Roger Alvarez

With our colleagues from @ClevelandClinic we just wrapped up an incredible #PHSummit2025 here in @CleveClinicFL! Thank you to the faculty, sponsors, and attendees. Literally standing room only at times for the dream-team line up of speakers. Can’t wait until next year! #PAH

Fresh blog: STRATIFY trial for PE Peripheral tPA infusion is EQUALLY EFFECTIVE as compared to ultrasound-assisted thrombolysis Catheter-directed thrombolysis for PE is dead We can get the same benefits with peripheral tPA infusions (w/o procedural costs & complications)...#1/2

🚫Harmful Drugs in Heart Failure!💊 A position 🗞️to guide drugs that may cause or exacerbate HF 👉onlinelibrary.wiley.com/doi/10.1002/ej… @JBauersachsMD @SulemanAktaa @JavedButler1 @mvaduganathan @GianluSava @HFA_President @JanBiegus @MagdyAbdelhami7 @NicolasGirerd @WilfriedMullens

Is fibroblast proliferation important in pulmonary fibrosis? Finally an answer - great paper by the super team of Christopher Molina,Tatsuya Tsukui, and Dean Sheppard #זScienceMatters #CureIPF jci.org/articles/view/…

One never forgets the first time they took care of someone with scleroderma renal crisis. If an unfortunate patient presents with this, here's how to manage it. 🎩 tip to the authors. eddyjoemd.com/foamed

This is impressive CV risk reduction with Tirzepatide vs Semaglutide The fact that we have these incretin therapies available is a game changer. Now we just have to make them accessible and cheaper #GLP1RA #weightloss #CVRisk #CVPrev #cardiotwitter

Well sotatercept is not only an anti remodeling agent. ahajournals.org/doi/10.1161/CI… Bravo to ILH team in Giessen and very proud to be part of this study and much more is coming 😎. @3CPRCouncil @PVRI

What are some of the key takeaways from ESC Congress 2025? Read our highlights article featuring data on VTE risk in specific populations – including pregnant women, people with provoked VTE and concurrent risk factors, and those with renal impairment – on demand with Medthority

HISTORIC AND PARADIGM CHANGING: FDA approves daratumumab for high risk smoldering multiple myeloma based on the AQUILA trial— the FIRST ever treatment approved for this indication. Excellent news and thanks to @JNJInnovMed and the huge worldwide team of investigators for making it happen. @thanosdimop @SagarLonialMD @PlasmaCellPete

"She was on the verge of death," says #Pulmonologist Roger Alvarez, DO, recalling his first meeting with Maria Jennings. She was diagnosed with a rare and potentially fatal disease called chronic thromboembolic pulmonary hypertension (CTEPH). But after a life-changing surgery, Maria didn’t just survive—she thrived. She underwent a transformative surgery called pulmonary thromboendarterectomy (PTE), which is only offered in a few centers in the world. “I have strength I didn’t expect to have. I walk more. I don’t get so tired anymore. I am happy. The one who cried before now laughs,” she says. ➡️ Full story: cle.clinic/4i7rTBm

Check out this must-read throw back article: STEMI Critics Are Right. We're Missing Too Many Heart Attacks by Dr Matt Bivens on why OMI/NOMI matters. @Matt_Bivens ow.ly/pElS50Xmqfi

If you have to remember one thing today, this is it: #foamed #foamcc #meded #MedTwitter

Friendly reminder: During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to

I would like to share the story of how a patient with cancer came up with the idea for a randomized trial, & how listening to him saved a lot of lives. 1/ In 2002, I had just completed a randomized trial with the notorious drug thalidomide for the cancer, multiple myeloma.

@emily_fri @EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @sreeja_natesan @MprizzleER @alvarezzzy @kaynani32 @MikePallaci @Chris_McStay @NotSoLilMD @ShehniNadeem @ResusOne @DaveLewMD @davidcarr333 @MRamzyDO @EMinMiami 💯💯 IV dig loading for AF w/ RVR and reduced EF is pretty sweet. it doesn't drop the heart rate immediately, but it often helps & its pretty safe. #zentensivist details here: #digoxin" target="_blank" rel="nofollow noopener">emcrit.org/ibcc/af/#digox… @CarrieMahurinMD

Full text is freely available if you want to learn about RV reserve from this extensive work lead by future ⭐️🫀 @PeterOro350724

@DrRisbo @Acyn Exactly @DrRisbo ! Here’s a piece I wrote that may help those who don’t fully understand the nuances of this argument open.substack.com/pub/dralvarez/…

@Acyn This is illegal. We have laws to protect people from dying outside of a hospital…at least for now. But let’s just build the kings palace and ignore the needs of the plebs.

Vance: What they have done instead is shut down the government because we won't give billions of dollars to health care funding for illegal aliens. That's what's actually happening.

The truth behind the arguments about immigrants and Medicaid. #healthpolicy #Medicaid #MedTwitter open.substack.com/pub/dralvarez/…

Achieving a Negative Fluid Balance in critically ill patients, a key aspect of fluid management in conditions like sepsis, AKI, and post-operative states. onepagericu.com/diuresis

Decoding #VExUS: a practical guide for excelling in #POCUS assessment of venous congestion. - @TaweevatA & team #FOAMed #Nephpearls 🔗 #Fig14" target="_blank" rel="nofollow noopener">theultrasoundjournal.springeropen.com/articles/10.11…