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𝕴 𝖆𝖒 𝖜𝖍𝖔 𝕴 𝖆𝖒. Internist | Cardiologist | VascularMed | Associate Professor CIM | Physician with a Heart | Mentor | Friend

Cebu City
Joined July 2010
Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)Photo by champ_wayne (@champ_wayne)
Remind your patients that staying up to date on recommended vaccines can help protect heart health. 🫀 Explore #CardioSmart's Respiratory Infections & Your Heart hub for more resources 👉 bit.ly/49XYbOQ #NIAM2026 #NIAM #NationalImmunizationAwarenessMonth #CardioX
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🆕 Is mandatory lifestyle intervention before pharmacological obesity management needed? Should patients wait months on lifestyle changes alone before accessing #obesitymedications? A new Metabologia Perspective makes the case for starting both together, in step with current international #guidelines. 👏 Well worth a read 🔓: link.springer.com/article/10…
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champ_wayne retweeted
You are cordially invited to the 23rd Annual Convention of the Philippine Society of Vascular Medicine (PSVM)!  🫀 THE VITAL LINK Integrating Collaboration and Innovation for Excellence in Vascular Care 📅 October 15–17, 2026 📍 EDSA Shangri-La Hotel, Mandaluyong City
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champ_wayne retweeted
The Philippine Society of Vascular Medicine is now accepting submissions for its upcoming convention: "The Vital Link: Integrating Collaboration and Innovation for Excellence in Vascular Care." 💡 Submission Categories: Case Reports Original Research Research Grant
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Cardi V, #WorldHeartDay's official mascot is back! Cardi V helps us protect our hearts by encouraging small consistent changes to make a lasting difference in reducing your risk of heart disease. ❤️ Learn more about World Heart Day 2026: worldheart.org/world-heart-d…
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We’re proud to share another milestone for the 𝐏𝐉𝐂! Our upgraded system now streamlines everything from DOI assignment to posting — boosting global reach with 211K+ views. Hats off to Dr. Mighty Ramirez and the PJC Team!
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champ_wayne retweeted
Day 2 promises exciting sessions! Don’t miss the lectures by our invited international speakers, Dr. Pierre Abraham (France) and Dr. Enmin Yong (Singapore). Let’s keep #PULSO vibrant. See you all! #PSVM #VascularMedicine
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champ_wayne retweeted
Session I: Crash course on vascular signs and symptoms, particular highlighting on extremity pain, extremity edema, non-healing wounds and ulcers, and abdominal pain. @PSVM2002 #PSVM #PULSO #VascularMedicine
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champ_wayne retweeted
The Philippine Specialty Board of Vascular Medicine and @PSVM2002 welcome its new diplomates during the induction ceremonies held at EDSA Shangri-La Hotel, October 15, 2025. #PULSO #PSVM #VascularMedicine
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champ_wayne retweeted
The secret is out! Live the 7 C's towards a happy, balanced life! -Dr. Regina Berba @PSVM2002 #PSVM #PULSO #VascularMedicine
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Dr. Regina Barba, the Dr. Fatima Collado Professorial Lecturer, emphasized the importance of actively maintaining balance in life rather than leaving it to chance. She elaborated on this by introducing the 7 C's as a guide to achieving work-life harmony. #PULSO #VascularMedicine
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In every trial, God's strength is your anchor.
