Aziz @AzizJoury Twitter profile

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Aziz

@AzizJoury

1 year

My top learning points/highlights from the recently published @ACCinTouch @Cardiology Guidelines on treatment of Chronic Coronary Disease (CCD):

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Aziz

@AzizJoury

2 years

Here are the top 10 learning points from the elegant review of right ventricle failure by: @RyanTedfordMD , Evan Brittain and @Brian_Houston12 :

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Aziz

@AzizJoury

6 months

I am honored to be a Fellow of the American College of Cardiology - FACC #ITooktheACCOath #ACC24 @ACCinTouch

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Aziz

@AzizJoury

4 years

Irresistible to ablate #EPeeps

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Aziz

@AzizJoury

3 years

@r3dash @MKBHD found some of 'em:

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Aziz

@AzizJoury

6 years

Dr. @mirvatalasnag hosting the FIT jeopardy

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Aziz

@AzizJoury

6 years

Glad and honored to meet Dr. ⁦ @Dr_HaniNajm ⁩ in #ACC19 in #NewOrleans

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Aziz

@AzizJoury

6 months

بحمد الله ثم بفضل دعم وطني - مملكة العز - اللامتناهي 🇸🇦 ، تم اختياري كأول مُحكّم - دولي - في نهائي مسابقات أطباء زمالة القلب في النسخة الخامسة والسبعين من مؤتمر الجمعية الأمريكية لأمراض وجراحة القلب #ACC24

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Aziz

@AzizJoury

2 years

Talk by @mpsotka to always take into consideration the cost of medication and navigate the alternative ways to find the most affordable option for HF patients. #ACC23 #WCCardio #CardioTwitter @ACCinTouch

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Aziz

@AzizJoury

6 years

كل عامٍ وأنتِ حبيبتي، كل عامٍ وأنتِ عشيقتي ، أحبكِ وليعلم الملأ، أحبكِ يا أجمل أيامي، ويا أحلى لحظاتي. كل عام وأنتِ زوجتي يا مناي ❤️ @TheMona92

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Aziz

@AzizJoury

1 year

Lipids and CCD: Guidelines highlighted the importance of looking at non-HDL C (cut off > 100 mg/dL or > 2.6 mmol/L) as another indicator to initiate lipid-lowering agents. Statin is still on the throne for as 1st line lipid lower agent, followed by ezetimibe, and then PCSK9 i.

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Aziz

@AzizJoury

1 year

Continuing on my top learning points/highlights from the recently published @ACCinTouch @Cardiology Guidelines on treatment of Chronic Coronary Disease (CCD):

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Aziz

@AzizJoury

1 year

Here is the summary of anti-thrombotics in CCD:

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Aziz

@AzizJoury

5 years

معاناة "فيكتور فرانكل" في سجون النازيين أثناء الحرب العالمية الثانية ومشاهداته لطريقة تفكير المساجين وتأثيرها على مستقبلهم أعطى لنا ثمرة أفكار "الإنسان يبحث عن المعنى". المتشائمون كان قدرهم أسوأ من المتفائلين. القوه التحفيزيه الأساسية للفرد هي العثور على معنى في هذه الحياة.

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Aziz

@AzizJoury

1 year

Anti-coagulation on top of anti-platelet (big deal x2): AFib pt who needs PCI > AC + DAPT (for 1-4 Weeks) then clopidogrel + AC afterwards (class Ia) Stable CCD and after one-year PCI, AC alone is reasonable.

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Aziz

@AzizJoury

1 year

Anti-platelet and CCD (big deal): Lower the time for DAPT following PCI to 6 months (class Ia) OR DAPT for 3-6 months then P2Y12 i (SAPT) afterwards (Class IIa). Longer DAPT beyond one-year - even low risk bleeders - is class IIb (meh!)

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Aziz

@AzizJoury

6 years

Scar effect on electrical propagation. Beautiful figure from Issa Z, et al. Clinical Arrhythmology and Electrophysiology - Elsevier #EPeeps

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Aziz

@AzizJoury

1 year

Kindly review my editorial in post-hoc Analysis of SHIFT trial at:

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Aziz

@AzizJoury

1 year

Beta-Blockers and CCD: Guidelines this time become more aggressive on long term treatment with BB in CCD. In the absence of HFrEF, prior MI, BB is not recommended (no benefit).

