Roberto Garcia

🫀 #CardioNugget: Estimating PVR on Echo 👉 Uses TR velocity (pressure) + RVOT VTI (flow) 👉 High TRV + low RVOT VTI → ↑ PVR (pre-cap PH) 💡 Pearl: Think pressure/flow = resistance #EchoBoards #CardioTwitter

📘 E/e’ Útil para estimar presión de llenado del VI.<8: suele indicar presión normal 14: sugiere presión elevada (más útil con FEVI reducida)⚠️ Limitación: requiere movilidad normal del anillo mitral.#SONECOM #Ecocardiografía #CardioImaging

6y/o with DC juxta-arterial VSD, RCC prolapse. 📌 No AR today does not mean low risk tomorrow. @ASE360 @AEPCcongenital @ASE360 @WGACHDChair @iamritu @alexsfelixecho @CASivaram1 @alex1708ander @loomba_rohit @DavidWienerMD @swatigar @SIwa23288585 @WithAScalpel @Prasannasimha

Inlet VSD with straddling without overriding of the left AVV, producing aneurysm-like septal tissue. @ASE360 @AEPCcongenital @iamritu @CASivaram1 @WGACHDChair @alex1708ander @loomba_rohit @cardiopedhnn @SIwa23288585 @alexsfelixecho @Prasannasimha @WithAScalpel @swatigar

🫀NEW GUIDELINE🫀 Read our newest #ASEGuideline, "Recommendations for the Identification and Mitigation of Cardiac Ultrasound Artifacts!" bit.ly/4tKDSvf

17 y/o, leaflet thickening at the free edges, often involvement of NCC-RCC,Cusp retraction👉🏻poor coaptation AR @AEPCcongenital @iamritu @CASivaram1 @alex1708ander @alexsfelixecho @loomba_rohit @SIwa23288585 @swatigar @WithAScalpel @Prasannasimha @DavidWienerMD @echo_stepbystep

Published today, Brain Health Across the Life Span: A Framework for Future Studies A Scientific Statement from the American Heart Association. 📷 Recommendations to optimize brain health

1/4 #sinus_venosus_defect techscience.com/schd/v17n1/452… #CHD #cardioped

Glenn Circulation #1: Principle of Stage 2 Palliation 👉The Glenn diverts SVC flow directly to the pulmonary arteries, removing “stolen” pulmonary blood flow from the systemic ventricle. 👉Pulmonary blood flow becomes passive and non-pulsatile, with Glenn flow largely determined by SVC return. 👉Oxygen saturation depends on both flow and resistance: ↓SVC return or ↑PVR can reduce PBF and cause desaturation.

¿Cuáles son las 5 perlas pronósticas en ecocardiografía? 🫀 Congreso SISIAC en Cartagena, el Dr. Miguel Ángel García Fernández nos comparte los pilares clave: 1️⃣ Función ventricular 2️⃣ Tamaño de la aurícula izquierda 3️⃣ Función diastólica 4️⃣ VD acoplamiento V/A 5️⃣ Strain

Hendidura aislada de la valva anterior mitral: Estrategia quirúrgica guiada por ecocardiografía transesofágica 3D 📙 buff.ly/6iOF7Oz ◀️ Caso completo para Socios SEIC ¡Registro gratis! 👤 buff.ly/7ZV96un ◀️ #aprendeconcasos

Complete AVSD: Two-Patch Repair in the Surgeon’s View 🤲📝 👉In the Surgeon’s View, the superior and inferior bridging leaflets define the central anatomy of the common AV valve. 👉Two-patch repair reconstructs the ventricular and atrial septa separately: VSD patch closure, leaflet reattachment, and ASD patch closure. 👉The key is to restore balanced AV valve geometry while protecting the conduction axis near the inferior/posterior margin. @ASE360 @AEPCcongenital @iamritu @WGACHDChair @CASivaram1 @alexsfelixecho @loomba_rohit @alex1708ander @SIwa23288585 @swatigar @Prasannasimha @DavidWienerMD @sujithsp

📄 TTE vs 2D vs 4D flow CMR after PPVI: are they interchangeable? 🔗 DOI: doi.org/10.1093/ehjimp… 🫀 Imaging follow-up after percutaneous pulmonary valve implantation (PPVI) remains challenging—especially due to stent-related artefacts. This study compares TTE, 2D flow CMR, and 4D flow CMR for valve and flow assessment. ✨ Key findings: 🔹 Peak velocity measurements: Good correlation: TTE vs 2D CMR (r=0.68) Moderate correlation: TTE vs 4D CMR 🔹 Flow quantification (CMR): ➡️ Strong agreement between 2D and 4D flow Net flow: r=0.87 Regurgitation fraction: r=0.96 📊 Important nuances: 👉 4D flow CMR may underestimate flow at higher velocities 👉 Correlation strongest in mild-to-moderate valve dysfunction 👉 Limited data in severe stenosis/regurgitation ⚖️ Strengths & limitations of each modality: 🔸 TTE ✔ First-line, widely available ❗ May underestimate pulmonary regurgitation 🔸 2D flow CMR ✔ Reference standard for flow quantification ❗ Plane positioning critical, less flexible 🔸 4D flow CMR ✔ Full volumetric assessment + retrospective plane analysis ✔ Strong agreement with 2D flow ❗ Potential inaccuracies at high flow / turbulence 💡 Clinical take-home message: 👉 Multimodality imaging remains essential after PPVI 👉 4D flow CMR is promising for comprehensive haemodynamic assessment, but: ⚠️ should be interpreted cautiously in complex/high-flow conditions 🚨 Bottom line: Different tools, complementary strengths—no single modality fits all in post-PPVI imaging. #Cardiology #CMR #4DFlow #Echocardiography #CongenitalHeartDisease #PPVI #CardiacImaging #HeartValveDisease #PrecisionMedicine 🫀📊

Physical activity supports cardiovascular fitness, social development, and emotional well-being in all children. In those with cardiomyopathy, traditional restrictions have been based on fear of arrhythmia, sudden cardiac death, or disease progression. However, growing evidence shows these risks are often overstated, and inactivity itself contributes to cardiometabolic disease, obesity, and lower quality of life. ✍🏼 @BarbaraCifra

Defining #Ascending_Aorta dilatation in pediatric #bicuspid_Ao valve doi.org/10.1016/j.jjcc… #CHD #pedcard

Left Pulmonary veins on TEE @ASE360 @AEPCcongenital @iamritu @WGACHDChair @CASivaram1 @alexsfelixecho @loomba_rohit @alex1708ander @SIwa23288585 @swatigar @WithAScalpel @DavidWienerMD @dkthekkoott

Left & Right Pulmonary Veins in TEE @echofirst 📌 To get both LLPV & LUPV use the ME 2Ch view 📌 To get both RLPV & RUPV use the ME bicaval view

Anatomically corrected malposition of the great arteries is an exceptionally rare congenital cardiac anomaly. We report a 50-year-old patient with exertional dyspnea who was initially misdiagnosed as having atrioventricular septal defect. bit.ly/4vLGkTD @CASEfromASE

Your literature review does not need 200 papers. It needs 30. The right 30. In the right order. Most PhD students spend a year learning this the hard way.

🚨 What Should a Clinical Cardiologist Know About Cardiogenetics? 🧬 Cardiogenetics is transforming heart care!🧵 🔽👇 #CardioGenetics #HeartHealth #GeneticTesting #Cardiology