Discover and read the best of Twitter Threads about #3Decho

Most recents (3)

T1/11
#Cardiotwitter #MedEd @MedTweetorials #EchoFirst
Multi-fenestrated ASD- mfASD

The prevalence of ASD is 0.88 per 1000 adults. The most common type of ASD is a secundum - a true deficiency in the region of the fossa ovalis. @iamritu @echo_stepbystep @alexsfelixecho @NMerke FIGURE 32-1 Development of ...
T2/11 mfASD
Standardized #EchoFirst evaluation includes TTE, TEE, Doppler & 3DEcho for assessment of rims for suitability for device closure, drainage of pulmonary veins, exclusion of sinus venosus-type ASDs, etc.
pubmed.ncbi.nlm.nih.gov/26239900/
T3/11 mfASD
Clinical case: 65yo, female, referring shortness of breath.
TT #EchoFirst findings: right chambers enlargement, preserved sistolic function, QP:QS: 2,5; deficiency in the region of the fossa ovalis sugestive of complex ASD
@VLSorrellImages @GARCIAEDINSON95 @almasthela
Read 11 tweets
⚡️THE ANSWER IS IN 3D⚡️
Take a look this thread about MR assessment in a young patient referred for systolic murmur 🧵
A single #3Decho clip can explain your brainstorming in few minutes.
🔜 Never without 3D #echofirst
2/
2D-TTE shows an important prolapse of PML, likely P2 according to PLAX.
Leaflets are thickned, LA dilatated and everything seems easy.
3/
Let's push the color, but any huge jet can be detected despite a clear systolic murmur.
Read 11 tweets
"1/15" I posted my method to investigate LV diastolic function and was questioned about two unusual aspects: 1) relaxation o LV was analyzed on a 2D PLAX view (how come?); 2) LA size was analyzed by eyeballing (eyeball ????????). Even though I explained in an extensive article.
"2/15" I made this thread to be better understood. Some necessary tenets: normally, 70% of the total diastolic volume reaches LV by the initial 1/3 of diastole, during the rapid filling phase, and 30% by the remaining 2/3. This relation is inverted when relaxation is abnormal.
"3/15" During systole, mitral annulus is pulled in an apical direction. During diastole it recoils, just as an elastic rubber band, in response to its filling. Normally, 70% or close to 100% of its systolic pulling recoils during the initial 1/3 and just 30% or less at the end.
Read 15 tweets

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