Reposted by Sarah BrownThe BMJ @bmj.com · 30/01/2026Clinical Review: Evaluation and management of chest pain from cardiovascular causes in female patients www.bmj.com/content/392/... 086
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 18/09/2025'Your Heart Speaks' ANOCA patient survey. Abstract presented at ESC congress 2025 031
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 01/08/2025Just not listening - or narrative incompetence? "He had hit a hole-in-one, but was on his own. If only someone had witnessed it! Patients’ narrativea are rather like that hole-in-one. Our stories need to be witnessed to give them meaning." myheartsisters.org/2013/03/22/n...myheartsisters.orgJust not listening – or “narrative incompetence”?Dr. Jack Coulehan writes this about the patient story: “Patients understand their illnesses in a narrative way whether their physicians realize it or not. If this is so, and if physicians ign… 062
Reposted by Sarah BrownNisha Hosadurg, MD @nhosadurg.bsky.social · 19/07/2025🌟The #SCCT25 best abstract 🥇goes to Dr. Joel Lennell with the #WARRIOR serial imaging study of 👭 with suspected INOCA ✨️ OMT (ASA + statin + ACEi/ARB) results in ⬆️ lowering of non-calcified plaque volume on 2yr #yesCCT @scct-heart.bsky.social @drmarthagulati.bsky.social @prodriguezmd.bsky.social 063
Reposted by Sarah BrownBarbra Streisand Women's Heart Center @womensheart.bsky.social · 04/08/2025🧵1\ The discovery of INOCA (Ischemia with No Obstructive Coronary Arteries) came from studying women with persistent chest pain. This led to the recognition of coronary microvascular dysfunction (CMD)—now known to affect people of all sexes. www.ahajournals.org/doi/full/10....ahajournals.orgCoronary Arterial Function and Disease in Women With No Obstructive Coronary Arteries | Circulation ResearchIschemic heart disease (IHD) is the leading cause of mortality in women. While traditional cardiovascular risk factors play an important role in the development of IHD in women, women may experience s... 141
Reposted by Sarah BrownYael L. Maxwell @yaelmaxwell.bsky.social · 29/07/2025Intensive medical therapy usual care for reducing noncalcified coronary plaque in women who have INOCA, according to results of a serial imaging subanalysis of the WARRIOR trial. #SCCT2025 #CardioSky @damini-d.bsky.social www.tctmd.com/news/less-pl...tctmd.comLess Plaque With Intensive Medical Therapy vs Usual Care in INOCA: WARRIORThe serial imaging substudy shows that intensive therapy might change plaque morphology positively, researchers say. 054
Sarah Brown @sarahfbrown.bsky.social · 03/07/2025academic.oup.com/eurheartj/ad...academic.oup.comRefractory angina: mechanisms and stratified treatment in obstructive and non-obstructive chronic myocardial ischaemic syndromesAbstract. The diagnosis of refractory angina has conventionally been limited to patients with angina and ischaemia secondary to obstructive atherosclerotic 032
Reposted by Sarah BrownBritish Cardiovascular Society @thebcs.bsky.social · 20/06/2025The next BCS webinar takes place on Monday! Book your free place to attend 'Hot Topics in IHD Management' and hear from our expert panel during the 90 minute session. To finish, you'll be able to ask your questions in real-time during the Q&A section. Book your place > tinyurl.com/IHDWebinar 011
Sarah Brown @sarahfbrown.bsky.social · 03/06/2025heart.bmj.com/content/earl... #cardioskyheart.bmj.comStrategies to enhance recruitment of female participants to cardiovascular research: a joint British Cardiovascular Societies’ consensus document in collaboration with the British Heart Foundation Cli...Despite significant progress in cardiovascular pharmacotherapy and interventional strategies, cardiovascular disease (CVD) remains the leading cause of morbidity and mortality among females in the UK ... 022
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 17/05/2025"Physicians now in practice have likely received little if any specific med school training in women’s health aside from reproductive health issues. As Emergency physician Dr. Alyson McGregor reminds her colleagues: “Women are NOT just men with boobs & tubes.” myheartsisters.org/2023/09/10/n...myheartsisters.orgNine lessons about women’s heart disease that future doctors will learn in med schoolThese nine @CWHHA teaching modules offer a one-stop Master Class package to any academic tasked with teaching future doctors and nurses about women and heart disease. 022
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 13/05/2025Thank you to everyone who passed on the details of our survey. CONGRATULATIONS to all who took Survey 1! You are, in part, going to the ESC (European Society of Cardiology) Congress with Sarena La on August 29th in Madrid. surveys.adelaide.edu.au/redcap/surve... 021
