A case of mechanical removal of IE vegetation - fascinating. I wonder if this really "removes" the infection from the valve. But maybe resulting less bacteriemia and septic embolisms are helpful by itself. #cardiosky

The evolution of transcatheter valve therapies has been remarkable, and intraoperative echo guidance has advanced in parallel. This mid-oesophageal view, obtained by our cardiology colleagues, shows the Evoque tricuspid valve in a patient with severe TR. #echosky #cardiosky #ansky #echofirst

My favourite medical AI OpenEvidence is no longer available in Europe for now. What are your favourite alternatives?

TAPSE/sPAP (RV-PA-coupling) is the new #echofirst superstar parameter. Now also for prognosis after STEMI. Cut-off 0,4 mm/mmHg - measured at discharge-echo. www.sciencedirect.com/science/arti...

Quiz: What's the name of this #echofirst artefact and what is the significance?

Seems like IVUS is here to stay. IVUS or Angiography Guidance for Percutaneous Coronary Intervention in Complex Coronary Bifurcation Lesions: <span class="subtitle">The DKCRUSH VIII Randomized Clinical Trial</span> www.jacc.org/doi/10.1016/... #cardiosky

❓Testen Sie Ihre Diagnosefähigkeit in unserem #MedizinQuiz! Hier ein neuer Fall: Echokardiografie in Systole und Diastole bei einem 46- jährigen Patienten mit Belastungsdyspnoe. Was fällt auf? 💬 ➡️ herzmedizin.de/fuer-...#MedizinQuiz!#Herzmedizinde #DGK #Kardiologie #CardioSky

Dr John - likes to voice his opinion in clear words. I like! johnmandrola.substack.com/p/industry-v...

This is interesting. For years we assumed that tachycardia/arrhythmia causes EF drops. Now it seems, in some people afib may just be the start into a HF career. Not sure, though genetic testing big scale is feasible. Guess we just have to keep them on a short leash. www.jacc.org/doi/10.1016/...

This graph neatly shows the benefit of PfO-closure in the right ESUS patients. #cardiosky Analysis of Pooled Individual Patient Data From RCTs of Device Closure of PFO After Stroke url: jamanetwork.com/journals/jam...

In my department we still fullheartedly recommend open heart surgery for <70 yo with aortic valve disease just like the updated ESC say. Increased re-intervention rates in TAVI patients strengthen that position.

A HF patient has an LVEDD of 400 ml is treated with OMT and shows a huge functional MR on Echo. EROA 0,4 - would you consider this patient for M-TEER? (QRS is narrow so CRT not an option). I have an opinion but curious what others think. #cardiosky

Interesting thread on contraction alkalosis (or maybe rather chloride-depletion alkalosis) as commonly seen in heart failure patients treated with furosemide. Serendipitously, I came across a case just today. #cardiosky

I always wondered: why doesn’t every CTS surgeon send a probe to histology? Many a cardiac Amyloidosis patient could be identified before full-blown heart failure… #cardiosky

AI is coming closer to replacing your job, doc. #cardiosky Design and Architecture of a Generative-AI-Supported, Nonphysician-Delivered Model for GDMT Optimization in HFrEF: The ASSIST-HF Trial | JACC: Advances www.jacc.org/doi/10.1016/...

Take home message from the NEJM editorial. (betablockers post-MI) www.ovid.com/journals/nej...

No leak is nice. But how about a trial that shows no strokes? #cardiosky

At a congress recently someone said a stress echo request causes stress in every cardiology department. Not in ours. The patient is put on a bike and we make beautiful images like these here. Even (or: especially) with LBBB. #echosky

#EHJCVI 📢 New #EACVI Consensus Statement🚨 Role of multimodality imaging in the management of #HCM in 2025🫀In-depth, state-of-the-art document focusing on the role and advances of #CVImaging techniques in #HCM💡#echofirst #WhyCMR #CVNuclear #CCTV ⏩ doi.org/10.1093/ehjc...#EHJCVI#EACVI#HCM#CVImaging#HCM💡#echofirst#WhyCMR#CVNuclear#CCTV

Not sure this post-PFO Afib has any clinical relevance at all. They don’t consider it „missed“ and it doesn’t produce any more strokes. #cardiosky #pfoclosure

Nice slide from @alexmla.bsky.social‘s great presentation at the 3D- #echosky workshop in Berlin. How to visualize the MV scallops by just pushing and pulling the probe. Memorize: push 1➡️2➡️3. Personally I prefer biplane which yields similar results but not everybody may have 3D-TOE.

