Anil Makam Profile picture
#UCSF #HospitalMedicine Physician Researcher at #SFGH | Research in outcomes & health services | #EBM advocate, but not in the usual sense
Aug 27, 2018 11 tweets 6 min read
1| Good #cardiotwitter on #SCOTHeart. Others have tweeted reasons y believable. Here is my reply tweetorial

@khurramn1 @AChoiHeart @MarcDweck @JWeirMcCall @rwyeh @drjohnm @venkmurthy @DavidLBrownMD @RogueRad
Linking my original tweetorial:
2| Let's start with MI def. Billing codes less accurate than adjudicated MI outcomes, yes? Could be nondiff misclassification which bias to null. But could also be diff w/ ascertainment bias (look harder, anchoring) knowing CCTA result, since 2/3rds normal or nonobstruct.
Aug 25, 2018 12 tweets 6 min read
1| follow for my critical appraisal tweetorial of #SCOTHEART trial in @NEJM #ESCCongress

Basics: RCT of upfront CTA vs standard of care for stable CP referred to Scottish cardiology clinics. 1.6% fewer had primary outcome with CTA… 2| more basics: primary outcome is driven by nonfatal MI, not death. Authors did tremendous job at highlighting this