Benigno Valderrábano Salas

#TR is more than a valve disease. Our review in @ESC_Journals (#EHJHF) proposes a pathophysiology-based framework: Optimize heart failure, relieve congestion, reassess RV function and comorbidities, then intervene at the right time in the right patient. 🔗doi.org/10.1093/ejhf/x…

Les presentamos la guía KDIGO de Enf Renal Crónica en español. Constituye la primer publicación de KDIGO en otro idioma que no sea inglés. #SLANH #KDIGO #PorLaSaludRenal 💪🏼🌎 nefrologialatinoamericana.com/portadas/nefro…

I am delighted to share our latest state-of-the-art piece entitled “Aspirin Withdrawal in Patients With Coronary Artery Disease” which has been just published in #JACC jacc.org/doi/10.1016/j.…

💥 ¿Cuánto debe durar la doble antiagregación tras un INFARTO? "12 meses para todos" es incorrecto 🫀 Riesgo isquémico 🩸 Riesgo hemorrágico 💊 Necesidad anticoagulación crónica 3 variables que cambian completamente la estrategia. 📊 Resumo las recomendaciones actuales ⬇️👁️

Les compartimos la nueva revisión de @erspublications sobre la hipertensión pulmonar asociada a enfermedad pulmonar intersticial (ILD-PH): Pulmonary hypertension associated with interstitial lung disease: a state-of-the-art review DOI: 10.1183/13993003.02651-2025 @EuroRespSoc

El manejo secuencial de la Insuficiencia Cardíaca (IC) es historia. Para quienes manejamos pacientes adultos complejos y multipatológicos, la inercia terapéutica con los ARM exige una revisión crítica. Datos importantes sobre el uso de ARM en IC, publicados en Cardiac Failure Review (2026). 🧵👇 @IcyfaSemi @IC_LaFe @SENefrologia @SLANH_ @almucastro01 @unidadichurs @ICardiacaSEC @JonathanNefro @PerlaZambrano @gonzaeperez @FaustoHerediaDr @SACcardiometab1 @SABOURETCardio @ResidentesSEMI @drbennisahmed @cristina_gavina

Important advances in #PAH — detailed in this State-of-the-Art review from M. Humbert & @AlbertaPHdoc in our Jul 14 issue. Key milestones. New therapies. New optimism.🫀 ahajournals.org/doi/10.1161/CI… @CircAHA @American_Heart #PulmonaryHypertension #Cardiology #Circulation

🏃‍♀️❤️ New ESC Clinical Consensus Statement on Cardiovascular Imaging in Athletes Excited to see the publication of this comprehensive two-part Clinical Consensus Statement from the European Association of Preventive Cardiology (EAPC) and the European Association of Cardiovascular Imaging (EACVI). These documents provide practical guidance on the indications, protocols, and interpretation of cardiovascular imaging for the evaluation and management of athletes—helping clinicians distinguish physiological cardiac adaptation from underlying cardiovascular disease and supporting informed return-to-play decisions. 📘 Part 1 focuses on exercise imaging, outlining when and how exercise stress imaging should be used to assess cardiovascular performance, uncover exercise-induced abnormalities, and guide clinical decision-making in athletes. academic.oup.com/eurjpc/advance… 📘 Part 2 covers Cardiovascular Magnetic Resonance (CMR), Cardiac CT, and Nuclear Imaging, offering practical recommendations for selecting the appropriate modality, standardized imaging protocols, and interpreting findings in the context of athletic cardiac remodeling versus pathology. academic.oup.com/ehjcimaging/ad… This consensus represents an important step toward harmonizing cardiovascular imaging practices in sports cardiology and will be a valuable resource for cardiologists, sports physicians, radiologists, and everyone involved in the cardiovascular care of athletes. Congratulations to all the authors and contributors on this outstanding collaborative effort! #SportsCardiology #CardiovascularImaging #AthleteHeart #EAPC #EACVI #ESC #Cardiology #CMR #CardiacCT #Echocardiography #NuclearCardiology #SportsMedicine

Pulmonary Hypertension associated with Interstitial Lung Disease. @ERSpublications a state-of-the-art review. 🫁😨❤️‍🩹🫀✍️🏻📚 @EuroRespSoc @ALATorax @SeparRespira @NeumoMadrid @Neumosur @socapnet @pneumosbpt @neumoparatodos @HUReinaSofia doi.org/10.1183/139930…

@RitikaTuliMD @strain_rate #Derivation" target="_blank" rel="nofollow noopener">stoylen.folk.ntnu.no/strainrate/Bas…

@RitikaTuliMD Animation created by @strain_rate. If you want to read more about the topic, their website is highly recommended.

🫀 CardioNugget™: Why is the Nyquist Limit = PRF/2? Think of a clock. 🕒 Imagine you're taking photos of a clock's second hand. Scenario 1: Many photos per revolution → You can clearly tell it's moving clockwise. Scenario 2: Only 2 photos per revolution → You only see 12 → 6 → 12 → 6... You can't tell whether the hand moved clockwise, counterclockwise, or completed multiple revolutions between photos. Scenario 3: Fewer than 2 photos per revolution → The hand appears to move backward even though it isn't. This is aliasing. 💡 Ultrasound works the same way. Each transmitted pulse is one "photo." PRF (Pulse Repetition Frequency) = number of photos (samples) taken each second. To identify a wave correctly, you need at least 2 samples per cycle. Therefore: Nyquist Limit = PRF / 2 ✅ Doppler shift (Δf) < PRF/2 → Measured correctly ❌ Doppler shift (Δf) > PRF/2 → Aliasing occurs #EchoBoards #CardioNugget #EchoPhysics #FOAMed #Cardiology @diontd17/understanding-nyquist-shannon-sampling-theorem-intuitively-5d2bfa593f74" target="_blank" rel="nofollow noopener">medium.com/@diontd17/unde…

