General & Interventional Cardiologist @Texas_Heart 💉❤️, wife, mother, 👧🏽🐱🐶

Joined February 2011
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“There is a movement underway, and it has been growing for a long time.” PROUD to be a part of the movement. #WIC #SheForShe #HeForShe 👩🏼‍⚕️🙌🏼 x.com/drtoniyasingh/status/9…

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Briana Costello MD retweeted
Comparison of Drug-Coated versus Conventional Balloons for side branches in bifurcation lesions: OCVC-BIF Study Reduced side branch restenosis with DCB at 9 months ahajrnls.org/3RPKpXC
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Briana Costello MD retweeted
ACC/AHA & 9 other leading medical associations released an updated clinical guideline for managing #dyslipidemia. About 1 in 4 US adults has high LDL-C, raising risk of heart attack & stroke. Get the details in #JACC: jacc.org/doi/10.1016/j.jacc.… #ClinicalGuidelines #cvLipids #ASCVD
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We knew clopidogrel was better a long time ago. And without a higher bleeding risk. Read CAPRIE. Was just really expensive at the time. Now it's my SAPT of choice for most pts when I'm stopping DAPT. Not novel.
Clopidogrel is superior to aspirin for cardiac outcomes beyond 1-year up to 5-years. Results from the STOPDAPT-2 ACS and STOPDAPT-2 Total Cohort. Should it be a lifelong maintenance therapy? @HirotWatanabeMD @MNatsuaki @KoYamamoto7 ahajrnls.org/3PlxLhD
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In the large ROLLING STONE registry (1,005 pts, 23 Italian centers) comparing #IVL vs #atherectomy in calcified lesions, procedural success was similar, but IVL showed significantly ⬇️MACE & CV death at 30 days & 12 months. jacc.org/doi/10.1016/j.jcin.… #JACCINT @veronica_lio
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In the #Tuxedo2 #RCT of 1800 patients with #T2DM & #MVD in India undergoing #PCI, #ticagrelor not proven non-inferior to #prasugrel on PEP of #MACE Point estimates favoured prasugrel across endpoints Non-inferiority margin 5% Congrats @SripalBangalore & team #AHA25 @mmamas1973
🎙️NEW #AHA25 Late Breaker Discussion ✨ Dr @SripalBangalore joins host 🌟Dr @hvanspall to discuss findings from the TUXEDO-2 trial 📽️Watch here👉 radc.life/L1SJ04CP 📊#Ticagrelor did not meet non-inferiority compared to #prasugrel when added to aspirin as part of dual antiplatelet therapy in patients with multivessel disease undergoing #PCI. #DAPT #AHA2025 #CardioTwitter
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This is what you get from Trump. Violence against people caring for your children, only because of their color and spanish accent. Witnesses say she has a work permit. Teaches kids spanish at an immersion school.
ICE arrest preschool teacher—drag her out of class in front of "traumatized" children. Agents slam her face-first into the outer glass door as they push her outside—then shove her against their vehicle. School was forced to close—as both teachers and parents became too afraid to show up at the location. The teacher has a legal work permit and passed a background check in order to teach at the Spanish immersion preschool and daycare—according to witness interviews. "We wanted to give our children the gift of speaking another language," said one parent. "It’s just such a welcoming and sunny and happy place. The teachers are encouraged to share their culture and traditions with the children." The incident occurred at Rayito de Sol preschool and daycare in the Roscoe Village neighborhood of Chicago, Illinois. #DemsUnited
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Briana Costello MD retweeted
A very nice study from #EACTS2025. I will cover today on the This Week in Cardiology podcast. Once again, guidelines are too aggressive. And biased toward action.
Despite a high incidence of new-onset AF after CABG (48%), AF burden was minimal after 30 days. Is long-term anticoagulation still warranted? @DFCapodanno @djc795 @mmamas1973 @DrMarthaGulati @mirvatalasnag @drjohnm @DLBHATTMD @SABOURETCardio @SVRaoMD @omendiz @ahakeem143 @Hragy
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Briana Costello MD retweeted
🚨 NEW: Netflix secretly recorded an interview with Dr. Jane Goodall in March, set to air only after her death. In it, she says she wishes Trump and Elon Musk could be blasted into space… and closes with: “Don’t lose hope.” Now that’s a final message.
