Mayra Guerrero, MD
@MayraGuerreroMD
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Interventional Cardiologist. Professor of Medicine, Mayo Clinic Hospital. I love TMVr and TMVR! Tweets my own.
Rochester, MN
Joined March 2019
Starting 1st TAVR today with all women except 1 fellow. Interv fellow & Surgery fellow are women. I was 1st woman ever in my cardiology fellowship, very different today. Great change in just 1 lifetime! Progress changing the Face of Cardiology. Happy Women’s Day!!! @MayoClinicCV
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The ultimate Multitask: bike while you review CT scans or emails. Highly recommended! @MayoClinicCV
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Came to Cath reading conference today & found all cardiology fellows at conf are women. What a change!. I was the first female cardiology fellow in my program. all female at conference today! The face of Cardiology is changing! #WIC #ACCFIT @MayoClinicCV
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All women TEER with PASCAL device today!!! Technical success after 1 PASCAL Ace, excellent results thanks to the strong work from 2 female Structural Interventional Cardiology Fellows @MayoClinicCV! @WomenAs1
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The most important Match Day for me! My Son’s! Future Internal Medicine Resident at McGaw Medical Center of Northwestern University Feinberg School of Medicine in Chicago! Congratulations Hector M. Cajigas!!! @fgcmacho #UICOMMatch2024 @MayoClinicCV @NU_IntMed
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One of my favorite TAVR cases from 2020: female structural fellow, female interventional fellow, female surgery resident, female IC, female nurses and female pt! Happy National Women Physicians Day!!! @MayoClinicCV
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And 3.- I felt honored to be part of this team & honored to know if I die from this, would be the most meaningful death one can have… dying helping others. I understand soldiers now, it’s a calling. To my friends on the frontlines… Thank you and stay safe! @MayoClinicCV.3/.
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We present a review of image guidance for MViV, MViR, ViMAC and PVL closure. I hope you find it helpful. @MayoClinicCV .Imaging Guidance for Transcatheter Mitral Valve Intervention on Prosthetic Valves, Rings, and Annular Calcification
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Final MITRAL Trial 5Y outcomes LBCT @ #EuroPCR 2023. MViV, MViR & ViMAC with Sapien 3 was associated with sustained improvement of HF symptoms & QoL @ 5 years. THV function remained stable in all groups. Excellent survival @ 5 years in MViV, lower in MViR & ViMAC. @MayoClinicCV
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2.- I felt grateful to work at an institution with great leadership that protects physicians and resources to provide health care workers with double mask, N95 mask first and a regular mask on top of that. @MayoClinicCV .2/.
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Our first “All Women” Mitral PVL Closure! Female patient + Female TEE imaging expert + Female Interv cardilogy fellows and attenting + Female nurse and cath lab tech. Patient doing well and happy after successful Mitral PVL closure 🙂 @MayoClinicCV
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I have decorated many Christmas trees in my life, but this one is my favorite so far. A prosthetic heart valves tree to celebrate progress in this field. Notice the presents under the tree. different THVs, even a couple ViVs :) Merry Christmas and Happy New Year! @MayoClinicCV
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One-Year Outcomes of Mitral Valve-in-Valve Using the SAPIEN 3 THV via @JAMACardio part of @JAMANetwork We found low mortality: 5.4% at 30 days & 16.7% at 1-year. Transseptal lower mortality than TA access at 1 year (15.8% vs 21.7%, p=0.03) @MayoClinicCV
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Packed house at the first WISH Women in Structural Heart symposium! I wish my grandmother was still alive to see this. She wanted to be a doctor but her father didn’t let her because is wasn’t “appropriate for a woman”. Two generations later…All women panel! Thank you @crfheart!
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I arrived to my office this morning and found this beautiful poster from a good friend, doctor and extraordinarily talented artist. Dr. Rana Awdish @RanaAwdish @hectorrcajigas Totally unexpected, what a way to start the day! Thank you!!!
