Julia Grapsa
@jgrapsa.bsky.social
๐ค 745
๐ฅ 169
๐ 31
Cardiologist, Deputy editor EHJCVI - imaging & VHD โค๏ธ
reposted by
Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJIMP
๐โโ๏ธ Whatโs the role of exercise CMR PA compliance in suspected diastolic dysfunction with pRVEF? ๐ซ They show a sharper drop in PA compliance during exercise, despite normal resting values ๐ Is there a link with HFA-PEFF score or outcomes?
doi.org/10.1093/ehji...
#CardioSky
@jgrapsa.bsky.social
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Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJIMP
๐ง๐ซ Can we use lung ultrasound in pediatric cardiology? ๐๏ธ This expert opinion from the AEPC Imaging WG outlines key principles, diagnostic applications, limitations, and future directions ๐ Read more ๐
doi.org/10.1093/ehji...
#CardioSky
@jgrapsa.bsky.social
@escardio.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJIMP
๐ Our SoMe editor Eirini Beneki presents this fascinating case:๐งโโ๏ธ49-year-old male ๐ฎ Sudden-onset dyspnoea (NYHA IV) one week after chest trauma ๐ซEKG: complete heart block + ventricular escape rhythm ๐ What do the imaging findings reveal?
#CardioSky
@jgrapsa.bsky.social
@escardio.bsky.social
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Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJIMP
๐ซ 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 ๐ Read more ๐
doi.org/10.1093/ehji...
#CardioSky
@jgrapsa.bsky.social
@escardio.bsky.social
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@escardio.bsky.social
add a skeleton here at some point
4 months ago
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reposted by
Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJCVI
๐ How should we use multimodality cardiac imaging to diagnose cardiovascular involvement in tropical diseases? ๐ซ Check out this joint EACVI & DICSB scientific statement highlighting the role of imaging in these conditions ๐ Read more ๐
doi.org/10.1093/ehjc...
@jgrapsa.bsky.social
#CardioSky
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Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJCVI
๐ Whatโs the incremental value of regurgitant fraction by 3DE in STR? โ ๏ธ This study shows itโs the strongest severity marker and the only one improving risk stratification beyond EROA ๐, identifying a high-risk subgroup ๐ Read more ๐
doi.org/10.1093/ehjc...
#CardioSky
@jgrapsa.bsky.social
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Julia Grapsa
Pablo Perez Lopez
4 months ago
#EHJIMP
๐งช Whatโs the role of MRI-measured myeloperoxidase (MPO) activity in predicting atherothrombosis? ๐ In rabbits, R1 relaxation rate after MPO-Gd was the best predictor ๐ง But what about MPO in human carotid plaques? ๐ Dive into the study:
doi.org/10.1093/ehji...
#CardioSky
@jgrapsa.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJIMP
๐ฉป How should coronary assessment be handled in TAVI candidates? ๐ง Is coronary angiography enough? โ๏ธ What are the benefits and risks of different approaches? ๐ Want to know more?
doi.org/10.1093/ehji...
#CardioSky
@jgrapsa.bsky.social
@escardio.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJIMP๐ก
Can we use CMR to assess pulmonary congestion? ๐ซ This study found that patients at risk for HF have significantly higher lung water density (LWD) ๐ Optimal cut-off: 27.6% ๐ Curious about the results and how LWD was measured? Dive in here:
doi.org/10.1093/ehji...
#CardioSky
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJCVI
๐ Baseline pulmonary vascular resistance >2 WU is linked to worse outcomes in patients undergoing tricuspid annuloplasty. Is it a stronger prognostic marker than PASP or the TAPSE/PASP ratio? Whatโs the role of post-op PVR? ๐ซ Read more
doi.org/10.1093/ehjc...
#CardioSky
@jgrapsa.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJCVI
๐ถ A 2-year-old is admitted for a 3/6 diastolic murmur at the 2ndโ4th intercostal spaces along the left sternal border ๐ง TTE reveals the following findings Whatโs your diagnosis? ๐ค๐ซ
#CardioSky
@jgrapsa.bsky.social
@escardio.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJCVI
๐ฅ๏ธ Whatโs the prognostic value of ECV-derived radiomics (RadScore) for risk stratification in reperfused STEMI? ๐ซ Do patients with increased RadScore face higher MACE risk? โ ๏ธ Want to know more? ๐
doi.org/10.1093/ehjc...
