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Phil Riley

@drphilriley.bsky.social
123 followers 321 following 249 posts

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

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Phil Riley @drphilriley.bsky.social · 02/10/2026
How can you NOT know the ejection fraction in a retrospective review? “Without HF” was the absence of billed ICD-10 code… 🤷‍♂️ ———————— Atenolol or Bisoprolol after Myocardial Infarction without Recorded Heart Failure | NEJM Evidence evidence.nejm.org/doi/full/10....
evidence.nejm.org
Atenolol or Bisoprolol after Myocardial Infarction without Recorded Heart Failure
Beta-blockers are a cornerstone of therapy following myocardial infarction. The effect of different β-blockers on the outcomes of patients without heart failure after myocardial infarction is not w...
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Reposted by Phil Riley
JACC Journals @jaccjournals.bsky.social · 01/09/2026
In a new edition of ACC's Cardiology Hour, Dr. Valentin Fuster & a panel of experts break down the top late-breaking clinical trials released during #ESCCongress, such as NOTION-4, SINGLE-AF, & more! 📽️: bit.ly/4zOTxNn @accintouch.bsky.social #JACC #CardioSky
youtu.be
ACC Cardiology Hour: ESC Congress 2026 Hot Line Trial Highlights with Valentin Fuster, MD, PhD, MACC
YouTube video by American College of Cardiology
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Phil Riley @drphilriley.bsky.social · 29/08/2026
❤️ 5th Universal Def of MI ❤️ It’s about time! PAST DUE #CardioSky #MedSky www.jacc.org/doi/10.1016/...
jacc.org
Fifth Universal Definition of Myocardial Infarction (2026):
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Phil Riley @drphilriley.bsky.social · 28/08/2026
❤️ This is a BIG deal ❤️ I look forward to more studies about this technology and it’s applications in broader populations #CardioSky #MedSky #AorticStenosis www.ahajournals.org/doi/10.1161/...
ahajournals.org
American Heart Association Journals
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Phil Riley @drphilriley.bsky.social · 28/08/2026
⭐️ Brilliant Editorial ⭐️ @hmkyale.bsky.social !! #CardioSky #MedSky www.jacc.org/doi/epdf/10....
jacc.org
The Quiet Mathematics of American Health Care
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Phil Riley @drphilriley.bsky.social · 22/08/2026
⭐️ hs-CRP: Crestor - GLP1 - colchicine ⭐️ www.ahajournals.org/doi/10.1161/...
ahajournals.org
Effect of Semaglutide on the Inflammatory Biomarker High-Sensitivity CRP in Patients With Established Cardiovascular Disease and Overweight or Obesity in SELECT: A Prespecified Secondary Analysis | Ci...
BACKGROUND: In SELECT (Semaglutide Effects on Heart Disease and Stroke in Patients With Overweight or Obesity), among 17 604 patients with known atherosclerotic cardiovascular disease and overweight o...
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Phil Riley @drphilriley.bsky.social · 20/08/2026
⭐️ SO IMPORTANT ⭐️ #CardioSky #MedSky Cognitive Impairment and Frailty in Older Adults With Cardiovascular Disease: 2026 ACC Scientific Statement: A Report of the American College of Cardiology | JACC www.jacc.org/doi/10.1016/...
jacc.org
Cognitive Impairment and Frailty in Older Adults With Cardiovascular Disease: 2026 ACC Scientific Statement: A Report of the American College of Cardiology
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Phil Riley @drphilriley.bsky.social · 16/08/2026
🧠🏥 Interesting but not groundbreaking. Now use Full Neuropsych testing instead of MMSE and include WATCHMAN patients. #CardioSky academic.oup.com/eurheartj/ad...
academic.oup.com
Oral anticoagulants, cognition, and clinical outcomes in atrial fibrillation and Alzheimer’s disease: a Swedish nationwide study
AbstractBackground and Aims. Use of non-vitamin K oral anticoagulants (NOACs) is associated with reduced dementia risk in patients with atrial fibrillation
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Phil Riley @drphilriley.bsky.social · 09/08/2026
⭐️⭐️ 👇 YESSS, this 👇 ⭐️⭐️ www.sciencedirect.com/science/arti...
