Dhanang Ali Yafi

[Dhanang Ali Yafi @fi_yafi]

@drahmedmohsen85 Tips

[Sara Moscatelli @saramoscatelli7]

🫀 Pericarditis imaging: from diagnosis to therapy guidance
Pericarditis is no longer just a clinical diagnosis.
👉 It’s becoming an imaging-driven disease.

🧠 The paradigm shift
We used to ask:
👉 “Is this pericarditis?”
Now we ask:
👉 “What type, what activity, and what stage?”

➡️ And imaging is the answer
📊 Each modality has a role (and none is enough alone)
🫀 Echo = first step
Effusion
Tamponade
Hemodynamics
👉 Fast, available, essential
❌ But blind to inflammation

🧬 CMR = game changer
👉 Best tool for inflammation
Edema (T2)
LGE → neovascularization/injury
Sensitivity up to 85–95%
💡 Key insight:
LGE ≠ just presence
It’s extent + intensity + evolution
➡️ Defines:
Active vs chronic disease
Reversible vs fixed constriction

🧱 CT = structure
👉 Best for:
Pericardial thickness
Calcification
Surgical planning
➡️ Especially in chronic / constrictive disease

🔥 PET = inflammation (when unclear)
👉 Detects metabolic activity
Useful in:
Refractory cases
Systemic disease
Diagnostic uncertainty
➡️ Not first-line, but high-value in complex patients

🧩 The key concept: imaging biomarkers
6 pillars (see Figure on page 10 👇):
Edema
LGE (neovascularization)
Thickening
Effusion
Constriction
Fibrosis/calcification
➡️ This is how we phenotype pericarditis

💊 And this changes treatment
👉 Imaging is now guiding therapy:
High LGE / edema →
➡️ prolonged anti-inflammatory therapy
➡️ consider IL-1 inhibitors
Persistent LGE →
➡️ escalation
No LGE + fibrosis →
➡️ think surgery
⚠️ Important nuance
👉 Imaging ≠ everything
Normal imaging ≠ no disease
LGE ≠ always active inflammation
Must integrate:
Clinical picture
CRP
Symptoms

🧠 Clinical take-home
We are moving from:
❌ “treat symptoms”
➡️ to
✅ “treat imaging phenotype”

🔥 Big message
Pericarditis is now:
👉 an imaging-guided disease
And CMR sits at the center of this shift.

#Pericarditis #CardiacImaging #CMR #Cardiology #CardioImmunology #PrecisionMedicine 🫀🧬
https://t.co/Nwa0mUCuw4

[李醫生 @drliyong6808]

近来，有学者提出「LDL-C累积暴露」的概念：在处于较高的LDL-C水平下的时间越长、发生动脉粥样硬化病变的风险就越大。

哈佛大学的Eugene Braunwald教授在欧洲心脏杂志撰文，支持LDL-C累积暴露的理念，强调尽早启动降低LDL-C治疗，更长时间保持LDL-C处于降低水平，就有可能活到100岁不罹患冠心病。

[Chris Bray @docbraymd]

A great resident or fellow learns to navigate uncertainty, communicate clearly, prioritize well, and balance self-care with professional duty. They take ownership, remain teachable, and design care around the individual patient. Just as importantly, they understand exactly which studies support current practice, including who was studied, what treatment was given, and what outcomes were measured. Knowledge matters, but so do reliability, judgment, humility, and the ability to connect evidence to the person in front of you.

[Evandro Martins F. MD @evandrofilhobr]

With deep sorrow, I received the news of Dr. Eugene Braunwald’s passing, one of the greatest figures in world cardiology.

His scientific legacy, clinical vision, and immeasurable contribution to generations of cardiologists will continue to live on in our daily practice and in the history of medicine.

My heartfelt condolences to his family, friends, students, and to the entire cardiology community. May he rest in peace.

[Simileoluwa🤴 @Simi_Le_Oluwa]

Nothing hurts more than being disappointed by the one person who you thought would never hurt you. I thought am important not knowing that am fooling myself.

[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.🍷🍷

[Merlin D. Wizard 🐸🔮 @merlinidc]

Welcome to my 61st #ONEPIECE theory!

