had the opportunity to work with Dr. Bahr, pioneer of the concept of a Chest Pain Center to promote Early Heart Attack Care. www.acc.org/Latest-in-Ca...
In Memoriam: Raymond D. Bahr, MD, FACC - American College of Cardiology
Renowned cardiologist Raymond D. Bahr, MD, FACC, pioneer of chest pain centers and early heart attack care, died Jan. 14 at 90.
www.acc.org
January 29, 2026 at 3:35 PM
I am honored to have had the opportunity to work with Dr. Bahr, pioneer of the concept of a Chest Pain Center to promote Early Heart Attack Care. www.acc.org/Latest-in-Ca...
The final album from @megadethdelisi.bsky.social features "Let There be Shred" open.spotify.com/track/0E6gLY...
a pixel art drawing of beavis and butthead with metallica written on their shirts
ALT: a pixel art drawing of beavis and butthead with metallica written on their shirts
media.tenor.com
January 29, 2026 at 2:52 PM
The final album from @megadethdelisi.bsky.social features "Let There be Shred" open.spotify.com/track/0E6gLY...
Another video from @jbcarmody.bsky.social with pure gold advice, this time on how to assemble your rank list www.youtube.com/watch?v=VMD1...
Sell: work hours, Buy: good attitude colleagues 💯
Sell: work hours, Buy: good attitude colleagues 💯
Making the Rank Order List: Buyers & Sellers Edition
YouTube video by Sheriff of Sodium
www.youtube.com
January 28, 2026 at 8:58 PM
Another video from @jbcarmody.bsky.social with pure gold advice, this time on how to assemble your rank list www.youtube.com/watch?v=VMD1...
Sell: work hours, Buy: good attitude colleagues 💯
Sell: work hours, Buy: good attitude colleagues 💯
What is bendopnea? @curiousclinpod.bsky.social curiousclinicians.libsyn.com/reboot-bendo...
The Curious Clinicians: Reboot! Bendopnea
Cold and flu season greetings from the Curious Clinicians! We hope you all are cold-free, but we were unfortunately under the weather this week. In honor of our "heme boards" series from Hannah's PGY-...
curiousclinicians.libsyn.com
January 28, 2026 at 4:36 PM
What is bendopnea? @curiousclinpod.bsky.social curiousclinicians.libsyn.com/reboot-bendo...
Meta-analysis, 5 RCTs of colchicine after MI, no significant effect: (8.2% versus 9.3%; RR, 0.83 [95% CI, 0.66–1.04]) www.ahajournals.org/doi/10.1161/... #cardiosky
American Heart Association Journals
www.ahajournals.org
January 28, 2026 at 4:09 PM
Meta-analysis, 5 RCTs of colchicine after MI, no significant effect: (8.2% versus 9.3%; RR, 0.83 [95% CI, 0.66–1.04]) www.ahajournals.org/doi/10.1161/... #cardiosky
Reposted by David Winchester
Abstracts submitted to SCCT2026 are eligible for major awards, including the Karlsberg Best Abstract Award, with prizes of up to $5,000, free registration to SCCT2027, travel support and SCCT membership.
https://ow.ly/FBeX50Y1oiy
https://ow.ly/FBeX50Y1oiy
January 27, 2026 at 1:00 PM
Abstracts submitted to SCCT2026 are eligible for major awards, including the Karlsberg Best Abstract Award, with prizes of up to $5,000, free registration to SCCT2027, travel support and SCCT membership.
https://ow.ly/FBeX50Y1oiy
https://ow.ly/FBeX50Y1oiy
Reposted by David Winchester
🚀 Issue #6
90-Second Cardio-OB Journal Scan with @cardioobdoc.bsky.social
Adverse Pregnancy Outcomes and Long-Term Risk of Atrial Fibrillation
🗞️ Jan 26, 2026 article @jamacardiology.com
🔗 jamanetwork.com/journals/jam...
#ACCRepOB #ACCCardioOB #CardioObstetrics #Epeeps #CardioSky
90-Second Cardio-OB Journal Scan with @cardioobdoc.bsky.social
Adverse Pregnancy Outcomes and Long-Term Risk of Atrial Fibrillation
🗞️ Jan 26, 2026 article @jamacardiology.com
🔗 jamanetwork.com/journals/jam...
#ACCRepOB #ACCCardioOB #CardioObstetrics #Epeeps #CardioSky
January 27, 2026 at 3:22 AM
🚀 Issue #6
90-Second Cardio-OB Journal Scan with @cardioobdoc.bsky.social
Adverse Pregnancy Outcomes and Long-Term Risk of Atrial Fibrillation
🗞️ Jan 26, 2026 article @jamacardiology.com
🔗 jamanetwork.com/journals/jam...
#ACCRepOB #ACCCardioOB #CardioObstetrics #Epeeps #CardioSky
90-Second Cardio-OB Journal Scan with @cardioobdoc.bsky.social
Adverse Pregnancy Outcomes and Long-Term Risk of Atrial Fibrillation
🗞️ Jan 26, 2026 article @jamacardiology.com
🔗 jamanetwork.com/journals/jam...
