Dr. Timothy Fernandes, MD. MPH

Outcome of patients with right heart thrombi: the Right Heart Thrombi European Registry Our aim was the assessment of the prognostic significance of right heart thrombi (RiHT) and their characteristics in pulmonary embolism in relation to established prognostic factors.138 patients (69 females) aged (mean±sd) 62±19 years with RiHT were included into a multicenter registry. A control group of 276 patients without RiHT was created by propensity scoring from a cohort of 963 contemporary patients. The primary end-point was 30-day pulmonary embolism-related mortality; the secondary end-point included 30-day all-cause mortality. In RiHT patients, pulmonary embolism mortality was higher in 31 patients with systolic blood pressure <90 mmHg than in 107 normotensives (42% versus 12%, p=0.0002) and was higher in the 83 normotensives with right ventricular dysfunction (RVD) than in the 24 normotensives without RVD (16% versus 0%, p=0.038). In multivariable analysis the simplified Pulmonary Embolism Severity Index predicted mortality (hazard ratio 2.43, 95% CI 1.58–3.73; p<0.0001), while RiHT characteristics did not. Patients with RiHT had higher pulmonary embolism mortality than controls (19% versus 8%, p=0.003), especially normotensive patients with RVD (16% versus 7%, p=0.02).30-day mortality in patients with RiHT is related to haemodynamic consequences of pulmonary embolism and not to RiHT characteristics. However, patients with RiHT and pulmonary embolism resulting in RVD seem to have worse prognosis than propensity score-matched controls.

Correct answer is “it depends”. May not need anything.

publications.ersnet.org/content/erj/...

Who did it better?

MATCHED! 🎉 HUGE welcome to our incoming class for the PCCM & IP Fellowship Programs!

We are profoundly honored you chose @ucsdpccm.bsky.social
We can't wait to train the next generation of leaders with you! 🫁🩺

See you soon! 👇

#MatchDay #PCCM #IP #MedEd @ucsdmedschool.bsky.social

> @newyorker.com

Massive cuts to NIH will wreak havoc on UCSD and institutions all over the country. Our regional economy will suffer. Listen to UCSD researcher Srividya explain the real cost of these cuts, and help us spread the word. 🚨

Cutting Down the Nets! ✂️🏀

UC San Diego Men’s and Women’s Basketball teams conquer the Big West! 💪🏆

#GoTritons #BigWest #UCSanDiego

If you wanted to cut waste, fraud, and abuse, you would empower the inspectors general.

If you wanted more waste, fraud, and abuse, you would fire them.

We need Pete Buttigieg as a clear messenger, more than ever.

The flying public needs answers. How many FAA personnel were just fired? What positions? And why?

a man with a beard is screaming while wearing a suit . ALT: a man with a beard is screaming while wearing a suit .

💯 agree. keep an eye on the fibrinogen it has a tendency to go really low

emcrit.org/pulmcrit/fib...

Welcome! You are invited to join a webinar: Nov. PEP Talk: Navigating Post-Thrombotic Syndrome, CTEPH & CTED. After registering, you will receive a confirmation email about joining the webinar. Post-thrombotic syndrome (PTS) is estimated to affect up to 60% of individuals with DVT.  Dr. Timothy Fernandes, pulmonologist at UC San Diego Health, joins us to discuss PTS and other complications t...

HAPPENING TOMORROW: if you’re a patient or loved one of some with blood clots, join me for the NBCA’s PEP Talk on 11/12 as we explore long-term health conditions that can occur after a DVT or PE. There is still time to register! We hope to see you for this informative session. bit.ly/Nov2024PEPTalk

I am waiting on the PE-TRACT results (interventional management vs. anticoagulation alone) looking at longer term outcomes before I send every intermediate risk PE to the lab. But for sure, mechanical thrombectomy >>CDT >> tPA peripherally.

Toxicologist here for any fluoride concerns! The amount of fluoride added to water to prevent tooth decay is so minuscule that—no matter your age, size, or health status—you would die from water poisoning long before you could ever even start getting toxicity from fluoride. Fluoridated water is safe

Welcome to everyone new to Bluesky! Here's a short (illustrated) primer that explains how Feeds work and offers a few steps you can take to get the content you want, when you want it, on your terms. There are sports feeds, Gift Link feeds, community feeds, and more! A 🧵

Welcome! You are invited to join a webinar: Nov. PEP Talk: Navigating Post-Thrombotic Syndrome, CTEPH & CTED. After registering, you will receive a confirmation email about joining the webinar. Post-thrombotic syndrome (PTS) is estimated to affect up to 60% of individuals with DVT.  Dr. Timothy Fernandes, pulmonologist at UC San Diego Health, joins us to discuss PTS and other complications t...

In honor of #CTEPH Awareness Day next week, I will be discussing longterm complications of #DVT and #PE including PTS, CTED and CTEPH. If you or a loved one has had DVT/PE and aren’t back to baseline, join me on zoom next Tuesday evening for an interactive discussion. Link ⬇️.
bit.ly/Nov2024PEPTalk