Phil Riley
@nwamacman.bsky.social
Player of Music
Caregiver for Hearts in Northwest Arkansas
Reader of Medical Journals
Teacher of the Art of Medicine
Practioner of Politics-Free Social Media
#CardioSky
#MedSky
Caregiver for Hearts in Northwest Arkansas
Reader of Medical Journals
Teacher of the Art of Medicine
Practioner of Politics-Free Social Media
#CardioSky
#MedSky
Well this stinks.
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
Outcomes of Stroke Prevention Strategies in Patients With Atrial Fibrillation and End-Stage Renal Disease:
www.jacc.org
November 27, 2025 at 3:01 PM
Well this stinks.
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
LAAO vs Eliquis vs Warfarin in ESRD
It’s all bad … which isn’t really surprising.
#CardioSky
www.jacc.org/doi/10.1016/...
Reposted by Phil Riley
A European Heart Journal review of mortality in male bodybuilding athletes concludes that 'this study should alert the bodybuilding and medical communities to the need for improved preventive measures to promote safer sports participation'. Couldn't be clearer. academic.oup.com/eurheartj/ar...
Mortality in male bodybuilding athletes
AbstractBackground and Aims. Premature deaths of bodybuilders have raised questions about the safety and associated risks of this discipline. The main obje
academic.oup.com
November 27, 2025 at 9:40 AM
A European Heart Journal review of mortality in male bodybuilding athletes concludes that 'this study should alert the bodybuilding and medical communities to the need for improved preventive measures to promote safer sports participation'. Couldn't be clearer. academic.oup.com/eurheartj/ar...
Lipid Therapy Roadmap. So good! #CardioSky
November 22, 2025 at 3:50 PM
Lipid Therapy Roadmap. So good! #CardioSky
⭐️Cascade genetic testing is DCM⭐️
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
Cascade Screening in DCM: Where Are We in 2025
View all available purchase options and get full access to this article.
www.jacc.org
November 15, 2025 at 8:03 PM
⭐️Cascade genetic testing is DCM⭐️
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
“As cardiology has integrated metabolic conditions (ie, diabetes, obesity) that were once considered outside the scope of cardiology, we must similarly adopt genetics into cardiovascular care”. Kudos! I couldn’t agree more
#CardioSky
www.jacc.org/doi/epdf/10....
Good reference article: normal cardiac measurement values in older adults
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Noninvasive Cardiac Imaging in Older Adults: Diagnostic Challenges and Prognostic Implications Across Modalities
Download article citation: If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
www.jacc.org
November 15, 2025 at 7:10 PM
Good reference article: normal cardiac measurement values in older adults
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Example of what not to publish … 🤦♂️
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
High Voltage, High Stakes: Assessing Cardiovascular Effects of Electromagnetic Fields From Electric Vehicles
www.jacc.org
November 15, 2025 at 7:01 PM
Example of what not to publish … 🤦♂️
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
You could literally take an iPad-based pacemaker interrogator into an EV, apply it to the driver while driving and record interference if any is present. Or maybe a passenger in a Waymo? Either way, why speculate?
#CardioSky #MedSky
www.jacc.org/doi/10.1016/...
Good info to help with the onslaught of phone calls and emails
I spoke with two seasoned nutrition researchers about RFK Jr.’s anticipated recommendation. While they had different views on how harmful saturated fats are, they both agreed that simply upping consumption is a bad idea, and that dietary guidance should focus on foods, not nutrients. My latest.
RFK Jr to urge Americans to eat more saturated fats, alarming health experts
October 27, 2025 at 4:36 AM
Good info to help with the onslaught of phone calls and emails
This will be a great A.I. opportunity. Now we need an outcomes study about reducing events when finding CAC “opportunistically”. (Is it even ethical to not treat opportunistic CAC??)
19 million non-cardiac chest CT's done annually in the US, each one an opportunity to identify and treat occult CAD www.ahajournals.org/doi/10.1161/... #cardiosky
Opportunistic Detection of Coronary Artery Calcium on Noncardiac Chest Computed Tomography: An Emerging Tool for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Assoc...
