Jorge Vega

🫀🇲🇽 Cardiology / Cardiac Rehabilitation- Instituto Nacional de Cardiología “Ignacio Chávez” | Internal Medicine - UASLP | Tweets are my own

[Jorge Vega @CardioJV]

El próximo 17 de Octubre se cumplen 171 años de la muerte de Frédéric Chopin... ¿Sabes cuál es la relación del compositor con la Cardiología? 🎹🎼🎶♥️
Abro hilo 🧵
#cardiotwitter #chopin

[Dr Rob 🫀🩺 🇦🇺 @drhungo]

Some 🔑 numbers when considering
NT-proBNP in heart failure

#MedTwitter #CardioTwitter #MedEd #FOAMed @ESC_Journals

[The Heart @ZHeart11768530]

🔴ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit) –🩺⤵️

https://t.co/zZqc06R8iV
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular

[Paola Morejón Barragán @paomorejon]

📌Diagnóstico y manejo de la HTA resistente

🚨 115/75 mmHg ya debe llamar la atención

↗️Cada 20 mmHg de aumento de la sistólica o 10 mmHg de la diastólica 𝐝𝐮𝐩𝐥𝐢𝐜𝐚 el riesgo de un evento CV fatal.

•Prevalencia: 12-18%
•22-50% aparentemente resistentes 𝐧𝐨 𝐬𝐨𝐧 𝐚𝐝𝐡𝐞𝐫𝐞𝐧𝐭𝐞𝐬

HTA resistentes y riesgos más altos:
•46% de IC
•32% ERC terminal
•24% evento isquémico cardiaco
•6% de muerte

•Mayor prevalencia entre los pacientes con ERC, 22% aprox.

🆓https://t.co/cWshHiyaQm

[Diego Segura-Rodríguez @SeguraCardio]

⚠️2024 @ACCinTouch Expert Consensus Decision Pathway for Treatment of Heart Failure With Reduced Ejection Fraction‼️

#PositionPaper #HFrEF #ACC

[The Heart @ZHeart11768530]

🔴STATE-OF-THE-ART : Computed tomographic angiography in coronary artery disease

https://t.co/ufjctEn8MY
#cardiology #cardiotwitter #CardioEd #cardiox #MedEd #medical #medtwitter

[Paola Morejón Barragán @paomorejon]

📌Guía de diagnóstico y tratamiento de síndromes agudos y crónicos del órgano AÓRTICO

🔹Aneurisma
Raíz & Ao ascendente >45 mm 🔸Dilatación entre 40-45 mm
Descendente & abdominal 1.5 del diámetro normal

🔹Disección: Stanford A , B & ni A ni B
🔸Utilizar las zonas de Ishimaru para reportar la extensión de la enfermedad
🔸Utilizar la clasificación de TEM
🔸Utilizar el score de GERAADA en la disección tipo A

👎🏻 para la clasificación de DeBakey y la binaria de Stanford

Independientemente de la subgrupo, todos los síndromes aórticos requieren un 𝐝𝐢𝐚𝐠𝐧ó𝐬𝐭𝐢𝐜𝐨 𝐫á𝐩𝐢𝐝𝐨 𝐲 𝐞𝐥 𝐞𝐬𝐭𝐚𝐛𝐥𝐞𝐜𝐢𝐦𝐢𝐞𝐧𝐭𝐨 𝐢𝐧𝐦𝐞𝐝𝐢𝐚𝐭𝐨 𝐝𝐞 𝐮𝐧 𝐭𝐫𝐚𝐭𝐚𝐦𝐢𝐞𝐧𝐭𝐨 𝐦é𝐝𝐢𝐜𝐨 ó𝐩𝐭𝐢𝐦𝐨 𝐩𝐚𝐫𝐚 𝐩𝐫𝐞𝐯𝐞𝐧𝐢𝐫 𝐜𝐨𝐦𝐩𝐥𝐢𝐜𝐚𝐜𝐢𝐨𝐧𝐞𝐬 𝐚𝐠𝐮𝐝𝐚𝐬 (isquemia de orgánica o rotura aórtica) y la muerte.
🔸Control estricto de la TAS entre 100 a 120 mmHg
🔸FC entre 60 a 80 lpm.