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Aziz

@AzizJoury

1 year

Angina and CCD: Similar recommednaiton from prior, choose one or multiple from: BB, CCB or long-acting nitrite. If still symptomatic, consider ranolazine. Ivabridine is potentially harmful in the absence of HFrEF (refer to SHIFT Trial).

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Aziz

@AzizJoury

5 years

Just finished this book that elaborated 10 rules to ride your life. I loved it. Written by @JonGordon11

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Aziz

@AzizJoury

1 year

Revasculization in CCD: When to revasculrize: Life-style limiting angina despite GDMT + Revasculriable target(s). HFrEF + LM/ Multi-V disease > CABG Multi-vessels > Heart Team approach for re-vascularization strategy (PCI vs. CABG) Highlight on Optimal Medical Therapy

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Aziz

@AzizJoury

1 year

"Medical knowledge is critical for saving lives yet almost useless without competent bedside manner" ~ @MKIttlesonMD in her great book "Mastering the Art of Patient Care"

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Aziz

@AzizJoury

10 years

@aymanaabdo شكرًا د. أيمن على هذه الكلمات المحفزة بإذن الله أعدك أن أكون الأفضل في مجالي وأعكس الصورة الأفضل للصرح الذي تخرجت منه

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Aziz

@AzizJoury

2 years

Highlights on HFmrEF and identify them as a different entity than HFrEF and HFpEF. Think of HFmrEF as a transition period to either improved or worsen before they settle in a different category either <40% or > 50%. By @AndrewJSauer #ACC23 #CardioTwitter @ACCinTouch

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Aziz

@AzizJoury

7 years

من أكثر الأماكن حزنا واحتواءً للدموع هي صالات انتظار العناية المركزة. #فضفضة_طبيب

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Aziz

@AzizJoury

6 years

بما أننا مقبلين على التقديمات الأمريكية وغيرها لبرامج الزمالة، هذه المقالة (رغم أنها قديمة نوعا ما) إلا أنها ثرية بالكثير من النصائح والدرر للمتقدمين. أسأل الله لي ولكم التوفيق. #فضفضة_طبيب #الزمالة

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Aziz

@AzizJoury

1 year

DM with Chronic Coronary Disease (DM-CCD): Add SGLT-2 i ($$) or GLP-1 RA ($$$) to reduce MACE. My approach: DM-CCD with CKD > SGLT-2 i DM-CCD who are obese and can afford $ > GLP-1 RA

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Aziz

@AzizJoury

2 years

Using sacubitril/valsartan among patients with congenital heart disease is extremely underinvestigated - due to multiple reasons -. My dear friend @T_GuptaMD , et al. investigated the safety and efficacy of Sac-Val among ACHD pts.

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Aziz

@AzizJoury

5 years

بعد ليل طويل، سيأتي فجرٌ يُنسينا دموعًا أسهرت مضاجعنا!

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Aziz

@AzizJoury

2 years

Highlighting the healthcare disparities among different races in heart failure care and access to OHTx by @DrNasrien #ACC23 #CardioTwitter

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Aziz

@AzizJoury

5 years

كل عام وأنت وطني 🇸🇦 #SaudiNationalDay89

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Aziz

@AzizJoury

5 years

اللهم إني اسألك خيرها وخير ما فيها وخير ما أرسلت به وأعوذ بك من شرها وشر ما فيها وشر ما أرسلت به. Barry إعصار من الدرجة العالية بالقرب من مدينة نيو أورلينز، لويزيانا.

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Aziz

@AzizJoury

3 years

@naif_khalaf @AlghnamS - Innovate a track in medical school (MBBS-MS) degrees. - Creating "Physician–Scientist" Track during residency. One-year dedicated for research. - Abandon communicating with fake journal and "Tooth Fairy science". - Good incentives and promotion for high-quality projects.

