#EHJCVI When should we use #EchoFirst in cardiovascular emergencies and critical care? The new EACVI–ACVC consensus highlights its key role in cardiogenic shock, AMI, ADHF, and more 🚨🫀📘 👉 Read more: https://t.co/vdLetdKIpX @EACVIPresident @ACVCPresident

Session 4 of @ChiHForum focuses on the good, the bad, and the ugly of LVAD hemodynamics, with sessions focused on pre-LVAD assessment, hemodynamics with LVAD complications, and the prediction of cardiac recovery. #ChiHemos2025 @CardioNerds

Hype for hemodynamics! #ChiHemos2025 @catweneboah @RSteinbergMD @CardioNerds

Session 1: Beyond Baseline Hemodynamics at @ChiHForum off to a strong start! 🦾 Check out a few highlights from the session here: #ChiHemos2025 @CardioNerds

Anthony P. Carnicelli, MD, provides a good framework for evaluation and management of PAH in the ICU! 1) Airway mgmt- just the right PEEP 2) MCS - VA ECMO >>> RV-only support. 3) Serial HDs are helpful to guide tx @RyanTedfordMD 4) New meds - role unclear - TBD #ChiHemos2025

Engaging analysis of measuring RV reserve with @cla_baratto! 📌 Invasive PV loops are best, but challenging 📌 Echo via TAPSE/PASP --> simple, precise, but open to criticism 📌 Dynamic assessment with exercise 🗝️ For evaluation: "Something is better than nothing" #ChiHemos2025

Additional nice takeaways for management and risk stratification! From @Jonathan_PaulMD #ChiHemos2025

🗝️ Targeting compliance may be a better metric and future goal to improve outcomes!

Dr. Marc R. Pritzker, MD walks us through changing perspectives in our treatment targets for PAH. 📌Trials focus on vasodilators with modest effect 📌PVR not well associated with outcomes--> but compliance does! #ChiHemos2025

After months of Zoom calls and emails, great to spend time in-person with the Guest Editors of the @JCardFail Focus Issue on Hemodynamics @ChiHForum #ChiHemos2025 Check out the issue here! https://t.co/YhAspY2yjw

Current testing with vasodilators or response to LV unloading (with Impella), with subsequent improvement in PAPi, can predict good RV outcomes. 🗝️ RV failure after LVAD remains difficult to predict, and it requires ongoing investigation. #ChiHemos2025

🎯Excercise wedge pressure-flow relationships are highly diagnostic and prognostic 🎯Excercise hemodynamic testing is safe, feasible and powerful 🎯improves diagnostic accuracy for HFpEF, deeper physiologic phenotyping, and identifies deficits limiting pts exercise capacity

#ChiHemos2025 The Advanced Analysis of PV Loops with Dr. Dan Burkoff @ChiHForum @CardioNerds 👉As PV Loops move toward routine clinical use , we must interpret correctly 👉Ees alone is not enough ; Vo matters, esp after interventions like TAVR

For further reading : https://t.co/7d5PfPgm4h Informative Tweetorial by @AHajduczok ➡️: https://t.co/FnLhiDO4vO

This debate has been highlighted in the recent @JCardFail with Perspective Pieces by each presenter - check it out here:

Session 2 starting out with the most firey 🔥 debate of the year: supine versus upright exercise testing! @ChiHForum #ChiHemos2025 @CardioNerds Check it out~ 👇

@catweneboah @RSteinbergMD @UChicagoCardio @ChiHForum @CardioNerds #ChiHemos2025

@catweneboah @RSteinbergMD @UChicagoCardio @ChiHForum @CardioNerds ⚡️ Understanding trans-renal perfusion pressure is KEY. ⚡️ Abdominal pressure affects CVP (the microcirculatory afterload) ⚡️ Microcirculation and CVP: heart-liver, heart-bowel, and heart-kidney effects #ChiHemo2025

⚡️ In cardiorenal syndrome, type 3 microcirculatory dysfunction predominates ⚡️ Reframe your thinking -- Microcirculatory afterload is VENOUS AFTERLOAD #ChiHemo2025

Jenifer A. Cowger, MD, MS stresses the importance of thinking through the whole body instead of only thinking about the heart! ⚡️ The key to understanding cardiogenic shock is to understand microcirculatory flow ⚡️ Key reading per Dr. Cowger: https://t.co/dGvHkOo9E8 #ChiHemo2025