Alaa Diab, MD Profile picture
Mar 4 4 tweets 3 min read
🆘“Nephrology Stopped the Diuretics: Renal Considerations in the Management of Heart Failure” 🫘 🫀
#ACC23 #CardioNerds @CardioNerds

Dr. Alison Grazioli discussed the response to diuretics in HF: Image
What happens after you start loop diuretics?
🔸Net Na loss
🔸Short term Anti-Natruresis: ↗️Na retention
🔸Nephron remodeling
‼️Na loss may be equivalent to Na retention‼️ Image
Patients with decompensated HF will need higher doses of diuretics due to decreased renal blood flow:
#ACC23 #CardioNerds @CardioNerds Image
⚠️Sequential Nephron Blockade 🔥:
🔸Progressive increase in Na depletion.
🔸Diuretics work on different parts of the nephron- target different channels to optimize diuresis.
#ACC23 #CardioNerds @CardioNerds Image

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More from @DrAlaaDiab

Mar 6
⚠️Wrist-worn transdermal Troponin-I sensor⁉️

#LBCT #ACC23 #CardioNerds
🫀🫀🫀🫀 Image
🫀 How does the Wrist-Worn Transdermal Troponin-I-Sensor work❓

#ACC23 #CardioNerds
Read 5 tweets
Mar 6
#LBCT at #ACC23 this morning ☀️🫀

⚠️PULSED AF Pivotal Trial⚠️

#CardioNerds 🫀🫀🫀 Image
Using Pulsed field ablation rather than thermal modes through irreversible electroporation (IRE).
#ACC23 #CardioNerds Image
🔺 Pulsed field ablation resulted in 79.7% (paroxysmal) and 80.8% (persistent) clinical success. 🫀

#ACC23 #CardioNerds ImageImage
Read 5 tweets

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