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peerhh.bsky.social

@peerhh.bsky.social

7 followers 27 following 7 posts

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peerhh.bsky.social @peerhh.bsky.social · 27/12/2024

Cool! Never thought about this!

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peerhh.bsky.social @peerhh.bsky.social · 16/12/2024

Renal denervation after simplicity HTN 3

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peerhh.bsky.social @peerhh.bsky.social · 16/12/2024

I‘m pretty sure it‘s a continuum. Full dose with best stroke prevention. But eldercare AF taught us, that „tiny dose doac“ still has a huge effect compared to nothing. www.nejm.org/doi/full/10.... Although off-label, there may be some GP wisdom in it.

nejm.org

Low-Dose Edoxaban in Very Elderly Patients with Atrial Fibrillation | NEJM

Implementation of appropriate oral anticoagulant treatment for the prevention of stroke in very elderly patients with atrial fibrillation is challenging because of concerns regarding bleeding. We c...

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peerhh.bsky.social @peerhh.bsky.social · 14/12/2024

Great educational case! The correlation between FFR and resting gradients is ok, but far from perfect (R values ~0,8). The answer to this case is nicely demonstrated in the paper below: Resting gradients tend to underestimate focal stenosis due to low friction. doi.org/10.1161/CIRC...

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peerhh.bsky.social @peerhh.bsky.social · 09/12/2024

I really don‘t like the classification in Type 1/2 MI. It doesn‘t differentiate between demand ischemia and acute coronary obstruction! It differentiales between acute atherothombotic event (T1) and all others (T2). So SCAD and Vasospasm are Type 2 MI although thats clearly not demand ischemia.

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peerhh.bsky.social @peerhh.bsky.social · 06/12/2024

Or maybe an intranasal diuretic will be the gamechanger: newsroom.heart.org/news/nasal-s...

newsroom.heart.org

Nasal spray version of common diuretic has potential to help treat heart failure

Research Highlights: A study testing a new nasal spray form of the medication bumetanide, a commonly prescribed diuretic, was found to be as safe and well-tolerated (meaning with no significant nasal ...

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peerhh.bsky.social @peerhh.bsky.social · 21/11/2023

Ich finde das Thema Faktor XI-Inhibition schon spannend. Die Hoffnung wäre, dass dadurch selektiv der intrinsische Gerinnungs-Weg gehemmt wird. Theorie: Thrombus im Vorhofohr wird verhindert, nicht aber Hämostase nach Gefässverletzung. Niedrigere Blutungsneigung wäre dann schon ein Mehrwert.

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