Prevalence and prognostic impact of subclinical venous congestion in patients hospitalized for acute heart failure. #POCUS #VExUS #FOAMed #Nephpearls 🔗Lozano-Jiménez S, et al. Eur Heart J Acute Cardiovasc Care. 2025. PMID: 40699351.

To accompany the new ACC/AHA BP guidelines, a practical guide on how to test for Primary Aldosteronism: now recommended for most people with hypertension. jacc.org/doi/10.1016/j.…

Outpatient Worsening HF (Oral Diuretic Intensification) ☑️ Frequent ☑️ Prognostically meaningful ☑️ Temporally precedes 🏥 ☑️ Similar treatment effect sizes #GDMT as those on 🏥 Building evidence for its role in broader composite esp in lower-risk CKM pts academic.oup.com/eurheartj/arti…

Recently published: REDICAE trial. Stable HFrEF outpatients on GDMT were randomized to diuretic withdrawal vs maintenance. No significant differences were observed in dyspnea self-perception worsening HF or congestion JACC Journals CardioHURS JóvenesSEC tinyurl.com/2cfw664e

This was one of my favourite podcast discussions I’ve ever had! We go DEEP into fluids, volume status, hemodynamics and more!!!

#POCUS #Nephpearls Cylinder effect – when the #ultrasound beam slices the vessel at its periphery rather than through its center, it yields a falsely smaller diameter. This can create errors when tracking patient progress, assessing whether RAP is improving, or when relying on

When patients with chronic liver disease decompensate and end up in our ICUs, they tend to shut down other organs in the process. Here's how to try to fix those other organs. 🎩 tip to the authors. eddyjoemd.com/foamed

Sepsis-induced cardiomyopathy: European Society of Cardiology Journals 🥸 Nicely done: please read full article - very useful. 😱 Here is the summary 👇👇👇

ICU #Hemodynamic Secrets: Hypotension does not always lead to hypoperfusion; in fact, sometimes it may preserve or even ⬆️ organ perfusion depending on the relative changes in perfusion pressure & regional vascular resistance & the status of BP autoregulation 🤯 More to come...

🚨 Cardiogenic “pre-shock”: the gray zone before full shock sets in. New working definition could reshape recognition & intervention. jacc.org/doi/10.1016/j.… #JACC #HeartFailure #CardiogenicShock HF Collaboratory

#MedEd #Nephpearls IVC and lung #POCUS guided therapy in patients with acute #heartfailure significantly reduced subclinical congestion at discharge and was associated with a lower 90-day rate of heart-failure readmission, unplanned visit for worsening heart failure, or death

👍Oral Hypoglycemics in CKD academic.oup.com/ndt/advance-ar… NDT Hans-Joachim Anders

ELEVATED VITAMIN B12 High vitamin B12? 🧪 Unlike deficiency, elevated B12 usually isn’t about diet or supplements. It’s often a marker of disease. ... but no consensus on whether/how to investigate! See: thebloodproject.com/elevated-vitam…

New in European Society of Cardiology a systematic review led by #HFC member Javed Butler explores emerging medical device and surgical interventions for treating HFpEF and proposes specific HFpEF phenotypes to guide future targeted therapies. #HeartFailure #HFpEF onlinelibrary.wiley.com/doi/10.1002/eh…

"Hi nephrology, we are holding diuretics because the creatinine is rising!" Meanwhile the femoral vein 👇 Note the stasis index. #POCUS #VExUS #Nephpearls

US guided PRP injection of the LHBT, in plane technique. A case from today. researchgate.net/profile/Davide…

NephroPOCUS 1=A 2=V 3=D The S wave is the tiny below the baseline flow between 1 & 2. RV is at the limit of its compliance.

1/ SVR looks precise: (MAP – RAP)/CO. But this neat number hides traps. It’s not “afterload,” it’s not pure “tone,” and sometimes it’s not even valid. A thread on why systemic vascular resistance misleads — and when it still helps. 🧵 #MedX

7/ The high-output trap: Sepsis, pregnancy, cirrhosis → CO is high. That alone drives SVR “low” — arithmetic, not necessarily true vasodilation. 🔗 More here in my earlier high-output physiology thread 👇x.com/icmteaching/st…

Pinned: Cardiovascular Physiology Hub Discovering physiology together: untangling the concepts most often misunderstood at the bedside. Foundations – Starling’s law as servo-control x.com/icmteaching/st… – Cardiac output & Anderson’s model x.com/icmteaching/st… – Preload