The world is not enough

Nairobi, Kenya
Joined September 2016
Behind every cardiovascular statistic is a woman, a story and a life worth protecting. These patient advocates remind us why women's heart health matters. From evidence to action. From survival to quality of life. Progress is measured in lives improved, not conferences convened. #WomensHeartHealth @kenyacardiacs @Apog_Kenya @mzeengunga @Starlight_Bo @WomenAs1 @worldheartfed
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Pregnancy is not just nine months. It is a cardiovascular health story that spans a woman’s lifetime. Dr. Bosire compares a woman’s journey to an F1 race, navigating different challenges through adolescence, pregnancy &menopause. #KCS #APOGKenya #Africanwomenshearthealthsymposium
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Understanding #POTS starts with trusted information. CardioSmart’s POTS hub offers patient-friendly information on symptoms, diagnosis, treatment, questions to ask the care team and self-advocacy. Check out the hub here: bit.ly/4y8Bhgb #CardioSmart #POTSAwarenessDay
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Dr. Barasa takes the delegates through #peripartum #cardiomyopathy, a condition that affects the heart around the end of pregnancy or in the months following delivery. Recognising it early and ensuring timely assessment and care are essential #WomensHeartHealth #KCS #APOGKenya
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SCAD calls for careful, individualised management Dr. Ngunga discusses (SCAD), including recommendations for mild to moderate physical activity & delicate decisions involved in management, including PCI #KCS #APOGKenya #Africanwomenshearthealthsymposium
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During the 2nd panel discussion, Dr. Bosire, highlights the need to strengthen pre-menopausal care, address gaps in evidence on cardiovascular outcomes, &develop policies that make quality care &treatment more accessible &affordable in Kenya. #WomensHeartHealth #KCS #APOGKenya
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Dr. Ngunga points to the need for public awareness of #cardiovascular risks, alongside the work health professionals are doing. Raises concerns about #environmentaltoxins, resources needed to address chronic conditions, & policies required to support #research and innovation.
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🫀Finerenone vs spironolactone in heart failure with mildly reduced or preserved ejection fraction: a real-world study. see@ ow.ly/LcYk5100u04 @EJHFEiC @AmrAbdin10 @GiuseppeGalati_ @HanCardiomd @EJHFEiC @JanBiegus @ppponikowski #HFA_ESC @hvanspall @FudimMarat @gcfmd @MarcoMetra @GianluSava #ESCHeartFailure
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💊 Can SGLT2 inhibitors improve outcomes in transthyretin cardiac #Amyloidosis? A #JACCAdvances meta-analysis of 14 observational studies (n=10,852) found #SGLT2i use was associated with 56% lower all-cause mortality & 38% lower HF hospitalization. bit.ly/4sjrhPO
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African women deserve better cardiovascular outcomes. Stronger evidence. Earlier diagnosis. Equitable care. On 24 October, Nairobi hosts the inaugural African Women's Heart Health Symposium. Beyond awareness. Towards action. #WomensHeartHealth @kenyacardiacs @Apog_Kenya @WomenAs1 @worldheartfed @Starlight_Bo @mzeengunga
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Women's Heart Health: From Awareness to Action. ❤️ African women remain underrepresented in cardiovascular research, underdiagnosed and undertreated. On 24 October in Nairobi, we move from evidence to action. Better science. Equitable care. Healthier generations. citizen.digital/article/land… @kenyacardiacs @Apog_Kenya @MOH_Kenya
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Menopause is not heart disease. But midlife is an important window for cardiovascular prevention. The priority is not to medicalise menopause, but to recognise evolving risk, investigate symptoms appropriately and intervene early. Women's heart health requires a life-course approach. #WorldMenopauseDay @kenyacardiacs
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In 6,558 #ACS pts from MATRIX trial, angiographically-defined #OMI identified pts w/ >1-year mortality—while adding troponin peak values ⬆️ OMI frequency but diluted prognostic effects. NSTE-ACS pts mtg OMI criteria had STEMI-equiv. mortality. #JACCINT bit.ly/4jpROZq
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46 new drug approvals this year, so far. (The record to beat is 59)
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Now publ in EHJ: In 3 RCTs (n=704), 2-3-mo Rx w/DOACs (low dose in 2 trials) ↓ device-related thrombosis (DRT) and major bleeding c/w DAPT, with NS Δ in death and stroke/SE. DRT has been associated with thromboembolic events, and the RR of 0.61 for stroke/SE favors DOAC use.
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Patent Ductus Arteriosus
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Mzee retweeted
Replying to @ESC_Journals
ILPF VT
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Six 15-min sessions of microbubble cavitation over 18 days increased microvascular density 1.6-fold and femoral flow 1.8-fold, promoting ulcer healing in no-option CLTI. A small trial, but a potential new avenue. #JACCIMG #cvPAD #cvImaging bit.ly/4y9skCY
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Young woman needs aortic valve replacement + wants pregnancy: choose mechanical or bioprosthetic valve? Swedish data: bioprosthesis → more deliveries (50.5% vs 9.5%) but ↑15-y reintervention (46.5% vs 6.9%). bit.ly/4sfFMnT #ACCRepOB #JACC @MichaelDismorr
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