Discover and read the best of Twitter Threads about #Emperor

Most recents (11)

1) Welcome to a new #accredited #tweetorial on Cardiorenal Disease in T2D & the Impact of Blocking the MR in Patients w/DKD, another CE/#CME program by one of the @GoggleDocs, this time our friend @AmarPut, Diabetes & Endocrine Consultant in the West Midlands 🇬🇧. #CaReMe #FOAMed Image
2) This program is supported by an educational grant from Bayer & is intended for #healthcare providers. Author disclosures can be found at ckd-ce.com/disclosures/. Prior programs, still available for CE/#CME credit, are at ckd-ce.com. CE/#CME credit 🇬🇧🇪🇺🇨🇦🇺🇸
3) So first – the ‘triple threat’ . . . We know of the link between the 🫀 and the kidneys and the ‘#cardiorenal’ syndrome, but what about in the setting of #diabetes?
Read 55 tweets
In patients with #HFpEF, treatment with #empagliflozin improves clinical outcomes regardless of background #MRA therapy

jacc.org/doi/10.1016/j.…
@JACCJournals #JACC @unic_cardiovasc @JavedButler1 @FaiezZANNAD #MiltonPacker @robmentz @BiykemB @HFpEF @ShelleyZieroth
#MRAs were used in 37% of EMPEROR-Preserved study participants. MRA use was higher in those with a more congested clinical picture, with more HF🏥 within the past 12 months, worse HF symptoms, mildly reduced EF, higher NT-proBNP levels, and more use of loop diuretic agents
The effect of empagliflozin to reduce HF 🏥 was more pronounced in MRA nonusers than in MRA users, particularly in the subgroup of patients with LVEFs ≥50% @HFpEF @DrRyanPDaly @AndrewJSauer @AnastasiaSMihai @DrMarthaGulati @ErinMichos @ShelleyZieroth @mvaduganathan
Read 8 tweets
1) Welcome to a new #accredited #tweetorial from our good friends and #diabetes experts @GoggleDocs, specifically @drkevinfernando, @drpatrickholmes, & @AmarPut. They have put their 🗣️s together to provide us with a summary of the first-ever consensus statement from ...
2) ... @AmDiabetesAssn & @goKDIGO, which were discussed at the recently concluded #isnwcn congress in Kuala Lumpur. This joint document nicely summarizes important recent advances and practice-changing data for the management of diabetic #kidneydisease #DKD.
3) This program is #accredited for CE/#CME #physicians #physicianassociates #nurses #pharmacists #nursepractitioners & is supported by an independent educational grant from the Boehringer Ingelheim/Lilly Alliance. It is not intended for US based healthcare professionals.
Read 29 tweets
Great discussion last night with the #EMPEROR in the room
Thanks @JavedButler1 @DrNasrien @hswapnil & Dr. Bayes
If you want to view the recording the link is here:
drive.google.com/file/d/10iTYIN…

We started with @hswapnil disclosing his #flozinator status & how we all need to be as well
@hswapnil showed that until now for CKD, every trial of other drugs has essentially failed.
Although renal function was not a 10 (or 2o or even 3o) endpoint of EMPA trials, the benefits were seen
Work by @ChristosArgyrop (🥬Lover & #Flozinator) showed Renal & CVD benefits #SGLT2i
@hswapnil @uOttawa mentioned that mechanism of how renal protection with #SGLT2i occurs unknown. But asked the proactive question: "Does it Matter?"...and now he is a cardiologists according to @JavedButler1

Group Hug Endo/Cards/Nehpro

@DBelardoMD @DLBHATTMD @ChristosArgyrop
Read 7 tweets
🧵🔟Tweets sobre los cambios de las nuevas guías #IC @escardio

1️⃣Definición y diagnóstico IC
📌ICrEF: FEVI< 40%
📌IC con FEVI ligeramente reducida. 40-49%
📌IC preservada: FEVI>50%

