Dr. Basl Bernieh

Libman-Sacks endocarditis is a rare cardiac manifestation of systemic lupus erythematosus. This is the case of a patient w/ poorly controlled SLE who presented w/ acute decompensated HF due to severe MR from LSE and concomitant constrictive pericarditis. bit.ly/4dQ7thK

@loomba_rohit Source: Echocardiography in CHD Made Simple Ho, Rigby, Anderson 2006 @cardiopedhnn @OungSavly @SIwa23288585 @WithAScalpel

Pulmonary vein Doppler tracks LA–LV hemodynamics beat-to-beat: •S wave → LA relaxation + annular descent (systolic suction) •D wave → LV filling (mirrors mitral E) •Ar wave → atrial contraction (retrograde) Blunted S, dominant D, ↑Ar? → elevated LA pressure & reduced compliance. Simple waveform. High-yield physiology. 🫀

@arabmemesss ما رأيك يا @grok

🚨 جريمة تهز عرش مصر شخص ميسور الحال جدا مش متجوز ولا مخلف .. توفى بعد الوفاة اخواته راحوا يطلعوا اعلام وراثة ..لقوا إن بالفعل طلع له اعلام وراثة إن له زوجة وأبناء ! الزوجة والابناء ورثوا مبلغ كبير "ملايين" … عرض المزيد

@drahmedmohsen85 Pericarditis

شاب عنده ٢٥ سنة وبيشتكي من الم في الصدر بيزيد مع النفس وبيحس كأنه شكشكة او دبابيس وبيرتاح لما يقعد ويتعب اكتر لما ينام

@drahmedmohsen85 Methyldopa

لو حصل Heart failure أثناء الحمل ما هو بديل ال ACE inhibitors/ARBs

Adam Christian Thebesius 1686-1732 To get the coronary sinus (CS) in TEE slowly advance the probe from the mid-esophageal 4Ch view till the MV disappears and instead of it the CS appears #echofirst By zooming in on the image the Thebesian valve can be occasionally seen

@IIrinaT Yes

@BaslDr VT Basal septum LV

What type of VT is this, and where is it originating from?

@Ecgloverr Let's see what the others say.

@BaslDr I think Anterior RVOT VT

Cardiac Amyloidosis Diagnosis Cardiac amyloidosis is a restrictive cardiomyopathy caused by extracellular deposition of misfolded amyloid proteins in the myocardium, leading to stiffening and heart failure. Key Diagnostic Steps 1️⃣ Suspect in HFpEF with wall thickening, low voltage ECG, elevated troponin/BNP, or unexplained heart failure. 2️⃣ Screen for monoclonal protein: 🔹Serum-free light chains 🔹Serum & urine immunofixation 3️⃣ Bone scintigraphy (PYP, DPD, HMDP) is useful if no monoclonal protein is found. 4️⃣ Biopsy (fat pad or endomyocardial) with Congo red staining & mass spectrometry if needed. TTR gene testing helps distinguish wild-type (ATTRwt) vs variant (ATTRv) amyloidosis. Reference: Braunwald’s Heart Disease, 12th Edition Image: Diagnostic algorithm for cardiac amyloidosis #Cardiology #HeartFailure #Amyloidosis #MedicalEducation

Constrictive pericarditis is a condition where the sac around the heart becomes thick and stiff, making it harder for the heart to fill properly. #Cardiology #ConstrictivePericarditis

Coumel sign. doi.org/10.1016/j.jacc…

Spectral Doppler tracings provide important hemodynamic insights. This book is dedicated to interpretation of spectral Doppler recordings, similar to EKG books focused on EKG interpretation. Examples of some spectral Doppler patterns which may not be widely known: Notched aortic regurgitation Interrupted aortic regurgitation Phantom systole Double peak LVOT signal Notched tricuspid regurgitation Giant L wave Intermittent systolic flow reversal in hepatic veins Merged tricuspid regurgitation @EchoSoliman

Left Atrial Appendage Closure: Reaching More Patients Every Day 🔹Relevant Anatomic landmarks for LAA Closure🔹 sciencedirect.com/science/articl… @JACCJournals @secardiologia @ritmo_SEC

Muscular arquitecture of the left atrium the 🔹subepicardial septopulmonary bundle overlaps with the 🔹subendocardial septoatrial bundle . Sharing with an enthusiastic group of young EP. Understanding anatomy is key to advancing the treatment of atrial fibrillation

@CardioNeo @NeoHeartSociety @CHD_education @conqueringchd @cardiopedhnn @OungSavly Great VSD tutorial 🤩 #echofirst VSD location ▶️ 👀 in ME RV in-out ▶️ important for the surgical approach 👉 3 types of VSD located at the base of the ❤️ ▶️ intraop 2D & 3DTEE 🪩2D & 3D images are horizontally and vertically mirrored🪩 #CHD @ASE360 #CVImaging

Expanded the section on ventricular septal defects and added new diagrams neocardiolab.com/congenital-hea… @NeoHeartSociety @CHD_education @conqueringchd @cardiopedhnn @OungSavly

Impact of horizontal rotation on electrocardiogram