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 01/05/2025When I was 8 1/2 months pregnant, I was diagnosed with preeclampsia. I didn't know then that pregnancy complications like this are a strong link to increased future heart disease risk. This study suggests that a simple blood test might identify over 90% of preterm high risk women ... 022
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 27/04/20253 books, 3 bold messages about the problem with male-centric medicine: 1. Sex Matters: How Male-Centric Medicine Endangers Women’s Health 2. The Exquisite Machine: the New Science of the Heart 3. Doing Harm (Ladies, take your blood pressure meds before reading) 💕 myheartsisters.org/2022/09/25/c...myheartsisters.orgMust women bring an advocate along so doctors will believe us?Three books, three authors, one big question: What is it about female heart patients that makes so many male doctors treat them differently than male patients? 083
Reposted by Sarah BrownMedlife Crisis (Rohin) @medcrisis.bsky.social · 26/04/2025The alluring claim of the wellness industry is that doctors only understand treating disease, whereas wellness focuses on prevention And yet they are obsessed with attacking two therapies that have prevented more deaths than any other medical interventions in history – statins and vaccines 1329151
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 26/04/2025Sex Differences in Microvascular Disease Parameters with Dr. Michel Corban. youtu.be/UM8ZobLBA30?... Part 2: patient perspectives from two men experiencing Coronary Vasospasm. It's not just women who live with #ANOCA Direct link: www.youtube.com/watch?v=EV44...youtu.beInterview on Sex Differences in Microvascular Disease Parameters with Dr. Michel CorbanYouTube video by International Heart Spasms Alliance 031
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 07/04/2025Pain is what patients tell you it is. Period. 011
Reposted by Sarah BrownThe Lancet @thelancet.com · 01/04/2025🆕 Coronary artery disease (CAD) remains a leading cause of global morbidity & mortality. A Lancet Commission redefines CAD, emphasising early detection, risk factor management, & a comprehensive approach to prevention throughout the life course: tinyurl.com/5axhtr85 #ACC25 #MedSky 03620
Reposted by Sarah BrownJoshua Thornsberry @thornsberryjd.bsky.social · 29/03/2025Dr. Eileen Handberg: Women with non-obstructive disease are highly symptom burdened, use significant system resources, and need to be treated. We must drop bias, recognize their pain, and ensure proper follow-up care. There’s real room for improvement. 💙 #ACC25 033
Reposted by Sarah BrownAmerican College of Cardiology @accintouch.bsky.social · 29/03/2025Intensive medical therapy did not significantly impact the rate of serious CV events at five years in women w/ suspected INOCA, according to findings from WARRIOR presented during a #LBCT session at #ACC25. Learn more: bit.ly/44a7uYO #MedSky #CardioSky 078
Reposted by Sarah BrownJanet Wei, MD @janetweimd.bsky.social · 31/03/2025Invasive coronary function testing determination of #INOCA endotypes impacts medical management in patients with angina and no obstructive CAD #ACC25 @smidtheart.bsky.social @womensheart.bsky.social @drmarthagulati.bsky.social 0179
Reposted by Sarah BrownCatherine Benziger MD MPH FAHA FACC @drbenzigerheart.bsky.social · 30/03/2025Is menopause a disease? No! It's part of aging and occurs in 1/2 the pop. Vasomotor symptoms are real ✅assess #cvd risk across the lifespan ✅Need outcome studies of HRT and GLP1RA by risk ✅ask♀️about all risk factors including pregnancy and cardiometabolic risks @accintouch.bsky.social #acc25 095
Reposted by Sarah BrownEuropean Society of Cardiology @escardio.bsky.social · 29/03/2025Check out @drmarthagulati.bsky.social’s insights on the WARRIOR Trial #ESCTVOnTheRoad #ACC245 197
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 30/03/2025WARRIOR trial results 'neutral' "Intensive medical therapy did not significantly impact the rate of serious cardiovascular events at five years in women with suspected ischemia with nonobstructive coronary arteries (INOCA)" www.acc.org/Latest-in-Ca...acc.orgWARRIOR: Intensive Medical Therapy vs. Usual Care in Women With Suspected INOCA - American College of Cardiology 021
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 19/03/2025We were privileged to be able to contribute to this consensus document of expert clinicians and patients with lived experience, setting out the case for clinical standards for multidisciplinary, patient-centred services for #ANOCA/INOCA www.internationaljournalofcardiology.com/article/S016...internationaljournalofcardiology.comClinical standards in angina and non-obstructive coronary arteries: A clinician and patient consensus documentPatients with angina and non-obstructive coronary arteries (ANOCA) or myocardial ischaemia with non-obstructive coronary arteries (INOCA) comprise a relatively large subgroup within those with ischaem... 011
