GladysMDHeart

“To advance health 4 all communities, stakeholders across disciplines, sectors, and industries must address structural racism in policy and practice”. Honored to have been part of this important document. newsroom.heart.org/news/addressin…

Proud to share our new @American_Heart Scientific Statement on cardiovascular disease and stroke in Hispanic/Latino adults.
This work reflects the collective effort of many—and a community whose diversity must be recognized in our science and our care.
During #HispanicHeritageMonth, a timely call to turn evidence into action. ❤️ @AHA_Research @Drroxmehran @drstaceyrosen
@DrJMieres @UFMedicine @ufjaxcards @UFHealth @NHMAmd
@DrMauinforma

Read the statement in Circulation⁠

Is a 👍 for primary prevention Of CV events in healthy older adults. Great news!

I was going to post something happy today Instead I’m angry — at how Dr. Fauci is being targeted for doing his job and refusing to bend to political pressure, while the same people show ZERO outrage over decades of Epstein-related abuse. Money over lives. Here’s what the data actually says: 🧵🪡

Our new review in @JCM is out!
Thank you, @micheleg1390, for tackling this challenging topic. It was an honor to be part of the effort.
SCAD & Takotsubo can coexist — and we're missing it.
Here's 👇what every cardiologist should know:
✅TTS was found in ~56% of SCAD patients with ventriculography. ~2.5% of "TTS" diagnoses actually had missed SCAD.
✅Same catecholamine surge → different targets:
• Myocardium → TTS
. Vessel wall → SCAD
✅🚩 3 bedside red flags for overlap:
• WMA extending BEYOND the SCAD territory
• Low troponin + severe LV dysfunction
• QTc > 500 ms in leads beyond the dissected vessel
✅We propose a stepwise diagnostic algorithm:
1️⃣ Low threshold for angiography in at-risk women
2️⃣ Meticulous distal LAD review + ventriculography
3️⃣ CMR within 7–14 days (look for the "hybrid" LGE + edema pattern)
4️⃣ FMD screening + long-term follow-up
✅⚠️ Management pearls:
💥Conservative Tx is the rule — PCI success in SCAD only ~35%
💥AVOID catecholamine inotropes & nitroglycerin if LVOTO
💥Withhold beta-blockers until LVOTO ruled out
💥Aspirin monotherapy; skip DAPT if no stent
Grateful for this collaboration across @UF @MayoClinic @UVA @VanderbiltMC 🙏 @joshep_r @DemiladeMD @CristinaFontMD @alizgheib @ufjaxcards @UFMedicine @WomenAs1
#CardioTwitter #SCAD #Takotsubo #MINOCA
Spontaneous Coronary Artery Dissection and Takotsubo Syndrome: Converging Mechanisms, Diagnostic Pitfalls, and a Unified Clinical Algorithm mdpi.com/3998918 #mdpijcm via @JCM_MDPI