Orlando Castaño

Especialista en Medicina Interna Cardiologia Clinica

[Peter Blahut @PeterBlahut]

🫀 AF Ablation: When to Stop and Restart Anticoagulation & Antiarrhythmic Therapy

💊 Anticoagulation Therapy
✅ Continue for ≥4 weeks before ablation
✅ Continue for ≥2 months after ablation
✅ Thereafter, according to the CHA₂DS₂-VA score

⚡ Antiarrhythmic Therapy
⛔ Most AADs should be stopped before ablation
✅ Restart/continue for 3 months after ablation (blanking period)
✅ Thereafter, according to AF recurrence and symptoms

🎯 AF ablation treats the arrhythmia, not the stroke risk. Long-term anticoagulation should be guided by the CHA₂DS₂-VA score.

📖 More About AF & Ablation 👉 https://t.co/QPP0bQMydH

#cardiology #medicaleducation #paramedic #MedstudentTwitter #CardioTwitter #FOAMed #MedEd #CardioEd #AFib #EPeeps

[I.H.Tanboga, MD, PhD @ihtanboga]

A Practical Guide to Interpret an RCT
Underpowered ≠ Inconclusive ≠ Negative ≠ Neutral

[Jacopo Imberti @JacopoImberti]

#AFib+HFrEF: State-of-the-Art Review📚

Recent data show SR restoration ⬆️ LV function & ⬇️death/HF hosp vs medical therapy.
🤔Should ablation be first-line or are we over-selecting responders?
🖇️https://t.co/6eq9GCyWfW

@JACCJournals @LuigiDiBiaseMD @nmarrouche @DhirajGuptaBHRS

[Europace Editor-in-Chief @EuropaceEiC]

📣EHRA Document 📚
#Europace
Afib management by targeting comorbidities and reducing AF burden: the 10th AFNET/EHRA consensus conference just published 🚀
🌐https://t.co/bwPpdrkCxg

@EHRAPresident @GiulioConte9 @Dominik_Linz @AndyZhangMD @FraSantoroMD @DavideMei93 @marcovitoloMD

[C. Michael Gibson MD @CMichaelGibson]

OPTIMA-AF trial: In AF patients undergoing PCI with EES, 1-month therapy with DOAC + P2Y12 inhibitor was non-inferior for preventing ischemia and superior for reducing bleeding compared to 12-month therapy. #AHA25 View the slides here: https://t.co/WjSL9tQFW9

[Giuseppe Galati @GiuseppeGalati_]

🔥 🚨 #EuropeanJournalofHeartFailure consensus statement.
Heart failure pharmacotherapy for #HFrEF & concomitant #AtrialFibrillation:
Review of evidence & call to action
@escardio @ESC_Journals :
🍀 #ARNI #SGLT2i #MRA Evidence of benefits
🛡️ #BB challenging evidence of benefits

🔬 highlight critical knowledge gaps and the need for dedicated clinical trials specifically assessing #HF therapies in #AF subgroups, such as paroxysmal, long-standing persistent and permanent AF, & the benefit of heart rate and rhythm
control strategies

@HFUAcademy 🫀 https://t.co/0dFvFm9NeT

@ESC_Journals @HanCardiomd @AmrAbdin10

@BorianiGiuseppe @gcfmd @glimongelli @DrRajivsankar @KTamirisaMD @drraviele @JBauersachsMD @MicheleEmdin @stefanocarugo @ShelleyZieroth @mvaduganathan @SJGreene_md
@DrMarthaGulati @IacopoOlivotto
@AndrewJSauer

@HFA_President

@AmrAbdin10 @HanCardiomd

https://t.co/rt6sIA43UV

[EHJ Editor-in-Chief @ehj_ed]

Arrhythmic risk and advanced heart failure in dilated cardiomyopathy: a deadly tango. Read more in the @EHJ at https://t.co/WjeYlW060E #DilatedCardiomyopathy #HeartFailure #Arrhythmia @ESCardio @ESC_Journals

[Giuseppe Galati @GiuseppeGalati_]

🔥 Ventricular arrhythmias in #AcuteHeartFailure.
A clinical consensus statement of the #ACVC the #EHRA and the #HFA of @escardio

From Causes to mechanisms to management to reduce #ArrhythmicDeath

#CV_death in #HF is mainly constituted by:
📍 Pump Failure (#HF ☠️)
📍 Sudden Cardiac ☠️⚡️

@HFUAcademy 🫀 https://t.co/h2Y5nNljcM

@ESC_Journals

@BorianiGiuseppe @gcfmd @BiykemB @DrRajivsankar @KTamirisaMD @drraviele @CardioZurich @JBauersachsMD @MicheleEmdin @stefanocarugo

@ACVCPresident @EHRAPresident @HFA_President

https://t.co/oggncYIC6S

[Orlando Castaño @orlando182]

@ArenaAlfaUS Gracias por todo Sebastián! Feliz cumpleaños!

