Sergio Alegre

🔸 Hypertension

No role for empiric PWI in persistent AF: Long term outcomes at median 3.6 years from #CAPLA presented #ESCCongress ⁦@PrashSanders⁩ ⁦@davidchieng⁩

Diabetic patients have impaired clopidogrel-mediated P2Y12 inhibition, exacerbated if #CKD is present. Read the new #JACCBTS study by Drs. @Ortega_Paz, Angiolillo, et al here: bit.ly/3Yfrcj7 #P2Y12i #Diabetes #cvCAD @FFranchiMD @UFMedicineJax

What do you do if your patient has angioedema on an ACE Inhibitor? 💊Switch to an ARB 💊Do NOT switch to an ARNI; sacubitril risks angioedema. The angioedema risk with overlap is also why you need a 36-hour washout of the ACEI when transitioning to an ARNI! #CVBoardPearl #MedX

📚 A few (extra) steps a day keep the doctor away? 🚶🏾‍♂️🚶‍♀️ ✏️ 1000 step increase associated with a 15% ⬇️ all cause mortality ✏️ 500 step increased associated with a 7% ⬇️ in CV mortality bit.ly/4eZDGkI #cvprev #CVD #EAPC_ESC #EJPC @EJPCEiC @SilCastelletti @EAPCPresident

Characteristic EKG findings in WPW: 1. PR ≤ 120 msec 2. Slurred QRS upstroke or downstroke (delta wave) 3. QRS > 120 msec The Delta wave is 97% specific for AVRT. Ref: 2019 ESC Guideline on SVTs #CVBoardPearl #MedX #CardioX

Hallmarks of VT (to differentiate from wide-complex SVT) are: 🫀AV dissociation 🫀Fusion & Capture Beats 🫀QRS > 140 msec 🫀Precordial concordance (QRS pointing same direction) 🫀Northwest Axis (extreme axis deviation) 🫀Atypical bundle branch morphologies #CVBoardPearl #MedX

Management of arrythmias during pregnancy bit.ly/3RcNM84

Strong Downstate presence at #EHRA2024 Our presentation later today in moderated poster session. ⁦@KBhanushaliMD⁩ ⁦@sergio90pr⁩

First TactiFlex procedure in Puerto Rico! 🇵🇷 A successful AFib ablation was performed today next to Dr. Freytes and our rockstar mapper Joanne Gonzalez! 🤩 TactiFlex SE is the game changer in ablation catheters 😎👊🏻 Get ready for this #AbbottProud #ProudToBeAbbott

#fundamentals 📚 Recall the Diamond-Forrester classification in heart failure, guiding both management and prognosis

This patient has Atrial fibrillation, What medication is he taking ?

No PROCEDURAL interventions for 2°MR carry a class I recommendation, since there is "no proof that surgical correction...is effective in prolonging life." TEER can be considered if symptoms persist despite GDMT w/ favorable MV anatomy OR if CABG is being performed (Class IIa).

~~ Pulmonary Vein Doppler 📕~~ We can glean a surprising amount of information from the pulmonary vein flow alone.. don’t ignore the pulmonary veins 👇 #echofirst ♥️

~~Guideline correlation~~ This limitation of meeting the secondary endpoint alone when the primary endpoint fails is why ARBs (like spironolactone in TOPCAT) carry only a weak (2b) guideline indication in HFpEF

Myocardial infarction - clopidogrel vs prasugrel vs ticagrelor 🤜🤛 ♥️ PLATO Trial: clopidogrel vs ticagrelor ♥️ TRITON-TIMI 38: clopidogrel vs prasugrel ♥️ ISAR-REACT 5: ticagrelor vs prasugrel

Most recently, ESC Guidelines have listed SGLT2 inhibitors as class I indication for HFpEF 👇

🫀 Arrhythmias After Acute Myocardial Infarction #Cardioed #Cardiology #Epeeps #ENARM

M-mode echocardiography 📚 We can glean a surprising amount of information from the M-mode alone.. don’t ignore the M-mode 👇 #echofirst #CardioTwitter