@rafaelportalup2 Profile picture

rafaelportalupp

@rafaelportalup2

Interventional Cardiology, Hospital Alfredo Paulson, Guayaquil, Ecuador

Joined February 2019
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rafaelportalupp Reposted

This #JACCINT review discusses the epidemiology, preventive strategies, and management of post-TAVR conduction disturbances bit.ly/498A79w #TAVR

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rafaelportalupp Reposted

This bench study evaluated the effects of pre- and post-dilatation on the expansion of balloon-expandable transcatheter heart valves during #redoTAVI. Full expansion of the redo valve, confirmed by micro-CT and hydrodynamic testing, was achieved only when a SAPIEN 3 was implanted…

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rafaelportalupp Reposted

Dopamine vs Serotonin

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rafaelportalupp Reposted

🔴 Transcatheter Tricuspid Valve Replacement @JACCJournals #Cardioed #Cardiology #CardioTwitter

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rafaelportalupp Reposted

La escala D-PACE estratifica a los pacientes tras TAVI según el riesgo de bloqueo AV tardío de alto grado. Y así, identifica a los pacientes que pueden ser alta de forma segura 24 horas después del procedimiento. By @saia_francesco en @EuroInterventio eurointervention.pcronline.com/article/develo…

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rafaelportalupp Reposted

A lot has changed in our understanding of obesity over the last 100 years. nature.com/articles/s4136…

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rafaelportalupp Reposted

The MitraCut procedure has proven effective in preventing LVOT obstruction during transapical mitral valve replacement (TA-TMVR). Early multicenter results show 0% LVOT obstruction and 92% technical success, offering a new approach for high-risk patients. #Cardiology #TMVR

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rafaelportalupp Reposted

One of the reasons why it is so difficult to maintain weight loss is because adipose issue retains an epigenetic memory of obesity after weight loss. nature.com/articles/s4158…

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rafaelportalupp Reposted

Not sure how prevalent it is or how high the risk of MACE is in INOCA? You may be surprised! ⬇️ Excerpt from INOCA International Medical Advisory Board member Professor Filippo Crea, presenting at The INOCA Summit INOCAInternational.com


rafaelportalupp Reposted

Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity: @NEJM 🥸The SUMMIT trial - @AHAScience 😱 Summary 👇👇👇

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rafaelportalupp Reposted

🟢Tirzepatida para la Insuficiencia Cardíaca de FEVI preservada y Obesidad. 🧐🫀💢 ✨️SUMMIT trial ➡️ @NEJM 💯👌🏻 ✅️El tratamiento con tirzepatida redujo el riesgo de muerte por causas cardiovasculares ó empeoramiento de la IC en comparación con placebo: HR 0.62, ⤵️RR: 38%,…

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rafaelportalupp Reposted

🔴CMR Evaluation of LV Remodeling Post-MI: Prognosis, Monitoring and Trial Endpoints ⤵️State-Of-The-Art #2024Review @JACCJournals 🔹jacc.org/doi/10.1016/j.… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter

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Y si el día de las elecciones NADIE (nadie que tenga un interés personal) sale a votar. Vamos con nuestras familias a un parque, nos juntamos con los queremos a un asado, ponemos carteles NO LOS QUEREMOS. Porque tenemos que SI o SI votar por Noboa o Luisa, u otro?


Noche calurosa. Se fue la energía eléctrica de 7 a 11 de la noche, y se volverá a desconectar de 02 a 06 hs. Ecuador, 2024.


rafaelportalupp Reposted

🔴 Types of Left Anterior descending artery (LAD). #Cardiology #InterventionalCardiology #coronaryarterydisease

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rafaelportalupp Reposted

Redo-TAVI: Expanding the SAPIEN 3 valve within another SAPIEN (XT or S3) improves with pre- and post-dilatation, reaching full expansion only in the S3-in-S3 configuration. CT imaging is crucial to guide the procedure and optimize outcomes. #EIJBestOF ow.ly/ViTC50QaXum

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rafaelportalupp Reposted

La “emergencia climática”… Nos siguen mintiendo, siguen disfrazando la mediocridad, la inoperancia y la IRRESPONSABILIDAD. Son incapaces de decir la verdad. El CENACE, nos indica que estamos a punto de tener un colapso eléctrico. Se debió hacer un análisis…


rafaelportalupp Reposted

Guideline-directed diagnosis, treatment and management of INOCA conditions is now in place, but many hospitals still do not recognise or understand INOCA. *Are you INOCA Aware yet?* 🤔 INOCAInternational.com


rafaelportalupp Reposted

🤰Managing Hypertension in pregnancy @bmj_latest

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rafaelportalupp Reposted

Lipoprotein, Lp(a) and LDL-cholesterol, LDL-C, are independent and additive for cardiovascular risk. Reduction in LDL-C cannot fully offset Lp(a)-mediated risk suggesting a need for targeted therapy for both. @PeterWilleit @hsbhatia @Lpa_doc ahajournals.org/doi/abs/10.116…

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