sciencedirect.com
The Coverage Gap in PREVENT: Why Cardiovascular Risk Prediction Needs a Lab-Free Complement
The American Heart Association's PREVENT equations are now embedded in three major ACC/AHA guidelines governing hypertension, dyslipidemia, and cardio…
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Phil Riley @drphilriley.bsky.social · 09/08/2026
☀️Great article for those of us practicing in Sleep Medicine deserts ☀️ … or who just want to learn more about good sleep apnea care #CardioSky #MedSky www.sciencedirect.com/science/arti...
sciencedirect.com
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Phil Riley @drphilriley.bsky.social · 09/08/2026
Students and Residents: This is a poor example of a Case Report and poor editorial work on the part of JACC. The devil is in the details. Look for the digoxin level. I can’t believe this got published #CardioSky #MedSky #SometimesItsWhoYouKnow www.jacc.org/doi/10.1016/...
jacc.org
Cilostazol-Induced Digoxin Toxicity Presenting as Accelerated Idioventricular Rhythm and Recurrent Syncope:
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Phil Riley @drphilriley.bsky.social · 30/07/2026
❤️ MITOCHONDRIAL UNCOUPLING ❤️ … to “rev-up” the engine at the intra-cellular level can “un-do” cardiometabolic end-organ disease?? … I’m listening. #CardioSky #MedSky www.nature.com/articles/s41...
nature.com
Mitochondrial uncoupling therapy reduces established atherosclerosis in mice - Nature Reviews Cardiology
Targeting systemic metabolism through mild mitochondrial uncoupling with a controlled-release mitochondrial protonophore can reduce atherosclerosis in a mouse model of cardiometabolic syndrome, even w...
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Phil Riley @drphilriley.bsky.social · 30/07/2026
⭐️ Good to know! ⭐️ #CardioSky #MedSky #CAC and #Lipoproteina www.jacc.org/doi/10.1016/...
jacc.org
Use of Coronary Artery Calcium Scoring in Individuals With Elevated Lipoprotein(a): A Multicohort Study
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Phil Riley @drphilriley.bsky.social · 25/07/2026
Yay! The clarification is welcome in this rapidly evolving field. #CardioSky #Medsky #HFpEF www.jacc.org/doi/epdf/10....
jacc.org
Management of Heart Failure With Preserved Ejection Fraction: 2026 ACC Expert Consensus Decision Pathway
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Phil Riley @drphilriley.bsky.social · 13/07/2026
⭐️⭐️ Med Students and Residents: The ECG is old tech but when it shows you something, pay attention. Also, the only way insurance pays for the MRI is documentation of abnormal ECG that pays for the echo … then documentation of abnormal echo pays for the MRI www.jacc.org/doi/10.1016/...
jacc.org
Pathological Q Waves in a Young Patient Without Ischemic Heart Disease:
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.
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Phil Riley @drphilriley.bsky.social · 13/07/2026
❤️❤️❤️ Prettying-Up your Feed ❤️❤️❤️ #gardening #CardioSky #MedSky
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Phil Riley @drphilriley.bsky.social · 13/07/2026
Imaging is the future Yet another paper about Breast Arterial Calcification (BAC) as a risk predictor for ASCVD events #CardioSky #MedSky #PrecisionMedicine www.jacc.org/doi/10.1016/...
jacc.org
Breast Artery Calcification for Primary Prevention of Major Adverse Cardiovascular Outcomes in Women:
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Phil Riley @drphilriley.bsky.social · 13/07/2026
Imaging is the future. Epicardial Adipose Tissue (EAT) as an automated risk predictor of heart failure … on every CT Chest ever ordered … will go a LONG WAY in helping us identify patients at risk for HFpEF #CardioSky #MedSky #PrecisionMedicine www.jacc.org/doi/10.1016/...