Coronary artery calcium (CAC) is a marker of subclinical atherosclerosis that confers
increased risk of atherosclerotic cardiovascular disease. Measured by noncontrast
cardiac computed tomography, CAC...
www.ahajournals.org
October 21, 2025 at 10:12 AM
This will be a great A.I. opportunity. Now we need an outcomes study about reducing events when finding CAC “opportunistically”. (Is it even ethical to not treat opportunistic CAC??)
Great case of THROMBUS crossing PFO — the so called “Paradoxical” thrombus — the thing we all look for and never find … a Moby Dick moment #CardioSky #Cardiology #MedSky
You don't see these things every day😯
Massive intracardiac embolism, affecting both right and left sided chambers (and the pulmonary artery).
Presentation with a 2-week history of atypical symptoms, with acute deterioration the day before surgery.
#ansky #cardiosky #echosky #echofirst
Massive intracardiac embolism, affecting both right and left sided chambers (and the pulmonary artery).
Presentation with a 2-week history of atypical symptoms, with acute deterioration the day before surgery.
#ansky #cardiosky #echosky #echofirst
October 21, 2025 at 10:06 AM
Great case of THROMBUS crossing PFO — the so called “Paradoxical” thrombus — the thing we all look for and never find … a Moby Dick moment #CardioSky #Cardiology #MedSky
State-of-the-Art CT Coronary Angiography … it’s all about the tools and a slow heart rate. #ProtonCountingCT #CardioSky
www.jacc.org/doi/epdf/10....
www.jacc.org/doi/epdf/10....
Photon-Counting Computed Tomography in Cardiac Imaging:
View all available purchase options and get full access to this article.
www.jacc.org
October 18, 2025 at 2:52 PM
State-of-the-Art CT Coronary Angiography … it’s all about the tools and a slow heart rate. #ProtonCountingCT #CardioSky
www.jacc.org/doi/epdf/10....
www.jacc.org/doi/epdf/10....
Nice thoughtful guidance for LV thrombus intervention. #MedSky
🫀 Management of Antithrombotic Therapy in Left Ventricular Thrombus ⬇️
📌 Valeriani et al. report a Position Paper of the Italian Society of Hemostasis and Thrombosis (SISET) on the management of left ventricular #thrombosis
🆓 on TH! 👉 www.thieme-connect.de/products/ejo...
#CardioSky #HemeSky
📌 Valeriani et al. report a Position Paper of the Italian Society of Hemostasis and Thrombosis (SISET) on the management of left ventricular #thrombosis
🆓 on TH! 👉 www.thieme-connect.de/products/ejo...
#CardioSky #HemeSky
September 27, 2025 at 11:41 AM
Nice thoughtful guidance for LV thrombus intervention. #MedSky
Great case from JACC! So many things to learn here!
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
Acute Viral Myocarditis in a Young Woman
www.jacc.org
September 27, 2025 at 11:26 AM
Great case from JACC! So many things to learn here!
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
#CardioSky #MedSky #WomensHealth
#ACM #Myocarditis
www.jacc.org/doi/epdf/10....
Great article for residents. LGE establishes the basis for re-entry for V-Tach. #CardioSky
#SCD
academic.oup.com/eurheartj/ar...
#SCD
academic.oup.com/eurheartj/ar...
Late gadolinium enhancement imaging and sudden cardiac death
Abstract. The prediction and management of sudden cardiac death risk continue to pose significant challenges in cardiovascular care despite advances in the
academic.oup.com
September 22, 2025 at 10:49 AM
Great article for residents. LGE establishes the basis for re-entry for V-Tach. #CardioSky
#SCD
academic.oup.com/eurheartj/ar...
#SCD
academic.oup.com/eurheartj/ar...
Great article for folks developing DNR policy at their hospitals
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
Reconsidering Routine DNR Reversal for Interventional Cardiac Procedures:
www.jacc.org
September 20, 2025 at 12:40 PM
Great article for folks developing DNR policy at their hospitals
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
#CardioSky #DNR #MedSky
www.jacc.org/doi/10.1016/...
WOW!! Aspirin is killer! Trial funded by Bayer Pharmaceuticals too!! But, the answer isn’t super straightforward.
