#EHJCVI🫀What’s the impact of VExUS in acute heart failure management and risk stratification?💧Improvement is linked to better mortality outcomes, while persistent abnormalities may require extended diuretic titration or closer monitoring 📖 Read more 👉 doi.org/10.1093/ehjc... @jgrapsa.bsky.social

#EHJCVI 🫀 How can we better select NICM patients for ICD prevention therapy? ⚡ Does LGE provide additional prognostic value? 🔍 Midwall LGE and scar location significantly influence MAACE risk and can guide treatment decisions 📖 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

🌟 Excited to share that I will be a SoMe ambassador for this year #ESCCongress in Madrid 🇪🇸 I will be sharing highlights in CV imaging, as well as CHD, VHD and PH 🫀🫁 Stay tuned for live updates! #CVImaging #CHD #PulmonaryHypertension #ValvularHeartDisease

#EHJIMP 🫁 Can we use free-breathing ECG-triggered cine CMR instead of SSFP? 🔄 Both methods show good agreement 🫀 Ideal for patients with arrhythmias or limited breath-hold capacity 🧪 Similar diagnostic performance to SSFP 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 📢 Call for Papers: 🫀 Special Issue on CHD 📤 Original, reviews, clinical case series, technical notes & innovations are welcomed! 📚 Topics: tech advancements, clinical applications, multidisciplinary integration, challenges 🔗 Learn more academic.oup.com/ehjimp/pages... #CardioSky

#EHJCVI 🔍 What LV TTE markers predict outcomes in systemic right ventricles? 📏 Systemic RV diameter & FAC, LV ESDi & LV FAC are independent predictors of mortality & transplantation in ACHD patients 📚 Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🐭 What’s the best method to assess LVEF & volumes in a rat model of DOX-cardiotoxicity? 🌀4D & M-mode show the lowest bias and narrowest limits of agreement ✅ Strong correlation across most parameters! 🔍 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🔄 How is LV-A & RV-PA coupling in HFpEF with high LVEF? ⚠️ Higher risk of death & readmission, but why? 📈 These patients show ↑ left Ees/Ea 🫀 Meanwhile, TAPSE/PASP predicts event-free survival, independent of LVEF 📖 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🫀 Is anterior mitral valve leaflet length linked to response to mavacamten in HCM? 📐 Shorter length ➡️ Lower dose & Faster response🔬 Could this be a new treatment predictor? 📚 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 📊 What’s the prognostic utility of CAC vs CCTA metrics in suspected CAD?💡Models including % atheroma vol outperform CAC in prediction 🧱 Non-calcified plaque % shows the highest accuracy for MI 📉 CAC alone may underestimate risk 🔗 Read more 👉 doi.org/10.1093/ehjc... #CardioSky

Our latest work, led by Thomas Lindow, on estimating wedge pressure by #EchoFirst. #Cardiosky LA volume is not necessarily needed. LA inflow (PVs, PVd) and outflow (E) velocities, which are proportional to pressure gradients, perform just as well. A multi-institutional collaborative effort 🇦🇺🇸🇪

#EHJIMP 🔍 Can we estimate PAWP with #echofirst without including LAV? 📈 ePAWP-NOLA, derived from E, S & D waves, shows strong agreement with PAWP 🏆 Outperforms ASE/EACVI DD algorithm💥 Correlates with RV afterload, LVAD, and CV death 📖 Read more doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 💡 What are the sex differences in the evolution and outcomes of mild–moderate AS with pLVEF? 📌 Men: faster rise in peak velocity and mean gradient 📌 Women: more concentric LV remodelling, hypertrophy, and declining SV 📚 Dive into the data 👉 doi.org/10.1093/ehjc... #CardioSky

