Abdulaziz

Pediatric cardiac surgery

[Abdulaziz @AB_C_SA]

@World_watchs نعم الاماراتي خالد صاحب متجر لقشري سوق

[Abdulaziz @AB_C_SA]

@stccare_ksa متواجدين ولا تردون ولا تحلون المشكله

[Abdulaziz @AB_C_SA]

@stccare_ksa ممكن افهم ايش جالس يصير؟؟؟ ؟؟ينخصم على مكالمة بهذا الشكل اقل من 20. ثانيه

[فهد الجلاجل @FahadAlJalajel]

بكل فخر واعتزاز، سعدتُ بتكريم الفائزين بـ جائزة الطبيب العربي لعام 2025، إحدى أبرز الجوائز الصحية العربية التي تحتفي بالتميز العلمي والإسهامات المؤثرة في تطوير القطاع الصحي.

أبارك للدكتور زهير بن يوسف الهليس فوزه بجائزة الطبيب العربي في فرع التميز والريادة والأثر المهني الطبي، وللدكتور أحمد بن سالم باهمام فوزه بجائزة الطبيب العربي في فرع البحث العلمي والابتكار، متمنيًا لهما دوام التوفيق ومزيدًا من الإنجازات.

#رؤية_السعودية_2030
#وطن_ينبض_بالصحة

[جامعة القصيم @QassimUniv1]

المدينة الطبية بـ #جامعة_القصيم تجري جراحة لتغيير الصمام الأورطي عن طريق فتحة صغيرة في جدار الصدر.

[sim 🇧🇷🇲🇽🇸🇳🇫🇷🇭🇹 @simscircuit]

INCREDIBLE ARABIC COMMENTARY ON LEWIS HAMILTON'S FINAL LAP TO THE WIN.

THIS IS POETRY. READ THE SUBTITLES!!

[video & translation by @landorablee]

[André Martin Mansoor @AndreMansoor]

Most clinicians have heard of the Austin Flint murmur.

Far fewer have actually heard one.

A classic Austin Flint murmur recorded over the apex in a patient with severe AR from Bartonella endocarditis.

🎧 Headphones recommended.

Full video: https://t.co/ylk0Q6mkgj

[CardiovascularCorner @TrackYourHeart]

Schematic representation of the main sites of origin of idiopathic premature ventricular contractions and their ECG features

[Alan Lumsden, MD, CV Chairman/Director @AlanLumsdenMD]

New concept in education. First in series of video textbooks from Houston Methodist DeBakey Heart and Vascular Center. Leveraging, organizing our DeBakey CV YT Channel. Launch, demo at upcoming Vascular Annual Meeting. Visit our booth @DeBakeyCVedu @WilliamZoghbi @DrMarthaGulati

[Formula 1 @F1]

How CLOSE was that?! 🤯

Russell takes the lead but Antonelli locks up and almost collides with his team mate! 👀

#F1 #CanadianGP

[Dr. Chacón-Lozsán F .'. @franciscojlk]

🫀Valvular cardiogenic shock is probably one of the most underrecognized phenotypes of shock in modern cardiac critical care.

What makes this paper particularly important is that it reframes severe valve disease:

not as chronic structural cardiology, but as acute hemodynamic catastrophe.

The physiology is brutal.

Unlike classic ischemic CS, VCS often combines:
🫀 abrupt preload overload
🫀 severe afterload mismatch
🫀 elevated filling pressures
🫀 pulmonary edema
🫀 impaired forward flow
🫀 rapidly collapsing ventriculo arterial coupling

And unlike MI related shock: 📌 many of these patients still have relatively preserved LVEF.

Which means: normal or “acceptable” EF does NOT exclude severe shock physiology.

One of the most fascinating findings: 📌 the aortic valve was the most commonly involved valve.

Especially: • aortic stenosis • acute aortic regurgitation

And outcomes differed substantially by lesion type.

Patients with:
⚠️ stenotic lesions had the worst survival
⚠️ regurgitant lesions performed better
⚠️ mixed lesions remained intermediate

Severe AS in shock creates:
• fixed forward flow obstruction
• catecholamine inefficiency
• coronary hypoperfusion
• profound ventriculo arterial uncoupling

while acute regurgitant lesions may still preserve some forward stroke volume if rapidly corrected.

Another extremely important message:

📌 definitive intervention mattered enormously.

