nextgencardio(@nextgencardio) instagram tagged download

What do you think is happening here ? Drop your answers in the comments below !

This is one amazing echocardiogram !! All my echo and Cath lab tech and physicians feel free to chime in

Follow @aliakhanm.d for more daily cardiology 🫀 🏥🇺🇸

#echocardiography #sonographer #ultrasound #cardiology #cardiologist

286

Download

A stent reopens the artery. It does not cure the disease that closed it.

The blockage was treated. Blood flow was restored. The patient feels better almost immediately. That part is real.

But atherosclerosis is a disease of the entire vascular system, not one segment of one artery. A stent treats the lesion in front of you. It does nothing for the plaque already building in every other artery you have.

The data backs this up. In the COURAGE trial (Boden WE et al, NEJM 2007, 2,287 patients with stable coronary disease), adding PCI to optimal medical therapy did not reduce death or heart attack compared to medical therapy alone: 19.0% versus 18.5% at a median follow up of 4.6 years. Fifteen year follow up data confirmed the same result.

What actually changes your risk after a stent:

Statins, dosed to an LDL target, not just “started”
Blood pressure control
Smoking cessation, completely
Diabetes control
Daily movement and a real change in diet
Antiplatelet therapy taken exactly as prescribed, not stopped early

A stent buys you time and relieves symptoms. What you do after the procedure decides whether you need another one.

Save this if you or someone you love just got a stent and thinks the job is done.

Follow Ali Khan MD for cardiology that treats the whole artery, not just the blockage.

#Cardiology #Cardiologist #HeartDisease #PCI #CoronaryStent Atherosclerosis HeartHealth InterventionalCardiology PreventiveCardiology SecondaryPrevention HeartAttackPrevention CardiacCare StructuralHeart MedEd HeartHealthEducation

238

Download

💊 E se per trattare l’obesità non servisse più una puntura?
Il futuro della terapia dell’obesità si apre a nuove possibilità: i farmaci GLP-1 in formulazione orale.
🔬 Tra le novità attese anche in Italia c’è la semaglutide orale, con risultati importanti sulla perdita di peso negli studi clinici, e orforglipron, una molecola diversa che agisce sul recettore del GLP-1.
.
Ma attenzione: orale non significa automaticamente più sicuro o adatto a tutti.
Questi farmaci richiedono una valutazione specialistica, una prescrizione medica e un monitoraggio adeguato.
.
🎯 Perché l’obiettivo non è semplicemente perdere chili, ma trattare l’obesità come una malattia cronica, migliorando la salute e riducendo il rischio delle sue complicanze.
.
💬 Tu cosa ne pensi? La possibilità di assumere una terapia orale potrebbe fare la differenza per chi teme le iniezioni?
📌 Salva il reel per non perdere gli aggiornamenti e condividilo con chi vuole saperne di più.
#obesità #medicina #divulgazione #antoninodifranco_md #michelacera

💊 What if treating obesity no longer required an injection?
The future of obesity treatment is opening up new possibilities: GLP-1 medications in oral form.
🔬 Among the new options expected to become available in Italy is oral semaglutide, which has shown significant weight-loss results in clinical trials, as well as orforglipron, a different molecule that acts on the GLP-1 receptor.
But keep in mind: oral does not automatically mean safer or suitable for everyone.
These medications require specialist assessment, a medical prescription, and appropriate monitoring.
🎯 Because the goal is not simply to lose weight, but to treat obesity as a chronic disease, improve health, and reduce the risk of associated complications.
💬 What do you think? Could the option of taking an oral medication make a difference for people who are hesitant about injections?
📌 Save this reel to stay up to date and share it with anyone who wants to learn more.

479

Download

$Severe aortic stenosis with low gradient. Which number do you trust. A patient’s valve area comes back under 1.0 cm2. By the numbers, that is severe aortic stenosis. But the mean gradient on the same echo is below 40 mmHg. By the numbers, that looks mild to moderate. Same valve. Two numbers pointing in different directions. This is called discordant grading, and it shows up in roughly 20 to 30 percent of patients labeled severe AS. Valve area and gradient are not independent. Gradient depends on flow across the valve. If stroke volume is low, even a tight valve will not generate a high gradient. A low gradient does not always mean a less severe valve. Sometimes it means less flow crossing it. Before trusting either number alone, check flow. Stroke volume index, left ventricular ejection fraction, and when needed, dobutamine stress echo to separate true severe stenosis from pseudo severe stenosis. This is why aortic stenosis grading is a pattern, not a single number on a report. Save this for the next discordant echo you read. Source ACC AHA 2020 Valvular Heart Disease Guideline, Circulation 2021, and ESC EACTS 2021 Valvular Heart Disease Guideline, European Heart Journal. Follow Ali Khan MD for structural cardiology that actually changes how you read an echo. Cardiology AorticStenosis StructuralHeart Echocardiography TAVR CardiologyEducation MedEd Cardiologist InterventionalCardiology HeartValve MedicalEducation CardiacImaging ValvularHeartDisease FOAMed #tavi #cardiology #heartdisease #studywithme #img$

779

150

922

200

111

734