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Antonino Di Franco, MD FACC FSIC (@antoninodifranco_md), Instagram profile photo
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Antonino Di Franco, MD FACC FSIC

Cardiologist
@antoninodifranco_md
๐Ÿ‡บ๐Ÿ‡ธClin. Associate Professor of Medicine [Weill Cornell,NY] ๐Ÿซ€Cardiologist [UCSC,Rome-Weill Cornell,NY] ๐Ÿ‡ช๐Ÿ‡บTop40under40 BE Europeโ€™25 |๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฎ๐Ÿ‡นNY-Palermo๐Ÿ‡ฎ๐Ÿ‡น๐Ÿ‡บ๐Ÿ‡ธ|
  • Automotive
  • Following 1.8K
  • Followers 39.6K
  • Engagement 6.64%
  • Avg comments 104

About Antonino Di Franco, MD FACC FSIC

Antonino Di Franco, MD FACC FSIC (@antoninodifranco_md) is a Cardiologist creator on Instagram, also filed under Automotive. The account has 39,647 followers and 499 published posts. Recent posts average 2,991 likes and 104 comments, an engagement rate of 6.64%.

With 39.6K followers, Antonino Di Franco, MD FACC FSIC is a micro creator by the common 10,000 to 100,000 definition. Set against 1,800 accounts followed, the audience works out to about 22 followers per account Antonino Di Franco, MD FACC FSIC follows. Antonino Di Franco, MD FACC FSIC carries Instagram's verified badge and is set up as an Instagram business account. Flinque files Antonino Di Franco, MD FACC FSIC under Cardiologist, with Automotive as a secondary category.

The Instagram bio for Antonino Di Franco, MD FACC FSIC runs to 17 words across 4 lines. Emoji sit alongside the words. The latest activity Flinque has on record for Antonino Di Franco, MD FACC FSIC dates from February 2025.

Story Highlights

Unlocking shows the title and cover image of every story highlight this creator keeps pinned to the profile.

499 Posts

Of the 10 most recent posts shown for Antonino Di Franco, MD FACC FSIC, 8 are videos and 2 are carousels. That mix leans toward videos. 499 published posts give Antonino Di Franco, MD FACC FSIC a moderate archive on Instagram. Against the audience, that is roughly 79 followers for each post published. Antonino Di Franco, MD FACC FSIC also keeps 59 story highlights on the profile. All 10 carry captions, averaging 153 words each. Words that recur across them include cardiology, cardiologia, look, echocardiography and cardiacsurgery. The captions tag #cardiology, #cardiologia, #echocardiography, #cardiacsurgery and #obesity.

๐Ÿซ€ Not all beta-blockers are created equal.

Differences in receptor selectivity and pharmacological properties may translate into different antiarrhythmic effects across specific clinical scenarios.

Which beta-blocker is best for a given arrhythmic substrate?

Swipe through the slides ๐Ÿ‘‡

#NextGenCardio #Cardiology #Electrophysiology #Arrhythmias #BetaBlockers
๐Ÿšจ GLP-1a fai da te? Mai.

Full episode on YouTube:

๐Ÿ‘‰I GLP-1a sono farmaci e come tali non possono essere utilizzati senza prescrizione medica.

๐Ÿ”บDosaggi errati, automedicazione e acquisti da canali non autorizzati possono comportare gravi rischi per la salute.

๐Ÿ”บIl problema non รจ il farmaco, รจ il suo utilizzo improprio.

๐Ÿฉบ Analizziamo assieme questo aspetto tanto importante quanto delicato.
โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”
๐Ÿšจ DIY GLP-1s? Never.

Full episode on YouTube:

๐Ÿ‘‰ GLP-1s are prescription medications and should never be used without medical supervision.

๐Ÿ”บ Incorrect dosing, self-medication, and purchasing from unauthorized sources can pose serious health risks.

๐Ÿ”บ The problem is not the medication itself, but its improper use.

๐Ÿฉบ Letโ€™s take a closer look at this important and delicate topic together.
#obesity #glp1 #cardiology #cardiologia #medicine
Welcome to part 5 of this multi-post series covering HCM or hypertrophic cardiomyopathy, obstructive vs non-obstructive. This is all part of our continuing education where we go a bit beyond the basics to empower our community.

