


EchoTalk Echocardiography
12.3K posts

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







#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










🫀#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

🫀Answer: Membranous ventricular septal aneurysm 🤔AKA the septum said: “what if I just… bulged a little.” ✅Classic focal septal outpouching ✅In the region of the membranous ventricular septum Often incidental, occasionally confusing, always a little dramatic. #Radres #Radtwitter #Radiology