jacc.org
Early Prediction of Heart Failure From Routine Cardiac CT Using Radiomic Phenotyping of Epicardial Fat:
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Phil Riley @drphilriley.bsky.social · 08/07/2026
Also not surprising …
static.klipy.com
Ben Stiller Says Of Course
ALT: Ben Stiller Says Of Course
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Reposted by Phil Riley
Iván Darío Bravo Tobar. M.D. | M.Sc. | Ph.D. @idbravotobar.bsky.social · 04/07/2026
A Novel Breast Arterial Calcification Age-Based Percentile Nomogram for the Incremental Prediction of Incidental Cardiovascular Events | JACC: Cardiovascular Imaging www.jacc.org/doi/10.1016/...
jacc.org
A Novel Breast Arterial Calcification Age-Based Percentile Nomogram for the Incremental Prediction of Incidental Cardiovascular Events:
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Reposted by Phil Riley
JACC Journals @jaccjournals.bsky.social · 30/06/2026
A new ACC Scientific Statement focused on the management of #ASCVD helps clinicians balance ischemic and bleeding risks. It includes a summary of pivotal trials and compares ACC/AHA and ESC guideline recommendations for ACS, CCD, and CCS. bit.ly/3QTeTHZ #JACC #CardioSky
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Phil Riley @drphilriley.bsky.social · 27/06/2026
Spicing up your feed with some flowers from around the house #CardioSky #MedSky
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Phil Riley @drphilriley.bsky.social · 27/06/2026
Whoa! A Beta-blocker ROSETTA STONE!! #CardioSky #MedSky www.jacc.org/doi/epdf/10....
jacc.org
Selective Use of Nonselective Beta-Blockers: A Tailored Antiarrhythmic Approach
View all available purchase options and get full access to this article.
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Phil Riley @drphilriley.bsky.social · 13/06/2026
Quantitative Coronary Plaque Analysis predicts periprocedural MI in stable CAD with negative troponin pre-procedure. Makes sense but man … what a powerful tool! #CardioSky #MedSky www.journalofcardiovascularct.com/action/showP...
journalofcardiovascularct.com
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Reposted by Phil Riley
American Journal of Preventive Cardiology @ajpcardio.bsky.social · 07/06/2026
📢 New research shows LDL-C lowering benefits may be greater in lower-risk groups. Read more: www.sciencedirect.com/science/artic… #PreventiveCardiology #LDLCholesterol #PrimaryPrevention #CardioSky #MedSky
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Phil Riley @drphilriley.bsky.social · 16/05/2026
Editorial: A.I. breast arterial calcification #CardioSky #MedSky #BAC academic.oup.com/eurheartj/ar...
academic.oup.com
Validate User
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Phil Riley @drphilriley.bsky.social · 16/05/2026
Y’all, breast arterial calcification is going to be a great window into cardiovascular risk for ladies around the world! Check out the editorial too!! #breastarterialcalcification #BAC #CardioSky #MedSky doi.org/10.1093/eurh...
doi.org
Artificial intelligence–based quantification of breast arterial calcifications to predict cardiovascular morbidity and mortality
AbstractBackground and Aims. Women are underdiagnosed and undertreated for cardiovascular disease (CVD). Automatic quantification of breast arterial calcif
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Phil Riley @drphilriley.bsky.social · 09/05/2026
ECG Article: Wellen's Warning Sign / Wellens Pattern #CardioSky #MedSky #ECG One Sees What One Knows www.jacc.org/doi/epdf/10....