Sometimes people describe HCM patients as having big hearts.
Sometimes weโ€™ve described ourselves as thick chicks.
Those euphemisms are basically incorrect and over-simplistic.
We want you to understand more.

We are bringing you this information on HCM to provide a little more insight into what is happening in an HCM heart.
We believe that this knowledge can help in understanding symptoms and in being an informed partner when making decisions about treatments.
Now this isnโ€™t the most in-depth scientific treatise into HCM. There is so much to it and more is being discovered all the time. But it definitely goes beyond simply saying weโ€™re thick chicks.

Please continue reading in pinned comment.
๐Ÿ›‘Lโ€™OBESITร€ UCCIDE PIร™ DI QUANTO IMMAGINIAMO. E SE NE PARLA TROPPO POCO.
Full episode on YouTube:

๐Ÿ”นQuando parliamo di obesitร , troppo spesso la conversazione si ferma allโ€™aspetto fisico. La realtร  รจ molto diversa.
๐Ÿ“ˆSecondo le piรน recenti analisi del Global Burden of Disease, nel 2023 piรน di 5 milioni di decessi nel mondo sono avvenuti per conseguenze dirette dellโ€™eccesso di peso.

๐Ÿ”นDietro ogni statistica ci sono perรฒ persone che vengono mancare allโ€™affetto dei propri cari.
โœ…Per questo motivo il trattamento dellโ€™obesitร  non dovrebbe mai essere considerato una scelta estetica, ma un intervento fondamentale per proteggere salute, qualitร  della vita e longevitร .
Lโ€™obesitร  รจ una malattia complessa, multifattoriale e spesso sottovalutata.
Piรน informazione significa piรน prevenzione.
Piรน prevenzione significa piรน vite salvate.
โ€”โ€”โ€”โ€”โ€”โ€”โ€”-
๐Ÿ›‘ OBESITY KILLS MORE PEOPLE THAN WE REALIZE. AND IT ISNโ€™T TALKED ABOUT NEARLY ENOUGH.
Full episode on YouTube:

๐Ÿ”นWhen it comes to obesity, the conversation too often stops at physical appearance. The reality is very different.
๐Ÿ“ˆAccording to the latest analyses from the Global Burden of Disease study, more than 5 million deaths worldwide in 2023 were attributable to the direct consequences of excess weight.

๐Ÿ”นBehind every statistic, however, are real people whose loved ones are left grieving their loss.
.
โœ… For this reason, obesity treatment should never be viewed as an aesthetic choice, but rather as a fundamental intervention to protect health, quality of life, and longevity.

Obesity is a complex, multifactorial, and often underestimated disease.
More awareness means more prevention.
More prevention means more lives saved.
#obesity #podcastsalute #glp1 #cardiology #prevenzione
๐Ÿซ€GLP-1a: una rivoluzione contro obesitร  e rischio cardiovascolare (a podcast by )
.
๐Ÿ”นI GLP-1a, in particolare la Semaglutide e la Tirzepatide, riducono significativamente il rischio di eventi cardiovascolari maggiori come morte per cause cardiovascolari, infarto e ictus.
๐Ÿ›‘Scopriamo assieme il meccanismo dโ€™azione di questi farmaci e perchรฉ oggi rappresentano un vero cambio di paradigma nella cardiologia moderna, in grado di migliorare la prognosi dei pazienti.

Full episode on YouTube:
โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”

๐Ÿซ€GLP-1 RAs: a revolution against obesity and cardiovascular risk (a podcast by )
.
๐Ÿ”นGLP-1 receptor agonists, particularly Semaglutide and Tirzepatide, significantly reduce the risk of major cardiovascular events such as cardiovascular death, myocardial infarction, and stroke.

๐Ÿ›‘Letโ€™s deep dove into the mechanism of action of these drugs and why they now represent a true paradigm shift in modern cardiology, capable of improving patient outcomes.

