“Most folks are as happy as they make up their minds to be” -Abraham Lincoln.
“If you want to be happy, do not dwell in the past, don’t worry about the future, focus on living fully in the moment” - Roy Bennet
“Nothing can bring you happiness but yourself” - Ralph Emerson
الأمم المتحدة تصوت بأغلبية ساحقة لإلغاء الاعتماد على خريطة (إسقاط Mercator) والتحول نحو الخريطة الحقيقية لشكل الأرض (إسقاط Equal Earth).
164 صوتاً (مع) القرار
صوت واحد (ضد) القرار وهي الولايات المتحدة
6 دول امتنعت عن التصويت
الخريطة التي اعتدنا عليها (إسقاط ميركاتور) يشوّه شكل الأرض ويجعل أوروبا وروسيا وكندا وأمريكا أضخم بكثير مما هي عليه، بينما تبدو أفريقيا أصغر من حجمها الأصلي.
مثلاً غرينلاند تظهر بحجم أفريقيا، بينما في الحقيقة أفريقيا أكبر منها بـ 14 مرة.
الآن ستبدأ الدول والمدارس والمنظمات الدولية وشركات التقنية استخدام (إسقاط Equal Earth) لإظهار المساحات الحقيقية للأرض ويدخل ذلك في التعليم والعروض العامة والإعلام، حتى لا يتشكل لدى الناس تصور خاطئ عن حجم القارات.
الحملة بدأتها دولة صغيرة غرب أفريقيا (توغو) ونجحت في النهاية من انتزاع هذا القرار.
🚨 10 striking conclusions from ESC 2026
1. HFmrEF is essentially gone.
ESC now defines HFrEF as LVEF <50% and HFpEF as ≥50%.
2. MRAs have broken the EF barrier.
Mineralocorticoid receptor antagonists now have a Class I recommendation in chronic HF irrespective of LVEF. Semaglutide/tirzepatide receive Class IIa recommendations for HFpEF with obesity.
3. SINGLE-AF: anticoagulation may start earlier than we thought.
In AF patients at intermediate stroke risk, DOAC therapy reduced adverse clinical outcomes by 69% versus no anticoagulation.
4. Severe TR is no longer just “give diuretics and watch.”
TRIC-I-HF: transcatheter tricuspid repair reduced HF hospitalisation and all-cause mortality compared with medical therapy alone.
5. Unexplained syncope deserves early prolonged ECG monitoring.
ASPIRED: immediate 14-day monitoring did not prevent recurrent syncope, but substantially improved arrhythmia diagnosis/treatment and was associated with lower mortality.
6. Intermediate–high-risk PE may be entering the catheter era.
PRAGUE-26: catheter-directed thrombolysis improved short-term clinical outcomes versus anticoagulation alone, without an obvious major bleeding penalty.
7. Cardiac arrest + no STEMI ≠ automatic immediate cath lab.
DISCO: immediate angiography after OHCA without ST elevation did not improve 30-day survival.
8. Being ≥70 is not a reason to abandon primary-prevention statins.
STAREE: atorvastatin reduced major cardiovascular events by about 30% in older adults without known CVD, although disability-free survival was unchanged.
9. AF ablation has a surprisingly large placebo component for symptoms.
PVI-SHAM-AF: ablation reduced AF recurrence, yet improvement in AF-related quality of life was not significantly greater than sham treatment.
10. Even the definition of MI has changed.
The 5th Universal Definition of MI replaces the traditional numbered framework with primary MI, secondary MI and procedure-related MI, while incorporating sex-specific troponin thresholds and greater use of imaging.
🔥 The one-line ESC 2026 message:
Treat HF across the EF spectrum, anticoagulate selected AF patients earlier, intervene on TR, monitor syncope sooner—and stop rushing every post-arrest patient without STEMI to the cath lab.
Protruding aorto-ostial stents can preclude safe TAVR. The RASE technique, integrating reverse hairpin re-entry, intentional fracture & snare extraction, offers a out-of-the-box controlled solution.
Honored to contribute to this work in @JACCJournals Case Reports with @RaghavG_MD et al.
https://t.co/gcZmfJeTha
Reverse Wire Technique evolving into the RASE method for percutaneous extraction of protruding aorto-ostial stents before TAVR.
Great collaboration with @RaghavG_MD@agtruesdell & team at @VirginiaHeart / @InovaHealth, now published in @JACCJournals Case Reports.
https://t.co/gcZmfJeTha
المقطع الاكثر حذفًا في تويتر من امبارح
المقطع ده الفيفا بتطارده بحقوق النشر من امبارح وكل اللي بينشره بيتقفله حسابه او المقطع ينحذف
ده باختصار ملخص الاخطاء التحكيمية امبارح وملخص المدعرة اللي عملها الحكم القذر ضد مصر
اتفرجوا بعينكم … ظلم بيّن وسرقة
Quiero que le deis la máxima difusión posible al mayor ROBO de Argentina de la historia.
4 minutos y 21 segundos de vergüenza.
QUE VEA TODO EL MUNDO COMO AYUDAN A LOS ARGENTINOS. https://t.co/ZEhZTKj7W6