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 17/03/2025"Patients with ANOCA warrant more appropriate diagnostic and management pathways to improve the outcomes of these often overlooked individuals." academic.oup.com/ehjqcco/adva... 021
Reposted by Sarah BrownBarbra Streisand Women's Heart Center @womensheart.bsky.social · 18/02/2025Join us for Dr. Sharonne Hayes keynote presentation on Understanding and Treating MINOCA 142
Reposted by Sarah BrownDavid Winchester @drdavemd.bsky.social · 24/02/2025A combination of biomarkers yielded AUC of 0.91 for distinguishing MINOCA from Type 1 MI, would be nice to have this in a usable bedside calculator for decision making in edge cases where cath is not a great choice onlinelibrary.wiley.com/doi/full/10....onlinelibrary.wiley.com“A Biomarker‐Based Scoring System to Assess the Presence of Obstructive Coronary Artery Disease in Patients With Myocardial Infarction”Comparison of diagnostic performance in detecting obstructive coronary artery disease in patients with myocardial infarction: the biomarker-based index demonstrates outstanding discrimination compare... 032
Reposted by Sarah BrownThe Medical Post Magazine @themedicalpost.bsky.social · 07/03/2025Myocardial infarction with no obstructive coronary artery disease is more common in women Canadian guidelines summarize the latest evidence on the epidemiology, clinical presentation, diagnostic evaluation and management of MINOCA.canadianhealthcarenetwork.caMyocardial infarction with no obstructive coronary artery disease is more common in womenCanadian guidelines summarize the latest evidence on the epidemiology, clinical presentation, diagnostic evaluation and management of MINOCA. 022
Reposted by Sarah BrownYael L. Maxwell @yaelmaxwell.bsky.social · 10/03/2025Early invasive management does not reduce the risk of hard clinical outcomes, such as mortality or MI, in women with NSTE ACS, but it is linked with reduced recurrent ischemia, according to a new meta-analysis. @vijaykunadian.bsky.social #CardioSky www.tctmd.com/news/early-i...tctmd.comEarly Invasive Treatment May Help Highest-Risk Women With NSTE ACSOverall, the meta-analysis identified a reduction in ischemia—but not in hard outcomes—with early treatment. 023
Reposted by Sarah BrownmedRxivpreprint @medrxivpreprint.bsky.social · 26/06/2024Unveiling the Longitudinal Journey: Three-Year Follow-up of Women with MINOCA and INOCA in a Specialized Heart Centre www.medrxiv.org/content/10.1101/202… medrxiv.orgUnveiling the Longitudinal Journey: Three-Year Follow-up of Women with MINOCA and INOCA in a Specialized Heart Centre https://www.medrxiv.org/content/10.1101/2024.06.24.24309437v1 Background: Myocardial infarction with no obstructive coronary arteries (MINOCA) and ischemia with n 021
Reposted by Sarah BrownTCTMD @tctmd.bsky.social · 27/02/2025ICYMI: Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCAtctmd.comInvasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCAInvasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA sciprian@crf.org Mon, 02/24/2025 - 16:18 Michael O'Riordan Finding the cause of angina in patients without obstructed coronaries can reassure patients and lead to tailored… 032
Reposted by Sarah BrownPatricia Rodriguez-Lozano @prodriguezmd.bsky.social · 28/02/2025Deeply grateful to @accintouch.bsky.social Honored to be part of the #ACCCTR cohort—an incredibly transformative experience now coming to an end. What better way to conclude than receiving the ACC CTR grant for ‘NO-ANOCA: Inorganic Nitrate as a Treatment for ANOCA’? @chriskramermd.bsky.social 033
Reposted by Sarah BrownDeborah Bollyn @deborahbollyn.bsky.social · 27/02/2025x.com/INOCA_belgium ❤️ Denk 🫀 #ANOCA #INOCA #MINOCA bij: 🚩Snoerend gevoel in de borst Druk of zwaar gevoel op de borst Pijn in de hartstreek 🚩Uitstralingspijn naar arm, hals, kaak, schouder, rug, .. 🚩(Subtiele) kortademigheid 🚩Snellere hartslag 🚩Misselijkheid 🚩In rust of bij inspanning … 051
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 28/02/2025@heart-sisters.bsky.social 011
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 28/02/2025MEN (and Women) this is an IMPORTANT TOPIC!! HUGE Share! It is about yhe Sex Differences in Microvascular Parameters! It IS comprehensive. Around 45 min … sooooo much important info! Make some popcorn and have a listen! m.youtube.com/watch?v=UM8Z... 022
Reposted by Sarah BrownTCTMD @tctmd.bsky.social · 24/02/2025Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCAtctmd.comInvasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCAInvasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA sciprian@crf.org Mon, 02/24/2025 - 16:18 Michael O'Riordan Finding the cause of angina in patients without obstructed coronaries can reassure patients and lead to tailored… 043
