This is a thread about adult CHD, a 42 yo lady refered echo because she feels progressive dyspnea (FC II), without PND and palpitations, she refers a child murmur without more data, At physical exam: P2 increased, LV impulse increased, normal yug, no visceromegaly grade II ... ...parasternal systolic murmur, check the EKG: synus rythm, lef axis desv, frequent PVCs with negative polarity in V1, not nrmal R wave progression, neative T waves I and aVl

Found this beautie from my archives, for all who love congenital heart disease (@cardiopedhnn ) in adult, we must be ready to treat this patients
Ladie 16 yo with TGV, VSD and severe pulmonary stenosis, a vascular structure was find in palax between the posterior PA and LA In long axis with movement

A tweetorial about apical sparing and some perosnal thoughs
Apical sparing is refered as the preservation in apical función in the polar map of longitudinal. strain typically seen in cardiac amyloidosis But happens in other heart diseases, look this dilated CMP , apex maintain better contraction than base or mid ventricle

OK sunday quiz and tweetorial folllow the thread @almasthela @AnastasiaSMihai @strain_rate @ash71us @MusaSharkawi @SBarrosGomes @SBarrosGomes @maxb1953 @onco_cardiology @HeartOTXHeartMD @ecocardio_cl @purviparwani @Wikimagen @venkmurthy @VietHeartPA @iamritu @RezaEmaminia @VazyurVasquez @VLSorrellImages
58 yo , asymptomatic, small SS, cgheck the ekg and what do you see in the CFP??