mightyramirez

Cardiologist, Cardiac Electrophysiologist, Movies, Food and Rhythm (MFR) Enthusiast

[mightyramirez @MightyMouseMFR]

I have the best seat in the house.
Ready for Dr @Glaucomflecken 🤩

#HRS2026

[mightyramirez @MightyMouseMFR]

@netta_doc @utedrow @lusty63 @wgstevenson1 @PaulVarosy @paulzei @TheRhythmDoc Always in Sinus Rhythm 🎵😃

[Dr.Hamad Aljarallah @hamad_jr7]

🧵The 2026 ACC/AHA Dyslipidemia Guidelines are officially out!
These new updates bring major shifts in risk assessment, novel lipid markers, and cholesterol targets.
Open access 🔓
https://t.co/NYwsuLQYYz
Here are the most salient features you need to know.👇

[mightyramirez @MightyMouseMFR]

@syamkumarmd Inside the heart 😃

[mightyramirez @MightyMouseMFR]

#EHRA2025

It was an extreme delight and honor to deliver this talk for the EHRA2025 Congress.

Thank you Asia Pacific Heart Rhythm Society and European Heart Rhythm Association for the invitation.

“In any challenging patient, we have the opportunity to be at our best 😊”

[mightyramirez @MightyMouseMFR]

@APHRSOfficial @EHRAPresident Thank you @APHRSOfficial and #EHRA for the opportunity to give this talk.

[mightyramirez @MightyMouseMFR]

Salute to emergency physicians out there 👍

[Dr. Rick Pescatore @Rick_Pescatore]

Emergency medicine is a lifestyle, not just a job.

You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵

[mightyramirez @MightyMouseMFR]

Holy cow! It keeps getting better and better 😃

[Abdulla A. Damluji, MD, PhD @DrDamluji]

Effect of Sodium-Glucose Cotransporter-2 Inhibitors on the Progression of Aortic Stenosis: @JACCJournals

🥸Nice work on SGLT2i and Aortic Stenosis from the Yale Group @AlexandraLansky

😱 Good morning

👇👇👇

[mightyramirez @MightyMouseMFR]

@ecgandrhythmRoe Fast, broad, irregular, ugly = Preexcited AF

[mightyramirez @MightyMouseMFR]

That consult may be routine.
That test may be routine.
That intervention may be routine.
But to the Patient, it is EVERYTHING.
Never forget the person at the other side of the stethoscope.

[mightyramirez @MightyMouseMFR]

@syamkumarmd @KostekMilan Wow! I am a big fan of wedensky phenomenon and supernormal conduction. What an amazing tracing!

[mightyramirez @MightyMouseMFR]

@Toaster_Pastry Yikes

[mightyramirez @MightyMouseMFR]

@DrGregMichaud It was a joke. Shouldn’t offend anyone. Loved it 😃

[mightyramirez @MightyMouseMFR]

Every patient encounter…is an opportunity to change the world 🌎😊

*LDL to target
*BP to goal
*GDMT
*optimal medical treatment
*interventions for indications
*quality care
*shared decision making
*cure some, relieve often, comfort always

[mightyramirez @MightyMouseMFR]

@syamkumarmd Right lateral

[mightyramirez @MightyMouseMFR]

Patience, Persistence, Perseverance = Pathway to the Podium
Carlos Yulo, Gold Medal
#Paris2024Olympics
Pinoy Pride 👏👏👏

[mightyramirez @MightyMouseMFR]

Power up!

[mightyramirez @MightyMouseMFR]

Looking forward

[peterkistler MBBS PhD FHRS @peterkistler3]

A randomized sham‐controlled study of PVI in symptomatic AFib (SHAM‐PVI study) to be presented #ESC2024 @escardio @drjohnm @Dr_RajDulai https://t.co/5a0ERJfdCo

[mightyramirez @MightyMouseMFR]

FAST better than SMART 😃

[Brendan O'Sullivan 🇮🇪🇪🇺 @ImtaBrendan]

Researchers at MIT have questioned whether SMART goals (specific, measurable, achievable, realistic, time-bound) actually work. They suggest we might get better outcomes if we make our goals FAST (frequently discussed, ambitious, specific and transparent) not SMART.

[mightyramirez @MightyMouseMFR]

@syamkumarmd Amazing tracing!