In Atrial Functional MR can get “Hamstringing”of posterior MV leaflet due to massive LA dilation;this “atriogenic” leaflet tethering is from displaced posterior annulus onto crest of LV inlet resulting in⬆️in annulopapillary distance restricting leaflet motion #echofirst

SAX CINE post Gad! Lovely proximal LAD pattern The power of #WhyCMR

Mitral annular disjunction (MAD) is commonly evaluated at end systole. However, a systolic-only disjunction is merely apparent, and 2 distinct phenotypes have been identified: True-MAD and Pseudo-MAD. bit.ly/4jsK9an JASE

A patient in ICU. CW Doppler interrogation is performed across the mitral valve in 4-chamber view. What are the waves labeled A-E and what are the hemodynamic implications?

2-sinus of Valsalva bicuspid AOV! 4D TTE vs 4D TEE! Donal Alex Felix Özge Özden Kayhan Luigi LEYLA ELIF SADE Nicolas Merke Vladyslav Kavalerchyk 🇺🇦

A patient with known cardiomyopathy in ICU, had viral prodrome. BP 81/45 mmHg. Sinus rhythm with narrow QRS. Properly aligned CW interrogation across the mitral valve is shown, what are the findings and hemodynamic implications?

Kamel Chair Ritu Thamman MD Lukasz Zydzik Dr G Rajesh (Gopalan Nair Rajesh). Edgar Argulian Dr Jason Dungu PhD FRCP FESC Tuğba Kemaloğlu Öz, A/Prof Dr. Purvi Parwani Nicolas Merke Brian Wood Fresh thrombi may have hypoechoic core. Hier is a case of fresh thombi, all gone after effective oral anticoagulation within 1 week

🔎 Pneumopericardium can occur during pericardiocentesis even with slow drainage if >1L is removed. Sudden pressure shifts allow air entry. Air can be drained if the catheter is still in place. #Pericardiocentesis #CardioTwitter

💡 A rare very interesting case: persistent left superior vena cava (PLSVC) + right superior vena cava (RSVC) atresia --> challenging CRT-D implantation ⭐ Echo: - Dilated coronary sinus - Bubble test (agitated saline solution) via the left antecubital vein: bubbles first in

NBTE nonbacterial thrombotic endocarditis - look for sterile “vegetations” (platelet fibrin deposits) along the valve leaflet’s closing edges that appear to "kiss" in this characteristic pattern #echofirst

Recognize the cute device bouncing in the LAA? Two years after transcatheter mitral paravalvular leak closure — Amplatzer device found embolized to the left atrial appendage. A reminder: closure success is more than the immediate result #CardioTwitter #StructuralHeart PCRonline 🫀

**CASE OF THE MONTH** Female, mid 20s Fit & healthy No CVS risk factors Only 💊 is COC pill Experiences central chest pain during sport (exertion), not happened before Recently has been well, no coryzal or other symptoms Here is admission ECG

📌 case of the day: massive TR of a complex etiology: functional (right atrial and ventricular dilation, RV and LV dysfunction) ➕ degenerative leaflets with fibrotic thickening. Challenging to determine the primary cause vs the consequence and challenging to manage in high-

Spectral Doppler tracings provide important hemodynamic insights. This book is dedicated to interpretation of spectral Doppler recordings, similar to EKG books focused on EKG interpretation. Examples of some spectral Doppler patterns which may not be widely known: Notched aortic

DILV Apical view demonstrates - two AV valves aligned & empty into a dilated left ventricle with fine apical trabeculations. American Society of Echocardiography Ritu Thamman MD Alex Felix Rohit loomba Deepak Thekkoott #am-writing MD Chittur Sivaram Alexander Mladenow MD NeoCardioLab - Gabriel Altit Sujith Pereira 🇮🇳🇬🇧🏏🚴 Swati Garekar ESC WG on ACHD Chairperson Edgar Argulian American College of Cardiology

Today in cathlab TOE, CWD in MS. Double envelope signal. What do you think about the faint “MS” signal? Fact or fiction?

A patient for TEE prior to cardioversion. CW interrogation across the mitral valve in the long axis view. What is the low velocity signal indicated by the arrow?

A patient with shortness of breath. A CW Doppler interrogation across the mitral valve is shown. 1/2

A patient with precapillary pulmonary hypertension and atrial fibrillation. RVOT sampling shown. Why is mid-systolic notching variable?

In Europe 🇪🇺 #echofirst I have seen them even in tricuspid & pulmonary position 1️⃣ is a solo 2️⃣ is a duo 3️⃣ is a trio 4️⃣ is a team American Society of Echocardiography EACVI President Ritu Thamman MD Nicolas Merke