Joined February 2023
9 Photos and videos
I genuinely don't know where to start with the jokes about this.
It’s ok! We have different roles! I go to the hospital and she looks after the household! It’s all as it should be! 🐾
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3 Oct 2025
Wild to read. Hard to even imagine EP fellows getting pulled off EP in the Us to go admit 80 year patients with pneumonia or HHS.
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In England, EP training is being squeezed by the need for dual accreditation in general internal medicine. We argue that this risks a generation of underprepared specialists. Our article in AER : aerjournal.com/articles/elec… @tom__slater @drashnisbet @DhirajGuptaBHRS @johnpaisey
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The downward spiral of Aseem Malhotra snowdon.substack.com/p/the-d…

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Nothing. They never do.
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Reminds of this slide I have shown over the years of genes harboring (human) mutations conferring resistance to MI and ASCVD These targets getting a lot of attention.
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Great to see @TheBHF supporting screening programmes for important diseases. Screening often attracts criticism in resource-poor systems, but FIND-AF shows a potential way to reduce devastating strokes from an often asymptomatic disease.
📢 Late-Breaking at #ESC2025: FIND-AF clinical trial (n≈2,000) ➡️ Machine learning–guided screening identifies a subgroup with 8-fold higher risk of AF among patients at elevated stroke risk. 💡 AI could transform early AF detection @TheBHF @LeedsHospCharity @NIHRresearch
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Why can I see Registered Nurse roles out for £12-14 per hour in Yorkshire. I was earning £11.09 TEN years ago. What a travesty.
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1 Sep 2025
A very stimulating conversation at the ESC TV Roundtable on making global cardiology sustainable for all on Saturday @BritishCardioSo thanks for the support @TheBJCA - if you missed the session catch-up on esc365.escardio.org/esc-cong… #ESC2025
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Basic summary of biochemistry
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even less suspicious (~2.5 coin flips!) to see that much variation in average effects between trials if including REDUCE-AMI forgive me if I've left off other recent trials on this question (I'm sure someone else has already done a more systematic meta-analysis)
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Doesn't want to be controversial. Opens popcorn. Apparently in charge of a College?
Without wanting to be too controversial, does anyone actually believe that cardiac monitoring on medical wards saves lives? (Opening some popcorn)
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30 Aug 2025
Will be interested to see @drjohnm's take on #BetaBlockerGate #ESC2025 Should we read anything into REBOOT using Bisoprolol and being negative, but BETAMI using Metoprolol and being positive?
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CardiacJoshi retweeted
28 Aug 2025
Hope so. Dealing with the NHS these days feels like undergoing ritual humiliation: terrible service while treating you as if you are a child. There is no other domain in my life in which people are so patronising while delivering such a substandard product.
I increasingly suspect the NHS is going to go similar to UK EU membership. For decades folk like me propose moderate-but-significant reforms that maintain the core. We're ignored. So eventually patience is lost & the whole thing is thrown out & we start again.
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CardiacJoshi retweeted
The GMC needs a hard reset: 🔹Clear out current “leadership”. 🔸Full democratisation of the council and all key leadership positions. 🔹Binding vote of no confidence processes. 🔸Return to doctor only regulator status. 🔹Spending surplus rebate mechanism for working doctors.
20 Aug 2025
⚠️Newly released emails show @gmcuk described itself as "anxious" about the Leng Review's work on scope of practice for associates The regulator asked Prof Leng to meet Charlie Massey ahead of the roundtable to "develop and frame the questions". Trying to influence the agenda?
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CardiacJoshi retweeted
18 Jun 2025
🚨Delighted to share that our paper evaluating the UK interventional cardiology training programme has been published! 📄 ow.ly/qjnZ106bEeg We provide quantitative data on procedural volumes and trainee confidence across a range of interventional techniques.
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This is a great point. I never understood why we ask about achievements outside medicine when assessing someone's aptitude in medicine.
100%. Plus I find the question quite classist. I grew up in a single parent family who struggled financially. I didn’t go to private school. So subsequently I never got the opportunities to do grade 8 piano or be tutored to high level in a sport.
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Excuse me, what?
I’ve been working with an IVF startup, @herasight, that has already screened hundreds of embryos. Today we come out of stealth with a paper showing that our predictors for 17 diseases — validated within-family — beat the competition, with improved performance in non-Europeans🧵
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Editor of the HSJ, telling on themselves.
Like most trust CEOs, not enough given their level of responsibility
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And yet consultants have refused to come in - apparently due to their discomfort with the EPR. We have told the trust to invoke business continuity and use paper if the EPR is such a significant blocker, rejecting further requests for derogations.
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