Alfonso Valle(@ValleAlfonso) 's Twitter Profileg
Alfonso Valle

@ValleAlfonso

Jefe Servicio Cardiología. Hospital Denia (Alicante). Cardiólogo Hospital La Salud (Valencia)

ID:446082526

linkhttp://dralfonsovalle.es calendar_today25-12-2011 08:31:59

12,5K Tweets

21,5K Followers

153 Following

Alfonso Valle(@ValleAlfonso) 's Twitter Profile Photo

🔴Role of anti-obesity drugs in heart failure regardless of ejection fraction

👉 Pathophysiology of obesity phenotype of heart failure
with preserved ejection fraction

📁 onlinelibrary.wiley.com/doi/full/10.10…

🔴Role of anti-obesity drugs in heart failure regardless of ejection fraction 👉 Pathophysiology of obesity phenotype of heart failure with preserved ejection fraction 📁 onlinelibrary.wiley.com/doi/full/10.10…
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CardioTeca(@cardioteca) 's Twitter Profile Photo

🔎 SZC aumenta las probabilidades de mantener el tratamiento con RAAS
🧑‍⚕️ Alfonso Valle Muñoz Alfonso Valle

👉👉 cardioteca.com/blog-ciclosili…

🔎 SZC aumenta las probabilidades de mantener el tratamiento con RAAS 🧑‍⚕️ Alfonso Valle Muñoz @ValleAlfonso 👉👉 cardioteca.com/blog-ciclosili…
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Sodium zirconium cyclosilicate in patients with HFrEF and hyperkalemia: -K
👉 365 patients (run-in), 202 were randomized.
👉78% estimated glomerular filtration rate <60 mL/min/1.73 m2
📌37% AF
📌↗️N-terminal pro B-type natriuretic peptide (median 1,136 pg/mL)
📌↗️high

Sodium zirconium cyclosilicate in patients with HFrEF and hyperkalemia: #REALIZE-K 👉 365 patients (run-in), 202 were randomized. 👉78% estimated glomerular filtration rate <60 mL/min/1.73 m2 📌37% AF 📌↗️N-terminal pro B-type natriuretic peptide (median 1,136 pg/mL) 📌↗️high
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Alfonso Valle(@ValleAlfonso) 's Twitter Profile Photo

⚠️Postmyocardial Infarction Ventricular Aneurysm

👉rare complication
👉Adverse events include recurrent angina, reduced ventricular stroke vol-
ume with congestive heart failure, mitral regurgitation, thromboembolism, and ventricular arrhythmias
👉Multimodality imaging

⚠️Postmyocardial Infarction Ventricular Aneurysm 👉rare complication 👉Adverse events include recurrent angina, reduced ventricular stroke vol- ume with congestive heart failure, mitral regurgitation, thromboembolism, and ventricular arrhythmias 👉Multimodality imaging
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Semaglutide and NTproBNP in Obesity-Related HFpEF: -HFpEF Program

Semaglutide 🆚 placebo
👉↘️ NTproBNP at 20 and 52 weeks.
👉 ↗️ health status in all patients with a more pronounced impact in those with higher vs lower baseline NTproBNP.
👉 ↘️ body weight consistently

Semaglutide and NTproBNP in Obesity-Related HFpEF: #STEP-HFpEF Program Semaglutide 🆚 placebo 👉↘️ NTproBNP at 20 and 52 weeks. 👉 ↗️ health status in all patients with a more pronounced impact in those with higher vs lower baseline NTproBNP. 👉 ↘️ body weight consistently
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The Pragmatic Urinary Sodium-based algoritHm in Acute Heart Failure

🔴 -AHF trial randomized patients to natriuresis-guided diuretic therapy or standard of care

