Edvaldo de O. Leme

I am doing my part to bring peace to those suffering from tinnitus; join me!

🚨 HIPERTENSIÓN ARTERIAL | GUÍA RÁPIDA 🩺 La HTA es silenciosa, pero aumenta el riesgo de infarto, ACV y falla renal. 📌 Diagnóstico: ✔ ≥140/90 mmHg en ≥2 tomas ✔ Confirmar con MAPA o medición domiciliaria 📊 Claves de manejo: 🔹 No tratar solo cifras → evaluar riesgo CV 🔹 Iniciar tratamiento temprano en alto riesgo 🔹 Meta: <130/80 mmHg (si tolera) 💊 Tratamiento: ✔ Primera línea: IECA o ARA II + CCB o diurético ✔ Preferir terapia combinada (mejor control) ✔ Escalar a triple terapia si no hay control 🔥 ARA II actualizados: Irbesartán | Telmisartán | Valsartán 💉 Nuevas terapias: 🔸 GLP-1 (↓ peso + ↓ PA) 🔸 Finerenona (ERC + DM) 🔸 ARNI en casos seleccionados 🚑 Urgencias: ✔ Crisis >180/110 mmHg ✔ Emergencia si hay daño a órgano blanco 💡 Perlas clínicas: ✔ MAPA detecta HTA oculta ✔ HTA resistente = ≥3 fármacos ✔ Siempre buscar causas secundarias en jóvenes ❤️ No trates números, trata el riesgo 📌 Guarda esta guía y compártela con tu equipo 👨‍⚕️ @rksanti | Educación que salva vidas

TMVR: Repairing Heart Valves Without Open-Heart Surgery

Anticoagulation Cheat Sheet

Our best shot for preventing many diseases? Exercise A @Cell_Metabolism new review cell.com/cell-metabolis…

Buried penile syndrome is a condition where the penis is of normal size but hidden under surrounding skin and fatty tissue, usually in the scrotum, abdomen, or thighs. It is often caused by obesity, morbid obesity, or severe weight loss. Treatment often requires specialized surgical reconstruction, such as liposuction and panniculectomy, to improve urinary function, hygiene, and sexual activity.

@JovemPanNews 😂😂😂😂😂😂

Irã diz ter impedido navio de guerra dos EUA de entrar no Estreito de Ormuz 📺 Confira no 3 em 1 👉@jovempan3em1" target="_blank" rel="nofollow noopener">youtube.com/@jovempan3em1 #3em1

El hipocampo suele encogerse según envejeces, causando peor rendimiento cognitivo, especialmente en la memoria. En este estudio, adultos mayores recuperaron un 2% de su hipocampo en un año caminando solo 40 minutos, 3 veces por semana. El hipocampo del grupo de control siguió encogiéndose (un 1,4%).

The process of adult teeth growth 🦷

@NWS Congratulations, your work is essential!!!

Today is National Weather Observers Day! 🙏 Thank all of you that observe, report, and maintain equipment in support of providing the weather observations that are so critical to weather forecasting across the world. If YOU would like to get involved, check out the links below! Skywarn: weather.gov/skywarn/ CoCoRaHS: cocorahs.org mPING: mping.nssl.noaa.gov COOP: weather.gov/coop/Overview

As a medical school professor, I'm watching fructose emerge as a key driver of metabolic disease -- and most people have no idea their body is making it. A new Nature Metabolism review by Dr. Richard Johnson at the University of Colorado Anschutz argues fructose is uniquely harmful. Unlike glucose, it bypasses regulatory steps in the liver, depletes ATP, and drives fat synthesis through a different pathway. Even more striking: when blood sugar is high, your body converts glucose into fructose internally. A note on study design: this is a narrative review and mechanistic synthesis -- not a randomized trial. It pulls together animal data, cell studies, and observational evidence. It does not prove fructose causes human disease through diet alone -- that requires interventional trials. Fructose may be one of the cleanest examples of metabolic dysfunction as the root cause of chronic disease -- linking obesity, fatty liver, type 2 diabetes, hypertension, and even Alzheimer's risk through a shared pathway. Full breakdown coming on the Health Longevity Secrets podcast @RobertLufkinMD" target="_blank" rel="nofollow noopener">youtube.com/@RobertLufkinMD Source: eurekalert.org/news-releases/… #MetabolicHealth #Fructose #Longevity #FattyLiver #HealthLongevitySecrets

facebook.com/share/p/1BCyDE… 📉Understanding myocardial infarction (MI) localization. This chart correlates specific EKG lead ST-elevations with their corresponding occluded coronary arteries- the LAD, LCx, or RCA and the affected myocardial territories. #Cardiology #STEMI #EKG

Kidney Transplant

Peripheral Neuropathy .

Liver Function Tests don't have to be confusing. A simple way to remember enzyme elevation patterns is the CAO approach: C- Chronic hepatitis➡️ Mild elevation of all enzymes A - Acute hepatitis➡️Marked⬆️ AST & ALT O- Obstructive jaundice ➡️Marked ⬆️ALP & GGT

Type 2 #diabetes is a condition of elevated blood glucose levels that may cause serious health consequences including vision loss, heart disease, stroke, nerve damage, and kidney failure. 📄 Learn more in this JAMA Patient Page. ja.ma/4tWL2wv

A journey inside the human heart. From the left atrium through the mitral valve into the left ventricle, past the aortic valve and sinuses of Valsalva, and into the coronary arteries and ascending aorta. Don’t miss the beautiful chordae tendineae.

Microplastics turn up in nearly every human brain sample, including healthy tissue medicalxpress.com/news/2026-04-m…

Think your metabolism is “slow”? It’s more complex than that. Your metabolism is constantly working—fueling breathing, movement, and even rest. It’s not just about calories; it’s how your body turns energy into life. The real driver? Daily habits. More muscle, better sleep, and consistent movement can make a bigger difference than any “quick fix.” wb.md/4efFmc0

🧬 Ciencia Cuando haces ejercicio, tus músculos liberan “mensajeros”: las exerkinas. Algunas, como el BDNF y el IGF-1, pueden influir en el cerebro 🧠 y se relacionan con mayor neuroplasticidad, memoria y salud cerebral. mdpi.com/2413-4155/8/4/…