FELIquis ❤️👨🏻‍⚕️

👨🏻‍⚕️ ( + 🤓 - Perspektive: internistische Intensivmedizin - Hobbies: 🏊‍♂️🚴‍♂️🏃‍♂️- Private Meinung - Fälle anekdotisch

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@jpcostabel without the CW-Doppler we can't know if it's moderate or severe :D

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@DrSamir905 @argulian Do you think it's in "loco typico"???

[NEJM @NEJM]

Presented at #ASCO26:

Among patients with previously treated metastatic pancreatic ductal adenocarcinoma, the RAS(ON) inhibitor daraxonrasib led to significantly longer overall survival and progression-free survival than chemotherapy. Full phase 3 RASolute 302 trial results: https://t.co/xwLWBZYRzq

@ASCO

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@ahmadul02915473 @ecgandrhythmRoe @AnarKerimxan @MiguelP23970914 @Arron_Pearce_ @ecgrhythms @amalmattu @MertAvsever @koggelnoggel @Frances98392343 @TheECGMedic @DrRazi4 @Ecgloverr @EM_RESUS @lila_enis @KostekMilan Please, turn that ecg strip in the correct direction

[Edgar Argulian @argulian]

The interesting aspect of stress cardiomyopathy is often 'non-physiologic' symmetry. In this case of biventricular involvement, it appears as if someone drew a line between functional basal segment and non-functional mid/apical segments for both ventricles

[Jack Cahill @TheECGMedic]

67F - Syncope and Chest Pain

We know the diagnosis, but what else do you see?

#ECG #ECGChallenge

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@TheECGMedic inferior OMI - not sure about hte comments of Sinus bradycardia. i think the PR-Intervalls are different so i think this could be total heart block (AVB III) too

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@TrackYourHeart TCA

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@sulimov_dmitry @doc_ecmo Präklinisch kanülieren🤓

[Dr. Karen v. Mücke @vmuecke_k]

Schon @jensspahn hat einer Ärztin ins Gesicht gesagt: „Niemand hat Sie gezwungen, Kassenarzt zu werden!“

Die Menschen sollten froh sein, dass es überhaupt noch Ärzte gibt, die sich das antun.

Die Alternative sind von Investoren betriebene MVZ mit optimierter Abrechnung.

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@SonOfData @doc_ecmo Old for old

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@doc_ecmo @DrSchindler This, HSM = verbesserung lebensqualität, nicht lebensverlängerung

[ECMO_Doc @doc_ecmo]

Wie man eine 95-jährige Patientin bei Asystolie und unbeobachtetem Kollaps 20 min reanimieren kann erschließt sich mir nicht…

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@AnarKerimxan @ecgandrhythmRoe @MiguelP23970914 @Arron_Pearce_ @ecgrhythms @amalmattu @MertAvsever @koggelnoggel @Frances98392343 @TheECGMedic @DrRazi4 @Ecgloverr @EM_RESUS @lila_enis @KostekMilan JER with Sinusarrest, i would say in evolved inferior OMI (maybe with RV extension)

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@unadottoressa Der "Radweg" ist nicht zumutbar

[Sara Moscatelli @saramoscatelli7]

🏃‍♂️ Elevated troponin after exercise… should we worry?
💥 Cardiac troponin = gold standard for myocardial injury.
👉 But what happens after intense exercise?

📊 A large meta-analysis (129 studies, >7,000 athletes) shows:
➡️ 36% of athletes have troponin levels above the normal limit after exercise
⚠️ That’s more than 1 in 3.

🔬 Key determinants (see Graphical Abstract, page 3):
✔️ High-sensitivity assays → detect more elevations
✔️ cTnT > cTnI
✔️ Peak in endurance sports (running, cycling, triathlon)
✔️ Highest after 3–6 hours of exercise
📈 The curve on Figure 4 (page 29) shows a clear peak around 4–5 hours of effort.

👀 What DOESN’T matter (as much as we thought):
❌ Sex
❌ Training status
👉 It’s not about who you are…
👉 It’s about what and how long you do.

🧠 Clinical dilemma:
Troponin ↑ = myocardial injury
BUT
Exercise alone can cause it
👉 So… how do we interpret it in the ER after a marathon?

💡 Take-home message:
🩺 Context is everything
👉 Consider exercise type, duration, and assay used
👉 Not every troponin rise = pathology

🚀 This is a perfect example of why biomarkers need clinical interpretation, not just thresholds.

#Cardiology #SportsCardiology #Troponin #Biomarkers #Endurance #ExercisePhysiology #CardioImaging #PrecisionMedicine #Athletes #Research 🏃‍♂️🧬

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@echo_batman @saramoscatelli7 why not?

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@Nell781 muss man aber morgends und abends nehmen also 8 TAbletten - keine Unglückszahl. Bzw jetzt ist 6 die neue Unglückszahl xD

[FELIquis ❤️👨🏻‍⚕️ @MergencyFe]

@Yaw_nyame35