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The immune system is powerful. Sometimes, too powerful. If it goes unchecked, it can turn on us - attacking our own organs, tissues, even our blood. That’s why the 2025 Nobel Prize in Medicine matters so much. It honors three scientists who figured out how the body stops itself from self-destructing. 🧬 Mary Brunkow 🧪 Fred Ramsdell 🧫 Shimon Sakaguchi Here’s the story :👇 Every day, your body fights off thousands of invaders - viruses, bacteria, fungi. But the real magic? It knows not to attack you. That precision is everything. And for decades, scientists thought they knew how it worked: Bad immune cells were weeded out early in the thymus (central tolerance). End of story. Except… that wasn’t the whole story. Sakaguchi’s bold idea (1995) He challenged the dogma. He found a new class of immune cells doing something unexpected: ➡️ They weren’t attacking. ➡️ They were protecting. He called them regulatory T cells - the immune system’s peacekeepers. They roam the body and tell other immune cells: “Stand down. This is us. Don’t attack.” It was a radical idea at the time. But he was right. Brunkow & Ramsdell’s breakthrough (2001) They were studying a mysterious mouse. It had a single mutation - and developed devastating autoimmune disease. They found the cause: a gene called Foxp3. 🧬 Foxp3 isn’t just any gene. It’s the master switch that tells cells to become regulatory T cells - the same ones Sakaguchi discovered. Mutate it in mice or humans… and the immune system spins out of control. In kids, that mutation causes a rare and deadly disease: IPEX syndrome. The missing link (2003) Sakaguchi came back to close the loop. He proved that Foxp3 is what powers the regulatory T cells - the body’s tolerance enforcers. This confirmed the whole mechanism. ➡️ We don’t just delete dangerous immune cells early on. ➡️ We also deploy specialized cells to watch over the rest. ➡️ That’s how we avoid autoimmune chaos. The impact? Massive. Their discoveries opened an entire new field: peripheral immune tolerance. We now have: 🔹 New approaches to treat autoimmune diseases 🔹 Promising advances in organ transplant tolerance 🔹 Immunotherapies that fine-tune the immune system to fight cancer - without turning on the body Some of these are already in clinical trials. This isn’t just a scientific triumph. It’s a reminder that: ✅ Curiosity still drives paradigm shifts. ✅ Going against the mainstream can change everything. ✅ Basic science leads to better medicine. And sometimes, three scientists working decades apart can quietly solve one of biology’s deepest mysteries. 👉 That’s worth a Nobel.
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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/a…
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Replying to @mvaduganathan
@mvaduganathan concludes the Lancet discussion on #HFPrevention: 🫀 HF mortality increasing and gains reversing 🫀 we have the tools 🧰 to prevent (and our @JCardFail @AJPCardio paper was also mentioned) #ESCongress #WCCongress #functionnotfailure
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Valve guidelines #ESCCongress First time clear definition and demarcation between Atrial and ventricular secondary functional MR 🔹 Atrial SMR: ➡️LVEF ≥50%, no/mild LV dilation, mitral annulus dilation, enlarged LA (LAVI >34 mL/m²). ➡️ Echo: normal leaflet motion/morphology, central jet. •Clinical hx - AFib, HFpEF. 🔹 Ventricular SMR: ➡️ LVEF <50%, restrictive leaflet motion, normal leaflet morphology. ➡️ Echo: dilated LV, dilated LA, dilated MV annulus, central/eccentric jet. •Clinical hx - cardiomyopathy. 🔹 Severe Ventricular SMR (without CAD) ✅ Status: Upgraded/confirmed as Class I, Level A – very strong support. •class IA- TEER recommended to reduce HF hospitalization and improve QoL in symptomatic patients with LVEF <50% and persistent severe ventricular SMR despite GDMT ± CRT. 🔹 atrial SMR ✅ Status: New recommendations introduced for atrial SMR (both surgical and TEER options). 1.MV surgery + AF ablation + LAAO (if indicated) for symptomatic severe atrial SMR under optimal medical therapy. → Class IIa, Level B. 2.TEER may be considered in symptomatic severe atrial SMR patients not eligible for surgery, after optimization of medical therapy including rhythm control. → Class IIb, Level B. @mmamas1973 @mirvatalasnag @escardio
New #SevereAS updates with earlier AVR recommendations from @escardio #ESCcongress ☀️ Asymptomatic Severe AS: Earlier Intervention 🔴 NEW Class IIa-A recommendation: ➡️ Consider intervention in asymptomatic patients with severe, high-gradient AS and preserved LVEF ≥50%, if procedural risk is low, as an alternative to close surveillance. 🌞 Expanded Criteria for Early intervention 🏥 with ✅Very severe AS (mean gradient ≥60 mmHg or Vmax >5.0 m/s) ✅ Severe valve calcification with rapid progression (≥0.3 m/s/year) ✅ Elevated BNP/NT-proBNP (>3× normal) ✅ EF <55% (without another cause) ✅ Sustained fall in BP during exercise @mmamas1973
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🗝️ Excessive body fat increases risk for chronic diseases like hypertension, diabetes, cancer. 🗝️ Obesity is a proinflammatory process leading to local and systemic inflammation. Learn how to reduce obesity-related cardiovascular risk: bit.ly/4iwIOgX #CardiologyMag
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champ_wayne retweeted
1/ Albuminuria is a strong risk predictor for adverse CV events. However, rates of albuminuria testing remain very low in general practice, even among high-risk groups with long-established recommendations for testing, such as those with diabetes and CKD.
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Obesity accelerates cardiovascular ageing. Read this State-of-the-Art review just published in #EHJ 👉 ow.ly/3k5g50VyHX4 @RoccoMontone @ehj_ed #obesity
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