Ivan C Aivasovsky MD

| 🇻🇪 | IM PGY-2 @montefioreIM @EinsteinMed | Former CV Research Fellow @BidmcCvi |

[Ivan C Aivasovsky MD @IAivasovsky]

After a long road, we couples-matched and will be moving to NYC!

#Match2024 #MedX #MedTwitter

[Ivan C Aivasovsky MD @IAivasovsky]

Quick update: We're done with the interviews!

#MedX #MedTwitter #Match2024

[Ivan C Aivasovsky MD @IAivasovsky]

The special one is back

[Real Madrid C.F. @realmadrid]

Comunicado Oficial: José Mourinho

[Ivan C Aivasovsky MD @IAivasovsky]

What a weekend at NOLA's #ACC2026

Amazing time presenting some of our work, learning and meeting so many people pushing cardiovascular medicine forward!

@MonteHeart @ACCinTouch
#Cardiology #Medtwitter #CVMed

[Ivan C Aivasovsky MD @IAivasovsky]

🤯🤯

[Satya Nadella @satyanadella]

We’ve trained a multimodal AI model to turn routine pathology slides into spatial proteomics, with the potential to reduce time and cost while expanding access to cancer care.

[Ivan C Aivasovsky MD @IAivasovsky]

https://t.co/MWJwA8Bq1N

[Ivan C Aivasovsky MD @IAivasovsky]

Two of our projects are now up at #CTO2026!

- Impella-Assisted PCI Using Dual vs Single Access: Increased Bleeding Risk With Dual Access
- When Nothing Crosses: RPDA Stingray ADR for a Distal Recanalized RCA CTO

[Ivan C Aivasovsky MD @IAivasovsky]

https://t.co/UEBHqhTC7A

[TCTMD @TCTMD]

Today is Day 1 of #CTO2026 in NYC! View all the slides presented at this year's conference on the TCTMD website. https://t.co/YRfDkpoSiL

[Cardiovascular Research Foundation @crfheart]

Live from Bayamón! 🫀

Tuning in to a live case from the Bayamón Heart & Lung Institute — bringing real-time learning and expert decision-making to #CTO2026.

#CardioX #CardioTwitter #CardioResearch #CardioEd @es@esbrilakis @colletcarlos @DrBillLombardi @mbmcentegart @JWMoses @wjn_md @jgranadacrf @MartyBLeon @triciarawh @TCTConference @TCTMD
@jedicath @Babar_Basir @CathWhisperer @SarahFairley7 @MinaFar20 @MichaelMegalyMD @ShariqShamimMD @Shoaib9702 @Tabaza @ladyheart_md

[Ivan C Aivasovsky MD @IAivasovsky]

@TifeRMFC Don Emmanuel Adebayor 👀

[Michael Cabana, MD @cabanam]

@BGoilav @MontefiorePeds @nytimes Congratulations to second-year resident, Marianna B. Castellanos, MD, who was first author of this paper re: #children & #SNAP. @i_jsmiles @MontefiorePeds @DrFerdowsi @haroldpollack @SuzettePediMD @ianpaulmd #PedsMatch2025 @SBraganzaMD @Dr_ScottK @psyd

https://t.co/ijsU9vOxTl

[Dr Shailesh Singh @drShaileshSingh]

You're 33. You hit the gym six days a week. You've been training for five years. No symptoms. No chest pain. No dizziness. Your resting heart rate is 52—athlete-level fitness.

You don't know that your ventricular septum is 18mm thick. Normal is under 12mm. You have hypertrophic cardiomyopathy. Your father's brother died suddenly at 28 during a football game. Your family thought it was a freak accident. It wasn't.

Standard pre-gym screening doesn't catch this. A physical exam won't detect it. Your blood pressure is normal. Your heart sounds are normal. Even an ECG might miss it—ECGs only identify HCM in 50-70% of cases.
The gold standard is cardiac MRI. But ordering an MRI for every gym member isn't feasible or cost-effective. The healthcare system doesn't screen asymptomatic young adults for genetic cardiomyopathies unless family history raises flags. This is the screening gap. The conditions that kill young athletes stay silent until they don't.

Up to 30% of HCM cases present with sudden death as the first symptom. ARVC is even harder to detect early—the fibrofatty replacement starts in the right ventricle, which is technically difficult to image with standard echocardiography.

So what's the solution? Know your family history. If sudden death runs in your family—particularly in relatives under 50—you need evaluation before intense training. That means ECG, echocardiogram, possibly cardiac MRI.

Pay attention to symptoms during exertion. Chest pressure isn't normal. Sustained palpitations after stopping exercise aren't normal. Syncope or near-syncope during lifting isn't normal. These aren't signs of pushing hard—they're warnings your heart is electrically unstable.

The screening gap exists because sudden cardiac death is rare enough that universal screening doesn't pass cost-benefit analysis. But if you're in the high-risk group—family history, using anabolic steroids, or experiencing symptoms—you're not a population statistic. You're an individual who needs evaluation.

[The Nobel Prize @NobelPrize]

BREAKING NEWS
The Norwegian Nobel Committee has decided to award the 2025 #NobelPeacePrize to Maria Corina Machado for her tireless work promoting democratic rights for the people of Venezuela and for her struggle to achieve a just and peaceful transition from dictatorship to democracy.

#NobelPrize

[The Nobel Prize @NobelPrize]

“Oh my god… I have no words.”

Listen to the emotional moment this year’s laureate Maria Corina Machado finds out she has been awarded the Nobel Peace Prize.

Kristian Berg Harpviken, Director of the Norwegian Nobel Institute, shared the news with her directly before it was announced to the world.

#NobelPrize #NobelPeacePrize

[Ivan C Aivasovsky MD @IAivasovsky]

@liajoubert @montefioreIM @CarlosMatosMD @MejiaEliany @urenacard Felicitaciones!!

[Ivan C Aivasovsky MD @IAivasovsky]

@diego_incontri @harvardneuromds @MassGenBrigham @MGHNeurology @BWHNeurology @harvardmed 🔥🔥🔥

[Ivan C Aivasovsky MD @IAivasovsky]

@AgustinPerez97 @julianaperezp25 @gershmanMD @rkorets @tung_patricia @IRI_program @YaleIMed @Yale_Urology @MediUniandes Grandisimoosss!! 🔥

[Ivan C Aivasovsky MD @IAivasovsky]

@rafaelagtoledo Congratsss rafa!!

[Ivan C Aivasovsky MD @IAivasovsky]

@Mariapaulacote @LA_Dageforde @NakulRaykar @benjamesMD Idola 🔥

[Ivan C Aivasovsky MD @IAivasovsky]

@acubeddu9 @vinijr Jajajajaja

[Ivan C Aivasovsky MD @IAivasovsky]

@YihiRM De quien ídolo?