👉Diagnóstico IC: TAC IIa en baja intermedia probabilidad EAC
#ESCCongress @secardiologia ImageImage
2️⃣ICrFEVI(1)
👉Cuatriterapia a todos los pacientes
👉BB,ARM,iSGLT2 indicación IA
👉ARNI para ⤵️🏥IC y ☠️sobre IECA. Indicación IB (PARADIGM-HF)
👉DAPA/EMPA efecto de clase
#ESCCongress @secardiologia
👉#VERICIGUAT en 👥 con 💊óptimo y nueva 🏥(IIb-B) ImageImage
3️⃣ICrEF durante 🏥
👉siempre optimiza o intenta optimizar 💊
👉valora congestión, excluye signos de congestión persistente
👉asegura transición al alta = 1-2sem el 👥 tiene que ser reevaluado
👉estudia metabolismo del Fe Image
Read 10 tweets
#PLAaggression India fired "warning shots" into the air. This is a signal that any further move towards Indian troops in "Grey zone" as part of #CcpPla #creeping #acquisition strategy would no longer be allowed. If the #CcpPla wants more #Indian #land it has to fight for it!
3/pla The #Totalitarian #Communist #Emperor of the #Middle #Kingdom with #mandate from #heaven is convinced that only an #evil state would resist its benevolent😇 acquisition of the later's territory.
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Day-2 #ESCCongress Prof McMurray doing an head to head comparison of #DAPA-HF vs #Emperor-Reduced
Trying to explain different #CV-death results
@GiuseppeGalati_ @radcliffeCARDIO @MicheleSenni @SABOURETCardio @zhh_ch @DrMarthaGulati @mirvatalasnag @HFA_President @AstraZeneca
☝️ Probably the lower #CV-death recorded in #Emperor-reduced is secondary to the shorter mean follow-up per McMurray opinion (16 vs 18.2 months of #DAPA-HF)
#ESCCongress @GiuseppeGalati_ @KTamirisaMD @DrNasrien @lucreciamburgos @DocSavageTJU @MedAxiom @DrRajivsankar @Dr_Manito
☝️ #ESCCongress McMurray
However, the most important result is the consistent reduction of primary #EP as SGLT2i class effect!
#Emperor-reduced #DAPA-HF
@GiuseppeGalati_
@HeartFailureFrm @HFA_President @CircHF @DrRajivsankar @Dr_Manito
@JTLLERGO @eSPACEHF @UoGHeartFailure
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#LFLo Question for #CCPapologists : If #USA is hurt more than #China by #decoupling, why is the PRC Govt pleading with USA every other day, not to decouple?
3/dcpl Folks, finally even the #Communist #Emperor of the #Middle #Kingdom with a #mandate from #Heaven is starting to get worried about #Decoupling
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Is this something a #BananaRepublic strong man or a #Stalinist East European dictator would have done? Sadly, #GOP is now an empty box, filled with wishes & nostrums of #SupremeLeader. No citizen input required unless you have his ear & money. #KAG2020 msnbc.com/rachel-maddow-…
2) #Iowa now crushed by many farm disasters, some #Trump inflicted: #China grain embargo, #CornEthanol market cut by #Trump's #EPA, #Covid's hit on meat market, extreme drought & now #Derecho, which destroyed 40% of the crop. Where's the ag plank? NADA! #IaPolitics #IaSen #IaGov
3) Is this a job for @SenJoniErnst & @KimReynolds, both of whom will speak at @GOPconvention? Will they say the #Emperor has no clothes & NO commitment to #Iowa farmers after Inauguration? Or will they continue to sing his praises as #Trump walks over #Iowa? #IaPolitics #IaSen
Read 3 tweets
📌iSGLT-2 e #InsuficienciaCardiaca

Durante #ESCcongress se presentará
#EMPEROR-reduce
🗓 29 de Agosto 09:30 🇦🇷

Por qué es tan esperado⁉️

Algunos datos de los estudios EMPEROR-reduce & EMPEROR-perserved

🧵 Image
Estos 2 estudios evaluarán empagliflozina; parecen evidentes los escenarios 😜

#ICFEr 💪🏻 e #ICFEp 🤞🏻

⚠️👥con o sin diabetes

Tendrá potencia para evaluar el impacto en los cambios en la función renal 🦾

Diseño de los estudios

👇🏻 ImageImage
Pero por qué usar iSGLT-2 en #InsuficienciaCardiaca⁉️

A pesar de sus efectos conocidos

⤵️Reabsorción de Na & glucosa🔜natriuresis & diuresis osmótica inducida por glucosa

🧏🏻‍♀️el control de la glucemia, de la TA y los lípidos ❌ NO alcanza para explicar los beneficios CV❤️ Image
Read 10 tweets
30th JUNE: THE FIRST MARTYRS OF THE CHURCH OF ROME

~thread~
1. Tertullian observes, that the sanctity and purity of the manners of the Christians was a sufficient motive to stir up the rage of Emperor Nero,
#FirstMartyrsOfTheChurchOfRome #EarlyChurch #Christianity #Jesus
2. himself an avowed enemy of all virtue.

He took the following occasion to discredit them: The city of Rome had been set on fire, and had burned nine days, from the 19th to the 28th of July, in the year 64. During this horrible tragedy,

#RomanEmpire #History #Emperor #Nero
3. Nero came from Antium to Rome, and seated himself on the top of a tower upon a neighbouring hill, in the theatrical dress of a musician, singing a poem which himself had composed on the burning of Troy. The people said he caused fire to be set to the city

#Iliad #Troy
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