#Physics notes for those taking #echoboards. Will add more points to this thread 🧵 #POCUS #Nephpearls ⭕️Sound is a mechanical wave that results from the back and forth vibration of the particles of the medium through which the sound wave is moving. These compressions and rarefactions are typically depicted as a sine wave. ⭕️ Wavelength (λ): The "distance" between two consecutive identical points on a wave (e.g., peak to peak or compression to compression), measured in millimeters. ⭕️Frequency: The number of complete wave cycles occurring per second, measured in Hertz (Hz). ⭕️ Amplitude: The maximum pressure variation (height) of the wave above or below the baseline. ⭕️Period: The "time" it takes for one complete wave cycle to occur, measured in seconds. It is the reciprocal of frequency: T = 1/f. ⭕️Spatial Pulse Length: The physical "length" of a pulse in space - the distance the pulse occupies in tissue. Equals the number of cycles in the pulse multiplied by the wavelength: SPL = number of cycles × λ (4 cycles in the example below). ⭕️Pulse Duration (PD): The total "time" the transducer is transmitting a single pulse. PD = number of cycles × period. ⭕️Pulse Repetition Period (PRP): The time from the "start" of one pulse to the "start" of the next pulse, including both the transmit time and the listening (receive) time. Determined by imaging depth. ⭕️Pulse Repetition Frequency (PRF): The number of pulses emitted per second, measured in Hz. It is the reciprocal of PRP: PRF = 1/PRP. Determined by imaging depth - deeper imaging requires lower PRF.

Improving the Diagnosis of HFpEF: A Comparison of the H2FPEF Score and the 2025 ASE Diastolic Function Guideline Recommendations Using Invasive Hemodynamics as the Gold Standard | JACC: Cardiovascular Imaging jacc.org/doi/10.1016/j.…

A must-read in @CircImaging by @SNagueh! 🫀 Past, Present & Future of Diastolic Function – Key Takeaways 🔹 Diastolic assessment has evolved from invasive hemodynamics to a comprehensive #EchoFirst approach. 🔹 The 2025 ASE algorithm simplifies evaluation, reduces indeterminate cases (~0.2%), & improves accuracy for estimating LV filling pressures. 🔹 Age-adjusted e', E/e', PASP, LA strain, pulmonary vein flow, & IVRT are central to modern assessment. 🔹 The algorithm has been validated in 951 patients & adds diagnostic value for HFpEF beyond clinical scores. 🔹 Emerging tools—including LA chamber stiffness, shear-wave imaging, valve opening timing, & AI—may further transform diastology. 👉bit.ly/3Rr3dfP #CardioX #Cardiotwitter

🧵 False Tendons in the Left Ventricle🧵 * Type Ⅰ connected the LV septum and posteromedial papillary muscle (PPM) (20%). Type Ⅱ connected the mid-LV septum and the apical LV septum (72%). Type Ⅲ connected the LV septum and the LV free wall (8%).

🚨 Excited to share our latest publication! 🫀🔍. ΔVExPLUs integrates serial changes in VExUS and LUS, providing improved prognostic assessment in ADHF and offering a potential framework for ultrasound-guided, phenotype-based decongestive management. : doi.org/10.1093/ehjimp…

🫀📊 Should we screen asymptomatic patients for coronary artery disease with imaging? A new systematic review of international guidelines gives a clear (and surprising) answer 👇 ✨ Key takeaways: 🚫 No imaging for population screening of asymptomatic CAD 🚫 Not recommended even in high-risk individuals 🧮 Risk scores remain the foundation of primary prevention 🟡 CAC scoring = useful ONLY in selected cases 👉 when risk is uncertain or borderline 🤝 Strong role in shared decision-making with patients 📊 As shown in the graphical summary (page 2): ✅ Agreement → CAC as a risk modifier ⚠️ Disagreement → thresholds & re-testing intervals ❓ Gaps → outcomes, cost-effectiveness, alternative imaging 💡 Big message: 👉 Imaging is not a screening tool 👉 It’s a decision-making tool 🚀 Future direction: Large trials (e.g. ROBINSCA, CorCal) may finally tell us if imaging-guided prevention improves outcomes 📄 Read the full paper: 👉 🔗 DOI: 10.1093/ehjimp/qyag034 #Cardiology #Prevention #CAD #CACscore #Guidelines #CardioTwitter #PrimaryPrevention #Imaging #EvidenceBasedMedicine #MedEd 🩺📊

A structured, stepwise multimodality imaging pathway includes a practical 4-stage approach. More: Initial Diagnostic Approach to ACHD: A Practical Imaging Pathway for Cardiologists & Imagers @aliciarangosch @AneeshDhore @valeriaduarteMD doi.org/10.14797/mdcvj… #DeBakeyCVJournal

@MynephCC @NephroP @IM_Crit_ @khaycock2 pmc.ncbi.nlm.nih.gov/articles/PMC37…

@MynephCC @NephroP @IM_Crit_ @khaycock2 The series by Galiñanes and Toker are the greatest to my knowledge… pubmed.ncbi.nlm.nih.gov/15227075/

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