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My #Cardiology paper of the year: Daily Step Count in @JACCJournals The optimal steps to ⬇️ CVD events is NOT THAT HIGH! Totally achievable! Its easy to get discouraged by the marathoners, bodybuilders, etc. Sure that's great, but not necessary. Do enough, the benefits follow
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Agent ISR- YES!! Nearly three-quarters of the patients had intravascular image guided ISR PCI….and the outcomes were very good. Now that’s progress! Let’s next hope for rapid FDA approval of Agent coupled with wide adoption of intravascular imaging for all ISR cases.
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8 Oct 2023
Safety of Continuing #MRA Treatment in Patients with #HFrEF and Severe Kidney Disease In this study from the Swedish Heart Failure Registry of 33,942 HFrEF patients (EF < 40%): 📍51% received MRA, with varying rates across #eGFR levels. 📍Higher eGFR & severe HF features correlated with more MRA use. 📍MRA use didn't increase risk of renal events, all-cause ☠️, or 🏥 across eGFR levels, including severe #CKD onlinelibrary.wiley.com/doi/… @EJHFEiC @HFA_President @MarcoMetra @ESC_Journals
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🌟Pub alert! While #preeclampsia (PE)⬆️CVD risk, how do we identify those ♀️whose arteries are already on a disease path? Led by @paquin_amelie ,we showed that PE ♀️who remain HTNsive have much worse arterial health, and may be prioritized for #CVPrev ➡️bit.ly/46pUBIK
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Briana Costello MD retweeted
Don’t miss this joint AHA/ACC webinar! Achieving gender equity in cardiology requires collaboration with our male allies! Join us to discuss what #HeForShe means in cardiology ! #AHAWIC #ACCWIC @gina_lundberg @PamTaubMD @RBP0612
🚨 CLCD #WIC Committee new webinar alert! Join a discussion with colleagues on what male allyship means for women in cardiology. Topics to include bias, discrimination, sponsorship, mentorship, and more! #HeForShe Register now ⏩ bit.ly/AHAWICwebinar @AHAScience @MonSangh
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📷 "Honored to be in the company of these exceptional #WomenInCardiology. A memorable evening exchanging stories and charting the course for the WIC community's journey ahead. 💙👩‍⚕️ #CardioQueens #HeartbeatsAndHighHeels" 👠🩺#BarbiesinCardiology😍🥰💃#TCACC
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25 Aug 2023
Big news #ESC2023 and @NEJM In a placebo-controlled randomized trial of people with obesity heart failure (with preserved ejection fraction). semaglutide (Wegovy) markedly improved symptoms, exercise time, reduced inflammatory markers (and weight loss) nejm.org/doi/full/10.1056/NE…
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#ESCCongress #JACC LBCT SimPub: New from #DAPA-HF & #DELIVER: Benefit-to-risk ratio may favor continuation of #SGLT2i dapagliflozin in #HeartFailure pts w/ deterioration in kidney function to eGFR<25ml/min/1.73m2 bit.ly/3QU3AwK @safchat @mvaduganathan @scottsolomon
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25 Aug 2023
Late breaking at #ESCCongress: In patients with heart failure with preserved ejection fraction and obesity, semaglutide (2.4 mg) led to greater reductions in symptoms and physical limitations and greater improvements in exercise function than placebo. Full STEP-HFpEF trial:
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An historic Class 1A recommendation for HFpEF. Expected but still remarkable. #ESCCongress @escardio Proud of the many who brought this forward for our patients. @MkosiborodMD @MidAmericaHeart @saintlukeskc
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Multicenter real-world audit of #FFRCT by #YesCCT in UK's NICE guidelines shows that PPV of FFRCT was 49%, & its use was costlier vs stress tests. A cautious approach is implied for FFRCT roll-out in clinical practice. bit.ly/3P2NMq6 #JACCIMG #CardioTwitter
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Briana Costello MD retweeted
2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: @JACCJournals Guidelines are detailed: reading it slowly Please, read full doc! Thread #14: Medical management: What is going on w antiplatelet therapy? 🥸📷👇
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