Michelle Kittleson MD PhD @MKIttlesonMD

#kittlesonrules | Cardiologist | Prof of Medicine @CedarsSinai | Author Mastering the Art of Patient Care available at https://t.co/zdJT2MWl6J bio.cedars-sinai.org/kittlesonm/ind… Los Angeles, CA Joined November 2018

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Michelle Kittleson MD PhD @MKIttlesonMD

a week ago

Do you omit information from progress notes because patients have access to them?

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Michelle Kittleson MD PhD @MKIttlesonMD

a month ago

nytimes.com/2025/08/04/wel… Great job, @SimarSBajaj :)

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Michelle Kittleson MD PhD @MKIttlesonMD

2 months ago

Bargain alert! link.springer.com/book/10.1007/9…

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Michelle Kittleson MD PhD @MKIttlesonMD

3 months ago

You are evaluating a patient with newly diagnosed hypertrophic cardiomyopathy. She is adopted with unknown family history and has no siblings or offspring. Do you still send genetic testing?

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Michelle Kittleson MD PhD @MKIttlesonMD

3 months ago

The 4 Longest Days | JACC jacc.org/doi/10.1016/j.…

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JACC Journals @JACCJournals

3 months ago

🆕 ACC Scientific Statement on managing #obesity in adults w/ #HF reviews Dx, evaluation, & risk assessment; outlines HF-specific Tx strategies including lifestyle changes, medications, & surgery; & highlights 🔑 evidence gaps & future directions jacc.org/doi/10.1016/j.… #JACC

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Michelle Kittleson MD PhD @MKIttlesonMD

4 months ago

If you (like me) love a bargain, now’s a great time to get a copy :) link.springer.com/book/10.1007/9…

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The Curbsiders @thecurbsiders

4 months ago

REBOOT! #458 Heart Failure with Reduced Ejection Fraction 💗 Kittleson Rules Outpatient Heart Failure Volume 1 Listen for the first time or refresh your memory and listen again!! #meded @MKIttlesonMD #medx

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Michelle Kittleson MD PhD @MKIttlesonMD

4 months ago

Sometimes the right answer is no- Chapter 9, Mastering the Art of Patient Care link.springer.com/book/10.1007/9… #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

4 months ago

#TipsForNewDocs I once saw a healthy pt- wanted echo w/dental appt, worried about endocarditis. My attending was the first who talked about anxiety, not the echo. A lesson for me: Take the time, figure out what the pt needs- may be diff from what they want. #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

4 months ago

Shared decision-making is not abdication of medical decision-making- Chapter 9, The Tough Conversations, in Mastering the Art of Patient Care link.springer.com/book/10.1007/9… #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

#TipsForNewDocs Discussing treatment options with patients: Bad: Do you want to take a statin? Good: Let’s talk about why I believe a statin is the right option for you. Shared decision-making isn’t a laundry list- it’s a menu curated by medical judgment. #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

Communication is an essential component of consultation-- more in Chapter 6, Mastering the Art of Patient Care. link.springer.com/book/10.1007/9… #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

#TipsForNewDocs Pt learns of mass on chest CT when the nurse tells her she's NPO for biopsy. Primary team assumed consult team told pt. Consult team assumed primary team told pt. Lesson: don’t assume. Include “tell the patient” as part of the plan. #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

How do you teach trainees to think independently? Chapter 8, Mastering the Art of Patient Care link.springer.com/book/10.1007/9… #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

#TipsForNewAttendings Trainees often ask questions like “Do you want increase Lasix today?” My favorite response: “What do YOU want to do?” Encourage them to make the decisions- prepare them for when you’re no longer their safety net! #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

#TipsForNewDocs Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it. #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

Phrases to avoid if you want your notes to make sense. #kittlesonrules Mastering the Art of Patient Care link.springer.com/book/10.1007/9…

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Michelle Kittleson MD PhD @MKIttlesonMD

5 months ago

#TipsForNewDocs There are some essential meds in cardiology. HFrEF: ARNI/BB/MRA/SGLT2i. CAD: aspirin/statin. If a pt isn’t on the first-line meds, document why. Clear notes: you look good + others don’t have to reinvent the wheel= win-win! #kittlesonrules

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Michelle Kittleson MD PhD @MKIttlesonMD

6 months ago

Vutrisiran, a TTR silencer, is now FDA-approved for transthyretin cardiac amyloidosis- along w/two FDA-approved stabilizers, tafamidis and acoramidis. There is no trial evidence to guide single vs combo therapy. What will be your go-to regimen for ATTR-CM? Explain in comments!