1/ Acute AR hemodynamics tweetorial: Acute AR leads to rapid equilibration of diastolic LVP and AoP. This causes: 1)rapid rise in LVEDP 2)decrease in DBP leading to LV congestion and hypoperfusion. Typical shape of LVP with upslope toward AoP. Credits to @dburkhoff for Harvi 2/ Mitral valve signs: often fluttering of the AMV leaflet because of the AR jet,when acute AR becomes severe MV can close early in diastole, protecting LA and lungs from the high LVP. When severity increases, diastolic MR could be encountered, associated with worse outcome.

1/ Tweetorial on @abiomed Impella position (crucial for function and prevention of complications). Recently we summarized a practical algorithm for pVAD position that we developed @UZBrussel and published @ESC_Journals academic.oup.com/ehjacc/advance… 2/ The main problem with pVAD malposition is contact between outlet and AoV or the inlet with LV structures, leading to hemolysis or suction events (decreases support). Recently we published in detail on hemolysis (open access): 10.1080/17434440.2022.2108319