Darío Fernando Mencía Amador

Especialista en Medicina Interna / Residente tercer año de Cardiología Clinica HCFAA/

[Darío Fernando Mencía Amador @MenciaD_Cardio]

Bicuspid aortic valve with Double orifice mitral valve and aortic coarctation in a 29 yr old female. ⁦@drhdezdelrio⁩ @Tomas_MA_Cardio⁩ #CardioTwitter #echofirst #CardioEd #eacvi #jase #HCFAA

[Marina Saadi @saadi_marina]

💦 Congestion in heart failure isn’t a snapshot — it’s a film.
That’s the question driving our research line for the past few years: how to assess congestion in ADHF more precisely than physical exam allows?

[Ahmed Bennis MD 🫀 @drbennisahmed]

Don’t discharge without checking for residual congestion by ultrasound 👁️ #HeartFailure26
213 acute HF patients: clinical model vs clinical + congestion ultrasound (LUS + VExUS) at discharge
Adding US significantly improved prognostic performance at 3 months:
📈 AUC: 0.80 → 0.85 (DeLong p=0.025)
📈 NRI: 0.27 categorical / 0.73 continuous (p<0.00001)
📈 IDI: 0.08 (p=0.001)
📈 Better model fit (AIC/BIC lower), both models well calibrated
Take-home: Congestion is highly prognostic — and ultrasound assessment at discharge needs to become standard
Torrelles A et al #CardioTwitter #AcuteHeartFailure #POCUS #Congestion #HF2026

[CardiovascularCorner @TrackYourHeart]

Beautiful description😍😍

The mitral valve (anterior leaflet) is designed to direct blood flow towards a smooth sliding path which begins at the basal posterior wall and ends at the LVOT, thereby minimizing LV energy expenditure during ejection.

[Ahmed Bennis MD 🫀 @drbennisahmed]

A simple echo ratio predicts who dies after STEMI. 🧵
TAPSE/sPAP — a bedside measure of RV-PA coupling — is now a powerful, independent predictor of 1-year mortality post-primary PCI. New data from 973 patients.
The headline number:
⚠️ HR for 1-year mortality: 9.62× (reduced vs. preserved coupling, p<0.001)
1-year all-cause mortality:
🔴 Reduced RV-PA coupling: 27.1%
🔵 Preserved RV-PA coupling: 3.22%
🎯 Optimal cutoff: TAPSE/sPAP < 0.405 mm/mmHg
Measured by pre-discharge echocardiography — no invasive workup needed.
Study: 973 STEMI patients, 2 German tertiary centers, 2014–2023, median follow-up 4.2 years.
💡 RV-PA uncoupling is detectable at routine echo before discharge. It may be one of the most powerful tools we have to risk-stratify STEMI patients early.
Graesser C, et al. JACC Cardiovasc Interv. 2026;19(7):874–885.
#STEMI #Cardiology #RightHeart #Echocardiography #TAPSE #MedEd #MedTwitter

[RTHahnMD @hahn_rt]

10 Issues for the Clinician in Tricuspid Regurgitation: 2025 ACC EDCP https://t.co/WVeKnC4OiW @JACCJournals @ACCinTouch @escardio @purviparwani @iamritu

[MA Garcia Fernandez @MAecocardio]

El strain auricular izquierdo (SAI) detecta enfermedad subclínica del miocardio auricular subclínica y podría afinar el riesgo embólico más allá del CHA₂DS₂-VASc.
¿Qué aporta realmente frente al score clásico?… ¡Esta es la pregunta!

[Dr. Gilbert Tang @GilbertTangMD]

JUST OUT on actual ANATOMIC visualization of the 5-type morphological classification of #TricuspidValve anatomy published previously by @hahn_rt et al, now correlated with #Echo #TEE and schematic by @juliendreyfus1 et al. in #JACCIMG @JACCJournals . A MUST-READ and print-out in every echo and cath lab to help ID tricuspid morphology during initial TEE screening and intraprocedurally, to determine #Tricuspid #TEER feasibility and case planning on grasping strategy and device orientation.

FREE download here for a LIMITED time:
https://t.co/r4AwOd71Rc
https://t.co/3zs1JZvkGL

[CardioTeca @cardioteca]

🆕 Evaluación hemodinámica no invasiva en el shock cardiogénico por insuficiencia cardiaca.

📕 Eur Heart J Acute Cardiovasc Care
📁 https://t.co/TIVivIreHj

[JACC Journals @JACCJournals]

A new paradigm for decongestion in acute #HeartFailure. Rapid uptitration of neurohormonal blockade after HF hospitalization is associated with effective, sustainable decongestion and better outcomes. https://t.co/GFXNTGgfeo

#JACC #STRONGHF @ppponikowski @DaniTomasoni_

[Tomás Miranda Aquino @Tomas_MA_Cardio]

8va cumbre Interinstitucional de Casos Clínicos @SONECOM_AC. Porque siempre es mejor aprender viendo casos clínicos. @VazyurVasquez @EduardoVR03 @MenciaD_Cardio @MDBeni @CyntiaMachain @ANCAM_MEXICO @smexcardiologia

[Edoardo Zancanaro MD @EZancanaroMD]

🫀🔥#ESCCongress on mitral

ATRIAL #MR IS FACT🔥

@JACCJournals @PCRonline @escardio @ESCardioNews @KemalogluOz @Steph_Achenbach @mirvatalasnag @Giulia_Vinco #JACCCaseReports

[Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 @DrMarthaGulati]

#ESCCongress #guidelines
Need for surgery with IE
🫀severe acute regurgitation AR, MR
🫀 S Aureaus urgent indication for Sx
🫀Sx for large vegetations
🫀Sx for prosthetic valve is Class IC

[European Society of Cardiology @escardio]

#Semaglutide improves heart failure-related symptoms and physical function and results in greater weight loss compared with placebo in patients with #HFpEF and #obesity ⬇️

#ESCCongress STEP-HFpEF trial

[European Society of Cardiology @escardio]

NEW: 2023 #ESCGuidelines for the management of #CardiovascularDisease in patients with #diabetes 👉
https://t.co/PCNsXMeMse

#ESCCongress #CVD

[European Society of Cardiology @escardio]

NEW: 2023 Focused Update of the 2021 #ESCGuidelines for the diagnosis and treatment of acute and chronic #HeartFailure 👉https://t.co/YIoDxXjbaC

#ESCCongress #HF