You can do a cath a day before an MI and see nothing remarkable. I've witnessed it several times. The holy grail of cardiology. #cardiosky Limitations of Risk- and Symptom-Based Screening in Predicting First Myocardial Infarction | JACC: Advances www.jacc.org/doi/10.1016/...

Being a high-protein-diet sceptic, I'm even more scpetical about conclusions to draw from this observational trial. What else do those people do, that eat a lot of protein...? Maybe 3 beers with the BBQ-steak...? #cardiosky

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Endlich!

Real world data on Mavacamten! #cardiosky

For future reference. #cardiosky trialsjournal.biomedcentral.com/articles/10....

Reducing alcohol intake should be the first lifestyle intervention recommended in newly diagnosed hypertension. #cardiosky #hypertension

Interesting perspective on the DECAF trial. Don‘t tell your newly diagnosed afib patients to stop drinking coffee must be the only take-away! #cardiosky #afib

newsroom.heart.org/news/medicat... The CLOSURE trial. I think the whole LAA-occlusion story is scandal. #cardiosly

Must read...

Wow - I've always been a bit uneasy about implanting a metal cage in young people that remains there lifelong. #cardiosky

3D #echosky is crucial for diagnostic to plan therapy Workshop by @DHZB_Akademie 23.01. - 25.01.2026 will deep dive into this and beyond 👉 shorturl.at/Feu2mProgram 👉Registration 🔗 dhzb-akademie.de/course/3d-wo... 🗣️Language: english 🪑& 💻Attending: onsite & online 🫳Hands on: GE & Philips (TomTec)

💡Early onset AF as a marker for inherited cardiomyopathy! #cardiosky

Great thread on pre-TAVI-CT. #cardiosky

I still use the old, albeit more established terms like Chronic Coronary Syndrome - Chronic Stable Angina Pectoris, but my Echo Cardiologist mentor from medical school advised me to slowly start adopting the newer, more harmonizing, terminologies A good read... #Medical #Medicine #Med #PromoSky

Wow - the PROCTOR trial comes as a surprise. We've been doing complex native vessel PCIs, thinking it was the better way until now. Best, of course, is BIMA and no SVGs at all to start off with. #cardiosky @tctmd.bsky.social has more insights: www.tctmd.com/news/proctor...

Imagine unlimited heart bypass graft material…! #cardiosky

Sotarecept is a revolution in PAH. NNT=3! Disease modifying drug. www.nejm.org/doi/full/10....

www.jacc.org/doi/10.1016/... Milton Packer is still on a mission! #adipokinehypothesis #cardiosky

Acceleration Time/Ejection Time Ratio has not made it into my standard-protocol after TAVI. Maybe it should. #echofirst www.jacc.org/doi/10.1016/...

A lot of competitors for the title „fifth Pilar“ of HF therapy: Elektrophysiologists say it’s PVI, Hannover is rooting for Digitoxin and this paper says Vericiguat. Why not just make it the magnificent 7…? #cardiosky

Finally some good evidence for whether DOACs can be effective in treatment of left ventricular thrombus. Is this generalisable to all DOACs? #cardiosky #cccsky www.jacc.org/doi/10.1016/...

We all knew it, but it's still sad that #echofirst and #whycmr values don't match. They all have to be evaluated in their own environment. There's no one truth. academic.oup.com/ehjcimaging/...

McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst

Dr. Smith and friends are continuing their journey to generate evidence for non-STEMI OMIs. This paper is very diligent work to characterize hyper-acute T-waves. Fantastic. #cardiosky www.jacc.org/doi/10.1016/...

The adipokine hypothesis. Very interesting. #kardiosky www.jacc.org/doi/10.1016/...

I've been waiting a long time for these new myocarditis and pericarditis guidelines, and at first glance, they seem promising! #cardiosky

Now that ESC has started, I better block some time for reading. New guidelines, new trials... For #echofirst people, this one is your aperitif... onlinejase.com/action/showP...

