Stew

@stewstep

Wherever you go there you are

Joined August 2012

1.9K Following

555 Followers

2.7K Posts

Stew @stewstep

1 day ago

https://t.co/TagRrkdUal

stewstep retweeted

Frank Lipman MD

@DrFrankLipman

7 days ago

Beyond Lifespan and Healthspan: Meet ‘Peakspan’ – the Real Measure of Aging Well https://t.co/iIBEmqYoVN

stewstep retweeted

O País Do Ciclismo

@opaisdociclismo

10 days ago

Strade Bianche ta diferente 🇧🇷

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10K

stewstep retweeted

Runner's World

@runnersworld

10 days ago

The Right Mix of Volume and Intensity Leads to Faster Marathon Times. These 5 Workouts Train You to Handle Both. https://t.co/Hiy1VF6IO3

Who to follow

Wendell Henckel

@henckeled

I am interested in meditation and Self Knowledge through meditation, and answering the question,Who Am I........ All 'tweets' are Original.

Jim Wray

@JimWray

Astronomer and compassionate seeker into the essential nature of things, where the farther I seem to get the more there is simply Being Displaying Experiencing

Elisabeth

@emmspirit

Contemplative prayer; stillness and listening.

stewstep retweeted

David Dack

@DavidDack

10 days ago

Starting running after 40 is not cute little inspiration. It is awkward, humbling, and harder than people think. Which is why it counts.

stewstep retweeted

lilly

@lilly70583564

13 days ago

Beta blockers are not that helpful in heart failure. Only patients with mildly reduced heart function—specifically those with a left ventricular ejection fraction of 40 to 49 percent—may still derive benefit from beta-blocker therapy. The REBOOT-CNIC trial, led by Borja Ibáñez and a large international team of co-investigators, was published in the New England Journal of Medicine in 2025. This large open-label randomized controlled trial enrolled over 8,500 patients from Spain and Italy who had been invasively treated for a recent myocardial infarction (heart attack) and had a preserved or mildly reduced left ventricular ejection fraction (above 40%), meaning they did not have significant heart failure or reduced pumping function. The study evaluated whether routine long-term beta-blocker therapy provided any benefit compared to stopping or not using beta-blockers in this population. Patients were randomized after stabilization, with the primary endpoint being a composite of death from any cause, new myocardial infarction, or hospitalization for heart failure. Results showed no significant difference in the primary outcome between the beta-blocker group and the no-beta-blocker group, indicating that routine beta-blocker use did not improve clinical outcomes in these patients. These findings challenge longstanding clinical practices that originated in an era before modern reperfusion therapies, potent antiplatelet drugs, and statins were standard. The results were largely consistent across subgroups, suggesting that beta-blockers may not be routinely necessary long-term after myocardial infarction for patients with preserved ejection fraction and no other compelling indications. This could help simplify post-MI medication regimens and reduce potential side effects for many patients.

$lilly70583564's tweet photo. Beta blockers are not that helpful in heart failure. Only patients with mildly reduced heart function—specifically those with a left ventricular ejection fraction of 40 to 49 percent—may still derive benefit from beta-blocker therapy. The REBOOT-CNIC trial, led by Borja Ibáñez and a large international team of co-investigators, was published in the New England Journal of Medicine in 2025. This large open-label randomized controlled trial enrolled over 8,500 patients from Spain and Italy who had been invasively treated for a recent myocardial infarction (heart attack) and had a preserved or mildly reduced left ventricular ejection fraction (above 40%), meaning they did not have significant heart failure or reduced pumping function. The study evaluated whether routine long-term beta-blocker therapy provided any benefit compared to stopping or not using beta-blockers in this population. Patients were randomized after stabilization, with the primary endpoint being a composite of death from any cause, new myocardial infarction, or hospitalization for heart failure. Results showed no significant difference in the primary outcome between the beta-blocker group and the no-beta-blocker group, indicating that routine beta-blocker use did not improve clinical outcomes in these patients. These findings challenge longstanding clinical practices that originated in an era before modern reperfusion therapies, potent antiplatelet drugs, and statins were standard. The results were largely consistent across subgroups, suggesting that beta-blockers may not be routinely necessary long-term after myocardial infarction for patients with preserved ejection fraction and no other compelling indications. This could help simplify post-MI medication regimens and reduce potential side effects for many patients.$

118

stewstep retweeted

X T R E M E 𖤐₆₆₆

@XtremeMerch

21 days ago

Brand running premium Satisfy baru aja gandeng Adidas buat bikin gebrakan yang bener-bener beda. Lewat agenda shakeout run bertajuk "The Circle Pit", mereka sukses bawa energi moshpit yang ugal-ugalan langsung ke lintasan lari. Konsepnya juara banget. Alih-alih trek lari lurus yang ngebosenin, mereka bikin lintasan melingkar dengan elevasi mirip bowl di skatepark. Gokilnya lagi, lintasan ini dibangun persis di sebelah panggung gigs yang lagi nge-drop band-band hardcore/punk lokal. Hasilnya? Para runners lari kesetanan sambil ditemenin distorsi gitar yang super kenceng. Tempo lari mereka otomatis langsung nge-pas sama ritme drum yang nge-beat parah. Kolaborasi ini bener-bener bukti kalau skena lari dan skena musik keras bisa kawin silang dengan epik 🤘🏿🗿

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18K

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Brady Holmer

@Brady_H

11 days ago

How do I know if I’m going through a short phase of “overreaching” in training? My heart rate will be suppressed for 1–3 days during workouts. Today was a textbook example. I ran 10 miles (L) and rode my bike for ~70 minutes (R). Preposterously low average heart rate for an effort that would usually put me 10–20 bpm higher.

Brady_H's tweet photo. How do I know if I’m going through a short phase of “overreaching” in training?

My heart rate will be suppressed for 1–3 days during workouts.

Today was a textbook example.

I ran 10 miles (L) and rode my bike for ~70 minutes (R).

Preposterously low average heart rate for an effort that would usually put me 10–20 bpm higher.

15K

stewstep retweeted

RUN @Outside_Run

13 days ago

Courtney Dauwalter is 41, Faster, and Having More Fun Than Ever https://t.co/fo3YMAReK4

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Stew @stewstep

21 days ago

@johnthebikeman @TimmyMallett If they come loose, they work themselves off. Yes, check periodically and perhaps carry a few spare on longer trips.

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RUN’IX

@RUN_IX

28 days ago

😍 Félicitations à Christiane Krabal (🇫🇷) sacrée championne de France du 10 kilomètres ce matin à Troyes en 1H09’23 ! 🙆‍♀️ À 81 ans, et dans la catégorie M9. C’est une vitesse de 8,65 km/h et 6:56/km de moyenne. Chapeau Madame 👏👏

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51K

Stew @stewstep

28 days ago

@KanTelll @GregH13274380 @DavidDack Also more aging athletes

stewstep retweeted

ABC News

@ABC

about 1 month ago

Ultra-marathoner Rachel Entrekin finished first place in a 250-mile race in Arizona, beating the male competitors and finishing in just over 56 hours. What You Need to Know is streaming on @DisneyPlus. https://t.co/yXAV1bmnzP