Bryan E. Tan, MD

2025 has been an amazing year for our family! Some highlights: ✨Had a blast in Portugal 🇵🇹 for baby moon 🌙 ✨The arrival of our 1st baby 👶🏼 ✨ Matched at 1st choice for Advanced Imaging Fellowship 🩻 ✨Aced Echo boards (95 percentile) Looking forward to another great year!

@JSlivnickMD @ASE360 Congratulations! Dr. Slivnick

Honored to be part of this group. Grateful for the mentorship and support I’ve received along the way, especially from @ASE360 and Leadership Academy. Such an incredible community to be part of.

@DavidLBrownMD @ShariqShamimMD @SachinGoelMD Don’t blame the player, blame the game

@ShariqShamimMD @SachinGoelMD Mysteriously cardiology fellows rapidly lose interest in publishing after match day.

Super star med student from my Alma mater is starting his IM residency soon. Cardiology PDs, Keep an eye on his CV Fellowship application, he has published more abstracts/papers than many cardiology fellows under mentorship of @SachinGoelMD & he is brilliant clinically #cardiotwitter

⚠️ Important concept In 2025 ASE Diastology Guidelines, “LV filling pressure” generally refers to mean LAP or its correlates: 🔹 Mean PCWP 🔹 Mean LAP 🔹 LV pre-A pressure But LVEDP and LAP are not the same. ✔️ Elevated LAP → elevated LVEDP ❗ Elevated LVEDP can occur with normal LAP in early diastolic dysfunction. #ASEchoJC #EchoFirst @ASE360

Left Atrial Volume Index (LAVi )– Interpretation Pearls 🧠 Reflects chronic exposure to elevated LV filling pressures ⚠️ Pitfalls: LA enlargement may occur without diastolic dysfunction in: 🔹 High-output states 🔹Atrial fibrillation/flutter 🔹 Mitral valve disease 🔹 Biatrial heart transplant 🔹 Endurance athletes #ASEchoJC #EchoFirst @ASE360

#ASEchoJC Q1. What are the primary echocardiographic measurements used to assess LV diastolic function on transthoracic echo? @SNagueh @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360

Summary of parameters used to assess LAP in valvular heart disease -- #ASEchoJC

Left Atrial Strain (Advanced Technique) 📍 Acquisition • Optimize A4C & A2C LA views (avoid foreshortening) • ↓ Gain/compression → clean blood pool–tissue border • Narrow sector → frame rate 50–70 fps • Good ECG with visible P wave, use R–R gating • Dedicated LA strain software • Exclude pulmonary veins & LAA • Track underside of annulus along LA wall #ASEchoJC #EchoFirst @ASE360

🫀 Diastolic MR — think 🤔 pressure gradient reversal. 📌 Occurs when LV diastolic pressure > LA pressure before systole 🫀 Causes: • 🔌 AV conduction delay (e.g., complete heart block as in this case⬇️) • ⚡ AV dyssynchrony • 💥 Acute severe AR • 🫁 Elevated LVEDP / restrictive physiology • ⏱️ Long diastasis with delayed LV contraction #EchoFirst #CardioX #Cardiotwitter #MightyMitral @ASE360

UChicago Cardiology: Clinical Growth & Innovation The @UChicagoMed Section of Cardiology continues to expand the scale and innovation of cardiovascular care. Over the past two years our team has advanced major clinical programs, introduced new technologies, and strengthened regional partnerships across Chicagoland and Northwest Indiana — including milestones such as our 1000th heart transplant, FDA-cleared AI-enabled cardiac amyloidosis detection, and significant growth in electrophysiology services. If our program has positively impacted your patients or your practice, we would be honored if you would consider supporting the University of Chicago in this year’s U.S. News & World Report Best Hospitals rankings through Doximity: doximity.com We are grateful for the collaboration and trust of the physicians and partners who help advance cardiovascular care across our shared communities. #Cardiology #AcademicMedicine

Attention all #FIT! Accepting applications at @EndeavorHlth. High volume CT/MRI/Structural TEE/Stress PET, 10+faculty. Photon-counting CT, AI Research Email amit.pursnani@endeavorhealth.org @UCNSCards @ilya_tweets @mj_ricciardi

@LeivaOrly That’s insane

Taking almost 6 months to desk reject a manuscript is criminal. SMH. Journals need to do better to respect our time.

🚨Advanced Cardiac Imaging Fellowship 2026- William Beaumont University Hospital Train at a high-volume, internationally recognized center❗️ Applicants must have completed an ACGME-accredited General Cardiology Fellowship. DM for info #Cardiology #CardiacCT #CMR #ACCFIT #ACC

📣 GENERAL CARDIOLOGY FELLOWSHIP OPENING JULY 2026: Looking for qualified applicant/s Pls send full ERAS app & LORs Nishtha.sodhi@hcahealthcare.com Aeelyn.urdaneta@hcahealthcare.com @ACCinTouch @WomenAs1 @AHAScience @TCTMD @SCAI @crfheart @CardioNerds

@echo_batman @iamritu Apical HCM with Spade sign best shown on contrast echo

What is the diagnosis and terminology?

@onco_cardiology @AHAScience @JACCJournals Congratulations Dr. Lopez 👏👏

Happy to share two projects of love ❤️ that are in press. A scientific statement from @AHAScience professional.heart.org/en/science-new… and original research from @JACCJournals #JACCAdvances jacc.org/doi/10.1016/j.… 🔥🔥🔥🔥

"The term [provider] should not be used to describe physicians, nor should physicians use it to describe themselves, their team members, or their trainees." acpjournals.org/doi/10.7326/AN… @AnnalsofIM @ACPIMPhysicians

🦕 atheroma in the aortic arch! 😱 TEE grades of aortic atheroma: I: normal/minimal II: intimal thickening, <3 mm III: plaque 3–5 mm IV: plaque >5 mm (protruding) V: mobile/ulcerated plaque → highest embolic risk #EchoFirst #Cardiotwitter #CardioX

For the first time, @TIME and Statista have identified the World’s Top 500 Universities using a robust set of quantitative indicators. It highlights not only academic excellence, but also how universities turn knowledge into real-world impact.

Recruiting for our Advanced Cardiac Imaging Fellowship (CT/MR) at Vanderbilt starting 2027! High-volume Level 3 training in cardiac CT (>2,000 exams/yr) & CMR (2,500–3,000 studies/yr), teaching, research, academic prep. Interested? Email PC Sylvia Jones: sylvia.a.jones@vumc.org DM me to chat! Details: medicine.vumc.org/divisions/card… #YesCCT #WhyCMR #CardioTwitter

@PrimeVideo @AmazonMGMStudio @tombraider Lara Croft or Matt Murdock?

Get your artifacts out. Lara's on her way… #TombRaider #WardrobeTest