Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) retweeted
Correct answer: B) Nitrates
Nitrates are most commonly associated with postural (orthostatic) hypotension because they cause significant venodilation, reducing venous return (preload). This effect can be particularly pronounced when the patient suddenly stands.
⬜ Nitrates: prominent postural hypotension
🟨 Alpha-blockers: also classically associated with postural hypotension, especially the first-dose effect
⬛ Beta-blockers: may contribute, but less commonly
🟪 ACE inhibitors: generally have a lower risk
🟩 Calcium channel blockers: can cause hypotension, but postural hypotension is less characteristic
Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) retweeted
A 20-year-old woman with a history of recurrent unprovoked DVT presents with sudden severe abdominal pain, dyspnea, headache, and confusion.
Within 48 hours, her condition deteriorates dramatically. She develops hypoxemic respiratory failure, acute kidney injury, thrombocytopenia, painful purpuric skin lesions, and shock requiring ICU admission.
What is the diagnosis ⁉️ – at Buraydah, Kingdom of Saudi Arabia
Can we ever stop anticoagulation after successful AF ablation?
ESC 2024: OAC for ≥2 months in everyone, then anticoagulation according to stroke risk — not apparent ablation success
ALONE-AF & OCEAN challenging the dogma👇
OAC = DOAC or VKA
#AFib #Ablation #Anticoagulation
Iron deficiency in heart failure: easy to miss, important to treat
🔹 Normal Hb does NOT exclude iron deficiency
🔹 ferritin + TSAT
🔹 IV iron improves symptoms/QoL — I
🔹 Reduces HF hospitalizations —IIa
🔹 Mortality benefit Not proven
#HeartFailure #Cardiology #HFrEF #ESC
LAAC vs Anticoagulation in AF (2026): current Synthesis nejm.org/doi/full/10.1056/NE…
Failed stunt #arrogance
Arrogance + stupidity = confident ignorance
Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) retweeted
f, 74, BMI 23, resistant systolic hypertension, 200 on Telmisartan 80, HCTZ 25 and amlodipine 5.
Added Spironolactone 25 mg, patient nearly fainted next day!
Now on monotherapy Aldactone 25 for second week, what is this?
Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) retweeted
“My command is this:
Love each other as I have loved you.”
-John 15:12
Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) retweeted
Symptomatic individuals with no coronary artery calcium but elevated LDL-C have a higher risk of noncalcified plaque and future coronary heart disease events, especially among those aged ≤45 years.
Learn more: bit.ly/3JvqEjK #CHD #cvLipids

























