echobasics

EchoCompact | Advanced am 2. Mai 2026 Strain-Echokardiographie: Wie die AI-gestützte Strain-Bildgebung den Alltag erheblich erleichtert echocompact.de

Intra- and extra- cardiac shunt can coexist. Differentiate mainly via flow pattern not cycle timing. •PFO: transient/intermittent bolus which can be late if RAP>LAP occurs late. •Transpulmonary: continuous trail of bubbles; can occur early for example in liver cirrhosis patients with large stroke volumes.

💡 Take a look to all the features of rheumatic mitral disease in an young female. 2D/3D TEE with Vivid Pioneer ✅ Hockey stick of AML 🏒 ✅ Extensive fusion of anterolateral commissure ✅ Chordae thickening ✅ Severe MS & mild to moderate MR What should we do? Surgical repair, replacement or Inoue Balloon?

Diagnosis? A. Cardiac thrombus B. Myxoma C. Vegetation D. Artifact

And one more BAV.

Hi #echofirst 25 year old man who presented with dyspnea Echo showed severe mixed aortic disease What do you think ? Unicuspid ? @alex1708ander @alexsfelixecho @CASivaram1 @argulian @iamritu @StellEkaterina @echo_stepbystep @najibadn

@ChahiOuardia @alex1708ander @alexsfelixecho @CASivaram1 @argulian @iamritu @StellEkaterina @echo_stepbystep @najibadn yes

In traumatic hemopericardium, especially in adolescents: small, rapidly accumulating, anterior effusions can cause cardiac tamponade @iamritu @ASE360 @AEPCcongenital @CASivaram1 @dkthekkoott @alexsfelixecho @echoleolopez @loomba_rohit @alex1708ander @SIwa23288585 @WithAScalpel

14-year-old, Doubly-committed VSD with trivial AR (prolapsed RCC) and PR. @iamritu @ASE360 @AEPCcongenital @CASivaram1 @dkthekkoott @alexsfelixecho @echoleolopez @loomba_rohit @alex1708ander @SIwa23288585

What is your preferred approach to draining an effusion like this causing tamponade? How many mL would you drain in this case.. all or do you stop after XmL to avoid RV failure?

a perfect EVOQUE tricuspid valve youtube.com/watch?v=6WoDSf… heidelberg-university-hospital.com/de/erkrankunge…

Focal Takotsubo syndrome (TTS) occurs in <2% of TTS cases, most often involving the anterior and lateral left ventricular segments. jacc.org/doi/10.1016/j.… #JACCIMG @thiele_holger @IngoEitel @Luca_Arcari88 @Auribarri @HernanDMejiaR

Quantification of MR especially primary MR using #echofirst requires attention PISA EROA is often the problem 👉 due to many pitfalls 👀 here review shorturl.at/DZsNs But there is a Solution 👊shorturl.at/xVAfb Using volumetric method

Mitral valve with localized degenerative disease (P2 flail), preserved and symmetric annular geometry, showing a primary mechanism of mitral regurgitation (Carpentier type II). Volumetric reconstruction with precise anatomical mapping for valve repair planning.#echofirst #philips

Septal Bounce in Constrictive Pericarditis: 🫀 What is Septal Bounce? Definition: A paradoxical early diastolic movement of the interventricular septum toward the left ventricle. Timing: Occurs during early diastole, often visible on M-mode, 2D, or with real-time imaging. Cause: Results from exaggerated ventricular interdependence due to a stiff, non-compliant pericardium. In constrictive pericarditis, the thickened pericardium limits normal diastolic filling, causing pressure discordance between ventricles. 🔍 Echocardiographic Findings: ▪︎2D echo: “Bounce” or abrupt septal shift with respiration (usually toward the left during inspiration). ▪︎M-mode: Shows a “notch” or abrupt early diastolic motion. ▪︎Doppler: May show respiratory variation in mitral and tricuspid inflow velocities. 📋 Differential Diagnoses ▪︎Constrictive pericarditis (most common cause). Occasionally seen in: ▪︎Severe right ventricular volume overload. ▪︎Post-pericardiectomy. ▪︎Effusive-constrictive pericarditis. 🎯 Clinical Relevance Helps differentiate constrictive pericarditis from restrictive cardiomyopathy: Septal bounce = Constrictive pericarditis.

peak myocardial work, a nonproprietary formula to assess myocardial work, GLS*SBP link.springer.com/article/10.100… @denisamuraru @iamritu @NMerke @alexsfelixecho @fiore_corrado @lpbadano @EACVIPresident @ASE360 @escardio @SISIACOficial @BritishOf43095 @EchoResPract @strain_rate

Accessory Mitral Valve Tissue: An Unusual Echocardiographic Finding by @CASEfromASE @denisamuraru @VLSorrellImages @DavidWienerMD Arnaldo Rabischoffsky et al. cvcasejournal.com/article/S2468-… #VHD #echofirst @iamritu @NMerke @dr_benoy_n_shah @alexsfelixecho @alex1708ander @ToDoenst

@echo_stepbystep @CASEfromASE @denisamuraru @VLSorrellImages @DavidWienerMD @iamritu @NMerke @dr_benoy_n_shah @alexsfelixecho @alex1708ander @ToDoenst we had a case a couple of years ago internationaljournalofcardiology.com/article/S0167-…

Double Orifice of the Mitral Valve. 17 years old As a child, he underwent surgery for coarctation of the aorta and VSD.