My top ten tips for graduating fellows and faculty entering and continuing “early career” as I am transitioning into “mid-career”. A thread:

Daddy-daughter time at Sprague Lake in Rocky Mountain National Park. Mountain air, sunshine, and sweet time ❤️ The days move fast, and somehow the years move even faster. I can’t slow them down, but I can be here. Soak it in. Embrace. Let her know just how much this time together means to me. Of all the jobs I’ll ever have, being Dad is the best one. Always.

Here’s the thing about leadership: you have to be willing to get yourself out of the way. Your ego cannot set the agenda. Your emotions cannot take over your judgment. And unresolved wounds or insecurities cannot be allowed to make decisions for you. We all bring a personal history into the room. We are responsible for understanding how it influences us and managing it so our teams don’t bear the cost. Stay humble. Stay composed. Be willing to hear something uncomfortable, admit when you’re wrong, and make the decision that best serves the team and the mission. Then turn those commitments into daily practice. Build systems that make good decisions repeatable and accountability consistent. Let form follow function. Every time you compromise those standards to protect your pride, you weaken trust. And momentum begins to slip. Leadership is a discipline. As the leader, you must hold yourself to the highest standard of that discipline—especially under pressure. You cannot expect discipline from your team if you do not practice it yourself.

Practical Implementation of Steroidal and Nonsteroidal Mineralocortico… sciencedirect.com/science/ar… @ErinMichos @AndrewPAmbrosy @JACCJournals

👀 #11 @ShaylaRaut15 *Milford High School (2028)* • MaxPreps NE Player of the Year • Huskerland Prep / NBCA POY • 1st Team Super State / All-NE • C1 All-Tournament Team • C1 All-State (LJS / OWH) hudl.com/v/2TrgTA

So much of leadership comes down to giving your team a voice, and the authority to act on it. Help them ask the right questions, shape the strategy, and take ownership of the path forward. Then pair that trust with clear expectations, consistent support, and accountability for the daily work that makes progress possible. The early gains may be small. But steady improvement compounds. Over time, investing in your people builds a team capable of achieving far more than you could direct on your own.

These are the golden years: 1. Exhausted after the kids are down 2. Walking with my son after practice 3. Playing Barbies with the girls 4. The endless questions 5. The “I love you” out of nowhere 6. Little feet running through the house 7. The funny prayers 8. The dance recitals 9. Toys everywhere on the floor 10. The giggles 11. The 47 bedtime requests 12. Little socks everywhere One day, I bet we’ll wish we could have just one more day like this.

Dr. Johanna Contreras is an internationally respected cardiologist, physician-scientist, educator and advocate committed to improving cardiovascular care for all. Born in Colombia, Dr. Contreras began her medical education at the Universidad Industrial de Santander, where she founded Colombia’s first peer-reviewed medical journal edited by medical students. Dr. Contreras is medical director of Mount Sinai Hospital’s Hispanic Heart Center in New York, New York, where she has worked to address the barriers that can prevent Hispanic and Latino patients from receiving timely, advanced cardiovascular care. She has been an American Heart Association volunteer for more than 15 years, helping extend lifesaving health information across borders and advance women’s heart health. Thank you, Dr. Contreras, for helping us advance our mission to be a relentless force for a world of longer, healthier lives! This month, we’re honoring the strength of Hispanic and Latino communities across the U.S. and celebrating the changemakers transforming heart and brain health across communities. Together we can create healthier futures for all. #HispanicHeritageMonth #LegacySeries

Now in @CircHF by #HFC member @FudimMarat et al. This case report shows position-dependent RV hemodynamics in an LVAD patient, while implantable IVC monitoring closely tracks right-atrial pressure. ahajournals.org/doi/10.1161/…

1/5 Much of my clinical and research work asks what happens when patients stand or exercise that resting tests miss. POTS brings this into focus. Our new JACC Viewpoint calls for better recognition, deeper understanding, and care focused on daily function. sciencedirect.com/science/ar…

1) Sotatercept is amazing effective for PAH but effects on the RV have been inconsistent. @CircAHA we show that RV contractility truly decreases after sotatercept with no change in RV PA coupling -> the surrogates we’ve chased for years with vasodilators ahajournals.org/eprint/ZXDH2…

Now in @JACCJournals from #HFC members @DukeHFDoc @scottdsolomon, et al. This analysis from GALACTIC-HF examines whether the treatment effect of omecamtiv mecarbil varies across baseline risk, defined by the PREDICT-HF score, in outpatients with HFrEF. jacc.org/doi/10.1016/j.jchf.…

Patrick Mahomes turns 31 today. • 3x Super Bowl Champ • 3x Super Bowl MVP • 2x MVP • Offensive Player of the Year • 2x 1st Team All-Pro • 6x Pro Bowler • Most Passing Yards in Chiefs History • Most Passing TD in Chiefs History This is absolutely insane.

Its like saying 1990s era chemotherapy / radiation for cancer is "good care" in 2026 -- We need to do better for patients suffering from heart failure. @gcfmd @NMHheartdoc @SJGreene_md @DrMarthaGulati

Kenneth Walker outgained the whole Broncos team in his Chiefs debut 😳

Meta-analysis which includes DIGIT-HF There were 1466 vs 1497, all-cause ☠️ (32% vs 33%; HR, 0.97 [95% CI, 0.90-1.04]; P = .41 There was no significant heterogeneity by trial, type of digitalis glycoside treatment, or extent of background HF therapy jamanetwork.com/journals/jam…

It’s worth taking time to watch this and remember the heroes who forfeited life to save others. There is no greater legacy one can have.

Now in JACC: Heart Failure by #HFC member Javed Butler and colleagues. This study evaluates hs-CRP and IL-6 as predictors of ASCVD and incident HF in adults with type 2 diabetes and overweight/obesity. jacc.org/doi/10.1016/j.jchf.…