NSTEMI is the New Heart Failure Gateway: Stop Just Opening Vessels
Автор: Research Turtle
Загружено: 2026-01-12
Просмотров: 19
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Why are we seeing a massive spike in Heart Failure with Preserved Ejection Fraction (HFpEF) despite better heart attack survival rates?
Hi Rabbits, Research Turtle here. 🐢
In this video, we explore the "NSTEMI-HFpEF Continuum." The data shows that while we’ve mastered the art of saving lives from acute heart attacks (STEMI), we are facing a new epidemic of chronic heart failure driven by NSTEMI. We’ll dive into why NSTEMI isn't just a "plumbing problem" but a physiological crisis involving microvascular dysfunction, inflammation, and myocardial stiffness.
We discuss why Interventional Cardiologists need to evolve from being "Lumenologists" (focusing only on open arteries) to "Hemodynamicists" (focusing on pressure and physiology).
In this breakdown, we cover:
The Paradox of Survival: Why lower acute mortality leads to higher chronic morbidity.
The Mechanism: How subendocardial ischemia and ATP depletion lead to diastolic stunning.
The Female Phenotype: Why this link is stronger in women and MINOCA patients.
The Missing Metric: Why LVEDP is the most critical number you might be ignoring in the Cath Lab.
Treatment Protocol: Shifting SGLT2 inhibitor initiation to "Day 0."
If you are a medical professional, student, or researcher, this paradigm shift is crucial for the next decade of cardiac care.
#Cardiology #NSTEMI #HFpEF #MedicalResearch #ResearchTurtle
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