ATTR cardiac amyloidosis. Nice chart comparing treatment effects of stabilizers. If your patients has < 1 year survival, there's really no need to start the diagnostik algorithm. Cost of treatment here in Germany 140.000 € / y. Source: pubmed.ncbi.nlm.nih.gov/39354201/ #cardiosky

Over at TWIC Dr John is enthusiastic about this trial. I’m also drawn to the concept of reversible tachymyopathy. Withdrawal of heart failure therapy after atrial fibrillation rhythm control with ejection fraction normalization: the WITHDRAW-AF trial academic.oup.com/eurheartj/ar... #cardiosky

TTVR-patients may soon come to your ward/clinic/ #echosky- lab. I recently scanned the first one. Better to get familiar with the the valve… www.pcronline.com/News/Whats-n...

Here‘s the solution to this case…Please read on … Comments and questions more than welcome. 1/6

I just booked myself into the online option of my dear friend @nmerke.bsky.social‘s superb 3D echo course with amazing faculty. With 100€ it’s really a no-brainer for any #echofirst enthusiast. www.dhzc.charite.de/events/3d-ad...

New guidelines -same old problems: Diastolic dysfunction is hard. Echocardiographic Diastolic Function Grading in HFpEF: Testing the Updated 2025 ASE Criteria www.jacc.org/doi/10.1016/... #echosky

🚨 Changing views in our understanding of atherosclerosis buff.ly/1LreIX2 #CardioSky #MedSky

Despite the fact that we still can't identify the patient before a heart-attack, this is some extraordinary achievement in the field of #cardiosky. Wow.

interventional #cardiosky knows no limits. A stent from the aorta to the LMCA, like a bypass graft. Enter the VECTOR-procedure. www.ahajournals.org/doi/10.1161/...

I'm curating a few "easy" #echosky cases for a group of fellows, so I thought I might as well post them here. So here's Case #1: 70+ Patient comes to the lab for routine post-stroke TTE. He's has CABG 10 years ago, below's the apical 3CV. Can you spot 3 pathological findings?

Amazing research by @benoyshah.bsky.social et al. on Conflict of Interest amont ESC guideline authors. It's quite a shame. www.sciencedirect.com/science/arti... #cardiosky

Impressive 3D color quantification of MR. We're still looking for the key to reliable, validated and reproducable quantification.

Something that’s rarely if ever mentioned in guidelines and manuals about echocardiography is always asking the question «do the numbers add up?» This is not just central to divulging measurement error but also harder to find pathologies. #echosky #pocusky

Levosimendan is quite often seen as a "safe" inodilator with respect to ventricular arrhythmias. I don't think it is, and this trial in my view supports that. Also, drugs with very long half lives are generally not a good idea in the critically ill #cardiosky #emimcc #cccsky

❓Why do speckle tracking strain algorithms measure end-systolic strain instead of peak strain? While peak strain values might be similar, the timing can vary significantly in ischemic myocardium. Using aortic valve closure as the reference point is the only way to clearly reveal the pathology.

What to do if patient has LVOTO and aortic stenosis? Nice case report with an interesting #echofirst approach and therapeutic concept. www.cvcasejournal.com/action/showP... #cardiosky

💡 3D-GLS is not interchangable with 2D-GLS (values are lower) 💡 It's sufficient to record a single beat (with high fps) not 3 💡 EchoPac and TomTec software are comparable #echofirst

Well this stinks. LAAO vs Eliquis vs Warfarin in ESRD It’s all bad … which isn’t really surprising. #CardioSky www.jacc.org/doi/10.1016/...

What’s going on here with the right ventricle? Answer in the 🧵 #cardiosky #echofirst

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

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