Wow #CardioTwitter 33yo STEMI due to pericardial strangulation. We are thinking about report #echofirst #WhyCMR @LucySafi @JaeKOh2 @SABOURETCardio @JoaoLCavalcante @EduPOCUS @Ivan_Echocardio @echo_stepbystep @CASEfromASE @VLSorrellImages @pnagpalMD @echotalk @NMerke @EchoAshwag

🆕📝shows diastolic dysfunction independent predictor of all-cause & cardiac☠️in pts w LVEF>40% post MI bit.ly/3FSa7V9 Brilliant editorial by @JaeKOh2 bit.ly/4joH2zb Why do some patients develop restrictive filling pattern while others don’t despite similar size MI? Do pts w restrictive filling or DD after AMI have abnormal ventricular filling before index AMI? Is DD from vascular dysfunction & intrinsic abnormal myocardial function from hypertrophy & fibrosis (HFpEF)? Some pts w just minor AMI develop RFP Many questions remain- await new DD guidelines from @ASE360 in 2025

UNILEAFLET mitral valve and bicuspid aortic valve (s/p Ao valve replacement) @cardiotweeter @mitrovalvology @echofirstb @3DEcho_Brazil @CASEfromASE @ASE360 @EchofirstB @alexsfelixecho @marciomp50 @NMerke @lpbadano @CHD_education

23 yo type 1 diabetes, heart failure, looks like transmural MI. What is it, any bright ideas? #whycmr #CardioTwitter

Happy to share with you our new paper in 3D analysis of MAD syndrome with TTE! @FrontCVMedicine @ManiVannanheart @drozgeozden @DonalErwan @alessia_gimelli @fiore_corrado @DrHaniMahmoud @EchoSoliman @NAjmoneMarsan @VDelgadoGarcia @denisamuraru @lpbadano @cardiopole @Matte_Cameli

35y female with mechanical valves and stroke, av mean gr 25 mmHg, velocity 3,2 m/s. We used almost all modalities, but found problem - fistula, thanks TEE and CT @dr_benoy_n_shah @NMerke @fiore_corrado @echo_stepbystep @arntfield @alexsfelixecho @papadocardio @drozgeozden

Perioperative Cardiovascular Evaluation of Patients Undergoing Non cardiac Surgery : Important Do Not : ❌Routine interruption of antithrombotics in low bleeding risk ❌ECG for asymptomatic pt, low risk surgery ❌Routine echocardiography for LV evaluation. ❌Stress test for low risk surgery ❌Routine coronary angiography See below for details :

🚀 Position Statement on the clinical use of Myocardial Strain by the Department of CV Imaging (DIC @DICSBC ) of 🇧🇷 Society of Cardiology (SBC @sbc_cientifico). ⭐️Honored to participate in this comprehensive document focusing on clinical applications of this technique 📄abccardiol.org/wp-content/up… #echofirst #cardiotwitter @ctinocomesquita @glauciamoraeso1 @marciomp50 @mlimaMD @masiqueirajr @AntonioBarros_ @dianeavilamed @NMerke @alcantaramonica @marcelohaertel @papadocardio @NMerke @DonalErwan @VDelgadoGarcia @ppsengupta1 @JaeKOh2 @robertomlang @lpbadano @echo_stepbystep @StellEkaterina @echo_batman @mariovar55 @DrRajeshG1 @esrakaya_dr @SABOURETCardio @VerwerftJan @JGrapsa

Multicenter, Prospective, RCT of hsTrop-I–Guided Combination #ARB and #BetaBlocker Therapy to Prevent #Anthracycline Cardiotoxicity: The Cardiac CARE Trial 📍 From Oct 2017-June 2021 on 175 patients (avg age 53, 87% female, 71% with breast cancer) 📍 No significant difference in 6-month #LVEF between cardioprotection (#Candesartan and #Carvedilol) & standard care post-chemotherapy (difference: -0.37%, P=0.82). 📍Low-risk patients had a small drop in heart function, not within the equivalence range 🤔 ahajournals.org/doi/abs/10.1… @CircAHA

Cardiac imaging and #whyCMR experts when you usually use this tool (4D flow)?

Determinants of post-operative LV dysfunction in degenerative MR in #EHJCVI 📍 Indexed LV end-systolic volume (> 36 mL/m2) was the best marker of post-operative LV impairment @escardio @ESC_Journals @EACVIPresident #echofirst #cvimaging #CardioTwitter @GeraldMaurer @Sarah_Moharem @saramoscatelli7 @echo_stepbystep @EchoSoliman @VDelgadoGarcia @ElenaGalli10 academic.oup.com/ehjcimaging…

Prevalence and incidence of diastolic dysfunction in atrial fibrillation: clinical implications academic.oup.com/eurheartj/a…

What kind of noninvasive imaging/stress tests you prefer in LBBB? Of course, CT angio. But what about severe calcification, inconclusive results and symptoms? #echofirst #whycmr ?

pedunculated large mass with irregular borders attached to posterior P2 mitral annulus prolapsing into LV & smaller, secondary mass attached to Interatrial septum #echofirst Rare deadly spindle cell sarcoma bit.ly/3EF4nds

What lab value is through the roof? @EchoCases @EchoCases @uccardiology

DeBakey type I aortic dissection. Plus dynamic obstruction of the left main coronary artery simulating Wellens #echofirst @spcardio @smexcardiologia @sccardiologia @rpcardiologia @RODRIGOVISCONT1 @marciomp50 @iamritu @Dr_DanMD @mariovar55 @MigueldeBoedo @echo_stepbystep @NMerke

A2 rupture repaired with goretex chord and ring

Join the #ASEchoJC next week as we discuss some enticing cases from the @CASEfromASE 2022 ShowCase Finalists ⬇️ 🤩Authors of cases will be part of event as well as editor in chief @VLSorrellImages Register ahead of time to earn CME bit.ly/3U9kLsx

Have a nice weekend #CardioTwitter #echofirst

Has #Orbita or #Courage impacted on elective PCI in the UK? our work led by @drrashid05 suggests no! ➡️ ahajournals.org/doi/10.1161/… @hwijeysundera @ncurzen @DrAsifQasim @rwyeh @SVRaoMD @GreggWStone @ShelleyWood2 @DavidLBrownMD @alaide_chief @ShrillaB @mirvatalasnag @cardiojaydoc02

Why do some CAD pts w/ ischemia have functional MR and others not? It relates to the impact of ischemia on contractile mechanics in the sub-papillary myocardium! Excited to share our work from the @SCMRorg Registry in @JACCJournals: Cardiovasc Img jacc.org/doi/abs/10.1016/j.j… 1/n