En Ze

cardiology, learning and sharing

[Dr. Filippo Cademartiri @FCademartiri]

🥑🫀 Cardiovascular Nutrition in 2026: Cutting Through the Noise

In an era dominated by social media claims and dietary polarization, this state-of-the-art review in JACC Advancesprovides much-needed clarity on trending cardiovascular nutrition controversies  .

Rather than ideology, the authors categorize foods into three evidence-based groups:

⚠️ Evidence of Harm – Limit or Avoid
• Beef tallow → raises LDL-C and worsens cardiometabolic markers
• Ultra-processed foods (UPFs) → linked to obesity, diabetes, CVD, and mortality
• Artificial sweeteners & sugar alcohols → associated with higher CV events and possible pro-thrombotic mechanisms

🤔 Insufficient Evidence
• Full-fat dairy → neutral overall; not superior to low-fat
• MCT oils → niche therapeutic roles, no strong CVD prevention data
• Monk fruit & stevia → limited cardiovascular outcome evidence

✅ Evidence of Benefit
• Seed oils (PUFAs & MUFAs) → lower LDL-C, improve insulin sensitivity, reduce CVD risk
• Seafood (EPA/DHA) → robust association with reduced coronary events, stroke, and CV mortality

🔬 What’s innovative here?
This review directly addresses modern misinformation (e.g., “seed oils are toxic,” “beef tallow is healthier,” “artificial sweeteners are harmless”) and reframes recommendations based on RCTs, biomarkers, and long-term outcome data.

🎯 Take-Home Messages
1️⃣ Replace saturated animal fats with unsaturated plant oils.
2️⃣ Minimize ultra-processed foods.
3️⃣ Seafood remains cardioprotective.
4️⃣ Artificial sweeteners are not risk-free.
5️⃣ Nutrition advice should be evidence-driven—not influencer-driven.

In short:
The fundamentals of heart-healthy eating remain solid.
The controversy is louder than the science.

[En Ze @ceze]

In patients with severe aortic stenosis, the tricuspid group had more comorbidities, a lower AVC score and higher CAC scores than the bicuspid group. A higher CAC score confers a poorer prognosis in this cohort of patients. #ESCCongress2025
https://t.co/ooGAZDRoYk

[En Ze @ceze]

The great debate: Device detect AF, should we anticoagulate? #ESCCongress #ESCCongress2025

[Alexander Mladenow MD @alex1708ander]

Adam Christian Thebesius 1686-1732

To get the coronary sinus (CS) in TEE slowly advance the probe from the mid-esophageal 4Ch view till the MV disappears and instead of it the CS appears #echofirst

By zooming in on the image the Thebesian valve can be occasionally seen

[NUHCS - National University Heart Centre,Singapore @NUHCS]

Mitral Stenosis diagnosis, redefined.

Yeo’s Index, developed by A/Prof Yeo Tiong Cheng, Senior Consultant, #NUHCS, is the 1st cardiology index by a Singaporean cardiologist. It enhances risk stratification & clinical decisions, advancing patient care.

https://t.co/Or3RglLB4Y

[En Ze @ceze]

@drkevinjj @TuftsMedicalCtr @NavinKapur4 @manreetkanwar @JHMontfort10 @ShashankSinhaMD @hfdocbhimaraj @ReshadGaranMD @Abraham_Jacob @BurkhoffMd @Ajar_Kochar Congratulations!!

[En Ze @ceze]

Trans-national tutorial over the South China Sea. Dr @YinghaoLim from NUHCS, Singapore gave an amazing tutorials on cardiac hemodynamics to Dr in Sarawak, Serdang and the Philippines! Teaching without boundaries!
Thanks Dr Joshua for organizing.

[En Ze @ceze]

@HausofHilton Congratulations!

[Associate Prof William KF Kong 江国辉副教授 @WilliamKokFaiK1]

I would like to thank GE for inviting me to share our centre experience of using the latest mini TEE probe called the 9 VT. We had been using this new technology for our structural intervention like pfo, asd, LAA and PTMC in NUH, other speakers include Dr Ivandito Kuntjoro

[Cardiac Trials @CardiacTrials]

The Echo right heart cath 🫀

Estimating chamber pressures via echocardiographic doppler parameters
#cardiology #meded

[En Ze @ceze]

Case sharing. #aictpcr

[En Ze @ceze]

Sarawak Heart Center gang! #aictpcr

[En Ze @ceze]

So happy to meet senior from CMC! @dimpucardio #aictpcr

[En Ze @ceze]

@mkhairulazri I think it's okay bagi anak elit bergauh dengan anak biasa. Itu panggil networking. So anak biasa boleh jadi elit kemudian. That's how you become elite.

[NephroPOCUS @NephroP]

The OG of all #VEXUS illustrations‼️
From Tang & Kitai's editorial in JACC: Heart Failure, 2016
#POCUS #FOAMed #Nephpearls

[Pooja S. Jagadish, MD @PoojaJagadishMD]

Do not perform ASD Closure in patients with:
🫀PASP > 2/3 systemic
🫀pulmonary vascular resistance > 2/3 systemic
🫀and/or net right-to-left shunt
(Class III, Harm)
There is high morbidity/mortality in patients with open shunts (e.g. ASD + Eisenmenger).

[The Heart @ZHeart11768530]

🔴Understanding the devices used for mechanical circulatory support is essential if you work in an ICU.

🔹Here are 4️⃣ ICU OnePagers, one about about each of the most common devices:
- IABP
- Impella
- vaECMO
- LVAD

🔹https://t.co/6M8iIwICyF
#cardiology #clinical #CardioEd

[Richard Ferraro @RichardAFerraro]

Alright team, getting on the same page

Infographic on screening & surgery recs for heritable diseases from 2022 ACC/AHA Aorta guidelines

Making these for myself #Cardiology boards, but hope helps in general. Hopefully more of these to come

Thoughts always appreciated

[En Ze @ceze]

ESC becoming woke?

[Vinay Prasad MD MPH @VPrasadMDMPH]

Some thoughts on #ESCCongress decision to remove women from CHADS-2-VASc.

https://t.co/5OR6TJU0KX

[Ahmed Mohsen @drahmedmohsen85]

New 2024 ESC guidelines

1-AF

https://t.co/tLwNQmbCnR

2-Aortic and PAD

https://t.co/y3VL9UGogT

3-HTN

https://t.co/bXWZFcpOU5

4-CCS

https://t.co/ckhLP5BgPD