Julia Grapsa

A complete guide on #tricuspid valve disease from clinical examination and #multimodality #imaging up to #surgery, complex #structural devices and the set up of dedicated valve centers, now published under @NatRevCardiol @NaturePortfolio - really grateful to @jgranadacrf for his mentorship and @hahn_rt @MartyBLeon @EZancanaroMD @kp_rommel @npfam1 @azeemlatib @FabienPraz @AugustinCoisne @modine_thomas @PhilippLurz @VDelgadoGarcia @masitges @j_hausleiter @nicolo_piazza ➡️ nature.com/articles/s4156…

Out of 72 definitions, the JACC CV expert panel definition of atrial functional MR was strongly associated with outcomes. @JACCJournals What are the differences in the Atrial Functional MR definition (ESC vs JACC)? 🫀 1. Left Atrial Size Threshold (LAVI) -> ESC Definition (More Inclusive / Earlier Stage, Threshold: LAVI > 34 mL/m² ->JACC Definition (More Restrictive / Clinically Advanced) Threshold: LAVI ≥ 40 mL/m² 🍃 2. Leaflet Motion Criteria (Carpentier Classification) -> ESC: Only Type I (Normal Motion) Mechanism: Pure annular dilation -> JACC: Type I Mild Type IIIb (posterior leaflet restriction) Mechanism: Annular dilation + tethering ("Extreme LA enlargement draws the posterior annulus toward the epicardial surface, increasing the annulo-papillary distance".) Papers: sciencedirect.com/science/articl… @WilliamZoghbi #ACCImaging #CVimaging #Echofirst

Pulsus paradoxus physiology revisited: Interestingly, volunteers without obesity and known cardiopulmonary conditions can have pulsus paradoxus measurements that easily exceed 10 mm Hg through slower respirations alone. nejm.org/doi/full/10.10…

#EHJCVI 🧲 MRI reveals what wall thickness alone can miss 📏 Wall Thickness SD (WTSD) identifies both overt and early hypertrophic cardiomyopathy, even before hypertrophy is evident 🔍✨Read more 👉 doi.org/10.1093/ehjci/…

"#EHJIMP🫀 Screening for heart disease in pregnancy: POCUS vs TTE 🫀🤰 From 18,401 women: ✅ POCUS detected 3% abnormal findings ✅ TTE detected 4.4%.🔍 POCUS is a fast, feasible screening tool but TTE remains gold standard for LV function. Ream more 👉 doi.org/10.1093/ehjimp… #Pregnancy #Cardiology #POCUS #EchoFirst #Echocardiography"

#EHJCVI🫀QUIZ‼️A 70-year-old woman with palpitations and labile blood pressure. Holter ECG shows one run of monomorphic NSVT. History of asthma, hypercholesterolemia, and Barlow’s disease. Referred for TEE during cardio-oncologic surveillance 👉 What’s your diagnosis?

@rohan_khera @MichaelGNanna @ekoikonomou @AHAScience @cards_lab @YaleCardiology @YaleMed @YaleMedPSTP @YaleIMed @ericjvelazquez Lots of congratulations @ekoikonomou 👏👏👏 θερμά συγχαρητήρια!!

Congratulations to @ekoikonomou for receiving an @AHAScience Career Development Award! Evan joined @cards_lab in its 1st year, 6 years ago. Since then, he's defined what rigorous science in AI looks like. His work will focus on targeted discovery of HCM with a novel multimodal AI approach. A great friend, travel buddy, and now Associate Director of CarDS Lab. Couldn't be more deserved!

@OxMarchenko ❤️❤️

Early surgery in asymptomatic patients with very severe aortic stenosis led to a lower risk of a composite of operative mortality or death from cardiovascular causes at 10 years than conservative care. Full RECOVERY trial results and Research Summary: nejm.org/doi/full/10.10…

RISE @ ESC Congress 2026 equips women in cardiology with the tools to thrive. This year, AI is woven through the agenda, reflecting the focus of #ESCCongress, with its role & impact featured across all RISE sessions. Explore more & register: womenasone.org/programs-event… #LetsRISE26

2026 Dietary Guidance to Improve Cardiovascular Health ahajrnls.org/4v0o6gL

Fascinating Kantoff-Sang Dean’s Lecture by @EricTopol on AI’s Transformation of #Medicine and Our Healthspan @HarvardUniv @harvardmed @MassGenBrigham @BWHCVImaging @scrippsresearch @ScrippsHealth #innovation #DigitalHealth

The #EAPCIJournalClub returns TOMORROW 🎬 🎞️ Join the discussion of the SELUTION DeNovo Study 🎤Ask you questions to the experts now in advance🎤 Register Here 🎥 esc365.escardio.org/event/2588 #EAPCIfamily #EAPCIcommunity #EAPCIJournalClub @escardio

Very proud of my former fellow @OxMarchenko for her FACC appointment and her presentation during #ACC26 - I am so so proud of you beyond words 🌟🌟 Left Ukraine in the middle of the war , risking her safety ➡️ worked under @GSTTnhs as my research fellow ➡️ moved to 🇺🇸 to work for Mount Sinai Heart & Minneapolis Heart Institute ➡️ that’s a success story ❤️💫

A patient with dyspnea. Rhythm is sinus and regular. Transpulmonic CW Doppler interrogation is shown, PI overall is non-severe. What explains the variability in PI deceleration slope in this patient?

@DrAsifQasim @aayshacader @RCPhysicians Lots of congratulations!!!

I’m really pleased to share that I’ve been elected to @RCPhysicians Council Thank you for your support! Please do share your thoughts, ideas, comments and concerns around things the College could or should be addressing

PCI before TAVI—necessary? In patients with CAD, deferring PCI was noninferior to a PCI-first strategy at 1 year for the composite of death, MI, stroke, and major bleeding. spkl.io/6018A0C78 #ACC26

#EHJCVI 📢 #HowTo paper on intracardiac #echofirst ‼️ ICE is a game changer in TAVI, yet still underused. Its use may reduce post-TAVI conduction disturbances ⚡️ This practical paper provides tips and methods for the use of ICE in guiding TAVI ⏭️doi.org/10.1093/ehjci/…

A loop that calls for a true eyeball diagnosis 👀 49F with exertional dyspnea (NYHA II). What’s your take? #EchoFirst #VHD #CardioTwitter @EACVIPresident @iamritu @iceman_ex @StellEkaterina @ToDoenst @JaeKOh2 @AntonioBarros_ @JGrapsa @VLSorrellImages @echo_batman @PPibarot

Presented at #ACC26: In patients with pulmonary embolism, ultrasound-facilitated, catheter-directed fibrinolysis led to a lower risk of a composite of major adverse outcomes than anticoagulation alone. Full HI-PEITHO trial results: nejm.org/doi/full/10.10… Editorial: Advanced Therapy for Intermediate-Risk Pulmonary Embolism nejm.org/doi/full/10.10… @ACCinTouch

#EHJCVI 🫀 Multimodality imaging is key in cardiac tumours ‼️ This rare case highlights the complementary role of #echofirst, #CVNuclear and #whyCMR in diagnosing and managing a primary cardiac granular cell tumour ⏭️ doi.org/10.1093/ehjci/…