Isman Firdaus

Clopidogrel is superior to aspirin for cardiac outcomes beyond 1-year up to 5-years. Results from the STOPDAPT-2 ACS and STOPDAPT-2 Total Cohort. Should it be a lifelong maintenance therapy? @HirotWatanabeMD @MNatsuaki @KoYamamoto7 ahajrnls.org/3PlxLhD

Happy Ied Mubarak 1447 H

The 2026 ACC/AHA Multisociety #Dyslipidemia Guideline-at-a-Glance offers a visual summary of key updates in CV risk assessment, lipid treatment goals, & #ASCVD risk reduction. A quick reference for clinicians: jacc.org/doi/10.1016/j.… #JACC #ClinicalGuidelines #cvLipids

Intravascular imaging-guided PCI was associated with a significantly lower risk of target vessel failure compared with angiography-guided PCI across all levels of lesion complexity, with increasing prognostic benefit in more complex disease. Pooled analysis of 4,611 patients from RENOVATE-COMPLEX-PCI and registry data. #EIJBestOf eurointervention.pcronline.com/article/outcom… #PCI #IntravascularImaging #InterventionalCardiology

It's angioplasty's birthday! #OTD in 1964, using a series of catheters of increasing diameter, Charles Dotter opened a blocked femoral artery w/o surgery. He called it "angioplasty" & made a film to demonstrate it. His radical concept was rejected by US surgeons but embraced by Europeans, ultimately resulting in Gruentzig's balloon which revolutionized the treatment of coronary artery disease. A personal note: today is also my birthday, so I guess I was born to do this!🤣🎈❤️‍🩹#AngioHistory

Is the universal definition of myocardial infarction flawed and should be put to rest? Read this Great Debate in #EHJ 👉 ow.ly/tE2E50WVCvr @RoccoMontone @ehj_ed #myocardialinfarction

“There’s a genocide in Gaza, stop it.” US Capitol Police dragged out Major Anthony Aguilar & Captain Josephine Gilbo, arresting them for opposing Israel’s genocide during a confirmation hearing in DC.

🌐🇺🇸 US Military Veterans arrested in Washington DC protest Cpt Josephine Guilbeau Lt Col Anthony Aguilar It has been almost 2 years now and the g-side continues. Our government is under the control of a foreign country and will arrest its own military veterans before it dares to stop a g-cide committed by our controls. This is not just obvious anymore, it is ridiculous. Free America from Z Occupation 🇺🇸

USA arresting US war veterans who don’t want USA to fund a genocide! Israel comes before Americans who’s served or serves in US army! Or before any American who’s against Israel’s genocide and ethnic cleansing! Or wars in the Middle East! US sovereignty? 🤔

WATCH THIS! U.S. VETERANS DRAGGED OUT OF SENATE FOR CALLING OUT GENOCIDE! "If they arrest U.S. veterans, they'll arrest you" - Lieutenant Colonel Anthony Aguillar "YOU'RE COMPLICIT IN GENOCIDE!" Land of the free..... #IsraelTerroristState

JUST IN: Lt. Col. Anthony Aguilar and Capt. Josephine Guilbeau ARRESTED for Speaking against Genocide.

"The United States of America is complicit in genocide." US army veterans Anthony Aguilar and Josephine Guilbeau were forcibly removed and arrested for disrupting a Senate hearing after denouncing US complicity in Israel’s genocide in Gaza

🔴2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: ⤵️ #OpenAccess 🔹ahajournals.org/doi/10.1161/CI… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology

How do we classify heart failure patients at the bedside? This 2×2 table is a simple clinical tool used to assess patients with heart failure based on two key questions: 1️⃣ Is there congestion at rest? Look for signs like orthopnea, elevated jugular venous pressure, pulmonary rales, S3 gallop, or leg swelling. 2️⃣ Is there low perfusion at rest? Check for signs like narrow pulse pressure, cold hands/feet, dizziness, low blood pressure, or fatigue. Based on yes or no to each, patients fall into one of four profiles: 🔴 Warm and dry • Good perfusion, no congestion • This is the ideal, compensated state 🟡 Warm and wet • Good perfusion, but fluid overload • Most common in acute decompensated HF • Needs diuretics and afterload reduction 🔵 Cool and dry • Poor perfusion, but no fluid overload • Often seen in advanced HF • Needs inotropes or optimization of volume 🟢 Cool and wet • Poor perfusion and congestion • Worst prognosis • Requires urgent intervention: diuresis + inotropes ± mechanical support ✅ This simple classification helps guide initial treatment decisions and is widely used in emergency and inpatient settings for managing acute heart failure.

This year I am late in #my_4_slides on my most important takeaways from #CTO2025 Lots of great stuff and I will start with the intriguing #CTO #PCI techniques I will try in 2025. 1-HDR presentation by @realarainmd He explains it perfectly, his cases on X are enjoyable. In a very simple way 1-Stick the cap (a few mm) 2-Advance MC- pull wire while dripping contrast (prevent air trapping in the MC) 3-Inject slowly <0.5 cc 4-Analyze and decide next steps If intraplaque staining, nontip Fielder XT. If extraplaque, move down your algorithm (stick again or use other techniques) #cardioX #accfit

@ArsSababa @EylonALevy they are independence heroes, like the Indonesian independence heroes in 1945, they fought to expel the invaders

@EylonALevy Or, hear me out…. Getting sent to Indonesia for a few generations will deradicalize them where they aren’t our burden

Gaza must be deradicalized like Germany was denazified. This society is sick.

🔴A Rational Approach to the Treatment of Acute Pulmonary Embolism⤵️ #2025Review #OpenAccess 🔹annualreviews.org/content/journa… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter

@IvankaNews_ A. Yes 1000x

Tabrakan beruntun di tol dalam kota lajur kontra flow arah grogol dari cawang tepat kira2 50 meter didepan mobil saya, Semoga tdk ada korban amin.

[PENIPUAN] Wawancara Najwa Shihab dengan dr. Isman Firdaus Terkait Penemuan Obat Tekanan Darah dari Akar Jahe ✅ Faktanya video tersebut telah dibuat dengan menggunakan Deepfake. ...