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Finally! A MAC ICD code! Thank you all who helped me get the proposed code submitted & approved! Please use I34.81 moving forward in your daily practice. This will help us adequately categorize these patients and conduct research 🙂 @MayoClinicCV
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4-Year Outcomes MITRAL Trial #ESCCongress: MViV all-cause death @ 4Y only 10%, higher in MViV & MViR (66.7%) but sustained THV performance & symptom improvement in survivors in all groups! @MayoClinicCV @MayoClinic @WomenAs1
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Fortunate to be part of this amazing group of Cardiologists and future Cardiologists @MayoClinicCV
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Congratulations @drpaulfriedman for the Distinguished Inventor Award at Mayo Clinic 2022!!! What an honor to have you as our Chair for the Department of CV Medicine. A privilege to be part of your team! @MayoClinicCV
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I wasn’t prepared to hear this, truly heart breaking 💔 😞 At least he can rest in peace knowing his mission is accomplished, he changed the world. @MayoClinicCV
My heart is broken. A true legend no longer on earth, forever in our ❤️❤️Your legacy will never be forgotten. You saved unmeasurable number of lives, brought us the unthinkable innovation in our field. One in a trillion!!! Dearest Alain RIP 😞😞😞😞💔💔💔
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Data presented #LondonValves 2024 today on behalf of the SAPIEN M3 EFS investigators: 72 pts treated with SM3, 94.4% alive @ 30 days. At 2 years: sustained MR reduction, improved symptoms, QofL, and favorable LV remodeling! #PCRLV @MayoClinicCV
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The best way to start AHA 2024…an evening with @MayoClinicCV Women In Cardiology!!! ❤️ I love scientific meetings in Chicago 😉 A special thanks to @MayoClinicCV leadership for supporting these events!!! 🙏 It is great to connect with colleagues to foster unity.
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Predictors of LVOTO After ViMAC: Analysis of TMVR in MAC Global Registry. LVOT % reduction >63%, LVOT area <371mm2, Neo-LVOT area <173 mm2, Neo-LVOT area index <127mm2 & Virtual THV to Septum (VTS) distance <5.5mm. @MayoClinicCV
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I'm truly honored and humbled. Thank you @CiticMexico for the Academic achievement award and for allowing to share my personal journey in Interventional Cardiology from my hometown in Mexico to @MayoClinic
Fue un honor reconocer a la Dra. Mayra Guerrero con el Premio CITIC 2022 a la Trayectoria Académica, gracias por su inspirador mensaje a las mujeres y hombres que han luchado por alcanzar sus sueños y nunca rendirse. #CITIC2022
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Today is the 10th Anniversary of the FIH Transseptal ViMAC. Thankful for what we have learned together, and more importantly… for your friendship and collaboration. Thank you all! With deepest gratitude🙏 @MayoClinicCV
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MITRAL Trial MAC Arm: Pts treated with TS ViMAC had 6.7% 30-day mortality, was lower than predicted by the STS score (mean 9.9%, median 6.2%). At 1 year, ViMAC was associated with improved symptoms & stable THV performance. @MayoClinicCV @JACCJournals .
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Electric driverless “Med City Mover” can transport people in downtown Rochester…We took the opportunity to ride between consults at 2 different Mayo Clinic buildings. The future is here! @MayoClinicCV @MayoClinic
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MViV, MViR & ViMAC with Sapien 3 associated with sustained improvement of HF symptoms & QoL @ 5 years. Stable THV function in all groups. MViV had excellent survival @ 5 years, lower survival in MViR & ViMAC. Thank you all collaborators! @MayoClinicCV.
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Forgot to tell you: Last week, I arrived to Cath Lab and saw the schedule. 5 Interv Cardiologsits working that day (3 women, 2 men). 60% Female IC doing procedures that day! Only @MayoCliniCV ! Welcome Claire @claireraph !.
