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5 Abnormal septum motion patterns on #echofirst that are nonischemic Bijoy Khandheria bit.ly/3skTxa7 1.LBBB septal flash-apical rocking 🔺LV apex moves t/w RV due to early septal shortening & posterolateral stretch 🔺delayed posterolateral contraction leads to

61% voted to downgrade or retire beta-blocker recommendation and 39% to wait for additional evidence from ongoing trials 👇 x.com/kaulcsmc/statu… For deeper dive into current evidentiary support (or lack thereof) 👇 jacc.org/doi/10.1016/j.… JACC Journals John Mandrola, MD Andrew Foy

Israeli-backed Gaza aid operation ‘inherently flawed’ – Unicef channel4.com/news/israeli-b…

UK must stop ‘gross breaches of humanitarian law in Gaza’ – former Supreme Court justice channel4.com/news/uk-must-s…

Reframing pulmonary vascular afterload in HF and CS: PCWP and pulsatility are key to RV-PA interactions @navinkapur4 Kay Everett, MD, PhD University of Sydney Heart Foundation #AHAJournals ahajrnls.org/45BPc3t

UK must stop ‘gross breaches of humanitarian law in Gaza’ - former Supreme Court justice channel4.com/news/uk-must-s… via Matt Frei

A rational report excellently sustained by Krishnan Guru-Murthy from Channel 4 News, bravo for the brilliant resilience and audacity, thank you.

Who develops ⬇️LVEF during exercise despite No CAD or a hypertensive response? Are they an early subphenotype of HFpEF? Mayo Clinic CV📝finds pts(3/4 women)w SOB/CP & exercise-induced ⬇️in LVEF w WMA (in 4/5)on ESE & NO CAD have high incidence of HF🏥& AF bit.ly/3FwR4jB

“There’s no reason why outcomes should be getting worse,” lead author Jason H. Wasfy, MD , told TCTMD. “There are new drugs available every year. There are new procedures available. So, why should outcomes be getting worse? It suggests something wrong with the healthcare system.”

Victor Dayan Mamas A. Mamas Less-Is-More Cardiologist Patrick Myers Rafa Sádaba Yes. Here is why: doi.org/10.1016/j.xjon…

The role of finerenone in the concomitant management of CKD-type 2 diabetes and the implication for HF prevention and treatment finerenone presents new evidence-based therapy for HFpEF/HFmrEF in addition to current application in CKD associated with T2D link.springer.com/article/10.100…

📢Postgraduate Course in Periprocedural Echocardiography | 19.06 - 21.06.2025, London. 📢 👇 👇 👇 Learn - Network - Earn Credits REGISTER NOW: zhh.ch/en/agenda/post… Check out the foreword video by Prof. CardioTomLuscher president of European Society of Cardiology youtu.be/1-olcvQNQUA?si… Zurich Heart House (ZHH)

Great paper published by Singh and Less-Is-More Cardiologist et al. The authors evaluate predictors of angina relief separately in MED and REV treated groups. Important take home messages…. ahajournals.org/doi/full/10.11…

Hemostasis 😍

الناشطة العالمية غريتا تونبرغ من على متن سفينة "مادلين" المتوجهة إلى غزة: "أنا مستعدة لأقدّم حياتي مقابل 100 كيلوغرام من الدقيق لأهالي غزة".

Depression trajectories in HFpEF: what fluctuates hurts more 😔 bit.ly/3Gb8mTk

The israelis violently target and bomb Al-Rafi'i and Al-Naqab schools in Jabalia, north #Gaza, both being used as shelters | via أنس الشريف Anas Al-Sharif

#echofirst needs to give Surgeons and interventional cardiologist correct diagnosis, therefore we need to know how to apply what Guidelines do recommend, PISA EROA is part of the tool box Make your numbers plausible and know the pitfalls 🫵shorturl.at/EUUSH