Saurabh Malhotra

Grateful my case was selected for the #ASNC FIT Case Competition! Huge thanks to my amazing mentors @Vandyckmarian @PWengrofskyMD for making this possible and ASNC for organizing such an enriching session for our educators! A great way to kick off the #ACC25 weekend! @MyASNC

Presenting a case highlighting the importance of checking for incidental findings in nuclear #Hybrid_Imaging. At @MyASNC FIT Show-a-case Grateful to @almallahmo for his invaluable mentorship. #CVNuc

Teaching pearls on #CVNuc #CVPET @MyASNC

Kickstarting the @ACCinTouch weekend in Chicago with a packed house @MyASNC FIT Show-a-case. 30 cases, covering a wide breath of #CVNuc, being presented by FITs from all over the country and beyond. @PanithayaC @premsoman123 @kananth12 @rlweinberg @almallahmo

📢 Join us TONIGHT for the Optimizing the Diagnosis of ATTR-CM webinar! Learn the latest techniques for acquiring, interpreting & reporting Tc-99m HMDP & Tc-99m PYP—plus best practices for each tracer. Register👉bit.ly/4hHf8xm #cvnuc

Join us today for best practices for ATTR amyloidosis @MyASNC @NotNoninvasive @PanithayaC @MasriAhmadMD @DorbalaSharmila @DrCAkincioglu 📷 tracers update and clinical cases🫀 #CVNuc #ThinkAmyloid

PYP test is a simple and transformative imaging for ATTR amyloidosis @MyASNC @NotNoninvasive @Amyloidosisfdn #CvNuc @MyASNC SPECT imaging is needed to ensure myocardial uptake

Tips and tricks for ATTR SPECT imaging. 👇do not depend on planar -->Do SPECT 🫵 PYP uptake can be patchy or diffuse ✍️ Expect wash out with HMDP and scan at 1 hour @MyASNC #CVNuc @premsoman123 @NotNoninvasive

3 hour imaging with HMDP can lead to false negative scan for ATTR amyloidosis @MyASNC @NotNoninvasive

🫀 Is it cardiac Amyloidosis? @MyASNC @premsoman123 @NotNoninvasive @MasriAhmadMD @DorbalaSharmila #CvNuc @AmyloidosisA @Amyloidosisfdn @Amyloidosis_ARC @ACCinTouch @AHAScience

ATTR SPECT not always diffuse for Cardiac Amyloidosis. 👇👇👇 @MyASNC @NotNoninvasive @DrCAkincioglu @MasriAhmadMD #CvNuc

Supply chain issues make it tough to rely on Tc-99m PYP for ATTR-CM, potentially delaying treatment. But did you know Tc-99m HMDP is a viable alternative? Join us next week to learn best practices for the use of each tracer & key differences. Register👉bit.ly/4hHf8xm

Last day of Cardiac Amyloidosis Masterclass! Everything you need to know about treatment strategies @NotNoninvasive @MasriAhmadMD and other distinguished faculty. Do NOT miss #ThinkAmyloid #CVCNuc - 🫶@MyASNC @PanithayaC

Use of cardiac biomarkers for Cardiac Amyloidosis staging @Amyloiosisfdn @BU_Amyloidosis @MayoAmyloid @MasriAhmadMD @BrettSperryMD @NotNoninvasive @ICOSociety @MyASNC #ThinkAmyloid #CvNuC

Excellent MASTERCLASS ON CARDIAC AMYLOIDOSIS from ASNC every year gets better - particularly exciting for our patients with new treatments on the horizon Important quality measures have to be in place THANK YOU @MyASNC @premsoman123 @MasriAhmadMD @NotNoninvasive @sarahcud

What causes “thick walls” in the heart? 🔎 • Hypertrophy: Genetic (HCM), Hemodynamic (HTN, Aortic Stenosis), Endocrine, Athlete’s Heart • Infiltrative: Amyloidosis, Hemochromatosis • Storage Disorders: Fabry, Danon, Friedreich’s Ataxia #Amyloidosis #CVNuc @MyASNC

Sensitivity of Biopsies in AL #Amyloidosis 🎯 • Fat pad alone ~77% • Combine fat pad + bone marrow → ~89% sensitivity • Peripheral nerve, skin, liver, GI → 60~85% • Kidney & Heart → around 95%🌟 #CVNuc @MyASNC

Takeaways on genetic testing for #Amyloidosis: • Common types: ATTRwt > AL > AA = LECT2 > hereditary • 15% of cases are hereditary 🧬 (watch for family history, younger onset, & TTR gene variants) • DPD/PYP can be positive in hereditary amyloid 🔎 #CVNuc @MyASNC

🔎 Key Echo Takeaways for #Amyloidosis: • Thick walls (>12 mm) + large atria + pericardial effusion = not always specific • “Starry sky” sign 🌌 isn’t specific—use GLS to quantify • Apical sparing with normal LVEF can be a major clue 🏆 #CVNuc @MyASNC