EchoTalk Echocardiography

Stress Echo Tri Plane every day

Male, 60y, Dyspnea during normal physical activity

Is this new? Yes ! HFpEF scores already predicted outcomes in: • community cohorts (ARIC Selvaraj et al) • Post-HF hosp. cohorts (Verbrugge et al) doi.org/10.1002/ejhf.2… • HFpEF Trials (Ostominski, LBCT HF 2025) But not in a real life unexplained dyspnoea ... until now

> 600,000 left atrial appendage devices have been placed NOT NONINFERIOR 👇🏻 Trial is large, nonindustry funded and done in experienced centers in Germany Endpoint had both efficacy and safety components and still did not make non-inferiority I tried to tell you all

Subvalvar stenosis. The mean mitral gradient rose from 9 to 19 mmHg. Pulmonary pressure rose from 30 to 70 mmHg

2015 : O fim do Escore de Cálcio echotalkblog.wpcomstaging.com/2015/04/06/o-f… via @echotalk

Thank you Eric for sharing this story. It happens every day Positive CAC leads to a search for ischemia which leads to angiogram and scant few docs can resist the urge. Your pt was lucky as it can even lead to bypass Something needs to be done about this evidence-free practice

@VerwerftJan Final messages @VerwerftJan CPET and Stress echo together explains a lot of dypsnea patients adding prognosis information

The only thickened intima layer of the day had been bypassed by a stent in the carotid artery

Measuring the intima layer in all patients, on its own. Free of charge, for record-keeping purposes only.

Live case during the #CPETecho symposium @HartcentrumH. Excellent as always @VerwerftJan.

Athletes and Stress Echo

Do not be afraid to perform a stress echocardiogram in cases of aortic stenosis on a recumbent bike. There is no risk of falling

In my experience, it is very important that the patient is well hydrated before the examination begins.

1️⃣ Indications for stress #EchoFirst for diastology: Diastolic stress echo is performed when HFpEF or exercise-induced elevation in filling pressures is suspected but resting echo is inconclusive, particularly in patients with: -Unexplained exertional dyspnea -Normal or preserved LVEF with indeterminate diastolic function at rest -Suspected HFpEF with normal resting filling pressures -Discordance between symptoms and resting echo findings -Evaluation of exercise-induced pulmonary hypertension due to left-sided heart disease. #ASEchoJC

#ASEchoJC Q 6. What are the indications, protocol, and interpretation criteria for diastolic exercise (stress) echocardiography? @SNagueh @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360

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