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Phil Riley @drphilriley.bsky.social · 09/05/2026
Amazing Clinical Case presentations (RE: LAA thrombus vs. slow flow / sludge) w/ VIDEO #CardioSky www.jacc.org/doi/10.1016/...
jacc.org
Differentiating LAA Thrombus From Spontaneous Echo Contrast for Safe LAA Occlusion:
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Phil Riley @drphilriley.bsky.social · 24/04/2026
RIP Dr. Braunwald
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Phil Riley @drphilriley.bsky.social · 24/04/2026
Look at how big these are! 😍
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Phil Riley @drphilriley.bsky.social · 24/04/2026
only 2% longer lifespan? Huh … … genetics are powerful #CardioSky www.jacc.org/doi/10.1016/...
jacc.org
Midlife Cardiorespiratory Fitness and Healthy Aging: An Observational Cohort Study
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Phil Riley @drphilriley.bsky.social · 24/04/2026
Great article that aligns Women’s Health and better CV outcomes #CardioSky #MedSky www.sciencedirect.com/science/arti...
sciencedirect.com
Rethinking Risk: The Prognostic Power of Coronary Plaque in Young Women
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Phil Riley @drphilriley.bsky.social · 20/04/2026
Peering into your cardiac health via mammography. Another fascinating article. #CardioSky #MedSky Breast Arterial Calcification as a Predictor for Future Cardiovascular Events and Mortality: A Systematic Review and Meta-analysis academic.oup.com/jbi/advance-...
academic.oup.com
Breast Arterial Calcification as a Predictor for Future Cardiovascular Events and Mortality: A Systematic Review and Meta-analysis
AbstractObjective. Breast arterial calcification (BAC) is a surrogate marker of cardiovascular disease (CVD); however, its associations with incident morta
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Phil Riley @drphilriley.bsky.social · 20/04/2026
Nicotine and the cardiovascular system: unmasking a global public health threat #CardioSky #MedSky Great article academic.oup.com/eurheartj/ar...
academic.oup.com
Nicotine and the cardiovascular system: unmasking a global public health threat
Abstract. Nicotine-containing products, whether combustible or smokeless, pose a growing threat to cardiovascular (CV) health. While tobacco smoking contin
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Phil Riley @drphilriley.bsky.social · 18/03/2026
ACC can help. @hmkyale.bsky.social Your editorial and HF and AI is prescient. Overcoming this unnecessary regulatory hurdle will help millions maximize access to GDMT www.jacc.org/doi/epdf/10....
jacc.org
Prior Authorization Requirements and Prescription Fill Patterns Among Patients With Heart Failure
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Phil Riley @drphilriley.bsky.social · 18/03/2026
❤️ Pathologic CM Genes & incident risk of A-Fib ❤️ ⭐️ this is a bigger deal than we currently realize www.jacc.org/doi/epdf/10....
jacc.org
Cardiomyopathy Gene Variants and Polygenic Risk Scores in Atrial Fibrillation: Evidence for an Atrial-First Phenotype
View all available purchase options and get full access to this article.
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Phil Riley @drphilriley.bsky.social · 13/03/2026
Again, No ASPIRIN with DOAC’s academic.oup.com/eurheartj/ad...
academic.oup.com
Weekly Journal Scan: Aspirin and oral anticoagulation—more of a bloody mary than an AQUATIC mix
This comment refers to ‘Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation’, which was published in The New England Journal
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Phil Riley @drphilriley.bsky.social · 21/02/2026
First Ever ACC/AHA Guideline for Pulmonary Embolism Treatment. #CardioSky www.jacc.org/doi/10.1016/...
jacc.org
2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Assoc...
2026 multisociety guideline for acute pulmonary embolism — evaluation, risk-based management, advanced therapies, and follow-up.
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Phil Riley @drphilriley.bsky.social · 15/02/2026
Great Review: The Inherited Basis of CAD | NEJM www.nejm.org/doi/10.1056/...
nejm.org
The Inherited Basis of Coronary Artery Disease | NEJM
Investigations of the genetic basis of coronary artery disease have led to advances in mechanistic insights, therapeutics, prevention, and risk prediction. Indeed, most contemporary medicines for c...
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Phil Riley @drphilriley.bsky.social · 14/02/2026
2025: Polygenic Risk Scores vs all other known Cardiac Risk Factors … Why aren’t we using this wonderful technology?? www.ahajournals.org/doi/10.1161/...
ahajournals.org
Importance of Clinical, Laboratory, and Genetic Risk Factors for Incident CAD | Circulation: Genomic and Precision Medicine
BACKGROUND: Prior work suggests modifiable cardiovascular risk factors (CRFs) account for 80% to 90% of the risk for incident myocardial infarction. The contributions of genetic and other novel CRFs h...