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Our superstar fellow @mahmoud_ismayl presenting @ESCardio presenting “TAVR vs SAVR in patients younger than 65 years: Analysis from the National Inpatient Sample Database”. TAVR is increasingly performed among patients aged 50-64 years and is associated with lower in-hospital
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The CLASP IID trial #TCT2022 : PASCAL not inferior to MitraClip in high surgical risk patients. Low adverse events in both groups. Similar survival. @MayoClinicCV
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Congratulations @Mahmoud_Ismayl for a great presentation #NYValves2024 ! The utilization of TAVR in patients aged 50 to 64 years in the US is increasing rapidly! Compared to SAVR, TAVR in this younger population was associated with lower complication rates and lower Inhospital
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On behalf of P3 investigators, we share “1-Year Outcomes of PARTNER 3 MViV Intermediate Risk Registry” presented today @ #TVT2023. Primary Endpoint of All-Cause Death or Stroke at 1 year, was ZERO! Sustained improvement of symptoms, QoL & stable THV function @ 1Y. @MayoClinicCV
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After a long day of work… Why not spend an evening together having fun with a Zumba class? We deserve some bonding time, and we get to burn few calories at the same time!😃. Thank you @MayoClinicCV leadership for supporting Women In Cardiology! 🙏And a big thank you to my female
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In this study of pts with severe MAC treated with TMVR ViMAC, pts with severe Pulm HTN at baseline had similar outcomes than pts without Pulm HTN. Severe PH should not be a reason to deny TMVR in MAC. @MayoClinicCV @hectorrcajigas.
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Retirement luncheon for a wonderful mentor, role model and friend. The legend @davidrholmes2 retires to start a new chapter as a freshman at college. My deepest respect and admiration @davidrholmes2 @MayoClinicCV
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@saraceciliamtz In this order: usual cloth surgical cap, N95 mask, disposable surgical cap to cover cloth cap, disposable mask to protect N95, shoe covers, scrub, 1st pair sterile gloves, sterile reusable good quality surgical gown, 2nd pair sterile gloves, dressed in control room, entered lab.
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We are looking for good candidates 🙂 Please consider this great opportunity to obtain training in SHD interventions! @MayoClinicCV @MayoClinicCVS.
To Interventional Cardiology Program Directors and Education Coordinators:. We have an unexpected opening for our Mayo Clinic Interventional Cardiology Fellowship in Structural Heart Disease for 2024-25 in Rochester, Minnesota.
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Happy “National Women Physicians Day ”Feb 3rd!!! It commemorates the bday of Dr. Elizabeth Blackwell who in 1949 became the 1st woman to receive a medical degree in the US. Celebrating with photos from “National Wear Red Day”! @MayoClinicCV
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The best way to start the day at AHA scientific sessions 2022… 15 mile bike ride at the beautiful Lake Shore Drive! I love #AHA2022 ! And I love Chicago! ❤️ @MayoClinicCV
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@AbdullahAlabcha presenting his work on staging MAC disease according to extra-mitral Cardiac damage at #TVT2023. MAC pts with more advanced MAC stages have higher mortality. Congratulations! @MayoClinicCV @MayoCVFellows
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Great! Our CT-Based MAC score paper to categorize MAC severity & predict valve embolization during ViMAC made it to the Top 8 CT papers of the year presented at SCCT 2020! Thank you @ToddVillinesMD !.MAC score 6 or less = high risk, MAC score 7 or more= low risk. @MayoClinicCV.
Top 8 #Yessct studies at #Scct2020 by @ToddVillinesMD .#6 . CT based MAC score for ViV embolization/migration .If score >= 9 no emboliz/migra .If score <=6 ⬆️risk (OR 5.9).@MayraGuerreroMD @DeeDeeWangMD @JACCJournals
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MITRAL Trial 2 y outcomes. Survival in MViV 93.3%! Mortality higher in ViMAC 39.3% & MViR 50% (for reference 2Y TAVR death PARTNER 1 was 43%). MViV, MViR & ViMAC associated with improved symptoms, QoL & stable THV function.@MayoClinicCV.
