I take care of adolescents & adults with congenital heart disease. #MedPeds #ACHD @BostonChildrens @BrighamWomens. Clinics in Boston, Providence, & Lebanon, NH.
Boston, MA
Joined November 2014
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Serious question for #medtwitter: If you show up at a code, and the patient is a centaur who had a cardiac arrest, ignoring the joules question, where do you think the defib pads should go? A, assuming the heart is in the human part, or B, assuming the heart is in the horse part?
Fred Wu, MD 🫀 吳明杰 retweeted
We continue our #Heart2Heart #series around the #world with @FredWuMD @ISACHD President-elect
He shares one of the #most #challenging parts of #practicing #ACHD in the #US
#CardioTwitter join us in our next #Heart2Heart video!
@ZainAsadEP @DrJenniferCo_Vu @BorraVamsireddy @drPrakashUpreti @baileyannRN @RThachilMD @KrutarthKPandya @dr_vibhor95 @EnduranceEKG @drsharpdimitri @jllbmd @Umair2017 @DrRosanel @DrBridgetLee @mividovich @omarjavedbaqal @ebube1ste @iaahmedmd @zheng_md
Fred Wu, MD 🫀 吳明杰 retweeted
Thanks @MoonsPhilip for sharing your #path to #ACHD with us in this #Heart2Heart #series around the #world
#Cardiotwitter stay tuned to the next video!
@ACCinTouch @AHAScience @SIAC_cardio @ISACHD @worldheartfed @ACHA_Heart
@cardiologiaec @socimecar @SACardiologia @secardiologia @smexcardiologia @sccccardio @SPCyCC @SociedadCelac @SUC_cardiologia @CardiologiaSVC @Sochicaroficial @spcardio @cardiodepanama @OktayTutarel_MD @FredWuMD @kandavello @AdrienneK_PhD
Fred Wu, MD 🫀 吳明杰 retweeted
Do you know someone with exceptional career-long dedication to #ACHD who has made a significant impact in the field?
If you’re an #ISACHD member please send your nomination packet to the ISACHD Executive Committee at [email protected]
📅 Deadline: May 15 2026
@interactiveachd
@ACHDatStanford
@TorontoACHD
@ACHD_CHI
@achdmexico
@AchdWg
@mghachd
@BCstyling
@SAHeart_ZA
Fred Wu, MD 🫀 吳明杰 retweeted
Christine Albert will be the new Chief of Cardiology at Mass General Brigham linkedin.com/posts/patrick-e…
Fred Wu, MD 🫀 吳明杰 retweeted
Released today! The 2025 ACC/AHA Guideline for the Management of Adults With Congenital Heart Disease, chaired by Boston Children's Hospital #ACHD cardiologist, Dr. Michelle Gurvitz, provides updated, evidence-based recommendations across the growing and diverse ACHD population.
Fred Wu, MD 🫀 吳明杰 retweeted
♫ They're shipping up to Boston! ♫
We're so excited to welcome our newest #ACHD fellows to the Boston family!
🥼 Dr. Donnchadh (Donny) O’Sullivan from Houston
🥼 Dr. Edward (Ned) Hardison from Salt Lake City!
♫ So good! So good! ♫
@DonnchadhOSull @nedhardison
Fred Wu, MD 🫀 吳明杰 retweeted
As #AHA25 comes to a close - i celebrate my colleagues
@FredWuMD @JSpitz_MD @pabeda1 @DLBHATTMD @avolgman @kardiologykazi @EugeniaGianos @KnightSNPs
Prof. Filippo Crea on different endotypes of ANOCA (Angina with No Obstructive Coronary Arteries):
✅Epicardial spasm
✅Microvascular spasm
✅Impaired microvascular dilation during adenosine
✅Now even more identified
Cardiac catheterization is best test for suspected ANOCA.
Dr. Seda Tierney on non-invasive tools for testing for vascular dysfunction:
✅Flow-mediated dilation
✅Endothelial pulse amplitude testing
✅Pulse wave analysis
✅Arterial tonometry
✅Pulse wave velocity by echo
✅Aortic root stiffness by echo
✅Carotid intima-media thickness
Dr. David Goldberg talks about medical therapy to make the healthy Fontan healthier, focusing on the potential role of PDE5 inhibitors. FUEL study (udenafil) failed to meet primary endpoint of improved VO2 max, follow-up study is ongoing in pts with reduced baseline VO2. #AHA25
Dr. Taylor Houlihan on optimizing liver function in the Fontan. Questions remain in regard to surveillance: How frequently should we screen? What are reliable lab markers and imaging grading scales for FALD? Is there a role for surveillance biopsy? #AHA25
What can be done now to optimize liver health? Exercise and other lifestyle management incl. avoiding hepatotoxins such as alcohol, potential pharmaceutical interventions (PDE5 inhibitor?), optimize the Fontan circulation!
Dr. Christian Kreutzer on optimizing the anatomy for Fontan. Every imperfection adds to resistance and jeopardizes the future of the Fontan circulation. When it comes to anatomy we need to strive for perfection. #AHA25
In the “Super Fontan” session: Dr. Amanda McCormick on Sustaining Mental Health While Aging Gracefully. The burden of mental health conditions is high with 5x increased risk of anxiety, 6x increased risk of depression, and 65% lifetime prevalence of a psychiatric disorder. #AHA25
Dr. Roni Jacobsen on enhancing vitality through exercise and lifestyle in Fontan. Benefits include:
-improved skeletal muscle mass/strength, resp. muscle strength, aerobic activity
-decreased obesity, HTN, lipids, insulin resistance
-decreased cardiac morbidity/mortality
#AHA25