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Phil Riley @drphilriley.bsky.social · 14/02/2026
Later, after statistical analysis, Polygenic Risk Scores from the UK Biobank were tested against the Pooled Cohort Equation (ASCVD Score) and did even better at predicting CV events … www.nature.com/articles/s41...
nature.com
A multi-ancestry polygenic risk score improves risk prediction for coronary artery disease - Nature Medicine
A polygenic risk score for coronary artery disease developed using data from individuals of five different ancestries has increased accuracy across diverse populations.
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Phil Riley @drphilriley.bsky.social · 14/02/2026
The original article for Polygenic Risk Scores in ASCVD www.jacc.org/doi/10.1016/...
jacc.org
Genomic Risk Prediction of Coronary Artery Disease in 480,000 Adults: Implications for Primary Prevention
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Reposted by Phil Riley
American College of Cardiology @accintouch.bsky.social · 30/01/2026
Managing HF Across the Spectrum: This interactive online course offers practical tools to assess risk, classify HF phenotypes, & apply GDMT through an interprofessional care lens. Learn how to tackle pivotal issues in #HFrEF, & more. 👇 🔖 bit.ly/3O8JvDp #ACCEd #CardioSky #MedSky
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Phil Riley @drphilriley.bsky.social · 27/01/2026
Somebody help me understand how A-Fib ablation “decreases mortality” when 35% of people with a “Sham procedure” felt better in the SHAM-PVI trial. Explain it like I’m Five (ELI5). #CardioSky #WhyDoIHaveSoMany90YOWithPermanentAF I agree that burden is endpoint tho www.jacc.org/doi/10.1016/...
jacc.org
Defining Success of Atrial Fibrillation Ablation: Burden Is the New Black
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Phil Riley @drphilriley.bsky.social · 25/01/2026
Interesting 🤔 SBP/METPeak #CardioSky www.acc.org/Latest-in-Ca...
acc.org
EXERTION: Is Exercise SBP Associated With Increased CV Risk? - American College of Cardiology
Exercise systolic blood pressure (SBP) relative to level of fitness was associated with an increased risk of cardiovascular events, according to results from the EXERTION study published Jan. 13 in EH...
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Phil Riley @drphilriley.bsky.social · 25/01/2026
Written by the master…
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Phil Riley @drphilriley.bsky.social · 21/01/2026
Great EDITORIAL by @hmkyale.bsky.social Interesting that I'm getting old enough to see this happen in my practice. WHEW!! :) When Do Clinical Trials Expire?: Reflections on Beta-Blockers and the Half-Life of Evidence | JACC www.jacc.org/doi/10.1016/...
jacc.org
When Do Clinical Trials Expire?: Reflections on Beta-Blockers and the Half-Life of Evidence
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Phil Riley @drphilriley.bsky.social · 20/01/2026
Y’all. This has nothing to do with Cardiology … but everything to do with humanity … and how amazing humans are … and how we share information. Please get a coffee and watch. #CardioSky #MedSky We do things because they’re hard. youtu.be/MiUHjLxm3V0?...
youtu.be
The World's Most Important Machine
YouTube video by Veritasium
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Phil Riley @drphilriley.bsky.social · 17/01/2026
The REAL question here is “What’s causing subclinical Tpn ⬆️” Answer: blood pressure (+/- subclinical atherosclerosis) Heart-Brain Axis is easy if we pay attention to Trad Risk Factors + APOE4 gene #CardioSky academic.oup.com/eurheartj/ar...
academic.oup.com
High-sensitivity cardiac troponin I and risk of dementia: the 25-year longitudinal Whitehall II study
AbstractBackground and Aims. This study hypothesizes that subclinical myocardial injury during midlife, indexed by increases in cardiac troponin I, is asso
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