[Edgardo Alania @Ed_Alania]

🔴 HF With Improved EF: Definitions, Epidemiology, & Management @JACCJournals #Cardiology #Cardioed #heartfailure

[The Heart @ZHeart11768530]

🔴 Arrhythmia-Induced Cardiomyopathy:⤵️JACC State-of-the-Art #2024Review #openaccess

🔹https://t.co/xTDBnTuYU9
#Cardiology #Epeeps #CardioTwitter #MedEd #medical #medtwitter #cardiotwiteros #CardioEd #Cardiox

[Raviele Antonio @drraviele]

📌 Net benefit ⚖️ of initiating NOACs for device-detected subclinical AF
👉 uncertain
👉 effect size not clinically meaningful
#EPeeps #afib #subclinical #ECG #stroke #NOACs #CardioTwitter #MedTwitter @DrMarthaGulati @TJaredBunch @DhirajGuptaBHRS @DrJasonAndrade @SeguraCardio

[Paola Morejón Barragán @paomorejon]

📌Inicio temprano no ezetimibe post-IAM 💔
Prevención secundaria, datos del registro SWEDEHEART

👥35.826
2015-2022
🚨 90% rehabilitación cardiaca

3 grupos
💊 Inicio temprano de ezetimibe: <12 semanas post evento (NNT: 53)
🧡Inicio tardío de ezetimibe: >12 semanas
💙Solo estatinas

🪦 Muerte cardiovascular a 3 años:
HR: 1.64 (IC95%: 1.15-2.63) 🧡
HR: 1.83 (IC95%: 1.35-2.69) 💙
Comparados con el grupo de 💊

•El colesterol LDL basal entre los 3 grupos, era más bajo en el grupo que no recibió la combinación

🤯La diferencia del colesterol LDL al año
💊58 mg/dL (1.5 mmol/L) bajó del basal 89 mg/dL
🧡62 mg/dL (1.6 mmol/L) bajó del basal 77 mg/dL
💙62 mg/dL (1.6 mmol/L) bajó del basal 58 mg/dL

⚠️La diferencia en el resultado cardiovascular no se explicaría por el nivel de LDL logrado al año, pero si probablemente por cuánto descendió.

👏🏻Es importante entender el mundo real.

🆓https://t.co/KBUKGfeuqe

#CardioEd #CardioTip #cardiotwitter #Cardiology #MedTwitter

[The Heart @ZHeart11768530]

🔴Ventricular arrhythmias in acute heart failure. A 2025 clinical consensus statement of the ACVC, EHRA &amp; HFA of the ESC⤵️ @ESC_Journals

🔹https://t.co/fUJAiHCO3v
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter

[Orlando Castaño @orlando182]

@AnaGMuneraE @sccccardio @clara_clarais @Jcontreras75 Felicitaciones profe! Merecido reconocimiento

[Edgardo Alania @Ed_Alania]

🔴 ACC/AHA/ASE/HFSA/HRS/SCAI/SCCT/SCMR 2025 Appropriate Use Criteria for ICD, Cardiac Resynchronization Therapy, &amp; Pacing @JACCJournals #CardioEd #Cardiology #Epeeps #FOAMed

[The Heart @ZHeart11768530]

🔴Earlier Ablation For AFib Associated With Improved CV Outcomes

AF catheter ablation (AFCA) improved clinical outcomes compared w/ medical Rx alone &amp; early AFCA was asso w/ better outcomes than late AFCA, esp decreased risk of HF hosp &amp; #AF recurrence https://t.co/t5UDFMucpN

[The Heart @ZHeart11768530]

🔴Ventricular arrhythmias in acute heart failure:⤵️
🔹 A 2024 clinical consensus statement of the ACVC, EHRA, &amp; HFA of the ESC⤵️ #OpenAccess

https://t.co/CaSXAb5330

[The Heart @ZHeart11768530]

🔴Catheter-directed interventions in acute pulmonary embolism:⤵️ #openaccess
🔹2025 Position statement of SEC-ICA /SEC-IHD and ACCA/SEC-Working Group on PH

🔹https://t.co/V9gHQHsH5C
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter

[The Heart @ZHeart11768530]

🔴Top Reviews/series of 2024: @JACCJournals series on Mechanical complications of acute MI

🔴 Right Ventricular MI—A Tale of Two Ventricles:
✅https://t.co/az9cO4n55J

🔴Management of Severe MR in Patients With Acute MI
✅https://t.co/7CthVRVrmw