Ivan Stepanenko MD
@StepanenkoMD
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MD, Cand. Sc (Med). Lecturer at the First Department of Internal Medicine Postgraduate Training
Saint Petersburg, Russia
Joined August 2019
Incredible review on non-atherosclerotic causes of ACS: 💔SCAD 💔CA embolism 💔Vasospasm 💔Myocardial bridging 💔Stress-induced cardiomyopathy @Drroxmehran @NatRevCardiol @SABOURETCardio @AnastasiaSMihai @drbrowncares @ShelleyZieroth @krychtiukmd @gonzaeperez @mmamas1973
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🤖 TONMD's AI Medical Chatbot is LIVE! 🤖 Try our revolutionary triage chatbot powered by advanced NLP: https://t.co/eylcjPCyfF A key component of our upcoming AI-powered healthcare app! 💊🔬 #TONMD #AIPoweredHealthcare #FutureOfMedicine
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🔴 TONMD's AI medical assistant "Aya" is almost here! Engage in conversational diagnosis, get accurate insights & personalized care recommendations. 👩⚕️💻 Stay tuned for the revolutionary launch! #AIPoweredHealthcare #ConversationalDiagnostics #TONMD #TONCOIN
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In memory of Alain Cribier, a medical pioneer, who revolutionized cardiac care with the transcatheter aortic valve replacement (TAVR) technique. #AlainCribier #TAVR #Cardiology
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Never thought that my first trip to Asia would be with such a surprise which is a dengue fever. Very tough disease taking away all your strength...and instead of lying on the beach you spend your time in a ward(( 🥵
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#AF detection is in focus #EHRA2023 #EHRA_ESC #AI #MachineLearning
@RodrigueGarcia4 “the future is not AF detection, but rather prediction” @DavidDuncker @EmmaSvennberg
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I remember my #EHRA2019 experience and fully understand the excitement of colleagues vising the event for the first time. These tweets makes me feel being there and i appreciate that so much! Many thanks! #EHRA2023
First EHRA for me and it was awesome! Great to see friends from around the world - Thanks to the whole #EHRA2023 team for such an amazing meeting!
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Management of arrhythmias in frailty New #EHRA_ESC consensus document launched here today: https://t.co/pIda7aDKg8
#EHRA2023 @EHRAPresident @EuropaceEiC
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Very important data for clinicians and patients. Although statins have already demonstrated many pleyotropic effects it is crucial to strengthen the evidence base in different aspects CV prevention
Statin use is associated with lower risk of stroke in patients with #AtrialFibrillation ⬇️ #EHRA2023 #afib #EPeeps #EHRA_ESC
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Learn a language with me for free! Duolingo is fun, and proven to work. Here’s my invite link: https://t.co/DjAKKSnaai
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#SECURE trial: polypill containing aspirin, atorvastatin and ramipril leads to clinically relevant reductions in recurrent #cardiovascular events in post-myocardial infarction patients. #ESCCongress
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EJERCICIO FÍSICO y SALUD 🏃🏽♀️ No Existe ningún fármaco que brinde todos estos beneficios #CardioTwitter
https://t.co/6ESvNyXdYk
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Another proof that #Mediterran diet is the best for #CardiovascularPrevention
@SABOURETCardio @DrMarthaGulati (Where’s ‘#bigfatsurprise’?) @DBelardoMD @mmamas1973 @iamritu
@AnastasiaSMihai 🍅 @DocSavageTJU @DrRajivsankar @DrDEliaEmilia @gbiondizoccai @MicheleSenni @rahatheart1
📌 CARDIOPREV Trial ✔️ Mediterranean diet superior to low-fat diet 👉 to prevent MACE in secondary prevention @DBelardoMD @DrMarthaGulati @DrMauricioGon @iamritu @rafavidalperez @drjohnm @Hragy @gonzaeperez @ShelleyZieroth @adribaran @SeguraCardio #Medtwitter #Cardiotwitter
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↗️in fitness in sprint distance running results in a ↘️ in daily parasympathetic (PS) and an ↗️in sympathetic (S) activity on the 🧡 ↗️fitness in strength exercises is 🔗 with ↗️in both S and PS activity. ↗️in endurance is accompanied by an ↗️ in the activity of the PS
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In group 5, increased fitness in strength exercises was accompanied by a balanced increase in pNN50%, RMSSD, as well as SDANN. In groups 2, 4, 6, there were similar but weaker associations.
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In group 3, increased fitness in short distance running was accompanied by a decrease in the values of the RMSSD and pNN50% and an increase in the values of the SDANN.
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In group 1, the improvement in endurance exercise performance directly correlated with changes in RMSSD and pNN50%.
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HRV parameters at the beginning and at the end of the study in groups with the maximum positive physical fitness dynamics were compared. To assess HRV, the following daily time-domain indices were used: RMSSD, pNN50% and SDANN.
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28 healthy men aged 18-19 yo: repeated 24-hour Ambulatory ECG The training regimen 270 minutes per week. The subjects were divided into groups according to the median of changes in assessment results for various types of physical training
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The autonomic nervous system's responses are reflected in heart rate variability (HRV). They have a significant role in accompanying the training process, however, assessment of long-term daily HRV indices dynamics is not widely used in sports cardiology.
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