Issam Shehadeh

@alexsfelixecho @DICSBC Thanks my friend

@IssamShehadeh @DICSBC Congratulations, my friend! Great publication 👏🏼👏🏼

I am very proud of the publication of our article on coronary Doppler in the ABC Cardiovascular Image journal. Many thanks to Dr. Marcelo Dantas Tavares and @DICSBC for the invitation. Here is the link to the full article: abcimaging.org/article/my-app…

@chucucapurro Muito prático meu amigo. Utilizo este modelo. É bem baratinho...

@IssamShehadeh Issam... explica para galera como fazer um handgrip de respeito!!

Do you believe in the power of the stress echo? Do you bilieve in coronary Doppler? Handgrip stress echo in a patient with rest WMA in LAD territory... LAD flow not found...

@chucucapurro É necessário um dinamômetro de mão. Daí calculamos a força máxima de prensa com a mão dominante. Após solicitamos ao paciente manter isometri com 30 a 50% da carga máxima. A partir de um minuto iniciamos a captura dos clipes. Sem muito mistério. Medir PA durante a isometria.

The beauty of Strain Doppler... LAD territory ischemia in stress echo... New post systolic contraction in anterior wall... High HR needs high frame rate! Congrats @gracybarros you are ready to stress echo!

@peteiro Hello professor. What the result of CT?

we decided OMT... and see, as the chance for LM disease seems low

#exercise echo done today. 77 y.o🏃‍♀️ female w/DM@dyspnea, did 5.4 METs scar in RCA/LCx territory, ischemia (mild) in LAD. E/e´ from 4.4 to 15 what to do?

@marciomp50 LV dissection?

Postoperative correction of a LV pseudoaneurysm with revascularization. What are you seeing? Note: these images were sent by a friend.

@peteiro Gracias maestro por facilitar nuestras vidas durante el eco de ejercício!

yes! nice case, thanks for sharing

Rest and Handgrip strain

Do you use handgrip stress echo? A 60 yo woman, smoker, with new angina... Rest and 2 mim of handgrip...

It's a joy to return to X... And let's go straight to the case of a 70-year-old patient, with changes in the basal ECG pattern, reduced functional capacity... Classic @peteiro Boomerang sign

@UHS_valveclinic @iamritu @rajdoc2005 @DocStrom @VLSorrellImages @The_echo_lady @fiore_corrado @Echo_DGK_GER @GE_IanMc @Magnus_GE_CVUS @samsrivastava77 Degenerative to me...

Not always easy to discern valve morphology when there is heavy calcification Bicuspid aortic valve?

Severe calcific aortic stenosis An echocardiographic 🧵 PLAX views - a highly calcified valve! Concentric LV hypertrophy. Mild post-stenotic aortic dilatation.

@DrRajeshG1 J

Probable DDs?

HI

@peteiro Exercise. Bike...

@IssamShehadeh LAD ischemia is it with dobutamina?

Do you use in your routine the apical short axis in stress echo? We learned with @peteiro a beautiful sign of increase of apical rotation associated with acute ischemia... Can you appreciate?

@AndrsIzaguirr12 @AndreasHelfen @Echo_DGK_GER @NMerke @echo_stepbystep @denisamuraru @CASEfromASE Gracias amigo

@IssamShehadeh @AndreasHelfen @Echo_DGK_GER @NMerke @echo_stepbystep @denisamuraru @CASEfromASE Increíble, Issam!

@pablommerlomd @SONECOM_AC Felicitaciones grande amigo! Espetacular!

Gracias @SONECOM_AC por la invitación ! al simposio: EL ECO ESTRÉS EN EL PACIENTE NO ISQUEMICO

@echotalk @CongressodoDIC Imperdível

Que honra para este ecocardiografista! Dar aula junto com a Adelaide Arruda e o amigo José Pretto. E moderado pelo Fabio Canellas! DIC 24 @CongressodoDIC