In today’s work, I seek to identify the reason Rocks was unable to attack Imu in the room of flowers as well as the full extent of Imu’s power!

Tag along and let’s delve deep together!

[Harian Kompas @hariankompas]

Hari ini, wajah koran Kompas hadir tidak seperti biasanya. Ada temuan hasil Tim #JurnalismeData Kompas.

Hutan di Aceh, Sumatera Utara, dan Sumatera Barat menyusut 1,2 juta hektar atau lenyap hampir 100 hektar setiap hari selama tiga dekade.

Dukung karya jurnalistik kami dengan membaca dan berlangganan https://t.co/KZ58AEx3Xf. Dukungan dari pembaca sangat berarti bagi kami.

Simak artikelnya di sini https://t.co/wNtj7q20vu

#Deforestasi #AdadiKompas

[🦋YCH WEDDING DANCE NOVEMBER🦋 @_ranituran]

HOW COME YOU ISRAELED YOUR OWN PEOPLE??????

[kumparan @kumparan]

Hasil tes DNA terhadap dua kerangka manusia yang ditemukan di gedung di Kwitang, Kecamatan Senen, Jakarta Pusat, akhirnya diumumkan. Dua kerangka itu dipastikan adalah Reno Syahputra Dewo dan Muhammad Farhan Hamid.

"Dari hasil pemeriksaan bahwa nomor postmortem 0080 cocok dengan antemortem 002 sehingga teridentifikasi sebagai Reno Syahputradewo anak biologi dari Bapak Muhammad Yasin," kata Karo Labdokkes Polri, Brigjen Sumy Hastry Purwanti, di RS Polri, Kramat Jati, Jakarta, Jumat (7/11).

"Dari hasil pemeriksaan bahwa nomor postmortem 0081 cocok dengan antemortem 001 sehingga teridentifikasi sebagai Muhammad Farhan Hamid," tambah dia.

Sebelumnya, dua kerangka manusia tersebut pertama kali ditemukan oleh tim teknis gedung yang hendak mengecek konstruksi gedung untuk dilakukan renovasi. Renovasi dilakukan karena gedung itu sempat terbakar ketika terjadi demo yang berujung kericuhan di Kwitang.

Dua kerangka manusia itu lantas dikaitkan dengan Reno dan Farhan yang sempat dilaporkan hilang setelah demo. Keluarga dari Reno dan Farhan lalu diambil sampelnya untuk kepentingan tes DNA.

📸: Dok. Instagram @/kontras_update.

Follow WhatsApp Channel kumparan untuk dapat Informasi terpercaya dikirim langsung ke WhatsApp kamu. Ketik https://t.co/LTFgN0m78w di browser kamu sekarang, agar bisa share informasi tanpa ragu.

#newsupdate #update #news #oneliner #kwitang #polisi #konpers #kerangka #gedungkwitang #demo #info #infoterkini #berita #beritaterkini #bicarafaktalewatberita #kumparan

[Financial Times @FT]

If the polls are right, Mamdani is on course for a historic victory in today's election in New York, becoming the first Muslim mayor of America’s financial capital and most populous city. Here's what you need to know about him https://t.co/WuJvZhrMqT

[Ahmed Bennis MD 🫀 @drbennisahmed]

Inferior Vena Cava Ultrasound to Guide Decongestion in Acute Decompensated Heart Failure: A Randomized Controlled Trial

Additional ultrasound evaluation of IVC diameters did not improve decongestion treatment compared with clinical assessment alone among patients admitted for ADHF

@JACCJournals @ACCinTouch @mvaduganathan @BiykemB @AndrewJSauer @gcfmd @SJGreene_md @ankeetbhatt @dranulala @ShelleyZieroth @HFSA @hfcollaboratory @GMCRosano @Hragy

https://t.co/b3PrdrlObT

[Ahmed Ata @Ahmedata7777]

PDA is best seen with color Doppler in suprasternal view or short-axis view (SAX).

https://t.co/qGEw0Md9WR

[Dr. Yousef 🇵🇸 @yousef_ki1]

Let’s break the algorithm — reply with a dot.

[اٰریـــج @Arjjkh]

“Allah is the Greatest”

[NO CONTEXT HUMANS @HumansNoContext]

He went from Harry Potter to Lord Voldemort in a minute