Full episode on YouTube:

#GLP1 #obesity #semaglutide #tirzepatide #weightlossstory
๐Ÿซ€๐ŸŽจ Color M-Mode Echo Teaching Case ๐Ÿ”ฅ
(Parasternal Long Axis View over the Aortic Valve)
.
At first glance, you may think this is ๐ŸŒŠ๐Ÿ’ฅ Severe Aortic Regurgitation!
๐Ÿ“ˆ BUTโ€ฆ always check the ECG carefully:
The major turbulence here is actually SYSTOLIC not diastolic ๐Ÿ”

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ“Œ What can we appreciate here?
1๏ธโƒฃ Marked systolic color flow turbulence filling the entire aortic valve box ๐Ÿšจ
This indicates significant LVOT/Aortic outflow obstruction

โ“Now the key question:
Is this: ๐ŸŸ  Valvular Aortic Stenosis? OR ๐ŸŸฃ Subaortic obstruction?

โœ… The answer is: Subaortic obstruction
๐Ÿ’ก Why?
Because the aortic valve opens very well and reaches maximal excursion ๐Ÿšชโฌ†๏ธ
(as evidenced by aliasing filling the whole box with preserved normal box size)

๐Ÿ‘‰ So this is NOT typical valvular AS

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
2๏ธโƒฃ What type of subaortic obstruction? ๐Ÿค”
๐Ÿ”น Subaortic membrane
OR
๐Ÿ”น HOCM / dynamic LVOT obstruction

โœ… Both remain possible
BUT โš ๏ธ the presence of concomitant Aortic Regurgitation strongly favors Subaortic membrane

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
3๏ธโƒฃ The Aortic Regurgitation ๐Ÿฉธ
๐Ÿ“Œ Mild
๐Ÿ“Œ Eccentric
๐Ÿ“Œ Anteriorly directed

๐Ÿ’ก Eccentric AR may suggest: ๐Ÿฆ‹ Bicuspid Aortic Valve (which was actually present in this case โœ…)

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
4๏ธโƒฃ There is also late systolic Mitral Regurgitation into the left atrium ๐Ÿ”„๐Ÿซ€
Possible explanations include:
๐Ÿ”น Mitral Valve Prolapse
OR
๐Ÿ”น SAM (Systolic Anterior Motion) if HOCM is present

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐ŸŽฏ Final Learning Pearl ๐Ÿ’Ž
๐Ÿšซ Donโ€™t get deceived by the colorful image at first look!
๐Ÿ“ˆ The ECG timing is the key ๐Ÿ”‘

โœ… The dominant turbulence = SYSTOLIC โ†’ LVOT/Subaortic obstruction
โœ… The smaller turbulence = DIASTOLIC โ†’ Aortic Regurgitation

๐Ÿซ€ Echo is anatomy + hemodynamics + timing together ๐ŸŽฏ

Source: Ahmed Mohsen (FB)
#echocardiography #cardiologia #cardiology #medicine #cardiacsurgery
๐Ÿซ€Double aortic valve sign
Midesophageal long-axis view focusing on the aortic root showing a dissection flap extending proximal to the coronary ostia and protruding into the LV outflow tract in diastole.
.
Kelava M, et I. JAm Soc Echocardiogr. 2025. PMID:
.
Reposted from
#echocardiography #cardiologia #cardiology #medicine #cardiacsurgery
๐Ÿซ€Aortic root & ascending aortic thrombus โ€” one of the rarest and most dangerous echo findings youโ€™ll ever see.

๐Ÿ”นHereโ€™s what to look for:
-Echogenic mass adherent to the aortic root or proximal ascending aorta - not prolapsing through the valve, but sitting in the lumen.
-No calcium.
-No acoustic shadowing.
-Watch it move with the vessel wall. TEE will be your best friend here.

โœ…Key differentials to rule out: aortic dissection flap, vegetation, tumor (papillary fibroelastoma), or artifact.

๐Ÿ›‘Thrombi in the native ascending aorta without dissection are so rare they are mostly case reports. They can be associated with hypercoagulable states, malignancy, and atherosclerotic disease โ€” finding it in a structurally normal aorta? Thatโ€™s a career case.
Clinical stakes are real. Systemic embolism risk is HIGH.
๐Ÿ”ชThese patients go straight to the table.

Reposted from:
#cardiologia #cardiology #echocardiography #cardiacsurgery #ecocardiografia
IMPLANTED DEFIBRILLATOR SHOCK OF CONSCIOUS PATIENT. Patient is 19-year-old female with severe hypertrophic cardiomyopathy (HCM). ICD implantation occurred at age 16. Previous set of two shocks administered when patient went into sudden cardiac arrest in her sleep at age 17. Event shown in real time and slow motion.

