sam mehta (@SamKMehta) profile picture

President Denver Heart. cath lab director. passionate about CLI. #TAVR interv cardiologist. tennis, golf, and skiing aficionado. wife @thelcdiaries

Denver, CO
Joined October 2018
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Name a dirtier business than corporate medicine?
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Lost yet another colleague who decided they could no longer tolerate practicing in the current medical climate.
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Has anyone else experienced an overwhelming increase in denials for pcsk9 inhibitors in statin intolerant patients or those not at goal ldl?!? @UHC @Cigna @Aetna @Humana @CMSGov
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Stunning 😳 Median age of attrition from EM practice 45.6 for women and 59 for men Approx 10 years after residency graduation for women 🤯 We need to fix our specialty to prevent this many women from leaving in their prime @camerongettel @awaem #SAEM23
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2mm coronary stents should only be used for bailout purposes in limiting dissections. Nobody has refractory angina or prognostic ischemia from a 2mm vessel. #accfit #CardioTwitter
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They’re crying next to each other. Rafa, Roger. Please make it stop. 🥹
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The fee for service/RVU system creates an unhealthy tension between getting paid for your work and doing what's right for the patient.
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Has anyone trained a nurse practitioner to assist in the cath lab in a non academic setting? Trying to increase the skill set and job satisfaction of a trusted colleague... but trying to figure this out from a credentialing standpoint
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67 yo with ICM, symptomatic SVC occlusion with indwelling bi-v ICD leads Management @farkomd @JayMathewsMD @HadyLichaaMD @IR_Doctor @TheVeinBoss #accfit #CardioTwitter
7%Lead extraction/poba
7%Lead extraction/stent
63%Poba/leave in leads
22%Svc stent/leave in leads
27 votes • Final results
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Board recertification bores us all! Need a new process.#cardiotwitter @ACCinTouch @ABIMFoundation
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When the world offers you perspective. Welcome Bowen Chen Mehta. 3-22-22.
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You are a 48 yo cardiologist and have been experiencing typical (CCS 3) anginal symptoms. CTA shows 90% mid LAD, no calcium, no bifurcation disease. Your doc gives you two options, which do you choose ? @jspertus @djc795 @HadyLichaaMD @yourheartdoc1 @hmkyale @CMichaelGibson
25%Asa,statin,meds 4 angina
75%Dapt 3-6 mo,statin,stent
1,830 votes • Final results
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4%Ldtra, Rdtra
3%Rra, Ldtra
6%Rra, Lra
87%Safefemoral (be honest!)
266 votes • Final results
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Is anyone attempting catheter based debulking of aggressive left sided IE with embolic protection in pts not candidates for early intervention? We have had a couple of recent bad outcomes in young patients who were not early surgical candidates… @HadyLichaaMD @AntoniousAttall
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The CDC says it's okay now for Vascular Surgery, Cardiology, and Interventional Radiologists to be friends.
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The cdc announced yesterday that stenting is appropriate primary treatment for CFA disease. Much debate about the utility of a 5 day duplex to confirm long term patency,@kmadass @farkomd @IR_Doctor @jmills1955 @HadyLichaaMD
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