Gonçalo de Sá

Exercise is known to be good for us, but how much exercise and is there something like too much exercise? Exercise is often seen to have a J-shaped curve with mortality risk - not enough is bad but too much is also harmful (PMID: 26187713) How much is optimal then?⬇️⬇️

Exercise Intensity Terminology is a bit of a mess 😵‍💫 Our attempt to try & summarise some of the different approaches, and make some recommendations going forward, has finally been published in both MSSE: bit.ly/4nT7Pq5 & JSaMS: bit.ly/46U7ptq.

❤️‍🩹 New study from ARIC: Life’s Essential 8 score strongly predicts both short- & long-term risk of cardiovascular disease. Prevention starts here. 🔗 ow.ly/8bTZ50X7WSt #HeartHealth #CVPrevention #LifesEssential8

🧩 Structured, multidisciplinary framework to integrate #ExerciseIsMedicine into geriatric care. 💊 + 🏋️ = Better outcomes for older adults with multimorbidity & polypharmacy. Published in @Lancet Healthy Longevity, 2025. 🔗 thelancet.com/journals/lanhl…

💊+🏋️‍♂️= Medicine. In our latest @TheLancetLongevity paper we argue: 👉 “Exercise prescription is medically indicated, professionally implemented, and clinically monitored.” It’s time to integrate exercise into medication management for older adults. Read here ➡️ thelancet.com/journals/lanhl…

Aerobic exercise-induced changes in body systems …

Visual algorithm for STEMI localization

🚨 2025 ESC/EAS Focused Update on Dyslipidaemias 🚨 Key practice-changing highlights: 🔹 New SCORE2 & SCORE2-OP risk algorithms 🔹 Introduction of bempedoic acid and evinacumab for LDL-C lowering 🔹 Early, intensive lipid-lowering therapy recommended in ACS during index hospitalization 🔹 Lp(a) >50 mg/dL (≥105 nmol/L) recognized as a risk modifier 🔹 Updated recommendations on hypertriglyceridaemia including novel RNA-based therapies 🔹 Strong evidence for statins in people with HIV (REPRIEVE trial) 🔹 Guidance for cancer patients at high CV risk under chemotherapy 🔹 Clear statement: dietary supplements show no proven CV benefit 📌 A step forward towards more personalized and aggressive prevention in high-risk patients. doi.org/10.1016/j.athe… @society_eas @escardio @ATHjournal

High blood pressure is the most prevalent and modifiable risk factor for the development of cardiovascular diseases, including coronary artery disease, heart failure, atrial fibrillation, stroke, dementia, chronic kidney disease, and all-cause mortality. This reflects several major changes since 2017, including use of the American Heart Association’s PREVENT risk calculator to estimate cardiovascular disease risk. @accintouch @aanp_news @AAPAorg @ABCardio1 @ACCP @ACPM_HQ @AmerGeriatrics @AmerMedicalAssn @ASPCardio @NationalMedAssn @HeartNurses @SocietyGIM ✍️ @HeartDocSadiya @DrHeatherJohn @DaichiShimbo @marwahabdalla @nataliebello9

Cardiac Rehabilitation: The Gateway For Secondary Prevention Here are the 8 components meaning: 1️⃣ Lipid Counseling 2️⃣ Diabetes Education 3️⃣ Smoking Cessation Education 4️⃣ Nutrition Education & Counseling 5️⃣ Exercise Testing 6️⃣ Exercise Training 7️⃣ Stress Management 8️⃣ Psychological Support @maciejbanach @DrKarlNadolsky @DrNadolsky @NutritionMadeS3 Review Link: heart.bmj.com/content/110/24…

🧠✨ El #hipocampo envejece y con él la #memoria, pero el #ejercicio físico 🏃‍♀️💪 puede revertir cambios estructurales y moleculares, activando la neurogénesis adulta 🔄🧬 🤔Más ejercicio = más neuronas nuevas y mejor cognición en la edad madura sciencedirect.com/science/articl…

💡 Nuevo consenso internacional: 🚶‍♀️🧘‍♂️ Realizar ráfagas cortas de ejercicio (≤10 min), varias veces al día 🕒, es una estrategia eficaz para combatir el sedentarismo 🪑 y mejorar más de 20 marcadores de salud 🧬💓 cronfa.swan.ac.uk/Record/cronfa6…

Just published our new manuscript "Cardiac Rehabilitation After Mitral Valve Intervention: Tailored Assessment, Management, and Exercise Training" in the JCDD. Our manuscript provides a contemporary update on the role of #cardiacrehab in pts after mitral valve intervention.

Prescribing aerobic #exercise to healthy people and #patients with heart disease or elevated risk: stepping away from using % of peak effort (%HRpeak, etc) but going for a threshold-based approach (ventilatory thresholds): far more precise and effective link.springer.com/article/10.100…

1 in 3 cancer patients may experience serious cardiovascular side effects from treatment. For the first time, experts from cardiology, oncology, haematology, radiology, nursing and more are meeting under one roof at #ESCardioOnco2025 United by a shared mission to improve care for these patients, this conference, in Florence, Italy, is groundbreaking. It’s not just about sharing science. It’s active collaboration between specialties, to avoid a cardio-oncology epidemic. Thank you to all contributors and attendees for being part of this event.

📢 Essential Reading – 2025 Landmark Paper on Lp(a) The Brussels International Declaration on Lipoprotein(a) Testing and Management, published in Atherosclerosis, represents the most comprehensive and authoritative document on Lp(a) to date. ☝️Highlights: 1️⃣ Establishes global consensus on the need for systematic, once-in-a-lifetime Lp(a) testing 2️⃣ Provides a detailed policy framework for integrating Lp(a) into cardiovascular prevention strategies 3️⃣ Reinforces the causal role of Lp(a) in ASCVD and aortic valve disease 4️⃣ Presents new cost-effectiveness data supporting early detection 5️⃣Advocates for equity in access, family-based screening, and protection against discrimination This declaration is a milestone in lipidology, offering a translational bridge from evidence to practice and policy. 🔗 Read the full open-access article: sciencedirect.com/science/articl… @society_eas @fhpatienteurope @ATHjournal @magdadaccord @KronenbergLab

A 🆕️ ACC Scientific Statement addresses the management of obesity in adults with #HeartFailure, with a specific focus on those with stage 2 HF with #HFpEF. Read more: bit.ly/4n0Fluh #JACC @JACCJournals

💥 “Caminar 30 minutos al día ya no es suficiente” Así lo explico en esta entrevista para @Lecturas: necesitamos ir más allá si queremos envejecer con salud. 🏃‍♀️💪 Actividad moderada no basta. Hay que sumar fuerza, equilibrio y potencia muscular. 📖 Léelo aquí 👉 lecturas.com/estilo-de-vida… #EjercicioEsSalud #EnvejecimientoActivo #FuerzaEsVida @Lecturas @UNavarra @navarrabiomed @CIBER_ISCIII

High-Volume Physical Activity and Clinical Coronary Artery Disease Outcomes: Findings From the Cooper Center Longitudinal Study ahajournals.org/doi/10.1161/CI… #Physicalactivity #CAD #SportsCardiology

Cardiac rehabilitation: the gateway for secondary prevention - heart.bmj.com/content/110/24…