This event occurred while patient was performing in a lip-sync battle where she had attended high school. Patient reports experiencing disorientation and blurred vision consistent with episodes of elevated heart rate and syncope. However, patient did not realize she was being shocked. Instead patient thought her friend had forcibly hit into her, twice. Patient confronts friend who denies doing so. Since this was a public event, there were videos which showed friend had not made contact. Once seeing, patient realizes what must have occurred and contacts electrophysiologist who confirms. Patient describes sensation as โ€œsomebody hitting a homerun on your chest with a sledgehammerโ€.

Patient attends appointment with electrophysiologist the following day. AICD interrogation shows patients was shocked for what appears to be sinus rhythm to a
rate >188 bpm. (The VF detect had been turned down to 188 bpm due to ventricular tachycardia detected at a rate of 197 bpm). The dectect rate was increased to 200 bpm. Stable lead measurements. Patient was taking and tolerating metoprolol XL 75 mg daily. Dosage increased to 100 mg daily.

ICD in HCM - Who Gets It?
ICD is indicated in HCM patients at high risk for SCD, including those with:
History of SCD or sustained VT/VF
Massive LV hypertrophy (>30mm)
Unexplained syncope
Abnormal blood pressure response to exercise
Family history of SCD

An ICD shock occurs in HCM if VT/VF is detected above a programmed threshold.
The ICD may attempt ATP first before shocking.
ICD therapy is lifesaving in high-risk HCM patients for SCD prevention.

#hcmawareness #cardiacarrestsurvivor #defibrillator #ICD
๐Ÿซ€Mobile mass in the left atrium (look at the stalk).
Whatโ€™s your diagnosis?
Comment with your answer, tag your friends and share!
.
Video credit:
#cardiology #echocardiography #cardiologia #ecocardiografia #cardiacsurgery

Antonino Di Franco, MD FACC FSIC's engagement

Antonino Di Franco, MD FACC FSIC's engagement rate on Instagram is 6.64%, over 6%, more than 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 15 followers. An average post collects 2,991 likes and 104 comments, close to 29 likes for each comment.

Engagement rate

6.64%

Avg likes
3K
Avg comments
104
Interactions : followers
1 : 15

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Who is Antonino Di Franco, MD FACC FSIC?

Antonino Di Franco, MD FACC FSIC (@antoninodifranco_md) is a Cardiologist creator on Instagram, also filed under Automotive. Antonino Di Franco, MD FACC FSIC carries Instagram's verified badge and is set up as an Instagram business account. The Instagram bio for Antonino Di Franco, MD FACC FSIC runs to 17 words across 4 lines.

How many followers does Antonino Di Franco, MD FACC FSIC have?

Antonino Di Franco, MD FACC FSIC has 39,647 followers on Instagram (39.6K). Set against 1,800 accounts followed, the audience works out to about 22 followers per account Antonino Di Franco, MD FACC FSIC follows. 499 published posts give Antonino Di Franco, MD FACC FSIC a moderate archive on Instagram.

What is Antonino Di Franco, MD FACC FSIC's engagement rate?

Antonino Di Franco, MD FACC FSIC's engagement rate on Instagram is 6.64%, over 6%, more than 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 15 followers. An average post collects 2,991 likes and 104 comments, close to 29 likes for each comment.

What does Antonino Di Franco, MD FACC FSIC post about on Instagram?

Flinque files Antonino Di Franco, MD FACC FSIC under Cardiologist, with Automotive as a secondary category. Of the 10 most recent posts shown for Antonino Di Franco, MD FACC FSIC, 8 are videos and 2 are carousels. The 10 recent Instagram captions Flinque holds for Antonino Di Franco, MD FACC FSIC repeatedly use the words cardiology, cardiologia, look, echocardiography and cardiacsurgery. Antonino Di Franco, MD FACC FSIC's captions carry hashtags such as #cardiology, #cardiologia and #echocardiography. Antonino Di Franco, MD FACC FSIC keeps 59 story highlights, which open with a free Flinque account.

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