Ruz Ivn

Is that really necessary?

[Alfonso Jurado-Román @JuradoRomanAl]

KUDOS to @CamachoFreire @AntonioGomezM21 and all the team for such an important study. Amazing job that fills the GAP of #OCT threshold to treat or defer #LM treatment. Very happy to collaborate from @Hemodin_LaPaz with our friends of @hujuanramon 👏🏾👏🏾👏🏾👏🏾 @shci_sec @PCRonline

[JACC Journals @JACCJournals]

In patients with symptomatic single-vessel chronic total occlusion, percutaneous coronary intervention for coronary chronic total occlusion (CTO PCI) improves angina beyond placebo.

Get the details in #JACC: https://t.co/yX0FDuSOjl #ACC26 #PCI #CTO @dr_skhan1

[The Lancet @TheLancet]

PCI before TAVI—necessary?

In patients with CAD, deferring PCI was noninferior to a PCI-first strategy at 1 year for the composite of death, MI, stroke, and major bleeding.

https://t.co/KwN2tauPyY #ACC26

[C. Michael Gibson MD @CMichaelGibson]

HOST-EXAM trial 10-year results: Clopidogrel monotherapy is superior to aspirin for chronic maintenance after PCI, significantly reducing both thrombotic and bleeding events. #ACC26 View slides here: https://t.co/ihoudzlxIi

[Dr. Purvi Parwani @purviparwani]

HI-PEITHO key takeaways #ACC26

🫀 Intermediate-risk PE = stable patients with RV strain + positive biomarkers
⚖️ ultrasound-facilitated catheter-directed thrombolysis + AC vs AC alone in this “gray-zone” group
📉 ↓ Early clinical deterioration: 4.0% vs 10.3%
🚑 Benefit driven by ↓ hemodynamic collapse—not mortality
🩸 No ↑ major bleeding or ICH → supports selective early intervention

[European Society of Cardiology Journals @ESC_Journals]

🌍 Real-world outcomes with the Navitor™ intra-annular TAVI system in an all-comers population. High technical success and favorable hemodynamics at 12 months. 🔗https://t.co/X2bjzY0F24

#EHJVSHD #TAVI #StructuralHeart #AorticStenosis @EHJVSHDEiC @Giorgia_Benzoni @PanichellaG @AOskar @EAPCIPresident

[EHJ Editor-in-Chief @ehj_ed]

Complete revascularization timing in ST-segment elevation myocardial infarction and multivessel disease with heart failure: the OPTION–STEMI trial. Read more in the @EHJ at https://t.co/stq8rQbeSo #STEMI #MyocardialInfarction #HeartFailure @ESCardio @ESC_Journals

[CardiovascularCorner @TrackYourHeart]

Newly diagnosed #AtrialFibrillation? This flowchart breaks down acute & long-term management, rate vs. rhythm control, and when to consider catheter ablation.

Ref: UpToDate, AHA 2023, Mayo IM Board Review Course (Dr. Abhishek Deshmukh)

[Dr. FEVI🫀🩺 @javier20ch]

Evaluación hemodinámica para diferenciar entre Pericarditis Constrictiva 🆚️ Miocardiopatía Restrictiva. 🤨🔎🫀💢⁉️
🔶️Mediante una evaluación invasiva, la MCR se caracteriza por presiones de llenado diastólico elevadas y una rápida igualación de las presiones de llenado de las 4 cámaras durante la diástole, con un patrón frecuente de "caída y meseta" o "raíz cuadrada" (dip-plateau) en los trazos de presión.
🔶️Este patrón se hace mas evidente con maniobras que aumentan el llenado ventricular, como la infusión de volumen, elevación de las piernas o inspiración profunda.
✔️Pericarditis Constrictiva: signo raíz cuadrada〽️ con descenso (dip) mas rápido, mayor interdependencia ventricular (mas notoria), igualación casi completa de las presiones diastólicas (diferencia de VI y VD es <5 mmHg).
✔️Miocardiopatía Restrictiva: signo raíz cuadrada〽️ con descenso (dip) menos pronunciado, menor interdependencia ventricular (menos notoria), igualación de las presiones diastólicas pero suele haber mayor diferencia (VI > VD por >5 mmHg).

https://t.co/XowDKM09uJ
https://t.co/KibVpIA1Mh

[Ahmed Ata @Ahmedata7777]

FFR vs iFR

Both are invasive physiological measurements used to assess the significance of coronary artery stenosis during coronary angiography.

● FFR (Fractional Flow Reserve):
Ratio of the maximum achievable blood flow in a diseased coronary artery to the theoretical maximum flow in a normal coronary artery.

● iFR (Instantaneous wave-Free Ratio):
Measures pressure gradient across a coronary stenosis during a specific part of the cardiac cycle (diastole's "wave-free period") when resistance is naturally low.

When to Use Each?
✅ Use iFR for simpler, faster assessment without drugs.
✅ Use FFR when hyperemic data is critical or in borderline cases.

[Diego Araiza MD @drdargaray]

Is STEMI reperfusion a satisfied need?
🚩NO! - Most developing countries still face significant barriers for reperfusion

So, let me take you through our new "Clinical Consensus Statement for STEMI reperfusion in LMICs, representing ACVC, EAPCI, EAPC, ESCWGT &amp; SSL"

A tweetorial

[Ahmed Ata @Ahmedata7777]

Cri­te­ria pre­dict­ing out­come im­prove­ment in pa­tients with se­vere ven­tric­u­lar sec­ondary mi­tral re­gur­gi­ta­tion un­der­go­ing mi­tral tran­scatheter edge-​to-​edge re­pair:

ESC Guidelines

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

Preventive percutaneous coronary intervention for non-flow-limiting vulnerable atherosclerotic coronary plaques in diabetes: the PREVENT trial

🥸 Preventive PCI in diabetics!!!

😱Look at this

👇👇👇

[Ruz Ivn @RuzIvn]

@arielle_ba Se multiplican al doble por correr con el perro calor que hace ahí

[Ruz Ivn @RuzIvn]

@arielle_ba Eh gpi

[Ruz Ivn @RuzIvn]

#NuevaFotoDePerfil

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

CRISPR-Cas9 Gene Editing with Nexiguran Ziclumeran for ATTR Cardiomyopathy: @NEJM

🥸nex-z - great trials @AHAScience

😱 Summary

👇👇👇

[Ruz Ivn @RuzIvn]

@teretisca Psyco

[Ruz Ivn @RuzIvn]

Si hubiera sabido que era un sueño, jamás me hubiera despertado.

[Ruz Ivn @RuzIvn]

@arielle_ba @nxstypxet Hahahahaha ojalá