Ivan C Aivasovsky MD

After a long road, we couples-matched and will be moving to NYC! #Match2024 #MedX #MedTwitter

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Two of our projects are now up at #CTO2026! - Impella-Assisted PCI Using Dual vs Single Access: Increased Bleeding Risk With Dual Access - When Nothing Crosses: RPDA Stingray ADR for a Distal Recanalized RCA CTO

Today is Day 1 of #CTO2026 in NYC! View all the slides presented at this year's conference on the TCTMD website. tctmd.com/CTO2026

Live from Bayamón! 🫀 Tuning in to a live case from the Bayamón Heart & Lung Institute — bringing real-time learning and expert decision-making to #CTO2026. #CardioX #CardioTwitter #CardioResearch #CardioEd @esbrilakis @colletcarlos @DrBillLombardi @mbmcentegart @JWMoses @wjn_md @jgranadacrf @MartyBLeon @triciarawh @TCTConference @TCTMD @jedicath @Babar_Basir @CathWhisperer @SarahFairley7 @MinaFar20 @MichaelMegalyMD @ShariqShamimMD @Shoaib9702 @Tabaza @ladyheart_md

@TifeRMFC Don Emmanuel Adebayor 👀

Brahim Díaz aside, name an African who has played for Real Madrid. Impossible.

@BGoilav @MontefiorePeds @nytimes Congratulations to second-year resident, Marianna B. Castellanos, MD, who was first author of this paper re: #children & #SNAP. @i_jsmiles @MontefiorePeds @DrFerdowsi @haroldpollack @SuzettePediMD @ianpaulmd #PedsMatch2025 @SBraganzaMD @Dr_ScottK @psyd publications.aap.org/pediatrics/art…

You're 33. You hit the gym six days a week. You've been training for five years. No symptoms. No chest pain. No dizziness. Your resting heart rate is 52—athlete-level fitness. You don't know that your ventricular septum is 18mm thick. Normal is under 12mm. You have hypertrophic cardiomyopathy. Your father's brother died suddenly at 28 during a football game. Your family thought it was a freak accident. It wasn't. Standard pre-gym screening doesn't catch this. A physical exam won't detect it. Your blood pressure is normal. Your heart sounds are normal. Even an ECG might miss it—ECGs only identify HCM in 50-70% of cases. The gold standard is cardiac MRI. But ordering an MRI for every gym member isn't feasible or cost-effective. The healthcare system doesn't screen asymptomatic young adults for genetic cardiomyopathies unless family history raises flags. This is the screening gap. The conditions that kill young athletes stay silent until they don't. Up to 30% of HCM cases present with sudden death as the first symptom. ARVC is even harder to detect early—the fibrofatty replacement starts in the right ventricle, which is technically difficult to image with standard echocardiography. So what's the solution? Know your family history. If sudden death runs in your family—particularly in relatives under 50—you need evaluation before intense training. That means ECG, echocardiogram, possibly cardiac MRI. Pay attention to symptoms during exertion. Chest pressure isn't normal. Sustained palpitations after stopping exercise aren't normal. Syncope or near-syncope during lifting isn't normal. These aren't signs of pushing hard—they're warnings your heart is electrically unstable. The screening gap exists because sudden cardiac death is rare enough that universal screening doesn't pass cost-benefit analysis. But if you're in the high-risk group—family history, using anabolic steroids, or experiencing symptoms—you're not a population statistic. You're an individual who needs evaluation.

BREAKING NEWS The Norwegian Nobel Committee has decided to award the 2025 #NobelPeacePrize to Maria Corina Machado for her tireless work promoting democratic rights for the people of Venezuela and for her struggle to achieve a just and peaceful transition from dictatorship to democracy. #NobelPrize

“Oh my god… I have no words.” Listen to the emotional moment this year’s laureate Maria Corina Machado finds out she has been awarded the Nobel Peace Prize. Kristian Berg Harpviken, Director of the Norwegian Nobel Institute, shared the news with her directly before it was announced to the world. #NobelPrize #NobelPeacePrize

@liajoubert @montefioreIM @CarlosMatosMD @MejiaEliany @urenacard Felicitaciones!!

I MATCHED AT MONTEFIORE!!!!!!💗💗💗 See you in a bit NYC!!!!!🥹🤞🏻 @montefioreIM @CarlosMatosMD @MejiaEliany @urenacard 🙏🏻 #Match2025 #InternalMedicine

@diego_incontri @harvardneuromds @MassGenBrigham @MGHNeurology @BWHNeurology @harvardmed 🔥🔥🔥

Dreams come true 🤩 I’ve matched at Mass General Brigham!! I’m beyond grateful and happy to join @harvardneuromds as a Neurology Resident!! 🧠🤓 @MassGenBrigham @MGHNeurology @BWHNeurology @harvardmed #Neurology #Match2025

@AgustinPerez97 @julianaperezp25 @gershmanMD @rkorets @tung_patricia @IRI_program @YaleIMed @Yale_Urology @MediUniandes Grandisimoosss!! 🔥

A match made in Heaven and New Haven! Words are not enough to thank our mentors and their unwavering support during this process. @julianaperezp25 🇨🇴 @gershmanMD @rkorets @tung_patricia @IRI_program @YaleIMed @Yale_Urology @MediUniandes

@rafaelagtoledo Congratsss rafa!!

Ok… so this is real… IM GOING TO BE AN OBGYN!!! Somebody pinch me cause this feels like a dream!!!! Beyond grateful ❤️

@Mariapaulacote @LA_Dageforde @NakulRaykar @benjamesMD Idola 🔥

My dream of becoming a General Surgeon is finally coming true 🥰Incredibly excited and beyond grateful to my mentors @LA_Dageforde @NakulRaykar @benjamesMD for the support, guidance, and for believing in me!!! #Match2025

@acubeddu9 @vinijr Jajajajaja

@vinijr Mete el penal

Cómo te siente? 🗣️

@YihiRM De quien ídolo?

Gol

@Aestevez10 @uoflurology @SWIUorg congratssss 👏🏼

Beyond excited to be joining @uoflurology for residency! Thank you so much to everyone who has supported me along the way. 🇨🇴 #urologymatch2025 @SWIUorg

@AgustinPerez97 Felicidades mi bro!! 🔥

I’m going to be a Urologist!! Dreams do come true!🙏🏼🇨🇴 Thank you to my fantastic mentors and everyone who supported me along the way!