👥309 patients
📌median baseline eGFR was 53

👉Natriuresis-guided diuretic treatment

The Pragmatic Urinary Sodium-based algoritHm in Acute Heart Failure 🔴#PUSH-AHF trial randomized patients to natriuresis-guided diuretic therapy or standard of care #HeartFailure2024 👥309 patients 📌median baseline eGFR was 53 👉Natriuresis-guided diuretic treatment
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Mineralocorticoid Receptor Antagonists in and Impaired Renal Function

👥4355 ➡️6.8% experienced a ↘️ of eGFR after randomization to <30 mL/min/1.73 m2

👉risk reduction in the primary outcome with MRA therapy was similar in those who experienced a decrease in eGFR to <30

Mineralocorticoid Receptor Antagonists in #HF and Impaired Renal Function 👥4355 ➡️6.8% experienced a ↘️ of eGFR after randomization to <30 mL/min/1.73 m2 👉risk reduction in the primary outcome with MRA therapy was similar in those who experienced a decrease in eGFR to <30
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⚠️DEA-HF TRIAL

👥42

Administration of furosemide ➕ metolazone ↗️weight of sodium excreted, 🆚 furosemide alone & furosemide ➕ acetazolamide

WRF was significantly higher when adding metolazone (41%) to furosemide 🆚 furosemide alone (17%) and to

⚠️DEA-HF TRIAL #Heartfaikure2024 👥42 Administration of furosemide ➕ metolazone ↗️weight of sodium excreted, 🆚 furosemide alone & furosemide ➕ acetazolamide WRF was significantly higher when adding metolazone (41%) to furosemide 🆚 furosemide alone (17%) and to
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Alfonso Valle(@ValleAlfonso) 's Twitter Profile Photo

⚠️Redefining Iron Deficiency in Patients With Chronic Heart Failure via Circulation

👉👉 current ferritin-driven definition of iron deficiency in should be abandoned and that a definition based on hypoferremia (TSAT < 20%) should be adopted

📁

⚠️Redefining Iron Deficiency in Patients With Chronic Heart Failure via @CircAHA #Heartfailure2024 👉👉 current ferritin-driven definition of iron deficiency in #HF should be abandoned and that a definition based on hypoferremia (TSAT < 20%) should be adopted 📁
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🔴EXCELLENT👇👇
📌Identification of three mechanistic pathways for iron-deficient HF

1️⃣meaningful systemic iron deficiency (typically TSAT <~ 15%-16% with anaemia) results in cardiomyocyte iron deficiency and dysfunction
👉↗️ in iron influx proteins and ↘️ in iron efflux

🔴EXCELLENT👇👇 📌Identification of three mechanistic pathways for iron-deficient HF 1️⃣meaningful systemic iron deficiency (typically TSAT <~ 15%-16% with anaemia) results in cardiomyocyte iron deficiency and dysfunction 👉↗️ in iron influx proteins and ↘️ in iron efflux
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Muthu Vaduganathan(@mvaduganathan) 's Twitter Profile Photo

First of

Timing of Cardio-Kidney Protection w : Insights From 4 Large-Scale Placebo-Controlled RCTs

HF is THE most modifiable and preventable event across

Simultaneous publication led by Brendon Neuen in Circulation
ahajournals.org/doi/10.1161/CI…

First #LBCT of #HeartFailure2024 Timing of Cardio-Kidney Protection w #SGLT2i: Insights From 4 Large-Scale Placebo-Controlled RCTs HF is THE most modifiable and preventable event across #CKM Simultaneous publication led by @brendonneuen in @CircAHA ahajournals.org/doi/10.1161/CI…
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2024 Hypertrophic Cardiomyopathy
Guideline-at-a-Glance

🎾🤾‍♂️ Encouraging exercise for HCM patients
📁 jacc.org/doi/10.1016/j.… JACC Journals

2024 Hypertrophic Cardiomyopathy Guideline-at-a-Glance 🎾🤾‍♂️ Encouraging exercise for HCM patients 📁 jacc.org/doi/10.1016/j.… @JACCJournals
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SVCardio(@SVCardio) 's Twitter Profile Photo

Mañana nueva sesión de nuestro 2.0.