For severe MAC, failed annuloplasty rings or malfunctioning valves, balloon-expandable transcatheter aortic valves in the mitral position improves symptoms, #QOL, and valve function: #JACC #MITRAL #TAVR @EleidMack @MayraGuerreroMD
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Looking forward to working with our new cardiology fellows. Welcome to the Mayo Clinic family!!!🙏❤️.
Welcome to the new Cardiology fellows 💓🫀🏩! Our family got a little bigger! Our first meet-and-greet just wrapped up - we can’t wait to see you at orientation and around the @MayoClinic campus! WELCOME 🥰!
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It took years of work, but we are now able to demonstrate that Transseptal MViV is associated with better outcomes than Transapical MVIV. Thank you all that contributed to this team effort!.
Transcatheter mitral ViV procedures, esp those done via transseptal access, are associated w/ low mortality & adverse event rates plus improved QoL through 1 yr in high-risk patients #TCT2019 @MayraGuerreroMD @bonowr @ajaykirtane @PinakShahMD @BadhwarVinay.
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Join us at #TVT2023 for a live TMVR case using the Innovalve under the TWIST trial @MayoClinicCV @EleidMack @ChetRihal
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@SharonneHayes @DrJMieres @biljana_parapid @gina_lundberg @DrLaxmiMehta @KBerlacher @HeartBobH @hvanspall @robertshor This is wrong! Reminds me when a Chief of IC @ a famous Hosp in CA told me 18 years ago "I would like to accept U in our fellowship but I can't because U R Mexican". Ironically, that institution tried to recruit me 2 weeks ago to be Chief of IC as he is retiring. I said No thx.
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I’m so proud of our fellows! Strong work! Congratulations!!! 👍.
Proud of the strong ❤️🔥 @MayoCVFellows representation @SCAI #SCAI2024 in Long Beach, CA! 🌄 Congrats!!. @TDonisan, @KarolQuelal, @Mahmoud_Ismayl @MayoClinicCV @MayoClinic #CardioX @nandananavekar @mwcullen @MayraGuerreroMD @AttaBehfar @rajivxgulati
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Celebrating a successful TS TMVR case with Innovalve system #TVT2023 @MayoClinicCV @ChetRihal @EleidMack @AbdullahAlabcha
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We have a lot of work to do to increase diversity in medicine, particularly in Cardiology. Please share any ideas you have that can help us close this gap.
On this new episode of #ClinicianInsider, @MayraGuerreroMD and @_WayneBatchelor discuss the wide-ranging effects of the gap in #diversityinmedicine:
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It was a great honor to sit with him as part of the panel to discuss these extremely important trials. Awesome to see history being made and a true privilege being part of the discussion.
Dr. Eugene Braunwald on both Low risk TAVR results! @sameergafoor @DrToniyaSingh @TCTMD_Yael #ACC19 #StructuralHeart @MayraGuerreroMD @DeeDeeWangMD #ACCWIC @moiz_hafiz @AdedotunOgunsua @drgauravrana @GBaqueroMD @nkakouros @DrAAACardioVasc @MoJadelrab1 @crfshj @PatrycjaGalazka
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Imagine all the people (Cardiology) living life in peace (Healthcare Equity),.You may say I’m a dreamer.But I’m not the only one.I hope someday YOU’LL JOIN US.And the world (Cardiology) will be as One.🎼.Happy Feb 14 and BHM! ❤️🙂 @MayoClinicCV @MayoEquity @ACCinTouch @WomenAs1.
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LBCT #TCT2022 “TEER for MR and Cardiogenic Shock” analysis from TVT Registry by @adnanalkhouli : Lower mortality and hospitalization for heart failure rate in successful TEER cases. Randomized trial ongoing in Canada. @MayoClinicCV
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Thank you for reading and citing our paper which made it to the the list of most cited in Circ Interventions! @MayoClinicCV @CircIntv .