#EHJIMP 🫧 What’s more effective for PFO: Valsalva or party balloon inflation manoeuvre during agitated saline contrast TTE? 🎈 PBIM upgraded or confirmed severity, boosting diagnostic accuracy from 75% ➡️ 91% in significant shunts 🔬 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🚫 Can T1 mapping help detect obstructive CAD? 📉 Lower T1 values correlate with reduced MBP, but results are influenced by sex and DM 🎯 Suggested cutoff: ≤5.4%, but ❌ not statistically significant when validated against ICA 🧪 Read more doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🧮 How can we assess contractility in AS? 📊 Is the LVEF/ESWS ratio influenced by loading conditions? 📉 ESWS drops after TAVR, reflecting afterload, 🔼 while LVEF corrected to ESWS rises slightly, highlighting load dependency 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 📌 What should we do with LV thrombus? 📚 This editorial explores key questions: which echo features predict resolution 🔍, how long to keep OAC 💊, how often to repeat TTE 🖥️, and what to do in case of suboptimal resolution ⚠️ Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 👀 Can we stratify CCS patients by PCATA and EAV? 📊 Patients with high EAV index & low/high PCATA show the highest risk scores, CACS, and CAD burden 🔺 PCATA is associated with ↑ plaque volume → independent of EAV index 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🫀 What's the value of ventricular strain in systemic sclerosis? 📉 Both LVGLS and RVGLS are linked to death or MACE, unlike LVEF and RVEF 🧠 How does strain compare to traditional prognostic markers? 🔍 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP ☢️ Gaps remain in research on radio-exposure risk in interventional cardiology and the impact of gender-specific radiation-induced diseases 📣 This step-by-step call to action urges progress toward gender equity in CV imaging 📄 Read the letter 👉 doi.org/10.1093/ehji... #CardioSky

#EHJCVI 🫀 TTE shows an LA false lumen with suspected LV aneurysm 🌀 Doppler LV flow enters inferior wall rupture → tunnels into LA false lumen → crosses PFO → reaches RA 🧲 CMR confirms pseudoaneurysm and myocardial rupture 🔎 Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🫁 Why is RV–PA coupling important in ATTRwt-CM? 📉 This study shows that RVGLS/sPAP is associated with cardiac death, even after adjusting for TAPSE/sPAP and other prognostic factors 📊 Want to know the AUC and best cut-off? 🔗 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🧑‍⚕️ 53-year-old male with a 10-day history of chest pain and no prior cardiovascular history: no hypertension, diabetes, or coronary heart disease 🏥 Emergency bedside TTE on admission shows the following 🫀 What’s your diagnosis? 🔍 #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🧒🫁 Can we use lung ultrasound in pediatric cardiology? 🖋️ This expert opinion from the AEPC Imaging WG outlines key principles, diagnostic applications, limitations, and future directions 🔍 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 📢 Call for Papers: #CardioSky @escardio.bsky.social 🫀 Special Issue Imaging in VHD 📅 Deadline: July 31, 2025 👩‍🔬 Guest Editor: Marie-Annick Clavel 📤 Original research, systematic reviews, short reports & image-based submissions welcomed! 🔗 Learn more academic.oup.com/ehjcimaging/...

#EHJIMP 🫀 What alternatives to traditional RF can help assess sex differences in CV risk?‌ Women show superior aortic GLS and ventriculoarterial coupling, better aligned with Framingham scores 📈 Could this improve low-risk stratification? Read more 👉 doi.org/10.1093/ehji... #CardioSky

#EHJCVI 📏 What should we use in aortic regurgitation: LVESDi or LVESVi? 📊 Cut-offs: LVESDi ≥20 mm/m², LVESVi ≥45 ml/m². Both elevated → worse 10-year survival 📉 Even in asymptomatic patients or LVEF >55%, LV dilation = higher mortality. Read more 👉 doi.org/10.1093/ehjc... #CardioSky

