The 2026 ESC Heart Failure Guidelines just changed how we classify and treat heart failure.
One major shift: HFmrEF is gone.
HFrEF now extends up to LVEF 50%.
But that is only the beginning.
Here are the changes every clinician should know:
🚨BREAKING NEWS from #ESCCongress: The first 1️⃣ ESC Guidelines for the Management of Cardiovascular Disease and Chronic Kidney Disease are here!🫀🫘
The new approach: STAMP on CKD
📍 S-Screen: All patients with CVD should be screened for CKD using both eGFR and spot urine ACR; not creatinine alone
📍 T-Triage & stage: CKD is diagnosed when eGFR <60 mL/min/1.73 m² and/or uACR ≥3 mg/mmol persists for ≥3 months
📍 A-Address risk: Smoking cessation, weight control, physical activity and an SBP target of 120-129 mmHg, when tolerated
📍ACEi/ARB, statin-based therapy and SGLT2 inhibitors are recommended in the majority of patients with CKD, according to the individual indication & kidney function
📍Diabetic CKD with albuminuria, add GLP-1 RA & non-steroidal MRA when appropriate
📍 M-Modify CVD management: CKD changes drug pharmacokinetics and increases the risks of hyperkalaemia, bleeding and AKI; but necessary cardiovascular treatment should not be unnecessarily delayed
📍In HF with CKD, SGLT2 inhibitors & loop diuretics for congestion are recommended irrespective of LVEF, with additional therapy guided by EF and eGFR; overall there is limited evidence when eGFR <30 mL/min/1.73 m²
📍 P-Plan services: identify high-risk patients, minimize CKD-related treatment delays & strengthen multidisciplinary care
Read more📚: https://t.co/RUsCVUAyCu
@escardio #ESCGuidelines
#CKD #CVprev #Prevention #CVD
@kevin_damman@jozinetm
🚨🚨Update terapi DIARE anak terbaru : ZINC 5 mg segala usia. Karena efektifitas sama dengan dosis sebelumnya (10-20mg/hari), namun efek samping muntah lebih sedikit. 👦🏻👧🏻
Pegasus 1 Agustus 2026; Pediatric Gastroenterologi Hepatologi UKK IDAI
Cowok 25 tahun kena demam tinggi dan diare berdarah habis makan jajanan pinggir jalan.
Karena capek bolak-balik ke toilet, dia minum obat diare.
Diare memang berhenti.
Tapi 2 hari kemudian perutnya membesar, tensinya turun, dan akhirnya masuk ICU.
Kok bisa? 🤔
Anda sedang berjaga di IGD RS Tipe C, non-PCI Capable center. Kemudian datang pasien laki-laki berusia 54 tahun tidak sadarkan diri saat berjualan di pasar, sebelum pingsan pasien dilaporkan mengeluhkan nyeri dada kiri disertai keringat dingin.
Saat datang ke IGD kondisi pasien mengalami henti jantung. Setelah dilakukan Resusitasi Jantung Paru dengan 1x injeksi Epinefrin 1 mg dan 1x Defibrilasi 200 J, pasien ROSC dengan GCS 3-2-5, HR 43x/mnt, RR 24 x/mnt, dan tekanan darah 70/40, akral dingin, auskultasi paru clear, serta gambaran EKG dan monitor seperti dibawah
Apa asesmen anda dan sebutkan langkah stabilisasi yang perlu dilakukan sebelum melakukan rujukan ke PCI-Capable center?
AKI guidelines hadn’t been updated since 2012.
The KDIGO 2026 AKI/AKD Public Review Draft just dropped and it changes how we define, diagnose, and follow up after acute kidney injury.
Here’s what every nephrologist, intensivist, and internist needs to know 🧵
⚠️ Public review draft only · Not yet final guidelines
I’m really not exaggerating here… this scene alone has somehow elevated One Piece to even new levels for me
Might be the most I’ve cried watching the show tbh, I must’ve rewatched it over 100 times last night.
2018 saya pernah ngasih tips ini ke beberapa orang.
Semuanya berhasil dapet nilai IELTS 7 ke atas
Ini bukan jalan pintas, perlu willpower dan konsistensi.
But it works
Final interview. HR tanya: "Ekspektasi gaji kamu berapa?"
Otak lo blank.
Lo jawab: "Sekitar 15 juta, Pak."
HR senyum. Nulis di kertas.
Lo baru aja kehilangan 5 juta per bulan dalam 5 detik.
Ini jawaban yang BENER biar lo bisa dapet gaji terbaik pas negosiasi: