Exercise Recommendation for Hypertensive Individuals (a thread)
1️⃣ Aerobic:
✅ 5-more days/week
✅ moderate intensity, vigorous intensity >> selected individuals
✅ >30 mins/day or accumulated (those unable can do intermittent exercise at least 10mins/x to accumulate total
Being a cardiologist is not an easy journey, oftentimes I questioned my life’s choices. 😊 There’re many times that I want to give up, but I am truly blessed that I met many inspiring, amazing mentors n teachers that trust my capabilities and support me.😊
#wic
#womanincardiology
LVAD explant after myocardial recovery❓
US data showed that:
➡️ 5-10% incidence for LVAD explant following myocardial recovery at selected centers🏥
➡️ Over half sustain the🫀function and off transplant list
Details:
#JACCHF
@JACCJournals
Excellent presentation by
@EvelyneMeekers
on
#EASYHF
:
📍1st nurse led, natriuresis guided diuretic protocol using POC UNa sensor
📍significant ⬆️in Natriuresis&diuresis after 48h
📍easy&practical to use by nursing team
📍allow personalised diuretics titration
#HeartFailure2024
To all my dear friends in
#CardioX
#CardioTwitter
, as we step on a new year, here's to a journey filled with happiness and more beautiful moments. 🥂🥳
May each sunrise bring renewed hope, and may every sunset gently sweep away any worries.🌅⛅️
Wishing that your hearts dance with
In
#Sorrento
for the
@escardio
#HFA
course in clinical trials, but need to make a soft turn to
#Positano
for a few hours and I couldn’t believe it! So beautiful and not as crowded like it was in the summer! Feels like I had the beach all for myself♥️📸
#Italy
Some powerful messages by Prof
@JavedButler1
at the Eugene Braunwald Lecture: Some thoughts on clinical trial in
#HF
:
➡️on why we do
#clinicaltrials
: to reduce human suffering
➡️to the young folks: work hard, do what you love, and success will follow
#HeartFailure2024
Great study that stratifies NT-proBNP:
👉🏻NT-proBNP was found to be ⬇️ in our 20s-30s, while 💁🏻♀️ tend to have⬆️ levels post-adolescence.
👉🏻 Detecting NP deficiency is crucial and could reshape our approach on CV risk. ♥️
#JACCHF
@UABCardiology
🔗:
Beautiful
#Lisbon
from my lens 📸,
Which one is your fave?😊
1️⃣ Rua da Bica de Duarte Belo
2️⃣ Calçada de Sant’Ana
3️⃣ Belém Tower
4️⃣ Alfama
#HeartFailure2024
Fantastic talk by the one and only
@hvanspall
on
#AI
#machinelearning
predicting risk in
#HF
:
📍
#ML
are useful to early diagnosis, phenotyping, risk prediction, precision medicine
📍some limitations includes: algorithm bias, external validation, limited RCTs
#HeartFailure2024
⚠️ A crucial aspect in our practice as
#HF
specialists is the role of
#HFnurses
➡️ There’re variations in the
#HFN
curriculum across the EU.
➡️ Collaborations are vital for
#CV
and
#HF
nurses to create a unified curriculum and establish clear pathways
#HeartFailure2024
Bom Dia Lisboa!
I'm super excited for this year's congress, not only because it will be held in beautiful Lisbon, but also because it marks the 20th anniversary of
#ESC_HFA
Don't miss out & secure your spot at the congress now, here ➡️
#20yearsHFA
ESC
#HeartFailure2024
is starting soon in 🇵🇹Lisbon 🥧🐟!
Have you registered yet?
Click ➡️
So many exciting sciences and updates await and
#HeartFailure2024
got you covered!
Some of my highlights (thread) for Day 1 of the congress are: ⤵️
How do gender differences impact clinical outcomes and healthcare resource use after
#HF
hospitalization?
#PACTHF
registries
#LBCT
:
📍 64% mortality, 🧔♂️=👩🦳
📍 Higher costs for 🧔♂️ in specialist and invasive care; more home & long-term care for 👩🦳
#HeartFailure2024
@hvanspall
How
#AI
assisted
#echo
enhance the
#HF
assessment&management? by the one and only Dr
@VDelgadoGarcia
📍improve our px access to
#echofirst
📍deep phenotyping: for etiology, risk stratification & choices for therapy
📍development of personalised medicine
#HeartFailure2024
Exciting events&opportunities for Early-career, students, FITs, & all young professionals are waiting in
#HeartFailure2024
Lisbon!♥️
✅
#HFAmillionaire
💸
✅ networking reception📶
✅ career cafe☕️
✅ latest science🧬
and many more🧑🏫🎓
Details🔗:
Pardon a non-academic post.🥺🙏🏻
Much needed short break with my family.😊
Kyoto in Autumn is just too beautiful!
All photos taken by iPhone only.🍁🍂
1️⃣ Eikando shrine
2️⃣ Arashiyama yusai
3️⃣ This is Shizen ice cream
Predictors of Mortality in
#AMI_CS
treated with
#IABP
and
#revascularization
,
#POV
from multi-ethnic Asian cohort:
📌55% 30day mortality rate
📌Significant predictors:🫀arrest, inotropes/vasopressor prior to
#IABP
, ⬆️lactate,⬇️pH,⬇️Hb
📌Pts sicker than prev studies, likely due
2️⃣days of serving as part of the medical team for the President of the Republic of Indonesia🇮🇩
Pictured here together with our Deputy Minister of Health, Governor, & Chief of Presidential team💪🏻
Woke up pretty early everyday hence the eyebags!👀
#Cardiotwitter
#CardioX
Insightful new proposed definitions of HF by the one and only
@BiykemB
.
✔️ Responsive:
❤️: improving ➡️ optimize
❤️: remission ➡️ continue
❌ Unresponsive:
💔: persistent ➕worsening ➡️ escalate, closer FU, referral and advanced therapies
#HeartFailure2023
Last cardiomyopathy clinic of the year! Closing 2022 with many stages of Amyloid cases🫀. With my supervisor dr
@weiqin_lin
and medical student, Irene from Sweden, plus got chocolate from her! Happy New Year everyone!
#NUHCS
#cardiologist
#cardiotwitter
#DANGERSHOCK
trial:
✅ Routine use of a microaxial flow pump + standard care in the tx of patients with STEMI-related
#cardiogenicshock
: ⬇️risk of death from any cause at 180 days 🆚 standard care alone.
➡️ incidence of Adv events were⬆️
#LBCT
#ACC24
🚨Additional factors to consider in assessing
#HeartFailure
risks in women🚺🫀
1️⃣ Early menarche and menopause
2️⃣ Younger maternal age, more live births & stillbirth
3️⃣ Shorter reproductive lifespan
Dive deeper in the latest
#JACCHF
@JACCJournals
issue:
Had so much fun at HFA millionaire
#HeartFailure2023
🫀
Was too nervous and couldn’t think properly but grateful to our judge and host
@SotiriaLiori
@_antocannata
. They really made the sessions so fun and interactive! And Thank You for free reg to Lisbon next year🥹❤️
3️⃣ consideration:
❎ if BP>220/105
❎ BP rise at exercise, stop if BP>250/115, if BP not ⬆️ or ⬇️ >10 despite increase workload
❎ valsava during resistance
💊 CCB, alfa b, vasodilator can cause sudden BP ⬇️>> gradual/prolonged cool-down, monitor after
#APSC2023Singapore
Early Bird Registration is available now. Attractive rates just for you!
Let’s meet for science, friendship and adventure!
Help us RETWEET this GOOD news! 👀
#apsc2023singapore
#cardiology
#singapore
2️⃣ Resistance training:
✅ 2-3x/week
✅ 60-80% 1-RM (begin 40-60% for older ppl or new to weight training)
✅ train each major muscle group
✅ 2-4 sets to 8-12 repetitions for each major muscle group
✅ resistance machines, free weights, and/or bodyweight
Excited that The 27th ASEAN Federation of Cardiology Congress
#AFCC2023
in collaboration with
#ESCAsia2023
@escardio
is starting today in Hanoi, Vietnam!
Today's been an exciting day as we've notified all accepted
#CLIMB2023
applicants! We can't wait to get started next month. 🥳
Don't forget all
#WomenInMedicine
can view the sessions afterward in the Talent Directory. Sign up here:
#WIC
#CardioTwitter
#HF
is truly one of the most evolving fields! Groundbreaking trials💡& advancements👩🔬 hv reshaped the landscape & changed our practice.
Dr
@BiykemB
beautifully summarized this dynamic journey, from trials to innovative💊, device interventions, & 🧬 Tx for
#Cardiomyopathy
.
#ACC24
Great lecture by
@ShelleyZieroth
, which emphasized on the importance of properly “Decongest” patients prior to discharge:
✔️ Euvolaemia (clinical signs+labs includes orthopnea, JVP, Edema, 6MWT, NTproBNP, CXR, IVC, Lung US)
✔️ stable oral meds for the last 24H
#HeartFailure2023
Well noted discussion by Dr Ileana Piña on
#PACTHF
registries,
#LBCT
📍differences in the management between 🧔♂️and👩🦳❓
📍why more disability❓
📍less specialized care for 👩🦳, ➡️ we need to do better❤️
#HeartFailure2024
@TaubenA
@hvanspall
Can
#ARVC
patient get pregnant🤰❓
Perfectly summarized by Prof
@Sliwa1Karen
@CHI_UCT
📍
#ARVC
severity score is highly predictive, for
#VA
,
📍🤰➡️prolonged hemodynamic stress, but there’s 30%⬇️ in vascular resistance
📍relatively safe with good monitoring
#HeartFailure2024
It’s really a mixed feelings. Feel glad that I’ve completed my training, but at the same time I feel sad leaving. Thank you for being a part of my life and for making
#NUHCS
a place I will forever hold dear. 😭🥹❤️
Listening to
@carlosalviar
while stuck in traffic 🚙🚗
As an EC HF cardiologist in Indonesia, I face many challenges aiming for the “ideal” mx for my
#CardiogenicShock
patients. (Think abt I wanna 🦢 this,
#ECMO
that,
#impella
those).
A whole new🌍 fr my fellowship where I could