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Sarah Brown

@sarahfbrown.bsky.social
91 followers 164 following 24 posts

Patient Rep & Advisor to research studies & NHS Women's heart champion heart.bmj.com/content/110/22/e4 Expert patient by experience #ANOCA #INOCA #MINOCA www.internationalheartspasmsallianc… Former Midwife

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Reposted by Sarah Brown
The BMJ @bmj.com · 30/01/2026
Clinical Review: Evaluation and management of chest pain from cardiovascular causes in female patients www.bmj.com/content/392/...
Summary of chest pain from cardiovascular causes in female patients. ACE=angiotensin converting enzyme; AI=artificial intelligence; CTA=computed tomography angiography; DAPT=dual antiplatelet therapy; ECG=electrocardiography; hs-cTn=high sensitivity cardiac troponins; IHD=ischemic heart disease; INOCA=ischemic non-obstructive coronary artery disease; MINOCA=myocardial infarction with non-obstructive coronary arteries; PCI=percutaneous coronary intervention
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Reposted by Sarah Brown
International Heart Spasms Alliance @heartspasms.bsky.social · 18/09/2025
'Your Heart Speaks' ANOCA patient survey. Abstract presented at ESC congress 2025
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Carolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 01/08/2025
Just 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.org
Just 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…
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Nisha 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
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Barbra 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.org
Coronary Arterial Function and Disease in Women With No Obstructive Coronary Arteries | Circulation Research
Ischemic 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...
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Yael L. Maxwell @yaelmaxwell.bsky.social · 29/07/2025
Intensive 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.com
Less Plaque With Intensive Medical Therapy vs Usual Care in INOCA: WARRIOR
The serial imaging substudy shows that intensive therapy might change plaque morphology positively, researchers say.
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Sarah Brown @sarahfbrown.bsky.social · 03/07/2025
academic.oup.com/eurheartj/ad...
academic.oup.com
Refractory angina: mechanisms and stratified treatment in obstructive and non-obstructive chronic myocardial ischaemic syndromes
Abstract. The diagnosis of refractory angina has conventionally been limited to patients with angina and ischaemia secondary to obstructive atherosclerotic
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Reposted by Sarah Brown
British Cardiovascular Society @thebcs.bsky.social · 20/06/2025
The 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
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Sarah Brown @sarahfbrown.bsky.social · 03/06/2025
heart.bmj.com/content/earl... #cardiosky
heart.bmj.com
Strategies 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 ...
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Carolyn 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.org
Nine lessons about women’s heart disease that future doctors will learn in med school
These 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.
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International Heart Spasms Alliance @heartspasms.bsky.social · 13/05/2025
Thank 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...
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Carolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 01/05/2025
When 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 ...
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Carolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 27/04/2025
3 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.org
Must 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?
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Medlife Crisis (Rohin) @medcrisis.bsky.social · 26/04/2025
The 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
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International Heart Spasms Alliance @heartspasms.bsky.social · 26/04/2025
Sex 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.be
Interview on Sex Differences in Microvascular Disease Parameters with Dr. Michel Corban
YouTube video by International Heart Spasms Alliance
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Carolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 07/04/2025
Pain is what patients tell you it is. Period.
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The 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
Promotional card for the Lancet Commission on rethinking coronary artery disease: moving from ischaemia to atheroma. Background image depicts a blood clot.
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Joshua Thornsberry @thornsberryjd.bsky.social · 29/03/2025
Dr. 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
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American College of Cardiology @accintouch.bsky.social · 29/03/2025
Intensive 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
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Janet Wei, MD @janetweimd.bsky.social · 31/03/2025
Invasive 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
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Catherine Benziger MD MPH FAHA FACC @drbenzigerheart.bsky.social · 30/03/2025
Is 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
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European Society of Cardiology @escardio.bsky.social · 29/03/2025
Check out @drmarthagulati.bsky.social’s insights on the WARRIOR Trial #ESCTVOnTheRoad #ACC245
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International Heart Spasms Alliance @heartspasms.bsky.social · 30/03/2025
WARRIOR 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.org
WARRIOR: Intensive Medical Therapy vs. Usual Care in Women With Suspected INOCA - American College of Cardiology
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International Heart Spasms Alliance @heartspasms.bsky.social · 19/03/2025
We 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.com
Clinical standards in angina and non-obstructive coronary arteries: A clinician and patient consensus document
Patients 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...
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Reposted by Sarah Brown
International 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...
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Barbra Streisand Women's Heart Center @womensheart.bsky.social · 18/02/2025
Join us for Dr. Sharonne Hayes keynote presentation on Understanding and Treating MINOCA
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David Winchester @drdavemd.bsky.social · 24/02/2025
A 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...
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The Medical Post Magazine @themedicalpost.bsky.social · 07/03/2025
Myocardial 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.ca
Myocardial 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.
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Yael L. Maxwell @yaelmaxwell.bsky.social · 10/03/2025
Early 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.com
Early Invasive Treatment May Help Highest-Risk Women With NSTE ACS
Overall, the meta-analysis identified a reduction in ischemia—but not in hard outcomes—with early treatment.
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medRxivpreprint @medrxivpreprint.bsky.social · 26/06/2024
Unveiling 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.org
Unveiling 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
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TCTMD @tctmd.bsky.social · 27/02/2025
ICYMI: Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA
tctmd.com
Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA
Invasive 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…
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Patricia Rodriguez-Lozano @prodriguezmd.bsky.social · 28/02/2025
Deeply 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
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Deborah Bollyn @deborahbollyn.bsky.social · 27/02/2025
x.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 …
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International Heart Spasms Alliance @heartspasms.bsky.social · 28/02/2025
@heart-sisters.bsky.social
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International Heart Spasms Alliance @heartspasms.bsky.social · 28/02/2025
MEN (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...
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TCTMD @tctmd.bsky.social · 24/02/2025
Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA
tctmd.com
Invasive Testing Safely Diagnoses Microvascular Dysfunction in ANOCA
Invasive 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…
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International Heart Spasms Alliance @heartspasms.bsky.social · 24/02/2025
Being 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/
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Carolyn 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.org
Time Course of Degradation of Cardiac Troponin I in Patients With Acute ST-Elevation Myocardial Infarction | Circulation Research
Although 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...
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Carolyn Thomas 🇨🇦 @heart-sisters.bsky.social · 23/02/2025
This 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.org
This is NOT what a woman’s heart attack looks like
The 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.
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Dr Martha Gulati @drmarthagulati.bsky.social · 22/02/2025
Thank you @barbrastreisand.bsky.social for fighting the fight with us #womenshearthealth
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International 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.
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International Heart Spasms Alliance @heartspasms.bsky.social · 14/02/2025
Today 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 💕
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Zaven Sargsyan @sargsyanz.bsky.social · 13/12/2024
What a great way to visualize one of the mechanisms of MINOCA (myocardial infarction with non-obstructed coronary arteries), specifically microvascular dysfunction
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International 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.com
Coronary spasm and vasomotor dysfunction as a cause of MINOCA
This article reviews our current understanding of coronary spasm, its pathophysiology, diagnosis, management and prognosis.
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Helen Collins @drhelenecollin1.bsky.social · 08/02/2025
Without 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.gov
Maternal Cardiovascular Research and Education Should be Prioritized in the US - PubMed
Maternal 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...
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International Heart Spasms Alliance @heartspasms.bsky.social · 07/02/2025
Please 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…
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International Heart Spasms Alliance @heartspasms.bsky.social · 02/02/2025
Four 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/
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 01/02/2025
Welcome 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
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