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MITRAL Trial MViV Arm: TS MViV in high-risk pts (median STS 9.4%) had low complications & low 3.3% mortality at 1 year. MViV was associated with improved symptoms & stable THV performance. @MayoClinicCV @JACCJournals
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Of 5,502 pts with MAC detected by TTE, 357 had severe MV dysfunction, 108 had MV intervention and 249 did not. Pts with MAC & MVD who underwent MV intervention had better survival than pts without intervention. @MayoClinicCV .
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Thank you @ACCInTouch for the wonderful #ACCIMProgram to increase #ACCDiversity and change #TheFaceOfCardiology !!! We had a wonderful session today at the Hispanic/Latinx Cohort! Thank you to all our speakers and ACC!!! @MayoClinicCV
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TWIST EFS with Innovalve presented by @ChetRihal @CRTmeeting 2023. Technical success 100%, low risk of LVOTO, resolution of MR, EF improved. @MayoClinicCV
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A real honor to be part of this team! As I work to help recruit the best fellows and advance innovation and academic productivity… our focus is to increase Equity, Diversity & Inclusion @MayoClinicCV.
Announcing. the Mayo Clinic CV Fellowship Dream Team! A special welcome to Dr. @AttaBehfar, Research APD, and Dr. @MayraGuerreroMD, Recruitment and Academic Affairs APD. We are excited for the vision they bring to our education leadership! @nandananavekar @mwcullen @panithayaC
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Please join us tomorrow at ESC on this important debate: TMVr/TMVR for second at MR - Routine use or Niche? Pro: Mayra Guerrero vs Con: Michael Borger. Noon Paris time, 5 am Central time. @MayoClinicCV @GreggWStone @vonBardelebenRS
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In this State of the Art paper, we were invited to provide an overview of TMVR in native MV including MAC: we cover challenges, Who is a candidate?, CT analysis, Clinical Trials, outcomes and future directions. @marinaurenaa @PhilipLurz @MayoClinicCV.
This State of the Art provides an overview on transcatheter mitral valve replacement for the treatment of native mitral valve disease, including patients with severe annular calcification, with a glimpse into the future of these therapies. #EAPCI
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2 Year Clinical & Echo Outcomes in PARTNER 3 Low-risk Randomized Trial presented at virtual LBCT #ACC20 session today: 1ry Endpoint (death, stroke or rehosp) at 1 year lower with TAVR, but higher valve thrombosis between 1 and 2 years seen in TAVR patients (2.6% vs 0.7% at 2y).
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Congratulations @AbdullahAlAbcha for presenting #TCT2023!!! Patients with MAC who have MV Dysfunction often have more advanced MAC stages according to extra-mitral cardiac damage. And more advanced stages are associated with higher mortality! @MayoClinicCV
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This paper focuses on the early experience of these procedures in the US. Contemporary outcomes are even better!.
30-Day Outcomes of Transcatheter Mitral Valve Replacement (valve-in-valve,valve-in-ring,valve in MAC. Improved symptoms with stable valve performance by @MayraGuerreroMD and colleagues @AHAScience @CircAHA @CircOutcomes @AHAMeetings #ACCFIT #AHAjournals
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A real honor to share this interview at @CITICMexico #CITIC2023 with Dr. Jose Antonio Condado @jacardio who did the First-in-Human TEER with MitraClip! The first in man TEER was in Venezuela. Thank you CITIC 2023 and Dr. Julieta Morales! @modanira @MayoClinicCV
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Simply excellent! What a wonderful meeting! Superb content, amazing city and a great opportunity to connect with colleagues!!! I can’t wait to #NYValves2025 ! ❤️ Thank you @crfheart team for this opportunity! 🙏.
#NYValves2024 exceeded all expectations! A heartfelt thank you to our attendees, supporters, program directors, and faculty for making this first meeting a remarkable success. 🙏✨ See you next year at #NYValves2025! 🚀. #CardioX #CardioTwitter #CardioEd
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Incredible group indeed!!! ❤️ It’s a true privilege to be part of this team. Thank you @MayoClinicCV for supporting these important events! Every hospital should do this, highly recommended.
