Dr Ibrahim Alsherbini

Interventional cardiology - MSU, Rutger University,DSFH, King’s college,&others.

[Dr Ibrahim Alsherbini @I_Sherb]

“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

[Bruno Robalinho @BrunoRobalinho]

CathLab Nightmare:

Female, 70yo, NSTEMI. MidLAD culprit lesion.

When I injected the last one at RCA to begin LAD PCI, this happened…

@FurquimThyago @nicedoc @Hragy @DFCapodanno @djc795 @gbiondizoccai @CMichaelGibson @DrMarthaGulati @KPujdak @sbrugaletta @adrianocaixeta

[Journal of Invasive Cardiology @InvasiveCardiol]

✨Video of the Week: Impella Entrapment in the Mitral Subvalvular Apparatus in a Patient With Dilated Cardiomyopathy: Snare-Assisted Retrieval ▶️ https://t.co/RXpFuDzPIX

@DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

[إياد الحمود @Eyaaaad]

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.

[Dr Ihab Suliman @IhabFathiSulima]

🚨 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.

[Carlo Tumscitz @skat_ct]

1/5 When a diagnostic catheter likes to twist💃: #ldTRA #rdTRA #RadialFirst problem solving @abdellateefMohm @Ale_Gonzalez_Z @yeh_james3 @marcosdanilloMD @SimoneBiscaglia

[ThePatrioticBlonde™🇺🇸 @ImBreckWorsham]

Marco Rubio: "If you criticize Israel, you will not be granted a visa for the United States."

This is what an occupied nation looks like.

[esanum @esanum]

@Drakhil_cardio @DrRajeshG1 @iamritu @EscardioWeb @CardioClinicSUM @BrJCardiol @Cardiology @ACCinTouch @escardio @ESC_Journals @BrownCardiology 🔴 Diagnosis: Iatrogenic aortocoronary dissection
📍 Contrast tracks from the RCA ostium into the aortic root
🧠 Deep engagement or forceful injection is the usual trigger
💊 Seal with an ostial stent, then monitor by CT

[The Saviour @TheSaviour]

672K likes in just 6 hours.

The world hates Israel.

[Mayor Zohran Kwame Mamdani @NYCMayor]

Benjamin Netanyahu is a war criminal.

[Anas T. Noman @AnasNomanMD]

Hydraulic Exchange Technique:

super useful in complex PCI/CTO work.

Quick way to get a microcatheter off a short wire without a 300cm wire, trapper, or trapping balloon.

Connect an indeflator to the microcatheter, pressurize to 20 atm (it drops constantly, so keep bumping it back up), and just open the Touhy and microcatheter will come out right away. The hydraulic force pushes the catheter back on its own while keeping the wire in position.
I don’t do it over a hydrophilic wire as it can jump forward and cause a tip perforation. I use a workhorse wire.

Video below

Credit to @JAG24851 for teaching me such valuable skills!

@TCT_ME_ @6ayyeboon @AlkashkariWail @mirvatalasnag @amrmohsen213 @BinAbdulHak_A @MarwanSaadMD @aelsab @MusaSharkawi @djc795 @MohammedQintar @mhammadah @AlhijjiM @JDDCFratti @acamajmd @crfheart @djc795 @mmamas1973 @crfheart @BakhshiHooman @Almanfi_Cardio @Dr_ibrahimHarbi @scottiejj12 @MohammedAlo

[ufc is life @ufc1slife]

كونور ماكغريغور يلتقي بأحد معجبيه من السعودية. 🇸🇦😂

وقال له مازحًا:

“هذا نوح من المملكة العربية السعودية… تبدو كرجل أيرلندي، تبدو كأنك ابن عمي!” 🇮🇪

[Evandro Martins F. MD @evandrofilhobr]

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

[Evandro Martins F. MD @evandrofilhobr]

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

[Ahmedõv @a5medv]

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

[( fan) Real Madrid Fans 🤍 @Madridismoreal]

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

[Sarah Heikal 🍒🌟🇪🇬 @sarahmheikal]

Hany ❤️

[Censored Humans @CensoredHumans]

This is the Most Corrupt World Cup in History.

FIFA has Just Robbed Egypt in Broad Daylight.

[MO @Abu_Salah9]

أعظم بصقة في التاريخ

لحظة قيام الأسطورة حسام حسن بالبصق على مشجع أرجنتيني كان يرفع علم الاحتلال

تاريخي هذا الرجل 😂😂

[MTmakop @ZXCSERY]

عاجل

سبيد ألهى ميسي ليضيع ركلة الجزاء ضد مصر

#مصر_الارجنتين