Alberto Castillo M.D.

Alberto Castillo M.D.

[Gregg W. Stone MD @GreggWStone]

Meta-analyses of intravascular imaging guidance of PCI show markedly improved outcomes, but only if you use this tool properly — pre-, intra- and post-PCI and with appropriate targets. How do you do it? Our new state-of-the-art review in EHJ takes you through it step by step.

[EuroIntervention @EuroInterventio]

Invasive physiological assessment using continuous thermodilution showed that PCI reduces epicardial resistance and increased hyperaemic coronary flow, while resting flow remained unchanged due to microvascular autoregulation.

https://t.co/PLy11lhpAh

#PCI #FFR #CoronaryPhysiology

@GiovanniLuigiD1 @ColletCarlos

[FRANCESCO BURZOTTA @BURZOTTA_F]

The saga of #DCB vs. #DES is just at the start. Will this DES WIN OVER DCB in a large #PCI trial on de novo lesions generate more comments than the last non inferiority DCB trials? https://t.co/YSYjEfo2XL

[Orlando RPN @OrlandoRPN]

Nomás no vayan a salir con su mamada de qué sí eran mejor los abrazos

[CardiovascularCorner @TrackYourHeart]

The nature is smart
Blood doesn’t crash into the LV, it glides.
The anterior mitral leaflet quietly shapes inflow into a smooth arc, guiding it straight toward the LVOT.
Less turbulence. Less wasted energy. Elegant design.🍷🍷

[Davide Capodanno @DFCapodanno]

A new research study redefined optimal IVUS minimal stent area (MSA) thresholds for single-stent crossover in unprotected left main disease: proximal left main ≥11.4 mm², distal left main ≥8.4 mm², and left anterior descending ostium ≥8.1 mm². https://t.co/RQz3qdDlJr

[Oscar Arias @OACerebro]

Enjoy!

https://t.co/YybiZJvXP8

[Massimo @Rainmaker1973]

Leonardo Da Vinci wrote in his notebooks that the heart was "vortex oriented".

In fact blood doesn't flow in a laminar fashion, whereas in reality the main pattern appears to be a vortex.

[📹 outsubo.ana]
https://t.co/KDyVvBMkv2

[Raffaele Piccolo @piccoloraf]

Reverse Aslanger pattern: acute lateral OMI with isolated STE in aVL.
Concomitant diffuse subendocardial ischemia generates opposing ST vectors, canceling lateral STE in contiguous leads and leaving aVL as the only positive projection.
⚠️ Does not meet STEMI criteria but represents true coronary occlusion.

🔗 https://t.co/F4YMKfqfWx

@mmamas1973 @mirvatalasnag @jedicath @Hragy @drptca @djc795 @SripalBangalore @alaide_chief @EAPCIPresident @CMichaelGibson
@SimoneBiscaglia @SABOURETCardio @escardio @SCAI @AHAScience @ACCinTouch
ECG ⬇️

[🇲🇽 México Mágico ✨ @MexicoMagico]

Todo bien en el Motel Roma 🙏🏽 #Sismo

[Mind Muscle Project @mindmusclepro]

This is how your Lipid Profile should look like

✅ HDL - Higher is better

Optimal: ≥ 60 mg/dL

Acceptable: > 40 mg/dL (men), >50 mg/dL (women)

✅ LDL - Lower is better

Optimal (for low-risk individuals) < 100 mg/dL

Optimal (for high-risk individuals): < 70 mg/dL

✅ Lp(a) - Lower is better

Optimal: < 14 mg/dL
Borderline: 14–30 mg/dL
High risk: > 30 mg/dL

*Genetic factor, can’t be modified

✅ Triglycerides - Lower is better

Optimal: < 100 mg/dL
Acceptable: 100–150 mg/dL
High risk: > 150 mg/dL

✅ VLDL - Lower is better

Optimal: 5–15 mg/dL
Acceptable: 15–30 mg/dL
High: > 30 mg/dL

✅ ApoB - Lower is better

Optimal: < 80 mg/dL
Good: < 90 mg/dL
High risk: > 100 mg/dL

✅ ApoA1 - Higher is better

Optimal: > 140 mg/dL (men),
> 150 mg/dL (women)

✅ Triglyceride/HDL Ratio - Lower is better

Optimal: < 2 (in mg/dL units)
Poor: 2–3
High Risk: > 3

✅ ApoB/ApoA1 Ratio - Lower is better

Optimal: < 0.6
Good: 0.6–0.8
High risk: > 0.9

✅ Total Cholesterol- Context matters more than the absolute number.

For most people, < 200 mg/dL is better

✅ Total Cholesterol / HDL Ratio - Lower is better

Optimal: < 3
Good: 3 – 4
High risk: > 4.5

[Borja @borjalcazar]

🧵 ANÁLISIS BERGHAIN - ROSALIA

1. PLANO INICIAL:

Rosalía llega a su casa y abre las cortinas para que entre la luz. La estatua de la Virgen marca desde el principio la dualidad clave: espiritualidad vs. deseo. El hogar es refugio, pero también prisión.

[Chicha Roan @jush_for_fun]

How Bad Do U Want Me

[Alberto Castillo M.D. @Alberto41904683]

@AMENARTPOP Lovedrug, So Happy I Could Die, Mari Jane Holland, ARTPOP, 1000 doves…

[Alberto Castillo M.D. @Alberto41904683]

@PopHubOfficial @ladygaga @Beyonce Telephone is such a massive hit!!

[Eric Topol @EricTopol]

Importance of carotid artery atherosclerosis progression by ultrasound (carotid plaque burden, cPB) for prediction of all-cause mortality in a prospective study of 5,700 participants without symptoms
https://t.co/mb2CNq2yNM
cPB was more informative for risk than coronary artery calcium score @JACCJournals

[Eren ᱬ @erenfromtargets]

the best albums are always black &amp; white

[ev @evwb0910]

@ilovedinoman Gwen Stefani - Zombie boy
Timbaland/Nelly Furtado - Garden of Eden
Evanescence/linkin park - Perfect celebrity
Tina Turner - Dont call tonight
Taylor swift - How bad do you want me
Mj - Shadow of a man
Evanescence - The Beast

[Gregg W. Stone MD @GreggWStone]

NEW! 2025 US guidelines for the management of ACS (STEMI and NSTE-ACS) just released. Intravascular imaging guidance with OCT or IVUS during PCI in ACS is now recommended for left main or complex lesions with a class IA recommendation.

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

Femoral or Radial Secondary Access in TAVR: A Subanalysis From the Multicenter PULSE Registry: @JACCJournals

🥸So we tried to use #radialfirst in TAVR like the old days, but we were shot by anesthesia!

😱Summary

👇👇👇