#CardioSky
@escardio.bsky.social
@jgrapsa.bsky.social
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reposted by
Julia Grapsa
Parham Eshtehardi MD
5 months ago
#AI
for Preconception
#Cardiomyopathy
Screening Among Women of Reproductive Age
#CardioSky
#CardioObstetrics
www.annfammed.org/content/earl...
@abraguo.bsky.social
@garimasharmamd.bsky.social
@mdharringtonc.bsky.social
@drhelenecollin1.bsky.social
@obcriticalcare.bsky.social
@erinmichos.bsky.social
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reposted by
Julia Grapsa
Pablo Perez Lopez
5 months ago
#EHJCVI
๐ฌ 67-year-old woman with shortness of breath and lower limb oedema ๐ฆตECG shows atrial fibrillation โก TTE reveals severe MR and TR plus the following findings. Whatโs your suspicion? What would you do? ๐ต๏ธโโ๏ธ๐ (Part 1)
@escardio.bsky.social
@jgrapsa.bsky.social
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reposted by
Julia Grapsa
Parham Eshtehardi MD
6 months ago
Routine LAA surgical closure for all patients undergoing cardiac surgery?
#CardioSky
#Epeeps
academic.oup.com/eurheartj/ad...
@escardio.bsky.social
@cardiacpa1.medsky.social
@jkhmd.bsky.social
@gimelliale.bsky.social
@narrowqrs.bsky.social
@victoriadelgadomd.bsky.social
@jgrapsa.bsky.social
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Julia Grapsa
NEJM.org
6 months ago
NEJM Editorial Fellow Harleen Marwah, MD, summarizes the SOUL trial. Read the full trial results:
nej.md/4hHII5M
#ACC25
#MedSky
#CardioSky
@accintouch.bsky.social
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reposted by
Julia Grapsa
Alessia Gimelli
7 months ago
Sarcopenia-related indices, particularly the 5-STS, effectively and simply predicted achievable exercise intensity during ESE, independent of age and sex.
#EHJIMP
@jgrapsa.bsky.social
@escardio.bsky.social
@cardioobdoc.bsky.social
doi.org/10.1093/ehji...
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The Five Times Sit-to-Stand Test Predicts Achievable Exercise Intensity During Stress Echocardiography
AbstractBackground. Exercise stress echocardiography (ESE) is becoming increasingly important in assessing heart failure and valvular diseases; however, de
https://doi.org/10.1093/ehjimp/qyaf030
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reposted by
Julia Grapsa
Alessia Gimelli
7 months ago
Reduced passive and active 3D LA motion from 4D RGCT associates with more advanced AF and AF recurrence post-ablation, respectively. Future work should extend this approach to larger populations.
@jgrapsa.bsky.social
@escardio.bsky.social
@cardioobdoc.bsky.social
doi.org/10.1093/ehji...
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pendingpublications
Pending Publication
https://doi.org/10.1093/ehjimp/qyaf027
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reposted by
Julia Grapsa
CardioOB
7 months ago
Pregnancies in women after peri-partum cardiomyopathy
#PPCM
: global ESC EuroObservational Registry
#CardioSky
#CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social
@jgrapsa.bsky.social
@anastasiasmihaili.bsky.social
@garimasharmamd.bsky.social
@emilyswlau.bsky.social
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๐ฅJust published
#EHJCVI
๐ฅ LV GLS and T2 value were independently associated with significant allograft rejection โก๏ธ incremental value for non-invasive identification of significant rejection in HTx recipients โก๏ธ
academic.oup.com/ehjcimaging/...
@escardio.bsky.social
@pabloplopez.bsky.social
8 months ago
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reposted by
Julia Grapsa
Parham Eshtehardi MD
8 months ago
Skeletal muscle adiposity, coronary microvascular dysfunction
#cvCMD
, & adverse CV outcomes
#CardioSky
academic.oup.com/eurheartj/ad...
