Sam

🚨 Just published! We validated an ultrasound-based score combining VExUS + LUS to guide decongestion in acute heart failure. A step forward toward more precise, ultrasound-driven management. Proud of our team! Congrats Henrique! onlinelibrary.wiley.com/doi/epdf/10.10…

If you’re 35+ and want to stay strong, mobile, and pain-free… Do these 5 moves daily. Most people ignore this until it’s too late. 🧵 1. Deep Squat (2 minutes)

Coronary artery anatomy

The Complete Guide to Acute Coronary Syndromes

🧭 Left Coronary System – Angio View Map 🔵 1. RAO Cranial 👉 “LAD view” Best for: ▪︎ Left Anterior Descending Artery (proximal–mid) ▪︎ Septal & diagonal branches Use: ○ LAD lesions ○ Lesion length (less foreshortening). 🔵 2. LAO Cranial 👉 “LAD + diagonals spread” Best for: ▪︎ LAD entire course ▪︎ Diagonals clearly separated Use: ○ Bifurcation (LAD–diagonal). ○ Complex LAD PCI planning. 🔵 3. RAO Caudal 👉 “LCx view” Best for: ▪︎ Left Circumflex Artery ▪︎ Obtuse marginal (OM) branches Use: ○ LCx lesions ○ OM take-off and distribution. 🔵 4. LAO Caudal ⭐ 👉 “Spider view” Best for: ▪︎ Left Main Coronary Artery bifurcation ▪︎ LAD–LCx relationship Use: ○ Left main disease ○ Bifurcation PCI strategy. ⚡ Super Quick Memory Trick: ● Cranial = LAD ● Caudal = LCx ● LAO Caudal = Spider (LM bifurcation) #cardiology #medicine

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

facebook.com/share/p/1DZrN1… Arrhythmia Ablation Targets ⚡ #Cardiology #Electrophysiology #Ablation #Arrhythmia #AVNRT #AtrialFibrillation

Not every abnormal wall motion you see on echo means coronary artery disease. That’s an easy trap to fall into. Regional wall motion abnormalities can show up for many reasons, and some of them have nothing to do with blocked coronaries: ⭕ LBBB can make the septum move oddly and even mimic an acute MI ⭕ WPW syndrome may create patterns that look like inferior or posterior infarction ⭕ Pacemakers often change septal or apical motion ⭕ Prior cardiac surgery can leave behind septal hypokinesis ⭕ RV volume overload flattens the septum during diastole ⭕ RV pressure overload flattens the septum during systole ⭕ Constrictive pericarditis causes the classic septal “bounce” or wobble ⭕ Takotsubo cardiomyopathy gives apical ballooning with a hyperdynamic base ⭕ Myocarditis, dilated cardiomyopathy, and sarcoidosis can cause global or patchy LV dysfunction

FFR vs iFR Both are invasive physiological measurements used to assess the significance of coronary artery stenosis during coronary angiography. ● FFR (Fractional Flow Reserve): Ratio of the maximum achievable blood flow in a diseased coronary artery to the theoretical maximum flow in a normal coronary artery. ● iFR (Instantaneous wave-Free Ratio): Measures pressure gradient across a coronary stenosis during a specific part of the cardiac cycle (diastole's "wave-free period") when resistance is naturally low. When to Use Each? ✅ Use iFR for simpler, faster assessment without drugs. ✅ Use FFR when hyperemic data is critical or in borderline cases.

facebook.com/share/r/18CrEM… Essential correlation between ECG leads and coronary anatomy. #Cardiology #ECG #EKG #STEMI #MI #HeartAttack #MedicalEducation #ClinicalPearls #MedStudent #FOAMed

facebook.com/share/v/1GW2LY… Coronary arteries; positioning of ECG leads ; corresponding 12 Lead ECG. #Cardiology #ECG #STEMI #CoronaryArteries #MI #CardiacAnatomy #EKG #Ischemia

The tricuspid valve is the largest heart valve, situated between the right atrium and right ventricle.

Withdrawal of heart failure therapy after atrial fibrillation rhythm control with ejection fraction normalization: the WITHDRAW-AF trial Withdrawal of HF therapy following AF rhythm control for prior AFCM and recovered LVEF was not associated with a decline in LVEF for most patients in the following 6 months. #Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare @mvaduganathan @hvanspall @DrMarthaGulati @dranulala @hfcollaboratory @SJGreene_md @gcfmd @AndrewJSauer @ESC_Journals @escardio academic.oup.com/eurheartj/arti…

Must-read perspective on different strategies for managing ostial stent protrusion in the latest issue of Catheterization and Cardiovascular Interventions onlinelibrary.wiley.com/doi/full/10.10… @ccijournal

This state-of-the-art review outlines current evidence on the mechanisms, prevalence, clinical relevance, and management of TAVI thrombosis and highlights ongoing clinical trials investigating this condition. eurointervention.pcronline.com/article/transc…

Site of coronary artery occlusion in STEMI

Impressive animation of the cardiac cycle = Rhythm of life😍😍

🫀 Inflammation vs cholesterol: which residual risk matters most in ASCVD? A large real-world study explored how cholesterol risk (LDL-C) and inflammatory risk (hsCRP) relate to cardiovascular outcomes in patients with established atherosclerotic cardiovascular disease (ASCVD). Researchers analyzed 39,638 patients with ASCVD in routine healthcare in Stockholm between 2007–2021. Patients were stratified into four groups based on LDL-C ≥1.8 mmol/L (≈70 mg/dL) and hsCRP ≥2 mg/L: • Low risk • High cholesterol risk • High inflammatory risk • Combined high cholesterol + inflammatory risk The primary endpoint was major adverse cardiovascular events (MACE), with additional outcomes including cardiovascular mortality, all-cause mortality, and heart failure hospitalization. 📊 Key findings 🔥 Inflammatory risk mattered more than cholesterol alone!!! Patients with high inflammatory risk (hsCRP ≥2 mg/L) had significantly higher rates of: • MACE • cardiovascular mortality • all-cause mortality • heart failure hospitalization 🧬 High cholesterol alone was associated with only a modest increase in MACE and was not strongly linked to other adverse outcomes. ⚠️ Another striking observation: ~39% of ASCVD patients were not receiving lipid-lowering therapy, highlighting persistent gaps in secondary prevention in routine care. 🧠 Why this matters The study reinforces a growing concept in cardiometabolic medicine: ➡️ Residual inflammatory risk remains a major driver of cardiovascular events even when cholesterol is treated. This helps explain why therapies targeting inflammation (e.g., colchicine, IL-1 pathways) are increasingly explored alongside lipid-lowering strategies. 📌 Take-home message ASCVD risk is not just about LDL-C. In real-world populations, inflammation appears to be an equally important — and often overlooked — driver of recurrent cardiovascular events. Future prevention strategies will likely need to target both cholesterol and inflammation.

1 minute review for top 10 changes in 2026 lipid guidelines 🫀 Shared decision making always worked for me , patient compliance is great when you give them autonomy and a plan for decade ! @ACCinTouch

Aspirin use, lipoprotein(a), and calcific aortic valve disease: the Multi-ethnic Study of Atherosclerosis. Read more in EHJ. ow.ly/l9mW50YljMj #EHJ #cardiotwitter #aspirin #aortic #stenosis #lipoprotein(a) @ESC_journals @escardio #AorticValveDisease