Is anybody participating at #ESCcongress in Madrid and give some live updates? Not sure the SoMe embassadors are active on Bluesky yet. #cardiosky

#echosky how to go and unveil MR severity

Great teaching case.

I wonder how long until conduction-system pacing will become the norm. Just a bit worried about battery life... www.jacc.org/doi/10.1016/...

💡Inverted LAA! Super-rare condition after heart surgery. Mistaken for a mass/thrombus in this case. Too bad, there aren't any #echofirst loops available.

Fascinating, these wrong assumptions about blood pressure, symptoms and feeling calm.

Everyone should ideally leave twitter and come to bluesky for several reasons. - Unify the discussion - Safe space for everyone (eg LGBTQ) - Stop supporting twitter (which is now a vehicle of misinformation & political manipulation) - Twitter is currently NSFW (eg frankly pornographic content)

DrJohn over at TWIC rants about this trial but I think it’s a valid question to ask the carbon footprint. (It’s a bit strange however, that it’s TAVR proponents publishing this paper).In my ideal world the true cost of carbon should be slapped onto everything making cost a decisive issue. #cardiosky

Must-watch lecture on cardiomyopathy and CMR by @cshenoy.bsky.social „more often than what is the EF we should ask the why?“ youtube.com/live/9or85hk...

I‘m very uneasy about the enthusiasm to use CCTA as a screening tool. Is this the way to prevent SCD? #cardiosky

Can anyone guess the possible diagnosis for this mobile IVC mass in a female patient with a history of uterine fibroids? #ansky #medsky #cardiosky #echosky #echofirst

"It’s not so much that one therapy is better than another, but there are consequences to everything that we do," says Isaac George. www.tctmd.com/news/carbon-... #cardiosky

Interestingly, a non-randomized but larger trial published in The Heart investigated the same question and reported a sensitivity for CMR of only 57%. This result is perplexing—perhaps #whycmr experts can shed light on the discrepancy? heart.bmj.com/content/earl... #cardiosky

Wow - this atherosclerosis etiology is completely new to me but proves those right who’ve been enthusiastic about the microbiome. #cardiosky.

Very interesting physiological study of the hemodynamic effect of nitroprusside infusion in HFpEF vs HFrEF. I think this is equally relevant both for the interaction with EF seen with most heart failure therapies, as in the disparate effects seen with IABP in cardiogenic shock 🧵 #cardiosky #emimcc

HFrEF is still a very common indication for invasive coronary angiography in our department. This beautiful new trial suggests that #whycmr could be a safe alternative. Read the editorial here: t.co/Qyvb6mhIA3 #cardiosky

So, since the #echosky crew doesn't seem to be very enthusiastic about quizes I might as well disclose the answer: This is a patient post lung transplantation! Pulmonary veins are often connected surgically by attaching the upper part of the LA in toto, hence the resulting increase in LA size.

I love using AI on my busy echo days- it is fast, super reproducible. BUT… a recent study shows that AI tools weren’t trained on HCM patients. In hypertrophic cardiomyopathy, they underestimate LVEF and overestimate volumes.

Mavacamten makes LGE go away!? Effects of Mavacamten on Cardiac Magnetic Resonance Features in Chinese Patients With Obstructive Hypertrophic Cardiomyopathy | JACC: Asia www.jacc.org/doi/10.1016/...

After SENIOR-RITA now a meta-analysis shows that elderly patients gain little from an early invasive strategy. Quite the contrary, they suffer from bleeding events and get repeat revasc. #cardiosky jamanetwork.com/journals/jam...

Almost every patient leaving our hospital now with heart failure (not matter the EF) receives an SGLT2i as well. Dosing is easy and there is very few contraindications, let alone side effects. I hope there won't be any unpleasant surprises. #cardiosky

I admit that I'm a fan og GLS and the colourful bull's eye plots that speckle tracking generates, but I admit, that it seems as if less fancy parameters as MAPSE and FLS may do the job of GLS just as well, while being vendor independent and less dependent on image quality. #echosky