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation | NEJM
The appropriate antithrombotic regimen for patients with chronic coronary syndrome who are at high atherothrombotic risk and receiving long-term oral anticoagulation remains unknown. We conducted a...
www.nejm.org
August 31, 2025 at 4:24 PM
WOW!! Aspirin is killer! Trial funded by Bayer Pharmaceuticals too!! But, the answer isn’t super straightforward.
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
*Remember your high-risk PAD co-morbidity patients. They probably still need it.
#CardioSky
www.nejm.org/doi/full/10....
Side-Lobe Artifacts on Echo
*one sees what one knows
Great editorial by Ozpak, et al in JACC regarding LV perfs with LBAP leads.
*one sees what one knows
Great editorial by Ozpak, et al in JACC regarding LV perfs with LBAP leads.
August 31, 2025 at 2:26 PM
Side-Lobe Artifacts on Echo
*one sees what one knows
Great editorial by Ozpak, et al in JACC regarding LV perfs with LBAP leads.
*one sees what one knows
Great editorial by Ozpak, et al in JACC regarding LV perfs with LBAP leads.
Finally!! Now upload these normal values to our echo machines!!
#CardioSky
www.jacc.org/doi/10.1016/...
#CardioSky
www.jacc.org/doi/10.1016/...
Ascending Aortic Dimensions and Body Size: Allometric Scaling, Normative Values, and Prognostic Performance
www.jacc.org
August 31, 2025 at 12:58 PM
Finally!! Now upload these normal values to our echo machines!!
#CardioSky
www.jacc.org/doi/10.1016/...
#CardioSky
www.jacc.org/doi/10.1016/...
AHA PREVENT online calculator
(I can’t wait for the app though!!)
#CardioSky
professional.heart.org/en/guideline...
(I can’t wait for the app though!!)
#CardioSky
professional.heart.org/en/guideline...
professional.heart.org
August 30, 2025 at 2:01 PM
AHA PREVENT online calculator
(I can’t wait for the app though!!)
#CardioSky
professional.heart.org/en/guideline...
(I can’t wait for the app though!!)
#CardioSky
professional.heart.org/en/guideline...
I’m excited for this full trial to come out. It will be key for these symptomatic thick, hyperdynamic hearts with low level troponins and normal coronaries. #CardioSky
www.jacc.org/doi/10.1016/...
www.jacc.org/doi/10.1016/...
Effects of Mavacamten on Cardiac Biomarkers in Nonobstructive Hypertrophic Cardiomyopathy: Insights From the ODYSSEY-HCM Trial
www.jacc.org
August 30, 2025 at 1:55 PM
I’m excited for this full trial to come out. It will be key for these symptomatic thick, hyperdynamic hearts with low level troponins and normal coronaries. #CardioSky
www.jacc.org/doi/10.1016/...
www.jacc.org/doi/10.1016/...
One sees what one knows:
Platypnea-Orthodeoxia Syndrome review
#Cardiosky
www.jacc.org/doi/10.1016/...
Platypnea-Orthodeoxia Syndrome review
#Cardiosky
www.jacc.org/doi/10.1016/...
Platypnea-Orthodeoxia Syndrome Due to Patent Foramen Ovale: A Diagnostic and Therapeutic Challenge
www.jacc.org
July 20, 2025 at 2:15 PM
One sees what one knows:
Platypnea-Orthodeoxia Syndrome review
#Cardiosky
www.jacc.org/doi/10.1016/...
Platypnea-Orthodeoxia Syndrome review
#Cardiosky
www.jacc.org/doi/10.1016/...
Alpha-Gal is SO COMMON here in Northwest Arkansas. This overview of Alpha-Gal and cardiovascular disease is fascinating!
#Cardiosky
www.acc.org/Latest-in-Ca...
#Cardiosky
www.acc.org/Latest-in-Ca...
Feature | The Overlooked Cardiac Implications of Alpha-Gal Syndrome - American College of Cardiology
www.acc.org
July 20, 2025 at 2:07 PM
Alpha-Gal is SO COMMON here in Northwest Arkansas. This overview of Alpha-Gal and cardiovascular disease is fascinating!
#Cardiosky
www.acc.org/Latest-in-Ca...
#Cardiosky
www.acc.org/Latest-in-Ca...