Isman Firdaus

Me | Husband | dad | PhD |Critical Care Cardiologist | Interventional Cardiologist | FKUI | PJN Harapan Kita Hospital 🇮🇩

[Novi Yanti Sari @slumberbell]

Cardiovascular considerations BEFORE cancer therapy🫀

The first of a 3 part #JACCCardioOnc Expert Panel series exploring CV care before, during, & after cancer therapy.

🫀Goals of CV evaluation Prior to cancer therapy:
📍Identify and treat subclinical CVD and cardiovascular risk factors
📍Optimize management of pre-existing CVD and cardiovascular risk factors
📍Perform targeted risk assessment to help inform cancer treatment decisions
📍Establish baseline cardiovascular function
📍Optimize primary prevention therapies
📍Plan cardiovascular surveillance during treatment

🫀Current tools include clinical assessment, biomarkers, 12-lead ECG, #EchoFirst, & risk scores

🫀Important evidence gaps includes cardiotoxicity mechanisms, impact of pre-treatment CV evaluations on clinical outcomes, validation&implementation of risk scores, & the role of AI.

Read more in @jaccjournals:
https://t.co/cTCY0Acg99

#CardioOncology

[Isman Firdaus @ismanf]

@slumberbell @JACCJournals @AferditaMD @PieterMartensMD @GuiBaudry @cerlinskaite @NeusaJessen @KristofferSkaar @JanBiegus @aayshacader @hmkyale Big Congrats.. Proud of you 👍

[EHJ Editor-in-Chief @ehj_ed]

Coronary microvascular obstruction: the "no-reflow" problem that haunts STEMI care. New ESC clinical consensus on pathophysiology, prevention & management: a must-read. Read more in #EHJ.
https://t.co/WWlcFSfVyj
#cardiotwitter @ESC_Journals @escardio

[EuroIntervention @EuroInterventio]

Prasugrel or ticagrelor in ACS?

This new Debate discusses the evidence, pharmacological profiles, and clinical trial data supporting each strategy, highlighting why the optimal P2Y12 inhibitor in acute coronary syndromes remains an open question.
From ISAR-REACT 5 to modern DAPT and monotherapy strategies, the discussion revisits efficacy, bleeding risk, adherence, and guideline perspectives.

🔗https://t.co/8uCmUTj3LH

@adnan_kastrati @FrazzettoMarco @vlgmrc

#ACS #CardioTwitter #PCI #Ticagrelor #Prasugrel #EuroPCR

[Isman Firdaus @ismanf]

Thirty years after 1995, Indonesia has appointed me as President-Elect of Asia Pacific Society of Cardiology (APSC), and I will serve as its 25th President for the 2027–2029 term @apsc_office @APSIC6 #apsc #cardiologist @inaheartperki @KemenkesRI

[EuroIntervention @EuroInterventio]

PCI in calcified coronary disease
From imaging to plaque modification, this comprehensive review by Pesarini et al. offered practical algorithms and the latest evidence for managing complex calcified lesions. #EIJBestOf

https://t.co/ybsPuoc3dn

@fhellig
@ashokseth
@FlavioRibichini

[Isman Firdaus @ismanf]

Tindakan pemasangan Stent di pandu OCT (optical coherence tomography) di RS Jantung Harapan Kita.

[PCRonline 🫀 @PCRonline]

Optimal minimal stent area and impact of stent underexpansion in left main up-front 2-stent strategy

This study 📊aimed to revise the #IVUS-derived segmental MSA criteria for optimal stent expansion in patients undergoing an up-front 2-#stent strategy using the crush technique for LM #bifurcation lesions to predict the 5-year clinical outcomes.

🔗 https://t.co/gqSGqwzNYJ

Read this #EAPCI/PCR #JournalClub review ✍️ by @sbrugaletta.

Selected in @CircAHA (image source = graphical abstract)

[OIC @OIC_OCI]

The #OIC Condemns the Approval of the Law on the Execution of Palestinian #Prisoners.
#Palestine #Israel

[Isman Firdaus @ismanf]

@BBCWorld Presenting themselves as a Holocaust survivor while now contributing to what some describe as a new form of Holocaust against Palestinian prisoners.

[Isman Firdaus @ismanf]

@OHCHR_Palestine Presenting themselves as a Holocaust survivor while now contributing to what some describe as a new form of Holocaust against Palestinian prisoners.

[CircInterventions @CircIntv]

Clopidogrel is superior to aspirin for cardiac outcomes beyond 1-year up to 5-years. Results from the STOPDAPT-2 ACS and STOPDAPT-2 Total Cohort. Should it be a lifelong maintenance therapy? @HirotWatanabeMD @MNatsuaki @KoYamamoto7 https://t.co/SkorxNqlrS

[Isman Firdaus @ismanf]

Happy Ied Mubarak 1447 H

[JACC Journals @JACCJournals]

The 2026 ACC/AHA Multisociety #Dyslipidemia Guideline-at-a-Glance offers a visual summary of key updates in CV risk assessment, lipid treatment goals, & #ASCVD risk reduction.

A quick reference for clinicians: https://t.co/yXQeptAFEj

#JACC #ClinicalGuidelines #cvLipids

[EuroIntervention @EuroInterventio]

Intravascular imaging-guided PCI was associated with a significantly lower risk of target vessel failure compared with angiography-guided PCI across all levels of lesion complexity, with increasing prognostic benefit in more complex disease.
Pooled analysis of 4,611 patients from RENOVATE-COMPLEX-PCI and registry data. #EIJBestOf

https://t.co/lMFZGczZts

#PCI #IntravascularImaging #InterventionalCardiology

[Angioplasty.Org @angioplastyorg]

It's angioplasty's birthday! #OTD in 1964, using a series of catheters of increasing diameter, Charles Dotter opened a blocked femoral artery w/o surgery. He called it "angioplasty" & made a film to demonstrate it. His radical concept was rejected by US surgeons but embraced by Europeans, ultimately resulting in Gruentzig's balloon which revolutionized the treatment of coronary artery disease. A personal note: today is also my birthday, so I guess I was born to do this!🤣🎈❤️‍🩹#AngioHistory

[European Society of Cardiology Journals @ESC_Journals]

Is the universal definition of myocardial infarction flawed and should be put to rest? Read this Great Debate in #EHJ 👉 https://t.co/iuBZ2l38fi
@RoccoMontone @ehj_ed #myocardialinfarction

[SilencedSirs◼️ @SilentlySirs]

“There’s a genocide in Gaza, stop it.”
US Capitol Police dragged out Major Anthony Aguilar & Captain Josephine Gilbo, arresting them for opposing Israel’s genocide during a confirmation hearing in DC.

[Erik Warsaw @WarsawErik]

🌐🇺🇸 US Military Veterans arrested in Washington DC protest

Cpt Josephine Guilbeau
Lt Col Anthony Aguilar

It has been almost 2 years now and the g-side continues.

Our government is under the control of a foreign country and will arrest its own military veterans before it dares to stop a g-cide committed by our controls.

This is not just obvious anymore, it is ridiculous.

Free America from Z Occupation 🇺🇸

[Jenny Latheef @LitmusTimes]

USA arresting US war veterans who don’t want USA to fund a genocide!

Israel comes before Americans who’s served or serves in US army!

Or before any American who’s against Israel’s genocide and ethnic cleansing!
Or wars in the Middle East!

US sovereignty?
🤔