Dr. Nashiba M Daud- Internist/Adult Cardiologist

04/12/2025

📣

✨❤️ PHA is Coming to CDO! ❤️✨*

Get ready for the *PHA–PCC Midyear Convention 2026*, happening on *January 30–31, 2026* at the *Limketkai Luxe Hotel, Cagayan de Oro City* — proudly hosted by the *PHA Northwestern Mindanao Chapter*! 🩺

With the theme _*“GLOCAL: Global Standards to Local Cardiovascular Care,”*_ this convention unites heart heroes and experts to share the latest updates on common cardiovascular diseases, and a special focus on mental health and cardiovascular wellness. 💖🧠🧠

Plus, don’t miss the much-awaited *Inter-Institutional Quiz Bee*! 🧠🏆

*Senior & PWDs 20% discount* applied!

*📌REGISTER HERE:*
https://events.philheart.net/

Don’t miss out — secure your slot today! Limited seats only!

02/12/2025

I got over 1,000 reactions on my posts last week! Thanks everyone for your support! 🎉

26/11/2025

This is more than a milestone.
This is a legacy.
This is a statement nga ang City of Ozamiz seryoso sa pagprotekta sa kinabuhi sa katawhan.

To the community:
Please remember—CPR is not just a skill; it is an act of love.
When you perform CPR, you are giving someone a second chance.
When you use an AED, you are giving a family hope.

Before I end, let me say this:

A heart-safe community is not built by one person, one mayor, or one doctor.
It is built by all of us—together.

25/11/2025

25/11/2025

Congratulations Ozamiz City!

Asenso Ozamiz News Channel

Pwede na po sumunod ang ibang LGUs…

Philippine HEART Association
Philippine Heart Association - Northwestern Mindanao Chapter

25/11/2025

Attended the Mass CPR and AED Launching of Ozamiz City today.
Proud and grateful to witness leadership with vision and heart. ❤️

Ozamiz City is now officially rolling out 68 AED units, to be distributed across all barangays — not just in crowded places, but even in the farthest communities.
A true commitment to saving lives.

As an interventional cardiologist, I cannot emphasize this enough:
In cardiac arrest, every second counts.
CPR + AED can double or even triple the chances of survival. 🫀⚡️

Congratulations to Mayor Sam Norman Fuentes ( and the previous Mayor and congressman of the city) and the entire city government for prioritizing cardiovascular health and empowering community responders.
And to my fellow cardiologists in Ozamiz — salamat kaayo sa inyong active engagement sa CPR-only training sa komunidad.

Together, we are building a city where every Juan and Juana has a fighting chance. 🙌❤️



Sana namn sa din..
Challenge natin ibang LGU, kaya pala!

PHA NWmindanao President duty namn tayo:-)

25/11/2025

CPR READY PHILIPPINES!
Let’s go OZAMIZ CITY

Lauching of 68 units of AED to be distributed sa mga Barangay. ( First in the Philippines,na naa na gyud sa barangay ang AED)

AED: The machine that gives life a second chance.
CPR + AED = Life Saved.
❤️

25/11/2025

23/11/2025

IMPORTANCE OF IMAGING & PHYSIOLOGY IN INTERVENTIONAL CARDIOLOGY

Interventional cardiology has evolved far beyond “see obstruction → put stent.”
Today, precision matters, and that precision comes from:

🫀 1. Imaging (IVUS / OCT)

Imaging allows us to see what angiography cannot.

Angiography = 2D silhouette only

It cannot show:
• Plaque composition
• Vessel size
• Calcium depth
• Stent expansion or malapposition
• True severity of diffuse disease
• CTO cap ambiguity

Imaging answers the questions angiography cannot:

✔ Is this lesion truly significant?
✔ How large is the vessel?
✔ Do we need aggressive predilatation?
✔ Is there deep calcium requiring atherectomy or IVL?
✔ Is my stent fully expanded and apposed?

Clinical Impact:
• Reduces stent thrombosis
• Reduces restenosis
• Reduces repeat PCI
• Reduces MACE
• Improves long-term outcomes
• Avoids unnecessary stenting

IVUS/OCT saves lives.
Imaging-guided PCI is now the gold standard, not a luxury.

⸻

2. Physiology (FFR / iFR / RFR)

Physiology tells us if a lesion is truly causing ischemia.

Why it matters:
• Angio can overestimate or underestimate severity.
• Borderline 40–70% stenoses often fool the eye.
• Visual assessment alone is wrong in up to 30–40% of cases.

Physiology clarifies:

✔ Is this lesion hemodynamically significant?
✔ Is stenting needed or can we manage medically?
✔ Which lesion is the culprit in multivessel disease?
✔ Is it epicardial or microvascular?

Clinical Impact:
• Avoids unnecessary stents
• Identifies lesions that truly need intervention
• Improves angina control
• Reduces cost and complications
• Guides complete vs selective revascularization

FFR/iFR turns guesswork into science.

⸻

🩺 IMAGING + PHYSIOLOGY = PRECISION PCI

They complement each other:

Physiology → Should I stent?

(Functional significance)

Imaging → How should I stent?

(Sizing, lesion preparation, optimization)

When used together:
• Fewer stents
• Better outcomes
• Personalized treatment
• Greater procedural success
• Safer, cleaner PCI

This is the future of interventional cardiology — evidence-based, imaging-guided, physiology-driven intervention.

TIP CERTIFICATE COURSE ON CORONARY IMAGING AND PHYSIOLOGY 2025

22/11/2025

To our esteemed lecturer from PHA/ heart failure council Dra Demiree, Dra Chronicles of M.D., Dra Advincula and Dr Andal, we are deeply grateful for the time, expertise, and knowledge imparted. Your presence emphasizes that regional initiatives become stronger when anchored on national support and shared expertise. Thank you for elevating and enriching our understanding of updated, evidence-based heart failure management.

To our colleagues, residents, fellows, nurses, medical students and allied health professionals, thank you for investing your time to learn, listen, and grow. We hope that the insights you gained today will not remain as information, but will translate into better diagnosis, timely referrals, guideline-directed therapy, and compassionate patient care.

May this activity empower us to:
✔ Detect heart failure earlier
✔ Treat based on current standards and guidelines
✔ Strengthen our referral and communication networks
✔ And most importantly — give our patients hope and quality of life

May we remember that advocacy is continuous, learning is lifelong, and service is a calling. Let us keep the momentum, sustain our teamwork, and remain committed to bringing cardiovascular education closer to the communities we serve.

Maraming salamat, mabuhay, and may Allah bless us all.

Second leg of the Philippine Heart Association Heart Failure Caravan, done! Thank you North Western Mindanao Chapter for the humbling and enlightening sessions. I hope that you guys learned as much as we learned from all of you.

Special thanks to the hardworking chapter president, Dr. Nashiba Daud. We truly enjoyed your stories and wonderful company. ❤️ we will see you next year in Marawi doktora. 😘🫡

PS: Shout out to Dr. Amirol para sa controversial na tanong kanina. 😝 ayan, makocall out talaga ang mga magpapahirap sa akin sa Q and A. Chereeet! 😂🫰