JuanfeEcho♥️
@EchoJuanfe
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Highly Specialised Echocardiographer and Adult Congenital Heart Disease. Royal Bromptom Hospital.
London, England
Joined February 2020
Understanding RA/CVP Waveforms Made Easy This diagram breaks down the different waves and descents seen in right atrial (RA) or central venous pressure (CVP) tracings and links them to what’s happening in the heart. Here’s what you’ll learn: 1️⃣ ‘a’ wave: caused by right atrial
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Quantification of MR especially primary MR using #echofirst requires attention PISA EROA is often the problem 👉 due to many pitfalls 👀 here review https://t.co/cwPGSCnnEX But there is a Solution 👊 https://t.co/BpKJYBNAIF Using volumetric method
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Calculation of Regurgitant Volume Using #echofirst Volumetric Method for Accurate Diagnosis of Severe Mitral Regurgitation - Journal of the American Society of Echocardiography
onlinejase.com
Recent studies have shown suboptimal results of the proximal isovelocity surface area (PISA) method and the American Society of Echocardiography (ASE) algorithm for diagnosing severe primary mitral...
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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: 📊
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🔴 Guidelines for the Standardization of Adult Echocardiography Reporting: Recommendations From @ASE360 #Echofirst #Cardiology #Cardioed
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Ventanas en ETT 📊 https://t.co/g7hx7Hv3Zj ◀️ Gran resolución ⤴️ en la web Repaso de las Infografías creadas por Edgardo Alania
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A detailed overview of the Venous Excess Ultrasound (VExUS) scan, a method used to assess and quantify systemic venous congestion. The VExUS score is determined by evaluating the inferior vena cava (IVC) and the Doppler waveforms of the hepatic, portal, and intrarenal veins.
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Zone of apposition of the left AV valve is often mistaken for a cleft. (Not a true congenital cleft) @WGACHDChair @loomba_rohit @iamritu @CASivaram1 @echoleolopez @dkthekkoott @AEPCcongenital @alexsfelixecho @alex1708ander @DavidWienerMD @DrRajeshG1 @CardioNeo @AmerAcadPeds
Complete AVSD - Single AVV annulus - Five leaflets - Zone of apposition between bridging leaflets—>leak @WGACHDChair @ACCinTouch @iamritu @CASivaram1 @ASE360 @echoleolopez @alexsfelixecho @loomba_rohit @AEPCcongenital @dkthekkoott @swatigar @alex1708ander @DavidWienerMD
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Annulus Reversus: A Diagnostic Echo Clue Let’s talk about a key Tissue Doppler Imaging (TDI) finding often seen in constrictive pericarditis: annulus reversus. 🔵 What is Annulus Reversus? Normally, the lateral mitral annulus e′ velocity is higher than the septal e′. But in
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https://t.co/H5NoCSs4Gs
#VHD @iamritu @alexsfelixecho @JGrapsa @ovidiogarciav @DavidWienerMD @dr_benoy_n_shah @argulian @BabliakD @fiore_corrado @torresviera @KemalogluOz @JaeKOh2
Illustrative example of a hockey stick mitral valve (rheumatic mitral valve stenosis). #POCUS #echofirst #FOAMed 🔗 Mutarelli et al. JACC Case Rep. 2024 PMID: 39534628
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Hepatic Venous Stasis Index Reflects Hepatic Congestion and Predicts Adverse Outcomes in Patients With #HeartFailure 🔗 doi 10.1161/JAHA.122.029857 #POCUS #VExUS #Nephearls
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🫀 #CardioNuggets: Let's talk LVADs (Left Ventricular Assist Devices): Why does the HeartMate 3 (HM3) LVAD have extremely low pump thrombosis rates? 🔹 Centrifugal Flow Unlike axial-flow pumps (like HMII), the HM3 uses centrifugal flow, which generates lower shear stress. 🔹
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Focal CoA of aorta! @CardioNeo
Case of the Month for November - Available in advance. Thanks to Dr @OungSavly for the contribution. Coarctation of the Aorta with beautiful ECHO-images. Available here: https://t.co/230xnG3HOi
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4-year-old,post KD. Giant bilateral coronary aneurysms, thrombosis despite dual anticoagulation. @escardio @ACCinTouch @ASE360 @iamritu @WGACHDChair @JSKD02054035 @CASivaram1 @RobertHPass @jeffrey_vinocur @VDelgadoGarcia @echoleolopez @DavidWienerMD @alexsfelixecho @loomba_rohit
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Understanding the Cardiac Crux & AVC Defects on 2D Echo The cardiac crux marks the intersection of the atrial & ventricular septa and the AV valve insertions. Normally, the tricuspid valve inserts more apically than the mitral, an essential clue in congenital heart disease. In
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2-year-old, boy. Mid muscular VSD (often close spontaneously) @escardio @ASE360 @WGACHDChair @ACCinTouch @AEPCcongenital @iamritu @MargaritaBrida @loomba_rohit @EACVIPresident @alexsfelixecho @echoleolopez @dkthekkoott @alex1708ander @swatigar @HeartOTXHeartMD @CASivaram1
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#echofirst intraop TEE in a pediatric patient undergoing pulmonary artery banding 👀 what happens with the saturation when it’s too tight @OungSavly @alexsfelixecho @iamritu @loomba_rohit @swatigar @ASE360 @escardio @EACVIPresident
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18-day-old baby, DTGA/IVS restrictive PFO, PDA maintained by PGE1-dependent 👉🏻ASO @WGACHDChair @AEPCcongenital @iamritu @MargaritaBrida @loomba_rohit @EACVIPresident @alexsfelixecho @echoleolopez @dkthekkoott @alex1708ander @swatigar @CardioNeo @HeartOTXHeartMD @CASivaram1
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