Nilson Lopez

#EHJCVI 🫀 Time to refine #echofirst quantification of aortic regurgitation? 🔍 Using #whyCMR as reference, a 2-step TTE algorithm (RegVol≥45 mL + LVEDVi≥93 mL/m²) outperformed traditional criteria for severe AR definition‼️ #VHD ⏩Read more: doi.org/10.1093/ehjci/…

📱🫀Uso de la Ecocardiografía en el Abordaje del Shock Indiferenciado 🔰📚The Texas Heart Institute Journal doi.org/10.14503/THIJ-… Enlace a Artículo Completo👇🏻🆓✅ t.me/SoMELaguna

No se si sabéis que en @NEJM están poniendo una mini serie sobre #ICFEp Double Take miniseries on heart failure with preserved ejection fraction (HFpEF) from the New England Journal of Medicine Empezó la semana pasada con: ❤️‍🩹 Prevalencia y diagnóstico nejm.org/doi/full/10.10… Está semana ❤️‍🩹 Manejo desde primary care nejm.org/doi/full/10.10…

Diagnosis of #TransthyretinCardiacAmyloidosis was frequently delayed >6 months after #HeartFailure in Medicare beneficiaries, especially among women and those with aortic stenosis, coronary artery disease, diabetes, or hypertension. ja.ma/4cWMd7O

Submit your abstract for the XX International Symposium on Amyloidosis! Share your research, spark new ideas, and connect with experts from around the world. Apply before the upcoming deadline of July 1, 2026. Submit now: isaamyloidosis.org/isa-2026-sympo…

Houston Methodist 4.28.26 Multi-Modality Imaging Weekly Webcast youtube.com/live/LM3oV3OIX… vía @YouTube

🩺This morning’s Cardiovascular Grand Rounds featured Dr. Erik Beckmann, who presented "Contemporary Management of Aortic Dissection: Is hybrid the future?" 🎥 As always, recordings are available here: buff.ly/sZ8F7Hx

📄 2025 ESC/EACTS Valvular Guidelines: imaging perspective 🔗 DOI: doi.org/10.1093/ehjimp… 🫀 Core message The new guidelines mark a major shift: 👉 from a single decision (surgery vs transcatheter) 👉 to a lifetime management strategy ➡️ In this framework, imaging becomes central to Heart Team decision-making. 🔑 Key clinical updates Aortic stenosis: 👉 Age threshold for TAVI lowered to ~70 years 👉 Decisions now based on lifetime strategy (redo options, coronary access, anatomy) Primary mitral regurgitation: 👉 Surgery remains the gold standard 👉 Earlier intervention recommended in selected asymptomatic patients Atrial secondary MR: 👉 Recognised as a distinct entity 👉 New indications for surgery and transcatheter therapies Tricuspid regurgitation: 👉 Transcatheter therapies enter mainstream guidelines 👉 Strongly dependent on RV function and pulmonary hypertension 🧠 New role of imaging 👉 No longer just to “confirm severity” 👉 But to shape the entire clinical pathway Three key shifts: From single parameters → integrated phenotyping Right modality at the right time Standardisation and reproducibility 🖥️ Role of imaging modalities Echocardiography: first-line, now expected to be integrative (3D, stress) CT: crucial for anatomy, feasibility, and lifetime planning CMR: reference for volumes, regurgitation, and myocardial damage Multimodality imaging: essential for complex decision-making 🔄 Paradigm shift 👉 Imaging-driven pathway: DEFINE → SELECT → DELIVER → TRACK ➡️ Moving from thresholds → personalised, predictive care 🤖 Future: AI in imaging 👉 Not just automation, but: standardisation detection of discordance guideline-based decision support ⚠️ Must remain transparent, validated, and clinically accountable 🚨 Bottom line 👉 Imaging is now: a continuous, central, decision-making tool in valve disease 👉 Not just measuring valves ➡️ but guiding lifelong patient management strategies

Hot off the press! 🔥🔥 Meta-analysis exploring diagnostic accuracy of ASR for 🫀 Amyloidosis now out in Echocardiography! Congratulations to all co-authors on this important work!onlinelibrary.wiley.com/doi/10.1111/ec… @JSlivnickMD @UCCardsFellows @BCMHeart @BCMDeptMedicine @BCM_CVRI #ACCFIT

Comprehensive tricuspid valve TEE analysis (mid-esophageal & transgastric views) @iamritu @OungSavly @CASivaram1 @NMerke @DrRajeshG1 @alexsfelixecho @WithAScalpel 1️⃣ ME 4Ch 2️⃣ ME RV in-out 3️⃣ ME bicaval 💚 anterior TV leaflet 💛 septal TV leaflet 💙 posterior TV leaflet

Which all parameters to decide severity of MR in such jets?

Debate summary highlighting limitations of argument against LAA occlusion #HRS2026

LIVE IN ONE HOUR! Grand Rounds conference featuring Houston Methodist faculty discussing “Dyslipidemia Management in 2026 – Updated Guidelines.” Watch LIVE: bit.ly/GR042326 #GrandRounds #DeBakeyCVEdu #HoustonMethodist

🔴The 10 Commandments of PFO Pathophysiology & Patient Selection @JACCJournals #Cardiology #FOAMed #PFO

Update on Aortic ViV App! Check it out, now BRAILE Valves are available on the App @bapat_savrtavr @MHIF_Heart #ViV #Valve-in-Valve

Just published in Circulation- a multi-institution collaborative team effort that leverages insights from invasive cardiopulmonary exercise testing to further understand HFpEF. lnkd.in/eVuF7SkF

LIVE IN ONE HOUR! Grand Rounds conference featuring Sripal Bangalore, MD, MHA, presenting “Contemporary Management of Chronic Coronary Syndromes: Insights from ISCHEMIA and Contemporary Trials.” Watch LIVE: bit.ly/GR041626 #GrandRounds #DeBakeyCVEdu #HoustonMethodist

🩺This morning’s Cardiovascular Grand Rounds featured Dr. Jonathan Newman, who presented "Air Pollution and Cardiovascular Disease." 🎥 As always, recordings are available here: buff.ly/AoTUGIK

🚨"Atrial mitral and tricuspid regurgitation" is live now🚨 @MariannaAdamo1, @masitges, @PhilippLurz, @denisamuraru, @tomdepotter are waiting for you online📡 💻 Watch the live: pcronline.com/Webinars/PCR-W… #InterventionalCardiology #PCRWebinar

Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion VExUS facilitates non-invasive quantification of venous congestion, relying on measurements of the inferior vena cava (IVC) size and Doppler assessments of the hepatic vein (HV), portal vein (PV), and intrarenal vein, thereby providing real-time insights into hemodynamic status and guiding therapeutic interventions #Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare @ASE360 @NicolasGirerd @DrMarthaGulati @hvanspall @hfcollaboratory @HFA_President @ShelleyZieroth link.springer.com/article/10.118…