@escardio.bsky.social
@erinmichos.bsky.social
@purviparwani.bsky.social
@anastasiasmihaili.bsky.social
@gimelliale.bsky.social
@biljanaparapid.bsky.social
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#CardioSky
#MedSky
Read this important study on
#EHJIMP
what are the parameters of TR regression post M-TEER? โ A lower prevalence of atrial fibrillation, smaller left atrial volume index, and smaller right atrial area were significantly associated with TR regression โก๏ธ
lnkd.in/dcv9whsp
8 months ago
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reposted by
Julia Grapsa
Yael L. Maxwell
8 months ago
To combat some of the limitations of observational analyses in cardiac surgery, factoring in instrumental variables like surgeon preference could potentially alleviate some confounding bias, according to the authors of a new study.
www.tctmd.com/news/limited...
#STS2025
#CardioSky
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With Limited RCTs of Arterial Grafting, Researchers Take a Different Tack
A new study comparing multiple and single arterial grafting highlights how physician preference can bias observational data.
https://www.tctmd.com/news/limited-rcts-arterial-grafting-researchers-take-different-tack
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reposted by
Julia Grapsa
Parham Eshtehardi MD
8 months ago
For HTN, starting a 2-pill low-dose Rx was noninferior to stepped monotherapy. 2-pill & 3-pill low-dose strategies were not superior to stepped monotherapy
#CardioSky
#MedSky
jamanetwork.com/journals/jam...
@jama.com
@anastasiasmihaili.bsky.social
@vietheartpa.bsky.social
@psatishmd.bsky.social
1
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3D-US based risk assessment of AAA
#EHJCVI
โก๏ธ This study assessed AAA rupture risk parameters over time, based on vessel and intraluminal thrombus geometry. โก๏ธ peak wall rupture index,peak wall stress, and maximum ILT thickness for varying AAA growth rates โก๏ธ
academic.oup.com/ehjcimaging/...
8 months ago
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reposted by
Julia Grapsa
Kirsten Shaw, MD
8 months ago
Mastering
#CardiacMRI
is no small feat! To help
#CVFellows
tackle the steep learning curve, I created a cheat-sheet of common values in
#CMR
๐ซโจ ๐ก Feedback welcomeโwhat values do you use? ๐ฉ DM for a free high-res editable/printable version!
#MedEd
#FOAMed
#CardioTwitter
#Imaging
#ACCFit
#WhyCMR
#WIC
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#EHJCVI๐ฅ
Is there any differences in cardiac response after
#TAVI
according to flow and gradient pattern?๐ฅ Read more here ๐
doi.org/10.1093/ehjc...
@escardio.bsky.social
@pabloplopez.bsky.social
@victoriadelgadomd.bsky.social
@rafavidal.bsky.social
@shehabanwer.bsky.social
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Difference in cardiac response after transcatheter aortic valve implantation according to flow and gradient pattern
AbstractAims. In patients undergoing transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS), data on the differences in subsequent
https://doi.org/10.1093/ehjci/jeae235
9 months ago
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VHD made easier meeting with legends such as Prof Roxy Senior on the appropriate quantification for AS โฌ๏ธ
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9 months ago
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#EHJCVI
@escardio.bsky.social
@pabloplopez.bsky.social
@shehabanwer.bsky.social
add a skeleton here at some point
9 months ago
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reposted by
Julia Grapsa
Alessia Gimelli
9 months ago
Discover the latest insights in cardiovascular imaging with the IMPact Broadcast from EHJIMP
academic.oup.com/ehjimp/pages/bโฆ
@jgrapsa.bsky.soci
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https://academic.oup.com/ehjimp/pages/bโฆ
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๐ฅ๐ฅHot off the press ๐ฅ๐ฅ Prognostic Value of Myocardial CT-ECV in Severe AS Requiring AVR โก๏ธ elevated CT-ECV values predict worse post-intervention prognosis โก๏ธ
academic.oup.com/ehjcimaging/...
@escardio.bsky.social
@pabloplopez.bsky.social
@rafavidal.bsky.social
@victoriadelgadomd.bsky.social
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Prognostic Value of Myocardial CT-ECV in Severe Aortic Stenosis Requiring Aortic Valve Replacement: A Systematic Review and Meta-analysis
AbstractAim. Computed tomography (CT)โderived extracellular volume fraction (ECV) is a non-invasive method to quantify myocardial fibrosis. Evaluating CT-E
https://academic.oup.com/ehjcimaging/advance-article/doi/10.1093/ehjci/jeae324/7950811
9 months ago
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reposted by
Julia Grapsa
Alessia Gimelli
9 months ago
4D-Flow CMR can reproducibly assess flow in the descending thoracic aorta in patients with chronic aortic regurgitation.
