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🌟Obstructive HCM ✨Medio-ventricular dynamic obstruction After 3rd slide - Valsalva maneuver: From 10mmHg to >70mmHg medio-ventricular with no gradient in LVOT ✅ - 😳Look at Ao valve M-mode during maneuver 🔆 #echofirst #cardiotwitter Nicolas Merke Vladyslav Kavalerchyk 🇺🇦 Ekaterina Stellbrink Batman-Echo EchoTalk Echocardiography Ahmad Masri francesca graziani_FG Benoy Shah...

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Alex Felix

6,115 subscribers

17,789 Aufrufe • vor 2 Jahren •via X (Twitter)

Gesundheit & WellnessBildungWissenschaft & Technologie#echofirst#cardiotwitter
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5 Kommentare

Profilbild von Ahmad Masri
Ahmad Masrivor 2 Jahren

@NMerke @echo_stepbystep Great images Just different nomenclature- in our practice we only call LVOTO as obstructive HCM. Implications on management. Clinical trials following this approach as well.

Profilbild von Ekaterina Stellbrink
Ekaterina Stellbrinkvor 2 Jahren

@NMerke @echo_stepbystep Very beautiful imaging Alex ! With several exciting features! Double peaks in systole with first LVOT flow acceleration and then midventr peak, late systolic ⬇️ of pressure with AoV notching seen in MMode. How symptomatic? And how would you treat?

Profilbild von Alex Felix
Alex Felixvor 2 Jahren

NYHA II + syncopes Last week exam. There is discussion ongoing about treatment with myosin inhibitors for this pt. No LVOT gradient, no SAM, no MR. Our ASA patients are mostly basal septal obstructions, great to know about your experience with medio-septal obstruction. How about RF ablation? Thank you for your comments 🙏🏼😃

Profilbild von Ian Mcleod
Ian Mcleodvor 2 Jahren

@NMerke @echo_stepbystep Great case and really helpful tip! Someone told me a while back how helpful they find scanning and patient in a standing position.

Profilbild von andreia panza
andreia panzavor 1 Jahr

@echocardiac @NMerke @echo_stepbystep Super interessante. Boas dicas. Prestar mais atenção. Excelente caso e imagens. Me marca qdo tiver esses casos, Alex. Ou manda pra mim, por favor. Aprendendo sempre !!

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Next-level scary #echofirst 🦠 Enterococcus faecalis in the blood🩸culture 👉 underwent double valve replacement NephroPOCUS Ritu Thamman MD Chittur Sivaram MD MACP MACC Nicolas Merke Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Ekaterina Stellbrink Alex Felix Tuğba Kemaloğlu Öz, A/Prof Vladyslav Kavalerchyk 🇺🇦

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✨We can obtain so much information from a single Transthoracic Echo in patients with cardiac amyloidosis 🌟 🎯Be aware of clinical and #echofirst red flags for an early diagnosis 💛 🎯Don’t be afraid to communicate/report your suspicion to foster further investigation, correlating always with clinical findings 🗣️ 🎯Strain has important prognostic information and may be used to follow patients during treatment ✨Posted from Chile 🇨🇱 Ritu Thamman MD Ahmad Masri The International Society Of Amyloidosis Nicolas Merke Vladyslav Kavalerchyk 🇺🇦 Tuğba Kemaloğlu Öz, A/Prof Corrado Fiore Batman-Echo Ekaterina Stellbrink Thais Coutinho Mario Vargas Galgani Juan Lopez-Mattei, MD Dr. Purvi Parwani Luigi
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I am very excited about LBB area pacing See a comparison of resynchronisation with traditional BIV-CRT and LBBap in one patient 🎦 at Benjamin Buck 🇮🇱🇩🇪Ole-A. Breithardt 🇳🇴🇺🇦 Kardioklick Batman-Echo Ivan Stankovic Vladyslav Kavalerchyk 🇺🇦 Nicolas Merke Kevin Domingues Alex Felix Nicolas Merke Andreas Müssigbrodt EchoTalk Echocardiography Donal JUVoigt Its not only about LBBap but also about #echofirst in assessment🫀before and after resynchronisation☝🏻

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Clinical challenge! 👨🏼64 y.o. with bio-MVR (2022) presents with fever, fatigue, ↑CRP, leukocytosis. Blood cultures ⛔️ Empiric iv AB started but inflammatory markers ↗️, rapid deterioration to sepsis #echofirst shows a cardiac mass attached to LV wall: Infective endocarditis? Thrombus? Tumor? Something else? #whyCMR provides new insights. Imaging experts, what do you see? #CardioTwitter #CardiacMass Vladyslav Kavalerchyk 🇺🇦 Alex Felix Kardioklick 🇮🇱🇩🇪Ole-A. Breithardt 🇳🇴🇺🇦 Nicolas Merke Jan Verwerft Lukasz Zydzik Dr G Rajesh (Gopalan Nair Rajesh). Chittur Sivaram MD MACP MACC Benoy Shah MD francesca graziani_FG Ritu Thamman MD Simona Visoiu Batman-Echo Dr. Sou Ruta Jasaityte Dr. Purvi Parwani
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Clinical challenge! 👨🏼64 y.o. with bio-MVR (2022) presents with fever, fatigue, ↑CRP, leukocytosis. Blood cultures ⛔️ Empiric iv AB started but inflammatory markers ↗️, rapid deterioration to sepsis #echofirst shows a cardiac mass attached to LV wall: Infective endocarditis? Thrombus? Tumor? Something else? #whyCMR provides new insights. Imaging experts, what do you see? #CardioTwitter #CardiacMass Vladyslav Kavalerchyk 🇺🇦 Alex Felix Kardioklick 🇮🇱🇩🇪Ole-A. Breithardt 🇳🇴🇺🇦 Nicolas Merke Jan Verwerft Lukasz Zydzik Dr G Rajesh (Gopalan Nair Rajesh). Chittur Sivaram MD MACP MACC Benoy Shah MD francesca graziani_FG Ritu Thamman MD Simona Visoiu Batman-Echo Dr. Sou Ruta Jasaityte Dr. Purvi Parwani

