Elsayed Balbaa

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Prognostic effect of baseline #anemia before elective #PCI in #men

Your morning coffee on an empty stomach is a cortisol bomb. Cortisol follows a natural rhythm. It peaks when you wake up, then gradually drops through the day. Breakfast is the signal that tells your body to start pulling cortisol back down. Skip that signal and cortisol stays elevated for hours past its normal window. Now add coffee. Caffeine directly stimulates your adrenal glands to produce more cortisol. So the actual sequence for millions of people every morning: wake up with peak cortisol, skip food, pour a stimulant into an already-stressed system, then wonder why they feel wired and anxious by 10 AM. The mechanism connecting this to depression runs through serotonin. Your brain synthesizes serotonin from tryptophan, but tryptophan needs insulin to cross the blood-brain barrier. Insulin comes from eating. No breakfast means no insulin spike, which means less tryptophan reaching the brain, which means less serotonin production during the exact hours your brain is trying to stabilize mood for the day. This study found the link is strongest in adolescents (51% higher odds of anxiety vs no significant link in adults). That tracks perfectly. Teenagers skip breakfast at the highest rate, sleep the least, and drink the most caffeine relative to body weight. Three compounding cortisol drivers stacked on a brain that's still developing its stress regulation systems. 399,550 people across 14 studies. The finding isn't that breakfast is magical. The finding is that your body uses that first meal as a hormonal reset button, and skipping it leaves your stress system running in the background all morning like an app you forgot to close.

@Elshimyy7 😏😏🤔🤔🤔

مواصفات فتاة احلامك؟ ← اهم حاجة تبقي بنت اصول 😔 onvo.me/lucky_tiger_84…

@Elshimyy7 تسترجل وتنزل من البيت

ارجوكم حد يقول

A new Publication! We found that in men undergoing first-time elective #PCI for stable #CAD, baseline #anemia was associated with higher 12-month risks of #AKI, major bleeding, need for transfusion, #hospitalization, and #death, especially with recent (≤ 1 year) bleeding or transfusion history. @hakeemshubietah @M0Elgendy @mohamadsaad_R @AmeerAwashra @emara991 @ElbataaMD @MohammedMhanna5 @HemostasisToday Full text👇👇 onlinelibrary.wiley.com/doi/10.1002/cc… #CardioTwitter #CardioX #MedTwitter #Cardiology #PCI #CAD

Be obsessed about being a better version of your self but not about being the best.

While the increase in the #implantation success was modest ~6% , there was a significant 58% ⬇️ in device resizing rate and ⬇️ in procedure time (MD = -13 minute) with #CCTA #EPeeps #LAAO #cardioX

@M0Elgendy @SpringerNature @JICE_EP @MT_abuelazm @AhmedAminMD @mohamadsaad_R Thanks, bro!

@Elsayed_balba3 @SpringerNature @JICE_EP @MT_abuelazm @AhmedAminMD @mohamadsaad_R Congrats ❤️

Read our latest #meta_analysis on preprocedural #CCTA planning in #LAAO, published with @SpringerNature in @JICE_EP. @MT_abuelazm @AhmedAminMD @mohamadsaad_R @M0Elgendy #Epeeps #AF #LAAO #Arrhythmia #CardioTwitter #CardioX #MedTwitter #Cardiology Full text:👇 link.springer.com/article/10.100…

Congratulation to @r_elgizawy, she had been selected for our free mentorship.

@ShadiYaghi2 If the benefit of the LAAO is less bleeding, then why would the combined approach be better if the patient will receive anticoagulants?

CHAMPION-AF 3000 patients with AF eligible for anticoagulantion randomized to WATCHMAN FLX vs. DOAC. WATCHMAN FLX non-inferior to DOAC in efficacy (stroke, SE, and CV death) but reduced the risk of bleeding by nearly 50% Is the combined approach better? #WATCHMANFLX for all

@AshuPJadhav We have a very Imp meta analysis on this topic coming soon

Functional Outcome Following Blood Pressure Drops Within 24 Hours After Successful Mechanical Thrombectomy | Neurology neurology.org/doi/10.1212/WN…

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@Jnjokovic That's good, I hope you could have helped your colleagues be competitive with IMGs instead of writing such a comment.

@Elsayed_balba3 I know english is tough for some people.

عاوزة اي يا صفرة

@muhammedmarei3 يا بختك انا للأسف مجموعى مش هيجيبلى حاجة جو مصر هضطر اسافر وامري الى الله

@Elsayed_balba3 بيقولك مستشفي رشيد العام رقم واحد في مصر في ال ortho 👍🫡

I've seen this movie before

@muhammedmarei3 @Elshimyy7 يبنى امسكه اعجنه هيقولك عادي

@Elsayed_balba3 @Elshimyy7 هي معلومة بس هموت واطلعها منه😂😂😂

بدأت اقتنع ان الشيمي دة منفوخ اعلاميا

@Elshimyy7 @muhammedmarei3 حبيبي أنت خلاص شطبت وراحت عليك، شفلك حتة ناشفة اقعد فيها

@Elsayed_balba3 @muhammedmarei3 يبني انت مجرد هيتر حاقد غلاوي

@muhammedmarei3 @Elshimyy7 عطاك كم علشان تقول مدة بطل كذب

@Elshimyy7 يا عم دا القدوة الاسطورة اللي مفيش منه والله😂😂😂