EchoTalk Echocardiography

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EchoTalk Echocardiography

EchoTalk Echocardiography

@echotalk

Prof. Jose R. Matos-Souza. Associate Professor. Lab. Director Echo: UNICAMP Medical School. https://t.co/ib8ucnPJ72 (YouTube =EchoTalk) . @echotalkblog

Brasil [email protected] Katılım Eylül 2008
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EchoTalk Echocardiography
A 45-year-old woman who underwent surgery for ovarian cancer. The tumor invaded the vena cava and extended into the left atrium.
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🇳🇴🇩🇰Asbjørn Støylen 🇬🇱🇵🇸🇺🇦
And is late systolic, as a sign of the late motion of the adjacent mitral annulus, it moves first when myocardial shortening has stretched the adjacent dijunct area. The TDI image shows a true pickelhaube.
Ritika Tuli@RitikaTuliMD

#CardioNuggets™ The Pickelhaube sign is a sharp, spiked high-velocity systolic tissue Doppler signal of the lateral mitral annulus seen in arrhythmic mitral valve prolapse. It’s named after the old German “Pickelhaube” helmet because the Doppler waveform resembles the helmet’s pointed spike. Why it happens: Prolapsing mitral leaflets cause abrupt systolic tugging of the papillary muscles/mitral annulus → creating a tall systolic velocity spike on TDI. Why it matters: Suggests arrhythmic MVP Associated with ventricular arrhythmias/SCD risk Often seen with bileaflet MVP and mitral annular disjunction (MAD) Image from @drahmedmohsen85 #CardioNuggets #MedEd #EchoFirst

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Novi Yanti Sari
Novi Yanti Sari@slumberbell·
🫀 What happens when long-term low-dose #digoxin is suddenly withdrawn? Blinded withdrawal analysis from the #DECISION trial presented at #HeartFailure26 by Prof. Peter van der Meer: 📍Digoxin withdrawal was associated with a ~7x increase in worsening HF events over just 6 weeks 📍14 worsening HF events occurred after digoxin withdrawal vs only 2 events in placebo withdrawal 📍Withdrawal was accompanied by: ⬆️HR,⬇️ SBP, ⬆️NT-proBNP, ⬇️eGFR 📍⚠️caution when stopping long-term low-dose digoxin in pts with HF & LVEF <=50% @escardio @HFA_President @jozinetm
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EchoTalk Echocardiography
EchoTalk Echocardiography@echotalk·
😮
Novi Yanti Sari@slumberbell

🫀#MR in #HF is far more than “mild, moderate, severe”. ⚠️Accurate MR assessment directly influences HF management & outcomes. Excellent overview by @anatimoteo46040 at #HeartFailure26 on how we should assess secondary MR in HF: 📍Mechanism matters: Ventricular vs atrial MR, differentiate early 📍MR grading must be multiparametric, Never rely on a single number alone. 📍Secondary MR is dynamic, Severity may change after: GDMT optimization, CRT, rhythm/rate control, decongestion. ⚠️Reassess before intervention decisions. 📍Multimodality imaging matters, each provide complementary information on anatomy, mechanism, ventricular remodeling, procedural suitability 📍Heart Team discussion is essential. 📍Quantitative parameters matter most when deciding advanced therapies @escardio @EACVIPresident @VictoriaDe32503 #EchoFirst #whyCMR #YesCCT #3DEcho #HeartFailure

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SISIAC
SISIAC@SISIACOficial·
La Dra. Ana Camarozano nos comparte unas palabras en ocasión del pasado XXII Congreso SISIAC realizado en Cartagena de Indias, Colombia 🙌
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🇳🇴🇩🇰Asbjørn Støylen 🇬🇱🇵🇸🇺🇦
Measuring LVOT velocities should be done above the acceleration zone, using functional, not anatomical assessment. The LVOT signal for the cw signal will always show the accelerated velocities, the convergent zone having higher intensity, and cannot be used for LVOT velocities.
🇳🇴🇩🇰Asbjørn Støylen 🇬🇱🇵🇸🇺🇦 tweet media
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Science girl
Science girl@sciencegirl·
The most detailed image of human cell For perspective, the human body contains approximately 37 trillion cells, Life is a miracle
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EchoTalk Echocardiography
EchoTalk Echocardiography@echotalk·
Key Benefits Costs 6x less Maintenance-free No software to freeze or crash Supports heavy-duty use (even for obese patients) * Nota: Usei "heavy-duty" ou "obese patients" para soar mais profissional e respeitoso no contexto de vendas. No regular upgrades required Maximum comfort and safety for the elderly Allows full focus on image acquisition Fits in the corner of the room when not in use Easy mount and dismount thanks to the step-through design Tested over 30,000 times
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EchoTalk Echocardiography@echotalk·
All lectures and articles reiterate the maxim: Diastolic echostress is useful but has many false negatives . The study cited compared invasive measurements as the gold standard. . But physiology explains that the patient must not be on fluid restriction prior to the test It affects preload, which in turn affects the E-wave during exercise! . Physiology also teaches us that stopping the daily diuretic is essential . It also teaches us that venodilators interfere with the venous contraction essential for increasing venous return and enhancing the E-wave. . Echotalk prescription: Always stop the daily diuretic. Hydrate freely before the test Discontinue routine venodilator medication if possible . Remember the pathophysiology of heart failure with reduced ejection fraction (HFREF) You need lower limb muscle pump You need normal preload You need venoconstriction during exercise
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