DocNation

|Cardiology Fellow| |. In the morning light, your decision is simple: Stay wrapped in dreams, or rise and hunt them down.

[DocNation @drLeanDre]

🌍✈️ Back lately from an incredible journey! #eurotrip ✨
Ticked off some top spots of the #VisitRwanda partners ,the likes of @psg and now the legendary @fcbayern (it can’t be councidence 😅).

From breathtaking landscapes to lively markets, Rwanda truly has it all! 📸🎉 spilled the beans about Rwanda to my euro amigos for all the beautiful Places 🦍🦜🦓hope i convinced them enough to visit 😅!

Note : this is a personal reflection not affiliated with mentioned partners.
#visitrwanda 🇷🇼
#PSG #fcbayern #harrykanefanpage

[DocNation @drLeanDre]

@rkalyes1 @kibirigedavis @WilliamLumu Keep that LDL very low !👌🏽

[Heart Rhythm Case Reports @HRS_CaseReports]

Left Bundle Branch Optimized Cardiac Resynchronization Therapy with Leadless LV endocardial pacing (LOT-endo CRT)
@Hirok217
https://t.co/PB7T8VoYn3

[Dmytro Babliak, MD, PhD @BabliakD]

Several e-posters presented at #ISMICS2026 focused on challenging aortic surgery through a RAT

🔹 David procedure
🔹 Bentall procedure
🔹 Redo AVR after minimally invasive CABG

Proud to share our experience with these complex minimally invasive procedures. Links in the comments

[Reid Wiseman @astro_reid]

I sorta had a tiny little hunch this crew would gel brilliant during the mission when @Astro_Christina started mocking my weekly updates during training. This one from @NASAKennedy back in December 😂

[European Society of Cardiology @escardio]

#EHRA26
Check out the summary for BEAT PERS AF, a randomised comparison of PFA vs RFA 👇

[European Society of Cardiology @escardio]

#EHRA26
Explore the animation comparing left bundle branch area pacing and biventricular pacing for CRT 👇

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

During CAG, if you see coronary collaterals to the lungs suspect CTEPH as the cause for effort dyspnoea in patients with very poor echo window where echo evaluation might have been improper. Pre CAG X-ray may give enough clue for it.

[NBA @NBA]

Pump. Stepback. GAME. 😤

Tigers remain perfect on the season after a clutch finish in @theBAL!

[CardiovascularCorner @TrackYourHeart]

Answer: D. At least 45 days

After implantation of the WATCHMAN device using femoral vein access and transseptal catheterization, anticoagulation with warfarin is recommended for at least 45 days, at which time anticoagulation can be discontinued if there is no TEE evidence of peridevice flow.

Reference: Braunwald’s Heart Disease, Textbook of Cardiovascular Medicine

Additional insight:
Recent evidence from the New England Journal of Medicine comparing left atrial appendage closure with physician-directed medical therapy in high-risk atrial fibrillation patients showed:

⚫LAA closure did not achieve noninferiority compared with optimal medical therapy (including DOACs)
⚫The composite outcome (stroke, systemic embolism, major bleeding, or cardiovascular death) was not significantly better with device therapy
⚫Adverse events were slightly higher in the device group
⚫These findings reinforce that optimal medical therapy remains a strong standard, and LAA closure should be selectively used, especially when anticoagulation is not feasible
https://t.co/AXmAsvGjt4

[NEJM @NEJM]

Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: https://t.co/qAMC2o36Mi

Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? https://t.co/KyOWdblUR3

[John Mandrola, MD @drjohnm]

> 600,000 left atrial appendage devices have been placed

NOT NONINFERIOR 👇🏻

Trial is large, nonindustry funded and done in experienced centers in Germany

Endpoint had both efficacy and safety components and still did not make non-inferiority

I tried to tell you all

[DocNation @drLeanDre]

@GaindeYi Nah 😂🔥… winning finals on paper now? Keep it.
Senegal don’t do imaginary trophies
real champions prove it on the pitch ���🇸🇳

[DocNation @drLeanDre]

@CAF_Media Nah 😂🔥… winning finals on paper now? Keep it.
Senegal don’t do imaginary trophies
real champions proved it on the pitch 💪🇸🇳

[DocNation @drLeanDre]

@SkySportsNews Nah 😂🔥… winning finals on paper now? Keep it.

Senegal don’t do imaginary trophies
real champions prove it on the pitch 💪🇸🇳

[NEJM @NEJM]

For a patient with hypertension, would you recommend a systolic blood-pressure target of less than 120 mm Hg and or a target of less than 140 mm Hg? Vote on the best option: https://t.co/VZOTAyMYAo

[DocNation @drLeanDre]

Do you remember when you joined X? I do! #MyXAnniversary

[DocNation @drLeanDre]

@Irina67790690 There is also Pulmonary insufficiency

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Needle manipulation using the surgical field and the DeBakey dissection clamp 💥⤵️🔪! How to do it! To perform forward and backward stitching! @pferrada1 @SWexner @AmCollSurgeons @BJSAcademy @CiruAndes2

[BBC Sport @BBCSport]

Lewis Hamilton says he doesn't want to retire from Formula 1 until he can race in a grand prix in Africa 🌍