#ACCRepOB #ACCCardioOB #CardioObstetrics #Epeeps #CardioSky
An amazing start to 2026 with the Jan issue of JNC, articles on O15 vs Rb82, impact of anemia, and how to do flow using SPECT www.journalofnuclearcardiology.org/current #cardiosky #CVNuc
Current Issue Table of Contents: Journal of Nuclear Cardiology
www.journalofnuclearcardiology.org
January 27, 2026 at 2:33 PM
An amazing start to 2026 with the Jan issue of JNC, articles on O15 vs Rb82, impact of anemia, and how to do flow using SPECT www.journalofnuclearcardiology.org/current #cardiosky #CVNuc
Causes of troponin elevation in patients <60, ASCVD #1, T2MI #2. In women, SCAD comes in as the #3, followed by embolism, spasm, and MINOCA-U (other causes) @jaccjournals.bsky.social @yadersandoval.bsky.social www.jacc.org/doi/10.1016/...
Causes of Myocardial Infarction in Younger Patients: Troponin-Elevation in Persons ≤65 Years Old in Olmsted County
www.jacc.org
January 26, 2026 at 5:46 PM
Causes of troponin elevation in patients <60, ASCVD #1, T2MI #2. In women, SCAD comes in as the #3, followed by embolism, spasm, and MINOCA-U (other causes) @jaccjournals.bsky.social @yadersandoval.bsky.social www.jacc.org/doi/10.1016/...
Closing out the week with this great sports story from @radiolab.bsky.social radiolab.org/podcast/the-...
The Punchline
One of the worst players in the NHL gets voted into the All-Star Game.
radiolab.org
January 23, 2026 at 7:56 PM
Closing out the week with this great sports story from @radiolab.bsky.social radiolab.org/podcast/the-...
"Shifting only 5% of cardiac ablations from hospitals to ASCs could yield savings of $160 million in 2026 alone, rising to $3.3 billion by 2035." @JACCJournals @dkenigsberg @ChrisKramerMD www.jacc.org/doi/10.1016/...
Cardiovascular ASCs: Transforming Cardiovascular Procedural Care Through High Value Ambulatory Models
www.jacc.org
January 23, 2026 at 3:59 PM
"Shifting only 5% of cardiac ablations from hospitals to ASCs could yield savings of $160 million in 2026 alone, rising to $3.3 billion by 2035." @JACCJournals @dkenigsberg @ChrisKramerMD www.jacc.org/doi/10.1016/...
Pooling data from >5 mil participants, the lowest risk SBP for all cause mortality was 135, with values from 120-150 all below a relative risk of 1.0 www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
Blood Pressure Levels and Outcomes in Type 2 Diabetes: Dose-Response Meta-Analysis of 5.87 Million Cohort Participants
www.jacc.org
January 23, 2026 at 3:24 PM
Pooling data from >5 mil participants, the lowest risk SBP for all cause mortality was 135, with values from 120-150 all below a relative risk of 1.0 www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social
When Do Clinical Trials Expire?: Reflections on Beta-Blockers and the Half-Life of Evidence @JACCJournals @hmkyale www.jacc.org/doi/10.1016/...
When Do Clinical Trials Expire?: Reflections on Beta-Blockers and the Half-Life of Evidence
www.jacc.org
January 22, 2026 at 10:25 PM
When Do Clinical Trials Expire?: Reflections on Beta-Blockers and the Half-Life of Evidence @JACCJournals @hmkyale www.jacc.org/doi/10.1016/...
Real world self-reported data from >40K pulse field ablations found <1% major complications and no esophageal fistulas, pulm vein stenosis, or phrenic palsy www.jacc.org/doi/10.1016/... #cardiosky #epeeps
Multicenter Study on the Safety of Pulsed Field Ablation in Over 40,000 Patients: MANIFEST-US
www.jacc.org
January 22, 2026 at 8:04 PM
Real world self-reported data from >40K pulse field ablations found <1% major complications and no esophageal fistulas, pulm vein stenosis, or phrenic palsy www.jacc.org/doi/10.1016/... #cardiosky #epeeps
Applications being accepted for @accintouch.bsky.social QI grants!! cvquality.acc.org/accreditatio... #cardiosky
Quality Improvement for Institutions
cvquality.acc.org
January 22, 2026 at 3:46 PM
Applications being accepted for @accintouch.bsky.social QI grants!! cvquality.acc.org/accreditatio... #cardiosky
Smart devices have a pooled AUC of 0.97 for detecting AFib, which sounds great, but specificity ranging from 79-99% still leaves plenty of room for false positives www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social #cardiosky
Accuracy of Smartwatches in the Detection of Atrial Fibrillation: A Systematic Review and Diagnostic Meta-Analysis
www.jacc.org
January 22, 2026 at 3:01 PM
Smart devices have a pooled AUC of 0.97 for detecting AFib, which sounds great, but specificity ranging from 79-99% still leaves plenty of room for false positives www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social #cardiosky
Very informative discussion on pressures driving trends in rural healthcare in the US @tradeoffs.org tradeoffs.org/2026/01/12/b...
Breaking Down Trump's $50 Billion Rural Health Fund
Rural health experts dig into the Trump administration’s effort to transform rural health care.
tradeoffs.org
January 22, 2026 at 2:40 PM
Very informative discussion on pressures driving trends in rural healthcare in the US @tradeoffs.org tradeoffs.org/2026/01/12/b...
An amazing story of how serendipity led to an entirely new approach to research of the human neurological system @Radiolab radiolab.org/podcast/brai... #cardiosky
Brain Balls
Scientists can now grow tiny, human brain balls. They’re useful, but are they alive?
radiolab.org
January 15, 2026 at 7:59 PM
An amazing story of how serendipity led to an entirely new approach to research of the human neurological system @Radiolab radiolab.org/podcast/brai... #cardiosky