Discover and read the best of Twitter Threads about #EACVI

Most recents (10)

Multimodality imaging in patients with HFpEF: an expert consensus document of the European Association of Cardiovascular Imaging #EACVI #MMI #HFpEF academic.oup.com/ehjcimaging/ad… @ESC_Journals @Cosyns @alessia_gimelli @ThorEdvardsen @VDelgadoGarcia @bogdan_popescu1 @JaeKOh2
This expert consensus document from the #EACVI provides recommendations regarding how to determine elevated LV filling pressure in the setting of suspected #HFpEF and how to use multimodality imaging to determine specific aetiologies in patients with HFpEF @EACVIPresident
📌Mechanisms of LV diastolic dysfunction include impaired relaxation, attenuated restoring forces, and increased passive elastic stiffness that leads to elevated LV filling pressure

📌The presence of LV hypertrophy and dilated LA provides support for the #HFpEF diagnosis
Read 5 tweets
**VALVE CASE OF THE WEEK**

Last case of 2020!

@BrHeartValveSoc @TheBJCA @global_wic @BSEcho @ASE360

This is a tough one! This will separate the men from the boys, the women from the girls...are you Luke Skywalker or are you already the Obi-Wan Kenobi of valve disease?!
Mid 70s patient, known ischaemic cardiomyopathy & aortic stenosis.
⬆️⬆️ dyspnoea.
Clinical signs suggest severe AS.
BP 90/50mmHg, HR 60bpm.
This is the resting ECG (hint - showing this for a reason - 😉)
Here is PLAX view of the AV...👇🏽
Read 25 tweets
**VALVE CASE OF THE WEEK**

Old case from 2010...but you know what they say...old is gold! 😁

Female, mid 70s, inter-hospital transfer for urgent angiography due to chest tightness with ischaemic ECG. CP came on 12hrs after distressing news of sudden family death. ECG 👇🏽 Image
Exam - loud systolic murmur, so urgent TTE requested before angio. Here is PLAX. Apologies no ECG, cables on portable Vivid-i were broken!

@angularboxoid @JonathanWHinton @hannahcvimaging @cardiodan @hannahzr @TharushaGunawa4 @MayooranShan @DrMarkMills @dorsetcardio @brwcole
PLAX Zoom...
Read 28 tweets
**VALVE CASE OF THE WEEK**

OK, this starts off about valves...but then isn't really about valves...but it's the broader educational point (which is relevant to valves) that I want to make this week...no poll I'm afraid, but as always, comments encouraged! 😁

@BrHeartValveSoc
In my office doing Admin, lot to get through & a very busy morning ahead. Asked to r/v a TTE for helping determine AS severity. Pt admitted with heart failure, clinically severe AS is all I know at this point. Now, the golden rule in this situation is *review the whole study*...
Not just one or two images.

But I was super-busy, I BROKE MY OWN RULE and just looked at the relevant images. Here's the PW and CW Doppler tracings (Pt in AF)...
Read 15 tweets
#ASEchoJC #Tweetorial on #WASE
World
Alliance
Societies of Echocardiography
Normal Values Study

#Echofirst most widely used imaging modality BUT

WHAT IS NORMAL for ❤️ size & function?

bit.ly/32pKxAC @JournalASEcho
2/ Prior ❤️measurement studies:
❤️used VARIOUS methods- M mode, M mode & simpsons, 2D
❤️No standard analysis or core lab
❤️Only single race or country/region
❤️?? State of the art machines or techniques

❤️Need for a prospective international observational study #WASE was born
3/#DiversityandInclusion
@ASE360 @escardio #EACVI recommended normal values used all over the 🌎 but only represent normal Caucasian people from USA & Europe

bit.ly/3irijv5 #ASEchoJC
Read 10 tweets
**VALVE CASE OF THE WEEK**

In our hospital, we have seen 2 patients over the past 3 years that presented with acute heart failure and who had severe AR on echo with large, characteristic masses on the AV. This week's poll is simply... what do you think these masses are? (1)
Patient 1 - Female, early 60s, no major PMHx, admitted with 2 weeks worsening SOB and palpitations. No fever. In heart failure, BP 110mmHg systolic. AR murmur. Normal white cell count & near normal CRP on bloods. TTE below...zoomed PLAX view of AV (2)
Here is a TOE view...(3)
Read 12 tweets
**VALVE CASE OF THE WEEK**

@BrHeartValveSoc

I'm on holiday (staycation 😫) so I'll keep it brief! No poll. Experienced scanners will know this, but could hopefully be of use to physiologists and Fellows in training.

This case focuses on the concept of physiological MR...(1)
Patient having an echo for a different reason (i.e. not murmur) had this AP4Ch view in 2014...

This was reported as "mild MR" and a repeat echo was advised in 2 years...(2)
So the patient returns in 2016 for an echo...

Again reported as "mild MR" and again follow-up advised in 2 years' time...(3)
Read 10 tweets
**VALVE CASE OF THE WEEK**
@BrHeartValveSoc

32yr old lady with moderate mitral stenosis tells you in clinic she is planning on trying for a baby...is that ok? Denies any symptoms, feels well. Echo - mean MVG 6mmHg. RVSP ~ 20mmHg. What would you say / do / advise?
Parasternal X-plane...
Ap 4Ch zoom of MV
Read 14 tweets

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