Honored to host this incredible group of @MayoClinicCV Women in Cardiology at my home tonight! These women are breaking barriers, empowering each other, and shaping the future of cardiovascular medicine. #WomenInCardiology #BreakingBarriers #WomenInScience
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The all-female led @TheLancet Commission, comprised of 17 experts from 11 countries, presenting its findings during a plenary session now the @ACCinTouch’s #ACC21. @MayoClinicCV Help us share the Lancet manuscript in this link.@WomenAs1 .
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A very special Mayo Clinic WIC get together at AHA 2002. What a way to wrap up AHA Scientific Sessions! @MayoClinicCV Cheers!!!
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VALOR-HCM trial results presented by @DesaiMilindY @ESC2023, HOCM pts who received Mavacamten had significant sustained improvement of LVOT gradient and NYHA class. Avoided need for Septal Reduction Rx in 90%. Impressive!
Are you aware of the groundbreaking science on valve disease and hypertrophic cardiomyopathy? Join the breaking science session at 4:30pm, where @MayraGuerreroMD from @MayoClinic will cover these topics more in detail. Do not miss out on this valuable discussion. #ESC2023.
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Impressive presentation by @drpaulfriedman at the 2022 Samsung-Mayo Clinic Heart Symposium in Seoul Korea on ECG AI algorithms. ECG can predict patient’s age, sex and LV Dysfuntion. Now Apple Watch can predict LV Dysfuntion! Very powerful tool!!! @MayoClinicCV
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So proud of our research fellow @AtefehGho presenting @ACCinTouch #ACC2023WCC outcomes of iatrogenic ASD closure vs no closure after TS TMVR (MITRAL trial). No significant difference in outcomes between groups after adjusting comorbidities. @MayoClinicCV
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I found the International Newsweek magazine at the Vienna airport. Very proud to see the Mayo Clinic Hospital in Rochester was ranked as #1 in the world. Nice to see Chet Rihal in the magazine. To find this in Austria. truly international news! Proud to be part of the team!!!
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MITRAL Trial MViR Arm: 30-Day mortality 6.7% (lower than predicted by STS score of 8.7%), at 1 year was 23.3% (similar to MitraClip in TVT Registry). Symptoms improved & THV performance remained stable. @MayoClinicCV @JACCJournals .
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On behalf of my P3 coinvestigators, I invite you to be the first ones to see the “1-Year Outcomes of PARTNER 3 MViV Intermediate Risk Registry”. Please join us today at 11:45 am room 106 at #TVT2023. @MayoClinicCV @ChrisMalaisrie @AlanZajarias
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I hope this is just the beginning. See you there!!!.
Proud to announce that we will be having the inaugural #WISH (women in structural heart) symposium at TCT2019!! @hahn_rt @MayraGuerreroMD @TCTMD @HeartValveCntr @WomenAs1 @Drroxmehran
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@BirkhoelzerS Exactly, well said. I am not asking for an ALL WOMEN Cath Lab ALL the time. All I want is to show our female residents and fellows that IT'S OK to have an ALL WOMEN and from DIVERSE Backgrounds team once in a while, it doesn't have to be all men as it was in prior years. I want.
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Thank you @ACCinTouch, @DrQuinCapers4 & #ACCDiversity for supporting #ACCIMProgram ! An honor to be part of the Hispanic/Latinx Cohort! Working together to change #TheFaceOfCardiology IM residents: remember… Nobody belongs here more than you!🙂@MayoClinicCV.
Say “Hello” to the future of 🫀: approximately 60 Hispanic IM residents who aspire to be cardiologists. Our pledge: to demystify the specialty and provide mentorship to help you be a competitive fellowship applicant. @ACCinTouch is serious about diversifying our specialty!
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