salvatore massimo petrina

[salvatore massimo petrina @MassimoPetrina]

Diastole is the price of filling the hear
​Are you buying Cardiac Output or just purchasing Congestion?
​The POCUS Dynamic Assessment:
1️⃣ Baseline: Check LV, IVC, Lungs.
2️⃣ Passive Leg Raise (PLR): The reversible "auto-bolus."
3️⃣ Re-evaluate: Increased Output vs. New B lines

[salvatore massimo petrina @MassimoPetrina]

The core question in the ICU: Will fluids improve output or cause edema? 💧🚫
​Decoding Diastole with #POCUS is the answer.
​✅ Responder: Small LV, hyperdynamic, collapsible IVC.
⚠️ Congested: Dilated LA, Lung B-lines, High E/e'.

​#MedEd #CriticalCare #FOAMed #Ultrasound#pocus

[salvatore massimo petrina @MassimoPetrina]

Type 2 Diabetes isn’t one disease.
It’s SIDD, SIRD, or MOD — different biology, different risks, different treatments.
Precision medicine matters. 🧬
#Diabetes #PrecisionMedicine

[salvatore massimo petrina @MassimoPetrina]

@NephroP Step 3: Investigate (The Mechanical Cause). I analyze the rest of the echocardiogram. How is the RV functioning? How severe is the TR? Is there pulmonary stenosis? This is where I use Doppler

[salvatore massimo petrina @MassimoPetrina]

@NephroP Step 2: Contextualize (The Clinical Assessment). I look at the patient. I check for JVD, edema, listen to the lungs. I ask how they feel. These are the signs of impact.

[salvatore massimo petrina @MassimoPetrina]

@NephroP 2 It fits into this mental workflow:
Step 1: Quantify (The Objective Measurement). I calculate the RAEI to get a quantitative, reliable, and less subjective estimate of RAP. This is my objective starting point, my "manometer."

[salvatore massimo petrina @MassimoPetrina]

@NephroP 1The Number doesn't replace the Impact, it explains it.
The mistake is thinking that the two approaches are in competition. In reality, they are synergistic and complementary. So, Where Does RAEI Fit in Practice?
RAEI is not the final answer. It's a better piece of the puzzle.

[salvatore massimo petrina @MassimoPetrina]

Current clinical guidelines, highlighting the importance of specific blood pressure targets, which for high-risk patients are generally below 130/80 mmHg, but never too low to avoid renal hypoperfusion.

Stepwise Treatment: Management follows a precise algorithmic approach.

[salvatore massimo petrina @MassimoPetrina]

@RobertHermanMD Cx

[salvatore massimo petrina @MassimoPetrina]

How can a doctor make life-or-death decisions in seconds based on incomplete information? Welcome to the "fog of war" in the Emergency Room. In this video, we explore how Artificial Intelligence is revolutionizing emergency medicine. https://t.co/LMxHMWlx6h

[salvatore massimo petrina @MassimoPetrina]

@CardioNotion Calculadoras para evaluación cardiovascular : Función Diastólica VI (Algoritmo ASE/EACVI + H2FPEF + ePAWP) y Contractilidad Ventricular (VAC + Ees). Informes médicos optimizados, algoritmos clínicos validados.
https://t.co/vpyHtyHh2V
#Cardiología #Ecocardiografía

[salvatore massimo petrina @MassimoPetrina]

@CardioNotion ¡Increíble, muchas gracias por el resumen! 🙌🎉 Justo lo que necesitábamos: claro, directo y sin perder tiempo. ¡Voy a darle un vistazo al hilo ahora mismo!

[salvatore massimo petrina @MassimoPetrina]

https://t.co/fORzkTb8mq

[salvatore massimo petrina @MassimoPetrina]

@VDelgadoGarcia Introducing CardioFocus Pro: Advanced LV Filling Pressure Calculator
https://t.co/As1V1UV7aQ
We're excited to launch our latest clinical tool based on the 2024 Heart Failure Society of America (HFSA) Guidelines for diastolic function assessment.
🎯 Key Features: ✅ Automated LAP

[salvatore massimo petrina @MassimoPetrina]

Introducing CardioFocus Pro: Advanced LV Filling Pressure Calculator
https://t.co/As1V1UV7aQ
We're excited to launch our latest clinical tool based on the 2024 Heart Failure Society of America (HFSA) Guidelines for diastolic function assessment.
🎯 Key Features: ✅ Automated LAP

[salvatore massimo petrina @MassimoPetrina]

🩺 New Advanced interactive Medical Calculator : ✓ Renal function (CKD-EPI) ✓ uACR Cardiovascular risk ✓ Liver fibrosis (FIB-4). Instant results with risk classification!
#Medicine #DigitalHealth#Advanced Medical Calculator https://t.co/jF2FAuCrPS

[salvatore massimo petrina @MassimoPetrina]

@elonmusk yes

[salvatore massimo petrina @MassimoPetrina]

@iamritu @marciomp50 fantastic image!!

[salvatore massimo petrina @MassimoPetrina]

https://t.co/WYmzb0QMAi

[salvatore massimo petrina @MassimoPetrina]

Questo podcast e' un approfondimento sulla gestione cardiologica dei pazienti sottoposti a chirurgia non cardiaca si basa su due fonti principali: le linee guida più recenti della Società Europea di Cardiologia (ESC 2022) e un documento elaborato dalla cardiologia di Ragusa,