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Aziz

@AzizJoury

1 year

Colchicine as 2nry prevention in CCD: Still weak recommendations. This mainly based on LoDoCo trial (Low Dose Colchicine for Secondary Prevention of Cardiovascular Disease)

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Aziz

@AzizJoury

2 years

@CMichaelGibson

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Aziz

@AzizJoury

1 year

An attention to the fasting TG level, and to introduce Icosapent Ethyl–Intervention (IPE) if TG > 150 mg/dL (1.7 mmol/L). This after the landmark trial in IPE: REDUCE-IT trial.

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Aziz

@AzizJoury

5 years

I would hike Pacific Crest Trail to justify eating countless Sneakers bars 😋

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Aziz

@AzizJoury

1 year

I will create another threads for the rest of this guidelines. #CardioTwitter #Cardiology

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Aziz

@AzizJoury

2 years

كل الشكر موصول للمؤلف فهد الطبيب @tabibfi لإرساله نسخة موقعة من آخر إصداراته "أرثر وبلاك". متشوقٌ لمعرفة الأحداث بين "أرثر أندرسون" و "ستيفاني كلارك" و"بلاك".

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Aziz

@AzizJoury

7 years

رفع هذا الفلم سقف التوقعات للأفلام الموسيقية القادمة لأبعاد لا مدى لها 👏🏼

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Aziz

@AzizJoury

1 year

Segway to REDUCE-IT Trial: it showed significant reduction in CV death or MI (9.6% vs.12.4%, p < 0.001) but not in All-cause mortality (6.7% vs. 7.6%, p = 0.09). IPE group has higher rate of Atrial fibrillation/flutter: 5.3% vs. 3.9%.

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Aziz

@AzizJoury

1 year

Heart Failure with CCD (i.e., ischemic cardiomyopathy): SGLT-2 i irrespective of diabetes. Even if obese with HF-CCD > SGLT-2 i

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Aziz

@AzizJoury

5 years

Another brilliant work by Sam Mendes, the movie #1917 showed excellent representation of Trench Warefare system during WW-I (The first fire trench, zigzag line across communication trenches, reserve trench and the barriers.

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Aziz

@AzizJoury

4 months

تشرفتُ بزيارة جناح ضيف الشرف، جناح المملكة العربية السعودية في #معرض_سيئول_الدولي_للكتاب أكرمونا بحفاوة الاستقبال والبخور والقهوة السعودية 🇸🇦💚🤍 @KSAembassyKorea @MOCLiterature @KSAMOFA

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Aziz

@AzizJoury

6 years

Nice schematic diagram of the conduction pathway in cardiac conduction system. Ref: Lilly L. Pathophysiology of Heart Disease. #CardioTwitter #EPeeps

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Aziz

@AzizJoury

1 year

Pregnancy and CCD: Screening and cardiovascular risk assessment, and potentially cardio-obstetric care team for high risk pts is recommended Statin has a (meh!) recommendation during pregnancy (Class IIb) ACEi/ARB/ARNI/MRA are big NO NO during pregnancy

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Aziz

@AzizJoury

2 years

Atorvastatin expressing muscles in its cardioprotective effects among cancer patients who received anthracyclin (STOP-CA Trial). #ACC23 #CardioOncology

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Aziz

@AzizJoury

1 year

Hypertension and CCD: Pts without hypertension, the goal for nonpharmacologic strategies when BP > 120/<80 mmgHg. Pts with hypertension, the goal of their BP is < 130/80 mmHg

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Aziz

@AzizJoury

7 years

أحبُّ عيناها عندما تسهى، أعشق صوتها عندما تنادي، أحنٌ للمسة يديها عندما تغفى. هي الحب والحنان، هي المنى والجمال. @TheMona92

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Aziz

@AzizJoury

5 years

بداية مشوار جديد بإذن الله A beginning of new era #NewOrleans

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Aziz

@AzizJoury

2 years

When "Actinomyces odontolyticus" is hanging out in the pericardium! It ain't good homie!

