Discover and read the best of Twitter Threads about #MINOCA
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📌Parte III. INOCA. Nuevas perspectivas del tto
🔹Agresivo tto de factores de riesgo tradicionales.
🚭Dejar de fumar
🔸Rehabilitación cardiovascular❤️, actividad física aeróbica🏃(140-180m/sem)
#Cardiotwitter #MedTwitter #MINOCA #INOCA
🔹Agresivo tto de factores de riesgo tradicionales.
🚭Dejar de fumar
🔸Rehabilitación cardiovascular❤️, actividad física aeróbica🏃(140-180m/sem)
#Cardiotwitter #MedTwitter #MINOCA #INOCA
💊Fármacos
✅Fasudil: iRho-Kinase en células musculares lisas y contrala el vasoespasmo (efecto aditivo a nitratos).
✅Denopamine: agonista adrenérgico β1 selectivo x VO:⬆️flujo coronario
✅Medicinas Kempo (hierbas🇯🇵) -reportes-
✅Simpatectomía
⛔️AAS
✅Fasudil: iRho-Kinase en células musculares lisas y contrala el vasoespasmo (efecto aditivo a nitratos).
✅Denopamine: agonista adrenérgico β1 selectivo x VO:⬆️flujo coronario
✅Medicinas Kempo (hierbas🇯🇵) -reportes-
✅Simpatectomía
⛔️AAS
#ESCCongress When coronary angiography is not enough: @RaberLorenz turns on the light with #OCT –
🔦ACS-⬆️resolution of OCT -gold standard to ID thrombus, ID unclear culprit, ACS aetiology, rule-in & rule-out
🔦#MINOCA
🔦Stent thombosis
🔦Optimize PCI
@mirvatalasnag @Hragy
🔦ACS-⬆️resolution of OCT -gold standard to ID thrombus, ID unclear culprit, ACS aetiology, rule-in & rule-out
🔦#MINOCA
🔦Stent thombosis
🔦Optimize PCI
@mirvatalasnag @Hragy
Phenomenal talk oy @MaeharaAkiko : SCenarios where #IVUSis gold-standard
#ESCCongress @sbrugaletta @ziadalinyc @SanjogKalra @NishithChandra @APSIC6 @w_jyg @DrAnkushG @care4urheart2 @ShrillaB @chadialraies @cardioPCImom @ANazmiCalik @GeminaDB @KVM83 @ShaziaTHussain1
#ESCCongress @sbrugaletta @ziadalinyc @SanjogKalra @NishithChandra @APSIC6 @w_jyg @DrAnkushG @care4urheart2 @ShrillaB @chadialraies @cardioPCImom @ANazmiCalik @GeminaDB @KVM83 @ShaziaTHussain1
#ESCCongress
@JEscaned on physiologic assessment in guiding PCI
@adityadoc1 @DrAllenJ @SukhNijjer @Pooh_Velagapudi @adityadoc1 @poojaotherwise @KardiologieHH @w_jyg @NishithChandra @sabeedak1 @SanChris999 @skilicmd @APSIC6 @chadialraies @dranulala @Ortega_Paz @sbrugaletta
@JEscaned on physiologic assessment in guiding PCI
@adityadoc1 @DrAllenJ @SukhNijjer @Pooh_Velagapudi @adityadoc1 @poojaotherwise @KardiologieHH @w_jyg @NishithChandra @sabeedak1 @SanChris999 @skilicmd @APSIC6 @chadialraies @dranulala @Ortega_Paz @sbrugaletta
Patients with #MINOCA were more likely to be women and have fewer traditional CV risk factors. Heterogenous pathophysiology – etiology is of great importance to guide treatment. Inge van den Hoogen #SCCT2021
#Tweetorial on #ASNC2020 session
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
🔘 Strengths/Limits of Lesion Specific vs Myocardial Ischemia
🔘 Comparing Dx Accuracy of Tests
🔘 Ischemia Testing in #INOCA
🔘 How to Select Best Noninvasive Test
1/9
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
🔘 Strengths/Limits of Lesion Specific vs Myocardial Ischemia
🔘 Comparing Dx Accuracy of Tests
🔘 Ischemia Testing in #INOCA
🔘 How to Select Best Noninvasive Test
1/9
Check out the #MINOCA section in updated NSTE-ACS guidelines at #ESCcongress
bit.ly/3bcrixp
Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲
-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
bit.ly/3bcrixp
Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲
-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
MINOCA has MI in it-> DOES the definition allows for the inclusion of non-ischemic causes of troponin elevation?
Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction
INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction
INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
The hallmark of myocardial injury ⬆️ troponin, However, these entities differ conceptually
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).
#ESCCongress
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).
#ESCCongress
Role of imaging #OCT #IVUS #WhyCMR in #MINOCA
I want to thank my co-authors
@JelaniAini @twj1974 @biljana_parapid @MBalghith @drptca ⤵️⤵️
I want to thank my co-authors
@JelaniAini @twj1974 @biljana_parapid @MBalghith @drptca ⤵️⤵️