#EHJIMP 🏃‍♂️ What’s the role of exercise CMR PA compliance in suspected diastolic dysfunction with pRVEF? 🫁 They show a sharper drop in PA compliance during exercise, despite normal resting values 📉 Is there a link with HFA-PEFF score or outcomes? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🔎 Can we use CT radiomics to detect cardiac amyloidosis? 🖥️ This editorial Meng et al. reviews its diagnostic power vs other modalities and explores limitations. Could radiomics become part of the amyloidosis algorithm? 🧩 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 👀 Our SoMe editor Eirini Beneki presents this fascinating case:🧍‍♂️49-year-old male 😮 Sudden-onset dyspnoea (NYHA IV) one week after chest trauma 🫀EKG: complete heart block + ventricular escape rhythm 🔍 What do the imaging findings reveal? #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 📸 What’s the optimal approach to perform and report CTA for suspected acute pulmonary embolism? 🫁 This clinical consensus outlines key technical tips, diagnostic features, and includes an image atlas 📚 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🤖 Can we use deep learning-based segmentation and strain analysis from LAX CMR images? 🧠 3D DL outperforms 2D, and when combined with feature tracking, delivers automated, reliable, and human-level reproducible results 📊 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🔎 What’s the link between ECV, scar burden, myocyte volume, and diastolic dysfunction in moderate AR? #whyCMR shows these parameters increase with worsening diastolic dysfunction 📉‌Is there an association with mortality? Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🚫 Measuring perivascular adipose tissue attenuation around the RCA or aortic valve adds no incremental prognostic value for MACE prediction in TAVI patients beyond established risk factors 📉 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🏃‍♀️ How can we differentiate physiological exercise-induced cardiac remodeling from pathology in female athletes? 🫀 #whyCMR shows larger ventricular volumes without marked increases in LVM or wall thickness. Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🚀 Ultrafast ultrasound shows promise for noninvasive myocardial perfusion assessment in congenital heart disease ❤️ In TGA, perfusion varies with ventricular pressure 🔍 Clinical outcome links still under study 👉 Read more: doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI ⚡ What’s the value of cardiac power in asymptomatic moderate-to-severe AS? Patients show increased resting CP and reduced CP reserve, both linked to peak VO₂ 🫁 and ECV 📊 Can these metrics help in risk stratification? Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🚨 New survey by Monti et al. reveals a key paradox in cardiology: CMR is highly valued for clinical utility 🫀 but underused due to long wait times ⏳, limited expertise 🧠, and concerns about report quality 📄, driving 2nd-opinion. Read more 👉 doi.org/10.1093/ehji... #CardioSky

#EHJCVI 🚨 Check out this new editorial on Sørensen et al. discussing intraventricular pressure difference as a novel tool for assessing diastolic function💡 What are the key limitations? What should clinicians understand to apply it? Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🚨 Can carotid plaque characteristics on CT help identify high-risk phenotypes? 🧠 Plaque features, but not calcification or increased perivascular fat attenuation, are linked to culprit lesions 🩻 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🤔 Do current surgical thresholds disadvantage women? Is LV dilation under-recognized in female patients? 🫀 Check out this editorial on Uretsky et al. exploring sex-based differences in mitral valve surgery 📉 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🧩 What’s the utility of patient-specific 3D models in cardiovascular care? 🖨️ How are they created? 💡 What are the clinical and economic benefits of using them in practice? 🔍 Want to know more? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🧪 Can we use CMR to detect improvement and predict outcomes in recurrent pericarditis after rilonacept treatment? 🫀 This RHAPSODY sub-analysis shows the value of CMR in monitoring response 🎯 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🧭 What are the echocardiographic 🚩 in ATTR-CM?✨ Is all that glitters really ATTR-CM? 📊 This editorial dives into Henein et al.'s work, outlining key echo clues when suspecting transthyretin amyloid cardiomyopathy 🔍 Read it here: doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🧠 Can we use unsupervised clustering to classify high-risk MR patients ineligible for surgery? 🤖 This study identified two distinct clusters. Was mortality different between them? What were their characteristics? 📊 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🫀The patient underwent CABG, and pathology revealed non-inflammatory, non-atherosclerotic, non-thrombotic lesions with collagen & smooth muscle proliferation classic for FMD 🔎 Want to know more? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🚨 Have inter-vendor differences in GLS improved over the last 10 years? 🤔 Semi-automated endocardial and mid/full-wall strain showed only 0.6% bias 🧪 Minimal detectable change: 2.5% 📏 Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🔍 What are the promises and pitfalls of FOCUS in general practice? ⚠️ This editorial reviews Magelssen et al.'s findings, highlighting concerns over accuracy in FOCUS exams 📖 What kind of training should be implemented? Read more ➡️ doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🔥 Check out this new staging system for LBBB strain patterns after CRT! 🔄 It independently predicted volumetric response and survival, while scar burden did not. Survival benefit with CRT vs conservative ranged from HR 1.42 to 16.49✨ Read more 👉 doi.org/10.1093/ehjc... #CardioSky

#EHJIMP ⚠️ 17-year-old male presents with transient loss of consciousness during exercise 📉 #ECG: NSTEMI 🧬 Family history: multiple sudden cardiac deaths 🧪 Biochemistry: normal 🖥️ #yesCCT: multiple vascular stenoses 🧾 Inflammation & thrombosis ruled out 🤔 What’s your diagnosis? #CardioSky