Yonah

Husband Father Doctor Entrepreneur

[Yonah @tehrani_md]

In ASCVD patients, is LDL <70 mg/dL good enough — or should we push harder to <55?
Ez-PAVE trial (NEJM) delivers a clear answer: intensive targeting cuts major events by 33%.
Practice-changing for secondary prevention?

[Yonah @tehrani_md]

GAME-CHANGER in VTE management just dropped in NEJM.
Apixaban cuts clinically relevant bleeding by >50% compared to rivaroxaban in acute PE/DVT
#Cardiology #VTE #DOAC #Anticoagulation #MedicalEducation #HeartHealth #MedTwitter #CardioTwitter #JACC #NEJM #AHA #ESC

[Yonah @tehrani_md]

FIRST dedicated Acute PE guideline (AHA/ACC 2026) just dropped!
Old: Vague risk → inconsistent escalation.
Categories A–E (shock + RV strain + biomarkers) + early PERT call for intermediate/high-risk.
Blood thinners first; advanced Rx selective → fewer bleeds, more lives saved.

[Yonah @tehrani_md]

🚨 Cardiologists: Old rule = tolerate low-normal K+ in ICD pts to dodge hyperK fears.
New POTCAST reality (NEJM): Push to high-normal (4.5–5.0 mmol/L) → ~31% ↓ in VT/ICD shocks, arrh/HF hosp, or death.
Cheap K+ boost or MRA tweak = big arrhythmia protection.
#Cardiology #EPeeps

[Yonah @tehrani_md]

TOP-CABG trial shows 3-month ticagrelor-based DAPT post-CABG is NONINFERIOR to 12 months for saphenous vein graft patency — AND slashes clinically relevant bleeding (8.3% vs 13.2%)! 🫀🩸

Would you shorten DAPT in your next CABG patient? Drop thoughts below!
#DAPT #CABG

[Yonah @tehrani_md]

BREAKING HF STRATEGY UPDATE 📢
A single polypill for HFrEF significantly improved heart function, symptoms, quality of life & cut hospital visits vs separated meds.

#heartfailure #Cardiology #Medicine #pharmacy

[Yonah @tehrani_md]

https://t.co/7kt3TpCtKr

#Cardiology #HeartHealth

[Yonah @tehrani_md]

1️⃣
🚨 LANDMARK PRIMARY PREVENTION BREAKTHROUGH 🧠💥
A PCSK9 inhibitor has now been shown to reduce first heart attack & stroke risk in high-risk patients with NO prior MI or stroke.

[Yonah @tehrani_md]

9️⃣
How will this change your preventive strategy in high-risk patients? 👇

[Yonah @tehrani_md]

8️⃣
Takeaway: this could redefine risk-based therapy earlier in disease progression.

[Yonah @tehrani_md]

NEW CARDIOLOGY DISCOVERY
Patients with chest pain and normal coronary angiograms may still have true angina from microvascular disease — detectable with stress cardiac MRI! 🧠

This may change how we approach “normal cath results.”

#Cardiology #Angina #aha #HeartHealth

[Yonah @tehrani_md]

@AsherElad @PCRonline @sbrugaletta @Ortega_Paz @ANazmiCalik @Guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @w_jyg @ICigalini @Hragy @SABOURETCardio @mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin Unreal!

[Yonah @tehrani_md]

🚀 BREAKTHROUGH in Heart Health Tech!
AI + smartwatch ECG can now detect structural heart disease including LV dysfunction, valve damage & hypertrophy from a single-lead reading!

#Cardiology #AIHealth #Smartwatch #HeartDisease #MedTwitter #DigitalHealth #AHA25 #Wearables

[Yonah @tehrani_md]

💥 NEW CARDIOLOGY FINDING 💥
Personalized vitamin D3 supplementation tailored to optimal blood levels cuts second heart attack risk by ~50% in survivors! 🩺💊 This could change post-MI care forever.
#Cardiology #HeartAttack #VitaminD #HeartHealth #AHA25 #MedTwitter #PreventiveMed