Thank you to EVERYONE who made #ASE2025 so impactful! We celebrated our #ASE50th anniversary, surrounded by thousands of incredible individuals from the echo community. 🫀 Enjoy the full #ASE2025 recap video on our YouTube channel. https://t.co/mvQdBuOVT4

Thank you to EVERYONE who made #ASE2025 so impactful! We celebrated our #ASE50th anniversary, surrounded by thousands of incredible individuals from the echo community. 🫀 Enjoy the full #ASE2025 recap video on our YouTube channel. https://t.co/mvQdBuOVT4

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Our October 2025 @CASEfromASE is online! https://t.co/rXsnEOvPh3 This issue features: 🫀Hypervascular Myxoma in the Left Atrium 🫀Left Atrial Ridge Mass Complicating Percutaneous Left Atrial Appendage Occlusion 🫀Aortic Valve Myxoma in a Young Child 🫀And so much more!

#EchoHawaii features in-depth, case-based learning on established and emerging cardiovascular ultrasound technologies in a beautiful and relaxed setting. Participants can earn up to 23.5 AMA PRA Category 1 Credits™. SAVE $225 by registering early: https://t.co/UuZyDKVA02

🌺 REGISTRATION OPEN 🌺 Start off 2026 in the Aloha State at #EchoHawaii, taking place January 19-22, at the Fairmont Orchid resort on the Kohala Coast of the Big Island! SAVE $225 by registering early! Early registration ends December 16. https://t.co/UuZyDKW7PA

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What’s the most dangerous canoe 🛶 in the pacific? Obviously the Hawaiian vol-canoes 🌋 (#sorrynotsorry) Join us for more fun, and serious science at #echohawaii26 🌴 Expert talks, cases, cases, lots of discussion. Posters at sunset 🌅Perfect weather in January. Register 👇

UPCOMING WEBINAR: On Nov. 4 from 6-7 PM ET, join us for the 1st #ASEWebinar in our new Prosthetic Valve Series! This webinar will review the fundamentals of echocardiographic & Doppler evaluation of prosthetic & percutaneous repair of the tricuspid valve. https://t.co/wROQLz4Oeh

@NadeenFaza @JGrapsa @JiwonKimMD @purviparwani @DavidWienerMD @boegel_kelly @GWhalleyPhD @rajdoc2005 @SIwa23288585 ✨ Huge thank you to all who tuned into tonight’s #ASEchoJC! Incredible discussion, thoughtful questions, and practical pearls on right heart & PH assessment. Proud to be part of this dynamic #EchoFirst community! 💙 Grateful to our expert authors @JGrapsa @JiwonKimMD and

Thank you to EVERYONE who participated in tonight’s #ASEchoJC! ❤️ Huge shout-outs to our moderators, @NadeenFaza and @PWesslyMD, and our guest authors, @JiwonKimMD and @JGrapsa.

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Thank you for joining our #ASEchoJC as we unraveled the mysteries of the “chamber of secrets” — the right ventricle! 🫀Grateful to our expert authors, my amazing co-moderator, & our engaged audience for a lively & insightful discussion! 🙏💬 Till next time! @JGrapsa @JiwonKimMD

RV–PA coupling 🫀👇 - Definition: RV–PA coupling = balance between 💪 RV contractility (Ees) and 💨 pulmonary arterial afterload (Ea) — key to efficient blood flow. -Optimal zone: ⚖️ Ees/Ea ≈ 1.5–2.0 → maximal energy transfer and adaptive RV performance. - Echo markers: 📊

@NadeenFaza @JiwonKimMD @PWesslyMD @ASE360 Great question #ASEchoJC Dont forget that RV assessment plays a crucial role in structural TV interventions - Dont forget quantitation, coupling assessment and appropriate risk stratification / patient selection - check landmark studies @ASE360

#ASEchoJC What is the RV-PA coupling ratio and what are its implications for transcatheter tricuspid interventions? @JGrapsa @JiwonKimMD @PWesslyMD @ASE360 #EchoFirst

@NadeenFaza @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ The Bernoulli Equation Caveat 📉 In patients with severe TR & V-wave cutoff, the modified Bernoulli equation ❌ cannot reliably calculate RV–RA gradient. ✅ Works best when TR velocity contour is parabolic (clean, dense signal). 💡 Always pair Doppler findings with the full echo

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ Common Pitfalls in Right-Heart Hemodynamics 🩺 Key caveats for accurate RVSP estimation: 1️⃣ Measure dense “chin”, not faint “beard” on CW Doppler 2️⃣ Keep beam angle <20° to flow direction 3️⃣ Use contrast or agitated saline if TR signal faint 4️⃣ Exclude post-PVC beats or pauses 5️⃣

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ TR Signal Shape Matters ⚙️ CW Doppler contour gives diagnostic clues: 🔸 Parabolic → reliable, accurate gradient 🔸 Triangular → early RA–RV pressure equalization → underestimates RVSP 🔹 FTR or leaflet malcoaptation → laminar flow & truncated envelope 💡 Optimize CW

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ 1️⃣ — RVSP Accuracy: The Challenge 🎯 Assessing RVSP isn’t always straightforward. Several hemodynamic factors can affect accuracy: 🔹 In severe PH with RV failure, ↓ RV contractility & ↓ PA compliance → weak RV–PA gradient → underestimated RVSP 🔹 In severe TR, turbulent

Common Pitfalls in Right Heart Hemodynamic Assessment: ✅TR velocity: misalignment or incomplete envelope → inaccurate RVSP. ✅RAP estimation: relying only on IVC size without collapsibility or clinical context. ✅Pulmonary pressures: using poor TR signals or

@NadeenFaza @JGrapsa @PWesslyMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ 3/ RAP errors = RVSP errors. IVC-based RAP unreliable on positive pressure or weak sniff. Always integrate the full picture. #ASEchoJC

@NadeenFaza @JGrapsa @PWesslyMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ 2/ TR-based RVSP can mislead in: severe RV failure, severe TR, arrhythmias, or RVOT obstruction (RVSP≠PASP). Consider average (5-10 beats) in arrhythmia, avoid TR jet following PVC or pause. #ASEchoJC