Cardiologist with an interest in coronary artery disease, from prevention to stenting. Professional account, views my own. Occasionally misunderstood.
Cotswolds
Joined April 2013
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Posted with permission. 57 male screening CTCA after heart concern. Asymptomatic. Rx OMT - ACE-I Statin ASA. CMR - Lifestyle advice given. Any other suggestions? @DrDerekConnolly @DrScottMurray @LondonCardiacCT @NickCurzen @mirvatalasnag @ColinBerryMD @HRahbi @danmckenzie73
Tom Hyde retweeted
Multi-modality non-invasive cardiovascular screening and sex-specific outcomes: the Viborg Screening Program academic.oup.com/eurheartj/a… #heartscreening #prevention via @ESC_Journals
Tom Hyde retweeted
The Fifth Universal Definition of #cvMI released on behalf of a joint task force from ACC, ESC, AHA & WHF provides a 🆕 clinical classification of MI based on pathophysiology, aligns w/ clinical evaluation of pts & incorporates objective Dx criteria jacc.org/doi/10.1016/j.jacc.… #JACC
Tom Hyde retweeted
Congratulations to Prof. Michael Shapiro @DrMichaelShapir on receiving the Arthur Agatston Award @Agatston_Center at #SCCT2026, a well-deserved recognition for his contributions to preventive cardiology and cardiovascular imaging #YesCCT.
His lecture, “How Looking at Plaque Made Me a Preventive Cardiologist,” traced preventive cardiology’s evolution from population-based risk estimates to directly visualizing atherosclerosis and personalizing risk. The question has shifted from “How likely is disease?” to “How much disease is already present?” and CAC scoring has been central to that shift.
One line that stuck with me: “Don’t guess, when you can know.”
This is also repfected in the 2026 ACC/AHA Dyslipidemia Guidelines, where CAC scoring now carries a Class I recommendation to guide lipid-lowering therapy decisions when uncertainty remains.
Looking ahead: earlier detection with CCTA, AI-powered plaque quantification, opportunistic CAC, and imaging-biology integration for truly personalized prevention.
A fantastic reminder that the goal isn’t just predicting the first heart attack…it’s preventing it.
@Heart_SCCT @ChinnaiyanMD @AnamWaheed05 @SiddharthT22 @RooshaParikh @AdyOrbach @kfarooqi @Sot_Evangelou
Great Ron, we 'got' this in the @NHSEngland in our language, we are in the process of getting this for all in the UK. @DrDerekConnolly @HarrisSital @DrScottMurray @Paddy_Barrett
The software used for this project was Coreline (@CorelineSoft), which also provides AI chest interpretation and adds AI chest findings to calcium scoring in one applications. Recommended by @CotsCardiology. #AI #Cardiology #CalciumScore #ChestCT #MedicalImaging #artificiallntelligence
Cheers Ron.🍵
Regarding the VA AI calcium score study (ai.nejm.org/doi/full/10.1056…):
Our team at @CVRF_SoCal led one of the first FDA-cleared validation of AI coronary calcium scoring but not from chest CTs
(pubmed.ncbi.nlm.nih.gov/3713…).
In 100 non-contrast CACs, AI matched 3 expert readers with R=0.996.
Using CAC-DRS calcification system, AI showed 86% agreement; 14% were reclassified—mostly due to underestimating RCA calcium or overestimating RV density for CAC 0–1 which can be clinically relevant to treatment.
Overall accuracy of our study: 89%, aligning with the VA study of 84% using chest CT - encouraging for wide-spread adoption.
@khurramn1 @CotsCardiology #calciumscore @Heart_SCCT @DrMarthaGulati @EricTopol @RonBlankstein @CVMGBevHills @CAIALOfficial @BudoffMd #artificalintelligence @elonmusk @WHO @BhavikPatelMD @ACCinTouch
Khurram we are planning this in the UK we have @CorelineSoft lined up. 1.4 million scans, let's see what we can do @BirkhoelzerS @DrDerekConnolly @HarrisSital @DrScottMurray @RonKarlsbergMD @TheBHF @BritishCardioSo @DailyMail
AI-CAC enables coronary calcium scoring from routine chest CTs
20K scans, 98 VA sites, 89% accuracy
From my perspective, time to connect AI outputs to action, to truly maximize implementation-->prevention
ai.nejm.org/doi/full/10.1056… #DigitalHealth @HoustonMethodist @RiceUniversity
We can do this for coronary disease @HarrisSital @RonKarlsbergMD @DrDerekConnolly @DrScottMurray @DHSCmedia, were here to help, and willing @MyHeartPrevent trials "oven ready" @DrRiyazPatel @mdstbarts
This looks interesting, how about cutting edge technology for coronary disease prevention. Could work 🤔 Any suggestions hive mind #FOAM @society_eas @SABOURETCardio @ProfKausikRay @DrAsifQasim @Medscape @drkevinfernando @drpatrickholmes @DrRaniKhatib
Tom Hyde retweeted
We can do this for coronary disease @HarrisSital @RonKarlsbergMD @DrDerekConnolly @DrScottMurray @DHSCmedia, were here to help, and willing @MyHeartPrevent trials "oven ready" @DrRiyazPatel @mdstbarts
members.britishcardiovascula…
Looking forward to this, looks interesting, open for all @HarrisSital @BirkhoelzerS 👍🩷😎
We can do it for common diseases as well, coronary artery disease for starters @TheBHF @BritishCardioSo, I think there's a webinar tomorrow night??
But get this right & it could be transformational for preventative & personalised healthcare. I know – as a father of a child with a rare disease & now through my work at @OHRareDisease – what this could mean. Well done @wesstreeting, keep going!
Speaking out was a duty. Thanks @thetimes for sharing this. 👍❤️😎
Dr Tom Hyde wants to bring a judicial review against the Department of Health to force through improvements in palliative care ⬇️ thetimes.com/uk/healthcare/a…
Tom Hyde retweeted
CardioMetabolic medicine: the advent of systems cardiology and the new cardiovascular generalist?
Read more in #EHJ
@TomLuscher @escardio @ESC_Journals
academic.oup.com/eurheartj/a…
Paul Brady, "Rocking it" at SW Calcium meeting, great slides. Culturally relevant 👍😎❤️ #socialanthropology @BCSWIC @BirkhoelzerS @MillbrookMed @ShockwaveIVL @DrPeterOKane @twj1974
Bumped into this fella trying to have a cheeky post conference pint in Spoons, next time @DrScottMurray so we can make a prevention plan @PCCS_UK @HarrisSital @MyHeartPrevent @BritishCardioSo @TheBHF @SABOURETCardio @mirvatalasnag 👍😎😎😎❤️
Occasionally,one cooks and has no #filter Food is the staff of life. Wish everyone could do this. Lamb, fire and friends. It's related to an age old tradition. #2lambsonasaturday