#EHJIMP
@jgrapsa.bsky.social
@cardioobdoc.bsky.social
@shehabanwer.bsky.social
@escardio.bsky.social
doi.org/10.1093/ehji...
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Deep Learning Model to Diagnose Cardiac Amyloidosis from Hematoxylin/Eosin-Stained Myocardial Tissue
AbstractAims. Amyloid deposition in myocardial tissue is a definitive feature for diagnosing cardiac amyloidosis, though less invasive imaging modalities s
https://doi.org/10.1093/ehjimp/qyae141
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reposted by
Julia Grapsa
Yael L. Maxwell
9 months ago
I'm back from a bit of a holiday hiatus, but here was an article I penned before heading out: In 2024, both STS and EACTS released new guidance covering professional behavior. Other CV orgs may follow suit.
#CardioSky
@jgrapsa.bsky.social
www.tctmd.com/news/surgica...
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Surgical Societies Issue Policies on Professional Conduct
Both EACTS and STS have taken measures against bullying, disrespect, and other harmful behavior. Others may follow suit.
https://www.tctmd.com/news/surgical-societies-issue-policies-professional-conduct
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Julia Grapsa
9 months ago
๐งฉ Tjahjadi et al. analyze #aorta stiffness, motion, and growth in thoracic aortic #aneurysms in their latest work in #EHJIMP - read more:
doi.org/10.1093/ehji...
#aorta
#aneurysms
#EHJIMP
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Three-dimensional Assessment of Ascending Aortic Stiffness, Motion and Growth in Ascending Thoracic Aortic Aneurysm
AbstractIntroduction. Aortic wall stiffening in ascending thoracic aortic aneurysm (aTAA) is common. However, the spatial and temporal relationships betwee
https://doi.org/10.1093/ehjimp/qyae133
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Julia Grapsa
9 months ago
๐ Manrique et al. investigate the role of dynamic perfusion #SPECT for detecting myocardial #ischemia, detailed in #EHJIMP article:
doi.org/10.1093/ehji...
#SPECT
#ischemia,
#EHJIMP
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Goodmorning โ๏ธโ๏ธ Innovation in
#EHJIMP
โก๏ธ Ex vivo imaging of subacute myocardial infarction with ultra-short echo time 3D quantitative T1- and T1ฯ -mapping
#WhyCMR
in mice โก๏ธ
academic.oup.com/ehjimp/advan...
@escardio.bsky.social
@gimelliale.bsky.social
@pabloplopez.bsky.social
9 months ago
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reposted by
Julia Grapsa
Parham Eshtehardi MD
9 months ago
Aortic Stenosis, Heart Failure, & Aortic Valve Replacement
#CardioSky
#MedSky
#TAVR
#TAVI
@jama.com
@jimjanuzzi.bsky.social
@robmentz.bsky.social
@drdevireddy.bsky.social
@hvanspall.bsky.social
@anastasiasmihaili.bsky.social
jamanetwork.com/journals/jam...
0
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reposted by
Julia Grapsa
Parham Eshtehardi MD
9 months ago
Mechanism of
#syncope
: role of ambulatory BP monitoring & CV autonomic function assessment
#CardioSky
#MedSky
#ESC
@escardio.bsky.social
@victoriadelgadomd.bsky.social
@jgrapsa.bsky.social
@mmamas1973.bsky.social
@vassv.bsky.social
@gimelliale.bsky.social
academic.oup.com/eurheartj/ad...
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Check here the list of the Most Read
#EHJIMP
articles โก๏ธ
x.com/ehjimpeic/st...
