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Luciano Sposato ๐Ÿ‡ฆ๐Ÿ‡ท๐Ÿ‡จ๐Ÿ‡ฆ

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@SposatoL

Stroke Neurologist
โ€ข ๐—›๐—ฒ๐—ฎ๐—ฑ Stroke Program @WesternU
โ€ข ๐—ฆ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—˜๐—ฑ๐—ถ๐˜๐—ผ๐—ฟ Neurocardiology @StrokeAHA_ASA
โ€ข ๐—–๐—ต๐—ฎ๐—ถ๐—ฟ @WorldStrokeOrg H&B TaskForce
London, Ontario bit.ly/LS_BIO Joined February 2009
2.2K Following 5.4K Followers 3.5K Posts

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Luciano Sposato ๐Ÿ‡ฆ๐Ÿ‡ท๐Ÿ‡จ๐Ÿ‡ฆ Verified account @SposatoL
What if I told you it is possible to increase 6โƒฃ times the detection of cardioaortic thrombi in stroke patients with a simple tweak to your current workflow?
๐Ÿคฏ๐Ÿคฏ๐Ÿคฏ
We would only need to screen 1โƒฃ4โƒฃ patients to find 1โƒฃ thrombus! Curious? Read on! DAYLIGHT Trial
sciencedirect.com/science/articlโ€ฆ
#Stroke #Cardiology #MedTwitter #Neurocardiology #Neurology
Read till the end for a surprise
1/8
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Luciano Sposato ๐Ÿ‡ฆ๐Ÿ‡ท๐Ÿ‡จ๐Ÿ‡ฆ Verified account @SposatoL
If you are coming to the World
Stroke Congress, donโ€™t miss the Pre-Congress on October 21!
Hands-on Simulation at Val dโ€™Hebron.
World Stroke Org @WorldStrokeOrg Sep 26, 2025
๐ŸšจPre-Congress Workshop Announcement: as part of the 17th World Stroke Congress in #Barcelona (October 22โ€“24), we are excited to invite you to a hands-on Acute Stroke Simulation

๐Ÿง  Enhancing Acute Stroke Response Across the Continuum of Care
๐Ÿ“ Vall dโ€™Hebron University Hospital, Barcelona, Spain
๐Ÿ“… Tuesday, October 21, 2025
โฐ 13:00 โ€“ 18:00

This interactive session will provide participants with practical training to optimize acute stroke care and streamline response strategies across different stages of treatment.

๐Ÿ‘‰Coordinated by two leading experts in the field:

- Prof. Octavio Marques Pontes-Neto Pontes, USP - Universidade de Sรฃo Paulo
- Dr. Carlos Molina, Head of Stroke Center, Hospital Universitari Vall d'Hebron

Donโ€™t miss the opportunity to strengthen your expertise ahead of the congress!

๐Ÿ”— Learn more & register: worldstrokecongress.org/registration/?โ€ฆ

#StrokeEducation #StrokeSimulation #StrokeCare
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Luciano Sposato ๐Ÿ‡ฆ๐Ÿ‡ท๐Ÿ‡จ๐Ÿ‡ฆ Verified account @SposatoL
๐—ช๐—ผ๐—ฟ๐—น๐—ฑ ๐—ฆ๐˜๐—ฟ๐—ผ๐—ธ๐—ฒ ๐—–๐—ผ๐—ป๐—ด๐—ฟ๐—ฒ๐˜€๐˜€ ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฑ
๐ŸŽฅ ๐—ช๐—ฎ๐˜๐—ฐ๐—ต ๐˜๐—ต๐—ฒ ๐—ณ๐˜‚๐—น๐—น ๐˜ƒ๐—ถ๐—ฑ๐—ฒ๐—ผ ๐—ฏ๐—ฒ๐—น๐—ผ๐˜„: Cutting-edge stroke science. No kidding!
Looking forward to seeing you all in ๐—•๐—ฎ๐—ฟ๐—ฐ๐—ฒ๐—น๐—ผ๐—ป๐—ฎ!
๐—ฅ๐—ฒ๐—ด๐—ถ๐˜€๐˜๐—ฒ๐—ฟ ๐˜๐—ผ๐—ฑ๐—ฎ๐˜†.

#WSC2025 #Stroke #StrokeCongress #Neurotwitter #Cardiotwitter
@ShadiYaghi2 @InterNeurona @MicheleRomoli @WorldStrokeEd
@sheilambrasil @neurona_critica @Ash_Shoamanesh
World Stroke Org @WorldStrokeOrg Sep 2, 2025
โฐOnly 1 month left - take advantage of the reduced registration fees and join us in Barcelona in October!

The opportunity to witness the most anticipated meeting in the field of stroke at the best possible rates is slipping away. Join thousands of stroke care specialists, reserve your spot among the foremost experts, and advance your career forward.
๐Ÿ“…Regular Registration Deadline: September 30, 2025
๐Ÿ”—Register: worldstrokecongress.org/registration/
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Luciano Sposato ๐Ÿ‡ฆ๐Ÿ‡ท๐Ÿ‡จ๐Ÿ‡ฆ Verified account @SposatoL
๐Ÿง  Great paper on BNP and timing of AFDAS diagnosis
๐Ÿ”–Ref 1

๐Ÿ“Œ 374 #stroke pt w/o known #Afib, but AFDAS detected on cardiac monitoring (BIOSIGNAL & GRAZ cohorts)

๐Ÿ“‰ Inhospital AFDAS (72%):
๐Ÿงช NT-proBNP at admission predicts in-hospital AFDAS
โ–ช๏ธCutoff: 505 pg/mL โ†’ AUC 0.83
โ–ช๏ธOR = 5.4 | NPV = 96%
โ–ช๏ธInhospital AFDAS: โ†‘ MACE & CV death

๐Ÿ“‰ Post-discharge AFDAS (28%)
๐Ÿงช Weak NT-proBNP signal

๐Ÿ” ๐—œ๐— ๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—ก๐—–๐—˜:
โœ… Aligns with the 2024 EHJ framework:
โ–ช๏ธ Late AFDAS often โ†“ burden, โ†“er stroke risk
Fig 1, ๐Ÿ”–Ref 2

โœ… Phenotypic mapping:
โ–ช๏ธMost inpatient AFDASโ†’ likely Type A
โ–ช๏ธMost post-discharge AFDAS โ†’ likely Type B
Fig 2, ๐Ÿ”–Ref 3

โœ… Timing + biomarkers = phenotype
โ–ช๏ธMirrors B2ADRISK-AFDAS model
โš ๏ธ AFDAS phenotypes evolve over time
Fig 3, ๐Ÿ”–Ref 3

๐Ÿ”— Ref 1: doi.org/10.1161/STROKEโ€ฆ
๐Ÿ”— Ref 2: doi.org/10.1093/eurheaโ€ฆ
๐Ÿ”— Ref 3: thelancet.com/article/PIIS14โ€ฆ