Ekaterina Stellbrink

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#echofirst that was a cool session #EuroEcho2024 Jae K. Oh Batman-Echo Ritu Thamman MD Nicolas Merke American Society of Echocardiography EACVI President
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#echofirst that was a cool session #EuroEcho2024 Jae K. Oh Batman-Echo Ritu Thamman MD Nicolas Merke American Society of Echocardiography EACVI President

Alexander Mladenow MD

15,826 Aufrufe • vor 1 Jahr

Illustrative video demonstrating 10 different analyzes with a transthoracic 3D block! #echofirst #echo3D Many are still reluctant not to use echo 3D. Alex Felix Monica Alcantara M.D. , MSc, FESC, FEACVI Nicolas Merke Vladyslav Kavalerchyk 🇺🇦 Luigi RTHahnMD Rodrigo G P Lima Ian Mcleod Ritu Thamman MD
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Illustrative video demonstrating 10 different analyzes with a transthoracic 3D block! #echofirst #echo3D Many are still reluctant not to use echo 3D. Alex Felix Monica Alcantara M.D. , MSc, FESC, FEACVI Nicolas Merke Vladyslav Kavalerchyk 🇺🇦 Luigi RTHahnMD Rodrigo G P Lima Ian Mcleod Ritu Thamman MD

Márcio Mendes

16,313 Aufrufe • vor 2 Jahren

Valsalva Maneuver (Manoeuvre?) Physiology in 3 minutes!! 🫀 #MedEd #MedTwitter #valsalva #CardioTwitter
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Valsalva Maneuver (Manoeuvre?) Physiology in 3 minutes!! 🫀 #MedEd #MedTwitter #valsalva #CardioTwitter

Dr. Mike Todorovic 🧠

156,070 Aufrufe • vor 3 Jahren

What to consider when performing intraop TEE for the tricuspid valve 🥇put the AV at 09:00 o’clock 🕘 #echofirst Ritu Thamman MD Nicolas Merke 👉Your surgeon will ❤️ it! 🥈The surgeon ALWAYS 👀 TV from atrial aspect (through RA) NEVER from ventricular aspect ! 📺 TV SURGICAL VIEW 📺
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What to consider when performing intraop TEE for the tricuspid valve 🥇put the AV at 09:00 o’clock 🕘 #echofirst Ritu Thamman MD Nicolas Merke 👉Your surgeon will ❤️ it! 🥈The surgeon ALWAYS 👀 TV from atrial aspect (through RA) NEVER from ventricular aspect ! 📺 TV SURGICAL VIEW 📺

Alexander Mladenow MD

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What diagnosis?#echofirst Sociedade Portuguesa de Cardiologia Sociedad Mexicana de Cardiología SCC CARDIOLOGÍA Revista Portuguesa de Cardiologia RODRIGO BAHIENSE VISCONTI Márcio Mendes Ritu Thamman MD Daniel Ambinder, MD Mario Vargas Galgani Miguel Amor Vladyslav Kavalerchyk 🇺🇦 Nicolas Merke MIЯVΛƬ #IC ༄ ｡° Barbara Athayde Linhares Martins Vrandecic SEIC - Sociedad Española de Imagen Cardíaca KELLY BOEGEL Gillian Whalley, PhD FASE FCSANZ CV Case Journal Manuel G. Correa
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What diagnosis?#echofirst Sociedade Portuguesa de Cardiologia Sociedad Mexicana de Cardiología SCC CARDIOLOGÍA Revista Portuguesa de Cardiologia RODRIGO BAHIENSE VISCONTI Márcio Mendes Ritu Thamman MD Daniel Ambinder, MD Mario Vargas Galgani Miguel Amor Vladyslav Kavalerchyk 🇺🇦 Nicolas Merke MIЯVΛƬ #IC ༄ ｡° Barbara Athayde Linhares Martins Vrandecic SEIC - Sociedad Española de Imagen Cardíaca KELLY BOEGEL Gillian Whalley, PhD FASE FCSANZ CV Case Journal Manuel G. Correa

Rodrigo G P Lima

11,546 Aufrufe • vor 3 Jahren

This is my most striking and characteristic case of wild type amyloidosis #cardioX Ahmad Masri Alex Felix @FabianKnebel Kardioklick Ruta Jasaityte Maria Papathanasiou 🇮🇱🇩🇪Ole-A. Breithardt 🇳🇴🇺🇦 Chittur Sivaram MD MACP MACC Vladyslav Kavalerchyk 🇺🇦 Batman-Echo Marianna Fontana Nobody will overlook it at this stage
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This is my most striking and characteristic case of wild type amyloidosis #cardioX Ahmad Masri Alex Felix @FabianKnebel Kardioklick Ruta Jasaityte Maria Papathanasiou 🇮🇱🇩🇪Ole-A. Breithardt 🇳🇴🇺🇦 Chittur Sivaram MD MACP MACC Vladyslav Kavalerchyk 🇺🇦 Batman-Echo Marianna Fontana Nobody will overlook it at this stage

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It is impossible not to fall in love with echocardiography!!! #echofirst #CardioTwitter
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