Discover and read the best of Twitter Threads about #inoca
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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
📌GUIDELINE 2023🇯🇵. Diagnóstico y Tto de Angina Vasoespástica y Disfunción Microvascular Coronaria.
🔸INOCA: Angina y/o isquemia sin lesiones coronarias epicárdicas fijas ≥50% x angio/CT o FFR≤0.8.
🔹≈ 50%👥derivados a angiocoro x angina y/o isquemia👉no tienen lesiones signif
🔸INOCA: Angina y/o isquemia sin lesiones coronarias epicárdicas fijas ≥50% x angio/CT o FFR≤0.8.
🔹≈ 50%👥derivados a angiocoro x angina y/o isquemia👉no tienen lesiones signif
📌INOCA
💡Principales mecanismos fisiopatológicos: vasoespasmo epicárdico & disfunción microvascular (⬇️CFR o ⬆️IMR).
🔸Importante superposición entre ambos.
💡Principales mecanismos fisiopatológicos: vasoespasmo epicárdico & disfunción microvascular (⬇️CFR o ⬆️IMR).
🔸Importante superposición entre ambos.
📌INOCA. Endotipos y mecanismos de isquemia.
🪸2020 EAPCI expert consensus propone 5⃣endotipos en base a estudios funcionales invasivos coronarios.
🪸2020 EAPCI expert consensus propone 5⃣endotipos en base a estudios funcionales invasivos coronarios.
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
AGIKplenum: Unverzichtbar im Katheterlabor!?
(Raum 12 @kardiologie_org)
❤️Zweiter Vortrag:
Intravaskuläre Funktionsdiagnostik (Matthias Lutz | @MJLutz | Kiel)
#DGKJahrestagung 2021 @HolgerNef @kaschenke @MarcVorpahl @thiele_holger
(Raum 12 @kardiologie_org)
❤️Zweiter Vortrag:
Intravaskuläre Funktionsdiagnostik (Matthias Lutz | @MJLutz | Kiel)
#DGKJahrestagung 2021 @HolgerNef @kaschenke @MarcVorpahl @thiele_holger
#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
☢ Selecting Between Different Functional Tests in 2020? ☢
This should be most interesting session of virtual #ASNC2020
I am excited to be virtual moderator w/ expert speakers Dan Berman, Keon Nieman, Paul Knaapen, @mdicarli, @VTaqMD
#cvImaging #cvNuc #CardioTwitter
This should be most interesting session of virtual #ASNC2020
I am excited to be virtual moderator w/ expert speakers Dan Berman, Keon Nieman, Paul Knaapen, @mdicarli, @VTaqMD
#cvImaging #cvNuc #CardioTwitter
Are you ready for most exciting #ASNC2020 session?
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
Let’s hear from #cvImaging giants
Keon Nieman, Paul Knaapen, @mdicarli @VTaqMD @danielbermanmd
📆 Sat, Sept 26
⏰ 2:15 to 3:30PM
🗒 bit.ly/333dRNO
⚡Selecting Between Different Functional Tests⚡
☢ vs 🧲 vs ⏺ ❓
Let’s hear from #cvImaging giants
Keon Nieman, Paul Knaapen, @mdicarli @VTaqMD @danielbermanmd
📆 Sat, Sept 26
⏰ 2:15 to 3:30PM
🗒 bit.ly/333dRNO
#SCCT2020 Limitations of Stress Testing/Imaging in Women from @Heart_SCCT
♥️Too few 💃 enrolled in studies based on prevelance esp in CAD and HF
♥️NIH/Gov funded the worst enrollees of women! We need to change that
♥️Too few 💃 enrolled in studies based on prevelance esp in CAD and HF
♥️NIH/Gov funded the worst enrollees of women! We need to change that
#scct2020 Sex Considerations for Stress Testing need to be considered
♥️ Sn/Sp of tests based on doing Cath for Obstructive CAD: these are NOT false positives! so these numbers are outdated IMHO
♥️every imaging modality has + &- to consider when imaging women
♥️ Sn/Sp of tests based on doing Cath for Obstructive CAD: these are NOT false positives! so these numbers are outdated IMHO
♥️every imaging modality has + &- to consider when imaging women
#SCCT2020
♥️Prognostic implications of CAC in women vs men well established: CAC >300: 💃 do worse
♥️Nonobstructive disease more prevalent in 💃
♥️ Implications on imaging women ultimately
♥️Prognostic implications of CAC in women vs men well established: CAC >300: 💃 do worse
♥️Nonobstructive disease more prevalent in 💃
♥️ Implications on imaging women ultimately
1/7
Very important descriptive study 👇 expanding our understanding of burden of #CMD + endothelial dysfunction in #INOCA (angina) by @TomJFord @ColinBerryMD
@CircIntv
⚡️ Let’s have a short #Tweetorial ⚡️
Very important descriptive study 👇 expanding our understanding of burden of #CMD + endothelial dysfunction in #INOCA (angina) by @TomJFord @ColinBerryMD
@CircIntv
⚡️ Let’s have a short #Tweetorial ⚡️
2/7
Pre-specified analysis of CorMicA
onlinejacc.org/content/72/23_…
Pts undergoing clinically indicated elective coronary angiography for angina & had definite (typical) or probable (atypical) angina based on Rose angina questionnaire
391 pts ➡ angiography:
47% #INOCA
53% #CAD
Pre-specified analysis of CorMicA
onlinejacc.org/content/72/23_…
Pts undergoing clinically indicated elective coronary angiography for angina & had definite (typical) or probable (atypical) angina based on Rose angina questionnaire
391 pts ➡ angiography:
47% #INOCA
53% #CAD
3/7
✅ microvascular angina (MVA) = coronary microvascular dysfunction (#CMD) both endothelial independent (CFR/IMR) + endothelial dependent (ACh) (combined)
✅ vasospastic angina (VSA) = epicardial coronary endothelial dysfunction (ACh)
✅ microvascular angina (MVA) = coronary microvascular dysfunction (#CMD) both endothelial independent (CFR/IMR) + endothelial dependent (ACh) (combined)
✅ vasospastic angina (VSA) = epicardial coronary endothelial dysfunction (ACh)