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 24/02/2025Being a chronic heart patient means many things! You must listen to your heart. Check out our patient section for support: ✅triggers and coping strategies ✅patient stories ✅creative corner where patients sharing their art or words! www.internationalheartspasmsalliance.org/patients/ 011
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 23/02/2025"Troponin is released into the bloodstream 4 to 6 hours after acute heart attack, peaks after approximately 18-24 hours, and can stay elevated for up to 14 days." 26 patients studied. ALL MEN. How did this study get funded? www.ahajournals.org/doi/10.1161/...ahajournals.orgTime Course of Degradation of Cardiac Troponin I in Patients With Acute ST-Elevation Myocardial Infarction | Circulation ResearchAlthough measurement of troponin is widely used for diagnosing acute myocardial infarction (AMI), its diagnostic potential may be increased by a more complete characterization of its molecular appeara... 111
Reposted by Sarah BrownCarolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 23/02/2025This is NOT what a woman's heart attack looks like. This is a man told by the photographer to act like he’s having a heart attack. If you Google 'heart attack', you'll likely see images like this of (old, white) men - not women. These images hurt women. myheartsisters.org/2019/05/19/t...myheartsisters.orgThis is NOT what a woman’s heart attack looks likeThe kind of heart attack I had still has a male name: the “widowmaker” heart attack. Here’s why giving it a male face is so dangerous to women heart patients. 021
Reposted by Sarah BrownDr Martha Gulati @drmarthagulati.bsky.social · 22/02/2025Thank you @barbrastreisand.bsky.social for fighting the fight with us #womenshearthealth 0176
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 19/02/2025#ANOCA causes chest pain when the coronary arteries are normal or not significantly blocked. It's a common condition that can be difficult to diagnose. Symptoms can be chest pain, indigestion, nausea, vomiting, weakness, and fatigue as well as referred pain. 011
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 14/02/2025Today we celebrate Love! Love your ❤️ as you remember in awe all that it keeps doing! Faithfully it keeps working to deliver nourishment throughout our body. It indeed is our amazing engine! Happy Valentine's Day to our hearts 💕 012
Reposted by Sarah BrownZaven Sargsyan @sargsyanz.bsky.social · 13/12/2024What a great way to visualize one of the mechanisms of MINOCA (myocardial infarction with non-obstructed coronary arteries), specifically microvascular dysfunction 0103
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 08/02/2025"evidence has shown that coronary spasm and vasomotor dysfunction may be the underlying cause in more than half of myocardial infarctions with non-obstructive coronary arteries #MINOCA as well as an important cause of chronic chest pain" #ANOCA eurointervention.pcronline.com/article/coro...eurointervention.pcronline.comCoronary spasm and vasomotor dysfunction as a cause of MINOCAThis article reviews our current understanding of coronary spasm, its pathophysiology, diagnosis, management and prognosis. 011
Reposted by Sarah BrownHelen Collins @drhelenecollin1.bsky.social · 08/02/2025Without a doubt, I am going to stand on business when it comes to women’s cardiovascular health. Black women and women of advanced maternal age are unnecessarily dying during and following pregnancy, we need to take a multidisciplinary approach to address this pubmed.ncbi.nlm.nih.gov/39832282/pubmed.ncbi.nlm.nih.govMaternal Cardiovascular Research and Education Should be Prioritized in the US - PubMedMaternal mortality rates in the US have been increasing steadily over the past decade, with rates significantly increased versus the rest of the developed world, despite the vast healthcare infrastruc... 183
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 07/02/2025Please help us to help you. We have collaborated with Adelaide University to develop a series of patient surveys. The results will help to identify #ANOCA patients & co-design future care pathways. Please share with patients & clinicians #cardiosky surveys.adelaide.edu.au/redcap/surveys… 054
Reposted by Sarah BrownInternational Heart Spasms Alliance @heartspasms.bsky.social · 02/02/2025Four patients founded IHSA out of a need to further awareness of #ANOCA #INOCA #MINOCA We know we aren't alone in a passion for answers! Heart month is here! But we all know it never takes a break from needing to be highlighted in care! www.internationalheartspasmsalliance.org/patients/ 052
Reposted by Sarah BrownTrish Greenhalgh @trishgreenhalgh.bsky.social · 01/02/2025Welcome to BlueSky, @drasifqasim.bsky.social. One to follow if you're into interventional cardiology, patient safety, organisation and delivery of NHS services, case-based learning for doctors, and medical leadership. Let's get him posting more on this platform! #medsky #medtwitter 0608