Unroofed coronary sinus 🔺shunt direction is predominantly L to R: LA to CS (conduit) to RA 🔺atrial-level shunt to RA, due to lower diastolic compliance of RV relative to LV 🔺When LV diastolic dysfunction develops,⬆️in L-to-R shunt 🔺> 60% unroofed CS have persistent LSVC to

✅9-month-old “ Stridor” ❤️American Society of Echocardiography AEPC - Paediatric and Congenital Cardiology

GDM (~20% of pregnancies) is associated w subclinical CVD on echo and endothelial fxn testing yrs later, even without diabetes. Excited to see in press collaboration betw UPMC Johns Hopkins Cardiology JHU Welch Center supported by AHA Science

Check out our latest review on #JASE about the strengths and limitations of echocardiographic parameters in assessing patients with TR before and after interventions. Great collaborative effort! onlinejase.com/article/S0894-… Luigi Denisa Muraru Nina Ajmone Marsan GallooX CH. Pedro Li

🧵Atrial strain 1/ In Norway, we have an idiom: “The north wind is just as cold, from wherever it blows”, meaning the basic properties of something doesn’t change with the perspective you apply.

9/ Recently, LA stiffness index (LASI) has been introduced as LASI = (E/e’)/LARS. If LARS had been a measure of LA stiffness, which it isn’t, the ratio of E/e’ divided by LARS would have been a measure of LA elastance, so it isn’t. Instead we have even more confounders:

Cor triatriatum European Society of Cardiology #Cardiotwitter FAU Erlangen-Nbg Young DGK

The mechanism of left ventricular outflow tract obstruction (LVOTO) is complex in hypertrophic cardiomyopathy (HCM). We aimed to evaluate the impact of mitral valve geometry on LVOTO by echocardiography. Read our JASE article: bit.ly/3LXwA32

✅50% of Neuroendocrine tumors 👉🏽 carcinoid syndrome (CS) ✅~50% of patients with CS 👉🏽 carcinoid heart disease ✅Left-sided valve disease is rare (<10%) and occurs when there is: right to left shunt, pulmonary (bronchial) carcinoid or very high levels of vasoactive substances 🌟

#echofirst #CardioTwitter EchoTalk Echocardiography 🫀How to identify the coronary artery ostia in TEE ?🫀 🔻LCA - ME AV SAX 🔻RCA - ME AV LAX or ME bicaval 🔻2D TEE versus in vivo = horizontally & vertically mirrored 🔻2D TEE versus 3D TEE = horizontally & vertically mirrored

✨We can obtain so much information from a single Transthoracic Echo in patients with cardiac amyloidosis 🌟 🎯Be aware of clinical and #echofirst red flags for an early diagnosis 💛 🎯Don’t be afraid to communicate/report your suspicion to foster further investigation,

#echofirst cheat sheet How to approach MR? B4 the exam: -hemodynamic status - GMDT in SMR? - AF? - Symptoms? - Need for stress test (after exam) Step by step approach inside a structured and comprehensive minimum dataset followed by pathology based data set The complete

80yo male who presents to the ED in a comatose state. Echo images at initial evaluation. Final diagnosis: bilateral internal carotid occlusion.😔Emergency Echo #POCUS SEIC - Sociedad Española de Imagen Cardíaca #echofirst

30 days after right jugular catheter. Asymptomatic. #echofirst

#echofirst #CardioTwitter #3DTEE normal pulmonary valve in a pediatric patient seen from the pulmonary artery aspect

#echofirst #CardioTwitter Intraop TEE in a patient in his 70‘s with severe calcification of the native pulmonary valve and post-stenotic dilation of the pulmonary artery. PV disease was known since childhood, but no surgery.

New multicenter registry data in #JACCImaging including > 3700 patients with isolated moderate-to-severe degenerative MR (DMR) on the prognostic impact of pulmonary hypertension (PHTN) measured by Doppler echocardiography. jacc.org/doi/epdf/10.10… Key messages: - SPAP response to

🌟 STROKE - Vascular territories and neurodeficits

Crypt or diverticula? Pt is a woman, 55y no symptons Monica Alcantara M.D. , MSc, FESC, FEACVI Alex Felix Rodrigo G P Lima Márcio Mendes #echofirst Vladyslav Kavalerchyk 🇺🇦 cardiotwitt

A large thrombus in transit through a PFO 🪱🪱 Gamze Babur Güler American Society of Echocardiography Emergency Echo EchoTalk Echocardiography Vladyslav Kavalerchyk 🇺🇦 Özge Özden Kayhan