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Aziz

@AzizJoury

1 year

@Dradambat_ar

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Aziz

@AzizJoury

1 year

Exercise and CCD: (Combination) of Aerobic and Strength-triaining exercise: Aerobic: either ~ 150 minutes/wk moderate-intensity or ~ 75 minutes/wk high-intensity Strength: hit the gym > 2 days/wk for weight lift

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Aziz

@AzizJoury

2 years

Do not overlook the "Mixed" type of shock! it represents between 15-20% of all comers to CVICU! By Dr. David Morrow from @BrighamWomens #ACC23

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Aziz

@AzizJoury

2 years

Great talk about the Vericiguat role in stable HFrEF. VICTOR Trial is ongoing and planned to be concluded by March 2025 with an estimated enrollment of 6000 patients. ~ By @joannajoly #ACC23 #WCCardio #CardioTwitter @ACCinTouch

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Aziz

@AzizJoury

1 year

Vorapaxar add-on on ASA in prior CVA-CCD is (class IIb), Vorapaxar add-on to DAPT (class III harm) DAPT post-CABG to decrease saphenous graft failure is class IIb CCD without ACS or PCI, only ASA is indicated (not DAPT) Unchanged from prior: avoid prasugrel in CVA and NSAIDs.

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Aziz

@AzizJoury

3 years

@RakanINazer Physiologic regurgitant jet of mechanical prosthesis

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Aziz

@AzizJoury

3 years

ED: Hey man, please weigh in this patient's troponin elevation. Me: It is Type II, admission to Hospital Medicine. Hospital Medicine:

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Aziz

@AzizJoury

5 years

كل عام والجميع بخير Eid Mubarak

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Aziz

@AzizJoury

1 year

Nonatherosclerotic causes of CCD in young: Kawasaki disease - look for coronary anerysm Coronary artery anomalies - Refer to ACC Guidelines for Congential Heart Disease 2018 Myocardial bridging - BB is a good option / restriction intense physical activity

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Aziz

@AzizJoury

2 years

Let's talk about Mavacamten for HCM .. Reminders for EXPLORER-HM ~ by Anjali Owen #ACC23 #WCCardio #CardioTwitter @ACCinTouch

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Aziz

@AzizJoury

8 years

تدوينتي الجديدة: سمفونية الوداع الحزينة حياكم الله.

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Aziz

@AzizJoury

1 year

CABG vs. PCI in CCD (not going to open a bag of worms): CABG preferred over PCI in: - LM with high complex CAD - CAD with SYNTAX score >33 - DM with LAD (conditional use of LIMA-LAD) The rest of lesions, use: Heart Team approach

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Aziz

@AzizJoury

5 years

شكرا حبيبتي @TheMona92

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Aziz

@AzizJoury

6 years

هنيئًا لنا بالسعودية وهنيئا للسعودية بحبنا لها. كل عام وأنت وطني 💚 #اليوم_الوطني_السعودي_الـ88

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Aziz

@AzizJoury

4 years

As I get older, I talk less often and when I talk, I am more selective in my words and phrases.

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Aziz

@AzizJoury

10 years

To live a happy life, lower your expectations!

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Aziz

@AzizJoury

6 years

عش كما تريد ومع من تحب، اجعل حياتك قصة توّد قرائتها لا لوحة فنية تُعجب الآخرين! #خاطرة #يوم_الميلاد

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Aziz

@AzizJoury

13 years

ازرع جميلاً ولو في غير موضعه فلا يضيع جميل أينما زُرعا !.. إن الجميل ولو طال الزمان به فليس يحصده إلا الذي زرعا !..

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Aziz

@AzizJoury

3 years

23 years can make an immense difference! iMac in 1998 vs. 2021

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Aziz

@AzizJoury

2 years

مقدمة الشيخ نديم الجسر في كتابه "قصة الإيمان". كل ما قرأتها توقظ لدي مشاعرٌ كانت مدفونة في كهف الا مبالاة!

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Aziz

@AzizJoury

9 years

بعد ��قتل مغني الراب توباك شاكور، الرماد الناتج من حرق جسده تم خلطه مع مكونات أخرى ليتم تدخينه من قبل فرقته Outlawz.

The Outlawz Say They Smoked 2pac's Ashes

http://VladTV.com - Outlawz confirm a rumor that they smoked the legendary rappers ashes Videographer: Jai Nima IdowuVideo Editor: Jai Nima Idowu

www.youtube.com

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Aziz

@AzizJoury

2 years

Reiteration of STRONG-HF trial that highlighted the rapid titration of GDMT of HF pts by @orlyvardeny #ACC23 #WCCardio #CardioTwitter @ACCinTouch

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Aziz

@AzizJoury

2 years

This is very difficult #ECG #Cardiotwitter !