🗓️ Jueves 9 mayo 08:15

🔗 COMPRENDIENDO EL DIAGNÓSTICO ELECTROCARDIOGRÁFICO DE LAS TAQUICARDIAS DE QRS ANCHO, por el Dr Aurelio Quesada del HOSPITAL GENERAL

Acceso y acreditación desde svcardio.org/latido-2-0 y Organon España

Mañana nueva sesión de nuestro #latido 2.0. 🗓️ Jueves 9 mayo 08:15 🔗 COMPRENDIENDO EL DIAGNÓSTICO ELECTROCARDIOGRÁFICO DE LAS TAQUICARDIAS DE QRS ANCHO, por el Dr Aurelio Quesada del @HGUVALENCIA Acceso y acreditación desde svcardio.org/latido-2-0 y @OrganonEspana
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Discordance among apoB, non–HDL, and triglycerides: implications for CV prevention

👉High variability of apoB at individual levels of LDL-C, non-HDL-C, and triglycerides coupled with meaningful differences in 10-year ASCVD rates

👉significant residual information contained in

Discordance among apoB, non–HDL, and triglycerides: implications for CV prevention 👉High variability of apoB at individual levels of LDL-C, non-HDL-C, and triglycerides coupled with meaningful differences in 10-year ASCVD rates 👉significant residual information contained in
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Alfonso Valle(@ValleAlfonso) 's Twitter Profile Photo

🇪🇸Trajectories of Kidney Function in Heart Failure Over a 15-Year Follow-Up

👥2672
⏰August 2001 and December 2021
🧪40,970 creatinine measurements,
👉↘️ eGFR was observed in the entire cohort, with a slope of −1.70 mL/min/1.73 m2 per year
📌 Older patients
📌 diabetes
📌HFpEF

🇪🇸Trajectories of Kidney Function in Heart Failure Over a 15-Year Follow-Up 👥2672 ⏰August 2001 and December 2021 🧪40,970 creatinine measurements, 👉↘️ eGFR was observed in the entire cohort, with a slope of −1.70 mL/min/1.73 m2 per year 📌 Older patients 📌 diabetes 📌HFpEF
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💶💵 Cost-Effectiveness of Medical Therapy for HFmrEF/HFpEF

💊MRA
💊💊MRA + SGLT2i
💊💊💊 MRA + SGLT2i+ARNI

↗️ in life years of HFmrEF/HFpEF👥
💊1.04/0.99
2️⃣💊1.58/1.54
3️⃣💊1.80/1.77

💊MRA therapy ICERs of $10,000 per r
QALY in both subgroups
💊💊ICER $113,000 per QALY in the

💶💵 Cost-Effectiveness of Medical Therapy for HFmrEF/HFpEF 💊MRA 💊💊MRA + SGLT2i 💊💊💊 MRA + SGLT2i+ARNI ↗️ in life years of HFmrEF/HFpEF👥 💊1.04/0.99 2️⃣💊1.58/1.54 3️⃣💊1.80/1.77 💊MRA therapy ICERs of $10,000 per r QALY in both subgroups 💊💊ICER $113,000 per QALY in the
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⚠️Reduced Ejection Fraction in Elite Endurance Athletes: Clinical and Genetic Overlap With Dilated Cardiomyopathy

👥 281 elite endurance athletes ▶️15.7% had reduced LVEF
👉Reduced EF was associated with a ↗️ burden of ventricular premature beats and lower left ventricular

⚠️Reduced Ejection Fraction in Elite Endurance Athletes: Clinical and Genetic Overlap With Dilated Cardiomyopathy 👥 281 elite endurance athletes ▶️15.7% had reduced LVEF 👉Reduced EF was associated with a ↗️ burden of ventricular premature beats and lower left ventricular
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