Johannes Enevoldsen
@johsenevoldsen.bsky.social
1.1K followers 290 following 94 posts
MD, PhD. Currently in Nephrology. Interested in health, statistics and scientific programming (R and Julia)
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johsenevoldsen.bsky.social
The central venous pressure (CVP) waveform is the interaction between a fast cyclic effect of the heart and a slower cyclic effect of ventilation.

A steady CVP waveform can be visualized as a 3D plane.

🩺

(Old Twitter post)
johsenevoldsen.bsky.social
Ah 👌 det giver jo egentligt god mening. TIL
johsenevoldsen.bsky.social
Ok. Mit eksempel var grammatisk forkert ☺️ " ... med dens krig"

Men er den oprindelige overskrift ikke stadig god nok?
johsenevoldsen.bsky.social
Er det ikke korrekt? "dansker banker" er grundled i sætningen.

Sætningen kunne forsættes "... med deres krig"
Reposted by Johannes Enevoldsen
michielstock.bsky.social
Small blog post on how to automate model building for mechanical systems using ModelingToolkit. #julialang

michielstock.github.io/posts/2025/p...
Reposted by Johannes Enevoldsen
trishgreenhalgh.bsky.social
Thanks for the reminder @janemunday.bsky.social. Every summer, I repost this article DROWNING DOES NOT LOOK LIKE DROWNING. To date, I know of FOUR kids who were saved after someone who'd clicked on the link learnt how to spot actual drowning. Take time to read and pass on.

slate.com/technology/2...
Drowning Doesn’t Look Like Drowning
Drowning is not the violent, splashing call for help that most people expect.
slate.com
johsenevoldsen.bsky.social
Great ... though it would have been nice to make this show 0✅
johsenevoldsen.bsky.social
I have the same problem. If I only ever intend putting it on GitHub, is it reasonable to just ignore it? Escaping all these characters will make the code a lot less readable.
johsenevoldsen.bsky.social
It would be a reasonable regulatory mechanism, that lactate signals increased oxygen demand and raises CO, though I don't know whether it is possible, or even meaningful, to distinguish whether lactate is both fuel and a signal, or just fuel.
johsenevoldsen.bsky.social
johsenevoldsen.bsky.social
My cardiac arrhythmia simulation now also simulates how a reentrant loop can be terminated by increasing refractory time as suggested by @empoisonpharmd.bsky.social

Direct link to the updated part:
jenevoldsen.com/posts/excita...
Reposted by Johannes Enevoldsen
load-dependent.bsky.social
Absolutely fascinating! We know the heart switches to lactate as energy substrate in shock, could there be a clinical benefit from lactate infusion in human cardiogenic shock? #emimcc #cccsky
bmc.springernature.com
Lactate infusion enhances cardiac output and peripheral perfusion in ischemic cardiogenic shock without affecting heart rate or systemic blood pressure, finds a study published in Critical Care.

#MedSky
Lactate infusion improves cardiac function in a porcine model of ischemic cardiogenic shock
Critical Care
bit.ly
johsenevoldsen.bsky.social
Incredible effect sizes. Do we know what lactate does in a healthy heart? From a teleological perspective, it would make sense that lactate has a positive inotropic effect, regardless of it being a substrate. Simply as a signal of hypoperfusion.
johsenevoldsen.bsky.social
I'm sorry you had to experience that. Unfortunately I don't know what determines which treatment is tried first, or whether e.g. cardioversion can be expected to work if the condition reoccurs, when it didn't work the first time.
johsenevoldsen.bsky.social
My cardiac arrhythmia simulation now also simulates how a reentrant loop can be terminated by increasing refractory time as suggested by @empoisonpharmd.bsky.social

Direct link to the updated part:
jenevoldsen.com/posts/excita...
Reposted by Johannes Enevoldsen
samwho.dev
✨ It's new samwho visual essay o'clock! ✨

Reservoir sampling is one of my favourite algorithms. It allows you to sample from a set without knowing the size of that set.

I try to assume no prior knowledge, and use no scary math notation. Just beautiful visuals.

Let me know what you think! ❤️
Reposted by Johannes Enevoldsen
empoisonpharmd.bsky.social
I just want to say I use this constantly at the bedside when dealing with patients who have arrythmias to explain how they propagate.

would LOVE LOVE a model where increasing refractory terminates reentrant rhythm so I can show how diltiazem terminates SVT.

such an amazing tool, thank you
johsenevoldsen.bsky.social
I wrote a short interactive article👆

It uses simulations to demonstrate how different cardiac arrhythmias can develop.

Try it out! (It has defibrillators ⚡️)

jenevoldsen.com/posts/excitable-cells

#medsky #cardiosky #cccsky #emimcc
johsenevoldsen.bsky.social
Thank you! So nice to learn that it is actually read and used.

Good idea with a sim, where the arrhythmia is stopped with meds. It shouldn't be too hard to make a sim, where refractory time can be prolonged.

I'll give you a heads up when I find the time to implement it.
johsenevoldsen.bsky.social
A 10-minute movie in a 6.3-second looping GIF.

Movie: Sprite Fright (#Blender open movie): studio.blender.org/projects/spr...

Code (#JuliaLang and @makie.org)
gist.github.com/JohannesNE/2...
johsenevoldsen.bsky.social
For AVNRT, some people just have a physiological variant where the AV node is split in a slow pathway and a fast pathway.

For VF and AFib, there are many proposed mechanisms, slow repolarization could occur in areas with ischemia. Reduced conduction due to e.g. fibrosis plays a large role as well.
johsenevoldsen.bsky.social
Thanks. Just scrolled through some of your articles. Really impressive! I look forward to doing a deeper dive in the coming days.
johsenevoldsen.bsky.social
Thanks.

I'll add that next time I update it. Might be a while before post #2 though 😉
Reposted by Johannes Enevoldsen
gdalle.bsky.social
Fellow #JuliaLang enthusiasts in Europe, I've got 4 words for you.

JuliaCon Local Paris 2025

Yes, it's happening. Like the global @juliacon.bsky.social event, but with more croissants. Stay tuned!
JuliaCon Local Paris 2025
JuliaCon Local Paris 2025
juliacon.org
johsenevoldsen.bsky.social
This would of course require a local LLM for privacy reasons.
johsenevoldsen.bsky.social
- Why is this patient not on losartan?
- Has this pt with "COPD" ever done a pulmonary function test?
- What penicillin-like drugs has this pt with registered penicillin allergy received since the penicillin-associated rash 30 years ago?