#ESCCongress has ended. A unique conference! An unforgettable conference! These are my highlights!

Firstly, an amazing DIGITAL experience... Brining everyone together, breaking all barriers, diminishing borders.

@Barbara_Casadei @Steph_Achenbach @mmamas1973 @DrMarthaGulati
In an earlier (still ongoing) Poll from today... 77% wished to have a hybrid Digital and In Person conference... That would certainly have lots of attractions especially for those who wouldn& #39;t other be able to afford it #ESCCongress

https://twitter.com/vass_vassiliou/status/1300702205696192512?s=20

https://twitter.com/vass_vass... href="https://twitter.com/MarziaRigolli">@MarziaRigolli
...& now the science! In random order (depending on which I could find in my twitter thread most easily!)

No 1. #Covid and the HEART

HTN, Lipids, Diabetes, CAD, heart failure, ALL associated with worse prognosis (critical events & deaths)

Women have it less severely

#EPeeps
No 2. #Covid & RAAS inihition- The BRACE Corona #ESCCongress

From Brazil! RCT Stop ACEi/ARB or not in covid, showed the safety of ACEi/ARB. In fact there was even possibly a suggestion that continuing is better. But bottom line SAFETY is safeguarded.

@JoaoLCavalcante @pabeda1
No 3. EMPEROR-Reduced #ESCCongress
Apart from that the Emperor in this study was far from reduced! Empagliflozin in heart failure showed improved CVS death or hospitalisation. A much needed study brining great news! Monetary cost to be considered though!

#epeeps @ShrillaB
No 4 Explorer-HCM... #ESCCongress

Much needed break-through study for HCM patients. Mavacamten, a new class cardiac myocyte modulator, showing significant improvement in Phase 3 study. This one can say "REMEMBER MY NAME"!

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31792-X/fulltext

https://www.thelancet.com/journals/... href="https://twtext.com//hashtag/cardioed"> #cardioed @Hragy #echofirst
No 5 #ESCCongress
The 2020 ESC AF guidelines...Lots of info here that makes practical sense

Assess the risk & treat accordingly... It is 126 pages, so I cann& #39;t summarise in one tweet... but here is my tweetorial on this

https://twitter.com/vass_vassiliou/status/1300202649099304964?s=20

https://twitter.com/vass_vass... href="https://twtext.com//hashtag/epeeps"> #epeeps @wordfinga @mencardio
No 6 #ESCCongress
The 2020 NSTEMI guidelines.

Again lots of information but Diego @drdargaray summarised it all VERY NICELY!

https://twitter.com/drdargaray/status/1299959083106283520?s=20

https://twitter.com/drdargara... href="https://twitter.com/mmamas1973">@mmamas1973 @VijayKunadian @CardioIAN @aayshacader @mirvatalasnag @TharushaGunawa4 @merinopoulos @ohanloncmr @anna_multitask
No 7 #ESCCongress The LODOCO2 study

Apart from a COOL name...This study showed 0.5mg Colchicine- a cheap, repurposed drug improves survival in chronic coronary disease. Reduced outcomes HR 0.69; 95% confidence interval [CI] 0.57–0.83; p<0.001

NO LONGER JUST A GOUT TREATMENT
No 8 #ESCCongress
Women had less cardiac disease than men https://abs.twimg.com/emoji/v2/... draggable="false" alt="👍" title="Thumbs up" aria-label="Emoji: Thumbs up">https://abs.twimg.com/emoji/v2/... draggable="false" alt="👏" title="Applaus-Zeichen" aria-label="Emoji: Applaus-Zeichen"> but unfortunately received LESS secondary prevention therapy https://abs.twimg.com/emoji/v2/... draggable="false" alt="😱" title="Vor Angst schreiendes Gesicht" aria-label="Emoji: Vor Angst schreiendes Gesicht">THIS NEEDS TO CHANGE... EDUCATION, EDUCATION & MORE EDUCATION

@DrMarthaGulati @purviparwani @ErinMichos @iamritu @biljana_parapid @ShrillaB @hvanspall
No 9- the penultimate one! #ESCCongress

This is not everyone& #39;s cup of tea- but it is an amazing piece! AI analysed HFpEF ECG in SR could "predict" future AF. This is amazing as #preventive measures can be instigated and timely anticoagulation. I think the future is bright!
And the last one! No 10 #ESCCongress

Looking my tweets, I felt this one deserves a TOP 10! Let& #39;s Kill the p value!! by Prof Pocock.. his argument: it is not just a p value, it is the type of study, the clinical impact, a 0.06 in correct setting might be > powerful than a 0.04
... And by popular demand (and requests!) we have a no 11 and 12! So No 11 #ESCCongress A VERY IMPORTANT GUIDELINE ON PHYSICAL ACTIVITY AND SPORTS.... we must all move! Target... 150 mins per week! @exerciseworks @MichaelPapadak2 @SSharmacardio @s_gati @MarcDweck @mmamas1973
& the final No 12! #ESCCongress A community led study by non-physician-HCW improved #adherence, lowered BP & lowered CVS risk! In https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇨🇴" title="Flagge von Kolumbien" aria-label="Emoji: Flagge von Kolumbien"> & https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇲🇾" title="Flagge von Malaysia" aria-label="Emoji: Flagge von Malaysia"> Together we can get BP lower & IMPROVE OUTCOMES @AnastasiaSMihai @ecgrhythms @ISHBP @ALEX_MISCHIE @iamritu #epeeps @VijayKunadian @EkateriniL
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