Cristian

R2 de Medicina Interna en Hospital Universitario Reina Sofia, Córdoba 🇪🇦🇭🇳

[Cristian @Crisjavier13]

R1 de Medicina Interna en el Hospital Universitario Reina Sofia de Córdoba.

🇭🇳 ✈️ 🇪🇸

[CardiovascularCorner @TrackYourHeart]

What's the most likely diagnosis?

[nervemed @nervemed]

Tuberculosis Treatment Guidelines

[Dr. FEVI🫀🩺 @javier20ch]

Evaluación ecocardiográfica de la función diastólica del VI en el adulto. 📄Diagnostics 2026. 💯
🟠La valoración diastólica del VI sigue siendo un pilar de la ecocardiografía integral. No solo estima presiones de llenado, sino que es clave en el estudio de la IC FEVI preservada.
🔎 Enfoque actual multiparamétrico➡️ No existe un solo parámetro definitivo. La recomendación es integrar mediciones “clásicas” + técnicas avanzadas, adaptadas al contexto clínico y comorbilidades. 🤔⤵️
🟠Parámetros primarios:
▪️Flujo mitral (E, A, E/A, DT).
▪️Doppler tisular (e’, E/e’).
▪️Flujo venoso pulmonar (S, D, ar).
▪️TR e IVRT.
▪️Volumen auricular izquierdo indexado (LAVi).
▪️GLS del VI.
⚠️Disfunción si: E/e’ >14, LAVi >34 ml/m², TR elevada (>2.8 m/s) y e’ reducido orientan a ⤴️presiones de llenado.
🟠Técnicas avanzadas:
▪️Strain auricular (LARS)➡️ fuerte valor pronóstico en FE preservada.
▪️Myocardial Work (MW)➡️ puede aportar información indirecta sobre disfunción diastólica.
▪️Time-Harmonic Elastography (THE)➡️ nueva herramienta para rigidez miocárdica.
⚠️Limitaciones relevantes: edad, carga, arritmias, ventana acústica, variabilidad inter-vendor y dependencia del operador siguen siendo retos importantes.

📄🆓️⤵️
https://t.co/L3f77M9oeQ
https://t.co/DgkMutQpGe

[JAMA @JAMA_current]

Moderate consumption of caffeinated coffee or tea was linked to reduced #dementia risk and modest improvements in cognitive outcomes; no benefit was seen for decaffeinated coffee in an observational study of US adults.

https://t.co/jlPgjAuosa

[Sara Moscatelli @saramoscatelli7]

🫀 Myocarditis & Pericarditis: a new era is here!
The 2025 ESC Guidelines and latest ACC position papers mark a turning point in inflammatory heart disease 🔄
✨ What’s new?
📌 CMR as the non-invasive gold standard
📌 Less biopsy, more precision
📌 IL-1 blockade changing recurrent pericarditis care
📌 From “one-size-fits-all” to risk- and phenotype-driven management
🔍 Different frameworks (ESC certainty tiers vs ACC staging), same direction:
👉 earlier diagnosis
👉 targeted therapy
👉 personalised follow-up
🚀 The future is imaging-driven, multidisciplinary, and patient-centred
#Myocarditis #Pericarditis #ESCguidelines #ACC #CMR #CardioImaging #InflammatoryHeartDisease #PrecisionCardiology #IL1 #Cardiology #MedTwitter #CardioTwitter
DOI: 10.1016/j.jacc.2025.10.047

[CardiovascularCorner @TrackYourHeart]

🧵 Why can oxygen worsen respiratory failure in COPD?
Many clinicians still fear giving oxygen to COPD patients.
The reason they’re taught?
"Loss of hypoxic drive"
But this is mostly a myth.
Here’s what really causes oxygen-induced hypercapnia 👇

[Amelia Carro — Instituto Corvilud @icorvilud]

DYSLIPIDEMIA MANAGEMENT 2026
✍️JUST PULBISHED BY @ClinMedJournals:
✍️Practical guide to the management of dyslipidaemia
✍️Very nicely written review on traditional and newcommer agents on lipid-lowering therapy
https://t.co/YBXBG2ZnOe
#pelacarsen #evinacumab #muvalapin #olezarsen

[JAMA Cardiology @JAMACardio]

Meta-analysis of four randomized trials found β-blockers did not reduce mortality, recurrent #MyocardialInfarction (MI), heart failure, or revascularization in patients with preserved left ventricular ejection fraction after MI. https://t.co/7Kht1Pi1QE

[Meta Analysis Academy @metaacademy_ofc]

New publication from the Cardiology Experts Team at The Meta-Analysis Academy, and it’s in JACC! Congratulations to Nelson, Guilherme, and all collaborators.
It’s truly rewarding to see The Meta-Analysis Academy alumni achieving such great success!

https://t.co/Cj7fF94oJc

#Cardiology #JACC #MedTwitter

[Cristian @Crisjavier13]

Vaya mierda de partido

[Klaus Mönkemüller, MD, PhD @KMonkemuller]

💊 Beta Blockers in Cirrhosis

[Dr sthanu subramanian @drsthanus]

Disseminated intravascular coagulation (DIC).

https://t.co/FCgPYqJZpT

[CardiovascularCorner @TrackYourHeart]

Diagnosing HFpEF (Heart Failure with Preserved Ejection Fraction)

[Dr sthanu subramanian @drsthanus]

CHIMPANZEES: Mnemonic for Causes of Hypercalcemia

https://t.co/n1tI7vpmk8

[Dr. Medica🩺 @DrMedica_13]

Dangerous drug combinations❗️

🫁🧠🫀
#Never_Give_Together

[Mauricio Kawas @makawas]

Es un "elisir".

[honduras Liga Info @HondurasLiga]

71’

GOOOOOOOOOOOOOOLLLLLLLLLLLLLLLLLLLLLLLLLL DE HONDURAS

Bryan Rochez pone el 2-0 para la selección Hondureña

Honduras 2 - 0 México

[Stop That Honduras 🇭🇳 @STHonduras]

🇭🇳¡GOOOOOOOL DE BRYAN ROCHEZ CONTRA MEXICO SI SEÑOR! 🇭�

[Fernando Palomo ESPN®️ @fernandopalomo]

Y decían que no existía…no aprenden.