Compared to medical therapy alone:
• surgery had the best survival
• percutaneous therapies were intermediate
• medical management had the worst outcomes

After multivariable adjustment: medical management alone was associated with nearly 4 times higher hazard of death at 1 year.

But this study suggests: ⚡ definitive therapy may be the only real survival strategy.

The paper also highlights something increasingly relevant for modern CICUs:

📌 prosthetic valve dysfunction accounted for almost one third of VCS cases.

With aging populations and expanding TAVR/bioprosthetic use: this phenotype will likely increase dramatically over the next decade.

From a hemodynamic perspective, VCS may require:
🩺 earlier invasive monitoring
🩺 advanced echocardiography
🩺 rapid valve team activation
🩺 individualized MCS strategy
🩺 faster transfer to high volume structural centers

The study also indirectly supports something many intensivists already suspect:

📌 timing is probably everything.

Delayed recognition likely converts salvageable hemodynamic collapse into irreversible multiorgan failure.

This is where future research should probably focus:
• shock phenotyping by valve lesion
• optimal MCS selection
• VA coupling analysis
• transcatheter rescue timing
• CICU to structural heart pathways
• predictive models for intervention candidacy

📖 Nair RM, JACC Advances. 2024;3(11):101303.
https://t.co/eo9wstNwiZ

[أ.د. عبدالعزيز الحربي @dr_al7rbi]

https://t.co/nPQfg7ggG0

[أ.د. عبدالعزيز الحربي @dr_al7rbi]

هذا ديوان أفردته للغة القرآن الكريم، وسميته (ذات الجمال) والجمال نعت من نعوتها، لا يبصره إلا من دنا من أبوابها، وارتقى في أسبابها، وكشف عن حجابها، وذاق حلو رضابها.
ويشتمل الديوان على بيان فضل العلم والعربية، وشرفها، وشرف خدمتها، والثناء على من مد لها يدا، وأسدى إليها فضلا، وفيه الإشادة بما تشهده اللغة في المملكة من عناية ونهضة وتطور.
وقد أجزت الديوان من استجاز، وأهديته محبي العربية، ومن أحبها فقد فاز.

[زهير الهليس ZYH @zohair1987]

بعد ٤٨ عاماً من الخدمة اللامتناهية وبعد عديد من الإنجازات المشهود لها أودع مستشفى الملك فيصل التخصصي بالرياض والتي كانت منزلاً لي بعيداً عن منزلي.
" نرحل ويبقي الأثر "

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Fontan Procedure #1: Fontan Circulation

👉Fontan circulation directs systemic venous return directly to the pulmonary arteries without a subpulmonary ventricle.
👉Pulmonary blood flow depends on low PVR and an adequate CVP–PAP pressure gradient.
👉Oxygenation improves, but the system may remain vulnerable to venous congestion and lymphatic failure.

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

VA-ECMO Strategy — Cannulation, Flow Direction, and LV Decompression📝

👉VA-ECMO physiology is defined not only by the cannulation site, but also by flow direction, ventricular loading, and systemic oxygen delivery.
👉Peripheral femoral VA-ECMO requires careful surveillance for retrograde aortic flow, watershed physiology, differential hypoxia, distal limb ischemia, and LV distension.
👉Central VA-ECMO with LA venting may provide more direct systemic support and effective left-heart decompression when peripheral support is flow-limited.

@yourICM @FOAMecmo @ELSOOrg

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Ross Procedure — Long-term Follow-up⏳🧐

👉Autograft failure mainly involves neo-aortic root dilatation with progressive late AR.
👉RVOT homograft degeneration can lead to stenosis/regurgitation

[د. فهد السحيباني @DrAlsohaibani]

لمن يرغب بالحصول على نسخ ورقيه مجانية من كتاب:
Essential Guide to Inflammatory Bowel Disease

للأطباء والمتدربين في اقسام الباطنه والجراحه و طب الاسره يمكنه التواصل معي عبر الخاص، وهي إهداء من المؤلفين جزاهم الله خيرًا سائلا الله أن يجعله في موازين حسناتهم.

الكتاب متوفر أيضًا بصيغة PDF على الرابط:
https://t.co/5SdvMDe7HU

[Dimitrios Tsatiris MD @DrDimitrios]

Becoming a physician is not good for your health.

- High stress
- Sleep disruption
- Intense workload
- Feelings of isolation
- Putting your life on hold
- Limited time for exercise
- Exposure to traumatic cases
- Not having time for family and friends
- Always having to be perfect because the stakes are so high

https://t.co/88TiBA8tBA