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Aziz

@AzizJoury

3 years

“We must accept finite disappointment, but never lose infinite hope.“ ~ MLK Jr.

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Aziz

@AzizJoury

1 year

I knew these lessons - before this guidelines - from prior role-models in Ochsner @stent4U , @RajanPatelMD and others.

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Aziz

@AzizJoury

10 years

هذا الفلم عبارة عن قطعة فنية ثمينة، فيه من الدراما وحبكة القصة الشي الكثير 😊 The Fault in our Stars 2014 http://t.co/bI6XrhMdYq

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Aziz

@AzizJoury

6 years

Willem Einthoven (received @NobelPrize in Medicine in 1924) with his first three lead ECG and current portable ECG. #Cardiology #EPeeps

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Aziz

@AzizJoury

6 years

#حط_صورتك_وانت_صغـير

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Aziz

@AzizJoury

3 years

Happy birthday to my dearest friend, boon companion and soulmate @TheMona92 ❤️🎉🎊

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Aziz

@AzizJoury

13 years

عجبت لمن ابتلى بمكر الناس كيف يغفل عن قول ( وأفوض لأمري إلى الله والله بصير بالعباد) والله يقــول بعدها ( فوقاه الله سيئات ما مكروا )

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Aziz

@AzizJoury

2 years

The hen needed a facilitated egg-hatching technique!

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Aziz

@AzizJoury

4 years

As I get older, I become more emotional. Totally against my thoughts when I was ruthless kiddo.

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Aziz

@AzizJoury

6 months

I was honored to be the first international moderator for the FIT Jeopardy finals at #ACC2024

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Aziz

@AzizJoury

5 years

“The intuitive is the most accurate sense we have”. — Louis Kahn, Architect

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Aziz

@AzizJoury

3 years

🇷🇺 Daniil 🤙🏽

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Aziz

@AzizJoury

5 years

Rest In Peace #KobeBryant and his daughter 🙏🏽. Condolences to his family and NBA community.

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Aziz

@AzizJoury

7 years

أن يرزقك الله حبًّا صادقًا لمن يحبك نعمة عظيمة. الحمد لله

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Aziz

@AzizJoury

7 years

لكي تنمو وتتطور، تحتاج إلى: وقت، طاقة والتزام.

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Aziz

@AzizJoury

1 year

Chronic management of SCAD (spontaneous coronary artery dissection): It is imperative to rule out other organs' vasculopathies which can co-exist with SCAD. Think of aneurysm or pseudoaneurysm in brain and other organs.

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Aziz

@AzizJoury

13 years

الألقاب ليست سوى وسام للحمقى ، والرجال العظام ليسوا بحاجة لغير اسمهم !.. #حكمة

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Aziz

@AzizJoury

13 years

فقط إذا عندك اختبار : تتابع كل تغريدة ع الـ timeline ، وتصبح مثقف وشاعر ، وتتابع الأخبار ، و تصبح الأخ الحنون ، وتاجر مخضرم .. #حقيقة

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Aziz

@AzizJoury

4 years

Nice figure showing different origins of AT based on P wave morphology. #EPeep #Electrophysiology Ref: Essential Cardiac Electrophysiology. Abedin MD

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Aziz

@AzizJoury

3 years

63 M with prior STEMI s/p mRCA PCI one month ago ran out of his DAPT mes for last two weeks presented with chest heaviness. Tweet 1/4

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Aziz

@AzizJoury

2 years

Among women who underwent Bio AVR/MVR vs. Mech AVR/MVR and subsequently got pregnant: MechVs carried a higher risk of Pregnancy loss | Maternal morbidity | and Hemorrhage in delivery. Both groups: accelerate time to reoperation. Batra J, et al. Am J Card. 2018. #Cardiotwitter

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Aziz

@AzizJoury

2 years

Teaching points from the leading author in the consensus document, Dr. Angiolillo from Jacksonville, FL: - Drop Aspirin when feasible (days post PCI in high bleeders or one month in low-risk bleeders). - NOAC preferred over VKA - Use standard dose for NOAC as for stroke PPx