@escardio.bsky.social
@gimelliale.bsky.social
@bakhshihooman.bsky.social
@pabloplopez.bsky.social
@shehabanwer.bsky.social
@victoriadelgadomd.bsky.social
@andgiannopmd.bsky.social
@cardioobdoc.bsky.social
9 months ago
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Rebirth of our
#EACVI
group into Gender & Equity - stay tuned for an open call for members
@escardio.bsky.social
@laviniaesc.bsky.social
@vp06nice.bsky.social
@victoriadelgadomd.bsky.social
@pabloplopez.bsky.social
@bakhshihooman.bsky.social
@shehabanwer.bsky.social
#CardioSky
#MedSky
9 months ago
0
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reposted by
Julia Grapsa
Alessia Gimelli
9 months ago
Christmas night ๐๐ซ You may wish to listen to
#EHJIMP
IMPact podcast - Listen to all episodes here โก๏ธ
academic.oup.com/ehjimp/pages/pโฆ
@jgrapsa.bsky.soci
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https://academic.oup.com/ehjimp/pages/pโฆ
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reposted by
Julia Grapsa
Parham Eshtehardi MD
9 months ago
#CardioSky
#MedSky
#Epeeps
add a skeleton here at some point
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Meet our
#EHJCVI
and
#EHJIMP
SoMe editors - merged under
@escardio.bsky.social
#ESCjournals
family ๐
@bakhshihooman.bsky.social
@shehabanwer.bsky.social
@pabloplopez.bsky.social
10 months ago
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reposted by
Julia Grapsa
Alessia Gimelli
10 months ago
Adverse childhood experiences were associated with unhealthy cv remodelling in adulthood, independent of traditional cv risk factors. These findings support consideration of early life factors in cv disease risk assessment.
doi.org/10.1093/ehji...
@jgrapsa.bsky.social
@cardioobdoc.bsky.social
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The association between adverse childhood experiences and adult cardiac function in the UK Biobank
AbstractAims. The importance of early life factors in determining health in later adulthood is increasingly recognized. This study evaluated the associatio
https://doi.org/10.1093/ehjimp/qyae139
0
5
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reposted by
Julia Grapsa
American Society of Echocardiography
10 months ago
Registration and Housing for our 36th Annual Scientific Sessions are now OPEN! ๐ซ
bit.ly/3Q2mDUc
#ASE2025
Join us in celebrating our
#ASE50th
anniversary at this premier cardiovascular ultrasound event, taking place at the Music City Center in downtown Nashville, Tennessee, Sep. 5-7, 2025.
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Julia Grapsa
TCTMD
10 months ago
Douglas Drachman (
@dougdrachmanmd.bsky.social
), co-chair of the SCAI Match Task Force, shared insight into this yearโs new interventional cardiology fellowship match process, noting how the new process can help support diversity and more thoughtful decisions.
www.tctmd.com/news/inaugur...
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Inaugural Interventional Cardiology Match Completed This Week
In total, 164 programs offered up 326 positions. Of the 290 candidates who applied, 272 secured one on match day.
https://www.tctmd.com/news/inaugural-interventional-cardiology-match-completed-week
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reposted by
Julia Grapsa
Eric Topol
10 months ago
A new, very good, comprehensive review on atrial fibrillation
jamanetwork.com/journals/jam...
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38
reposted by
Julia Grapsa
Alessia Gimelli
10 months ago
Ascending aortic stiffening is a spatially heterogeneous process with stiffening tending to increase with degree of regional dilation and age
#EHJIMP
@jgrapsa.bsky.social
@escardio.bsky.social
doi.org/10.1093/ehji...
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Three-dimensional Assessment of Ascending Aortic Stiffness, Motion and Growth in Ascending Thoracic Aortic Aneurysm
AbstractIntroduction. Aortic wall stiffening in ascending thoracic aortic aneurysm (aTAA) is common. However, the spatial and temporal relationships betwee
https://doi.org/10.1093/ehjimp/qyae133
0
3
1
reposted by
Julia Grapsa
Alessia Gimelli
10 months ago
This review examines the differences and similarities between the EU and American GLs concerning the use of imaging in the diagnosis and management of peripheral arterial disease and aortic disease
#EHJIMP
@jgrapsa.bsky.social
@escardio.bsky.social
@nytimes.com
doi.org/10.1093/ehji...
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Guidelines at a crossroad: comparing European and American guidelines regarding the use of imaging in peripheral vascular arterial disease and aortic disease
Abstract. This review examines the differences and similarities between the European and American guidelines concerning the use of imaging in the diagnosis
https://doi.org/10.1093/ehjimp/qyae123
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