🔹Cirugía urgente: ⬆️la mortalidad 0.5% por cada hora de retraso

https://t.co/Dnl8HSbBlR

[Diego Segura-Rodríguez @SeguraCardio]

📌@EACTS /STS #Guidelines for Diagnosing & Treating Acute & Chronic Syndromes of the Aortic Organ

#Aorta

[@aas @AmadaAlvarez]

Enorme equipo !!! #orgulloINC GabyPereyra 👏🏼

[Dr Deepak Krishnamurthy @DrDeepakKrishn1]

Blockages causing #heartattack are not 90% or 100% to begin with. They're usually 30% or 50% narrowing only. The heart attack happens when the plaque becomes vulnerable to rupture and form a clot causing heart attack acutely. The way to prevent is by addressing risk factors like sedentary life, smoking, diabetes, hypertension and cholesterol. These can be done effectively even without an angiogram or AI. But people are ready to undergo tests but not ready or patient enough to address risk factors in the long term. In an angiogram even if done, there may be 10 such plaques. 30-50% narrowing. Can't stent all of them in advance can we? We want single shot solutions for a chronic problem. Doesn't work that way.#MedTwitter

[Diego Segura-Rodríguez @SeguraCardio]

📌#Guidelines for the Evaluation of Prosthetic Valve Function w/ Cardiovascular Imaging 📸🧲☢️

A 📝 From @ASE360 in Collaboration w/ @SCMRorg & @Heart_SCCT

#EchoFirst #YesCCT #WhyCMR

[American Society of Echocardiography @ASE360]

🫀NEW GUIDELINE🫀 https://t.co/5IgVlfDlnd
We have just released "Guidelines for the Evaluation of Prosthetic Valve Function With Cardiovascular Imaging," in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography!

[Ross Prager @ross_prager]

1/7: This year, let's fully understand the concepts of fluid responsiveness, fluid tolerance, venous congestion, dynamic fluid intolerance, and perfusion.

This is crucial for all providers as dedicated RCTs (1500 pts!) (@AndromedaShock 2) will help inform how to integrate these into practice.

A 🧵

Here's our recent paper for a deeper dive right off the bat. https://t.co/5moUYWBFTE

#medtwitter #foamed #foamcc #meded #medicine #evidencebasedmedicine

[Ross Prager @ross_prager]

(1/10) Pericardial tamponade is a clinical diagnosis supported by #echo (2D + quantitative). A 🧵of 10 confirmed tamponade cases (by drainage!) starting with obvious and ending with subtle ones that you could easily miss.. some PEARLS along the way 👇#medtwitter #foamed

[Miguel Angel Lopez-Lizarraga @LopezLizarraga_]

Algoritmo simplificado de las taquicardias de QRS estrecho supraventriculares mas frecuentes.
#FOAMed #ECG

[Zille Huma @Zill_cardio]

Ischemia With Nonobstructive Coronary Artery Disease: Concept, Assessment, and Management |
State-Of-The-Art Review From @jaccjournals

#MustRead @InocaInternati1 #Cardiotwitter

https://t.co/1xfMiQAK2A

[JACC Journals @JACCJournals]

Introducing a novel risk prediction model for coronary obstruction during #TAVR, using annular area/perimeter, coronary height, sinus width, and STJ height/width. Sensitivity & specificity >90%!

#YesCCT now even more important for TAVR planning. https://t.co/dcambUCEQl

#JACCINT #BASILICA #vhdAS #ACC23 #WCCardio

[Chadi Allam @Allam93]

🫀Aortic dissection with double valve sign! @MattersoftheH14
Video by @donoxorn

[V.L.Sorrell, MD (@CASEfromASE EIC) @VLSorrellImages]

Just in CASE you've never seen this before:

What do YOU see in the LA?

A. catheter
B. leaflet
C. clot
D. contrast
E. other (tell us)

92W had an unusual complication during TAVI:
https://t.co/nYbae7l11R

@ASE360 @CASEfromASE

[British Adult Congenital Cardiac Nurse Association @theBACCNA]

🧵#CRweek2023 #CHDawareness #ACHD

@bacpr Standards for CVD Prevention & Rehab promote equitable access to #cardiacrehab for people with or at risk of #CVD including people with congenital heart disease

@AdrienneK_PhD describes the benefits of CR https://t.co/6VOBbfwzy0

[Zille Huma @Zill_cardio]

Evolving Management Paradigm for Stable Ischemic Heart Disease Patients: JACC Review Topic of the Week.

@jaccjournals #CardioTwitter #CardioEd

https://t.co/s7KlpkYXJC