Not too late to sign up for @AHAScience NY fellows career night tomorrow in midtown. Info on event and invited panelists in pics. @DLBHATTMD @LuigiDiBiaseMD @Drroxmehran @LouaiRazzouk @JasonKatzMD @anna_bortnick @DNFeldmanMD @GiorgioMedranda @WMCCardsFellows @SnehalPatel1410

PREVUE-VALVE Novel approach to pt recruitment! VHD projected to increase by nearly 4 million by 2060--TR prevalence highest (10.7% of pts with significant VHD)!! @djc795 @BrenerMickey @ACCinTouch @escardio @TCTMD @TCTConference

@TCTConference PREVUE trial seminal study of VHD prevalence. Tricuspid regurgitation leads in prevalence inpatients 65-85!! Likely all prevalences an underestimate. @ACCinTouch @escardio

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @yaqoub_lina @BakhshiHooman RAP estimation on echo: 📍 Measure IVC at end-expiration, 0.5–3 cm proximal to RA ostium 📍 Combine IVC size + variation with sniff/quiet respiration 🔹 M-mode -IVC improves accuracy 🩵 ≤2.1 cm + >50% collapse → RAP = 3 mm Hg (0–5); small/collapsed → <3 mm Hg = hypovolemia 💛

@NadeenFaza @JiwonKimMD @PWesslyMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @yaqoub_lina @BakhshiHooman 3/ #ASEchoJC Table 4 of ASE guidelines describes the RAP estimation from 3 to 20 mmHg depending on IVC diameter and respiratory collapse

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @yaqoub_lina @BakhshiHooman 🌊Hepatic Vein Flow for RAP Hepatic vein (HV) flow patterns complement IVC assessment: 🩵 Normal RAP: Systolic predominance → HVs > HVd 💛 Elevated RAP: HVs/HVd < 1 (loss of systolic dominance) 📊 HVs filling fraction = HVs / (HVs + HVd) ➡ <55% = sensitive & specific for ↑

What do the guidelines say about #RA strain? #ASEchoJC @JGrapsa @JiwonKimMD @PWesslyMD @ASE360

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @purviparwani @iamritu @rajdoc2005 @DavidWienerMD @AguilarMolina_ @EGarciaSayan @JournalASEcho @GWhalleyPhD @boegel_kelly 3D RVEF (%) – Why It Matters 3DE-derived RVEF = most accurate, geometry Independent measure of RV systolic function. 📊 Calculated from RVEDV & RVESV using dedicated 3D software. ✋ Requires manual tracing of end-diastolic & end-systolic frames—include trabeculations & moderator

@NadeenFaza @JGrapsa @JiwonKimMD @ASE360 @purviparwani @iamritu @DavidWienerMD @rajdoc2005 @boegel_kelly @GWhalleyPhD ⚙️ Technical Pearls for RVOT VTI Accuracy 📸 Align Doppler beam parallel to flow → avoid underestimation. 🧭 Trace the outer envelope of the PW Doppler profile. 💡 Average 3–5 cycles (≥5 if arrhythmia). ⚠️ Note changes in contour → early clue to rising afterload or PH

@NadeenFaza @JiwonKimMD @PWesslyMD @ASE360 @purviparwani @iamritu @DavidWienerMD @rajdoc2005 @boegel_kelly @GWhalleyPhD #ASEchoJC In normal subjects, RVOT VTI profile is parabolic, peaking in mid-systole, indicating a highly compliant PV bed with low resistance. As PVR progressively increases > more triangular. Increasing impedance to pulmonary flow can lead to notching in the mid-systolic phase

#ASEchoJC Poll: Which of the following statements is TRUE regarding RV–PA coupling❓ Cast your vote🗳️ & join us 10/22 at 7 PM ET! @JGrapsa @JiwonKimMD @PWesslyMD @ASE360 #Echofirst

Join us for the next #ASEchoJC on Wed 10/22 at 7 PM ET as we dive into the latest RV guidelines with expert guest authors @JGrapsa & @JiwonKimMD and my 🌟co-moderator @PWesslyMD! An engaging discussion shedding light on the true “chamber of secrets.” 🫀 #EchoFirst

Congrats to @robertshiuzhang @pablovillarcall and the entire team! In TR, we found that the RV/LV ratio improves detection of RV dilation and adds prognostic value beyond conventional parameters. An important step forward in refining RV assessment and risk stratification in TR.

Incredible work now out in #JACCIMG led by @pablovillarcall & @JiwonKimMD: Mid-wall fibrosis (MWF) by CMR predicts mortality🪦in tricuspid regurgitation🫀. MWF marks⬆️ risk, but could it be the🔑on when to intervene?🕒 🔗 https://t.co/O7nQbshz7W #WhyCMR @JACCJournals @OKhaliqueMD

🫀 Advances in right heart imaging are transforming care: early detection, refined risk stratification, and personalized therapies for RV dysfunction are shaping the future of #cardiovascular medicine. Read more ⬇️ https://t.co/KoXy0m3BwR @mmukherjeemd @jiwonkimmd #Cardiology

📰 Prognostic value of the RV to LV volume ratio on cardiac magnetic resonance imaging in predicting adverse outcomes for adults with pulmonary hypertension 🔗 https://t.co/zdJkVjNQKY @robertshiuzhang @MMukherjeeMD @JiwonKimMD @ElsevierConnect @ELS_Cardiology #CardioX

😊Delighted! Our Lamin #WhyCMR study now in #JACCIMG @CTopriceanu 📢CMR biomarkers are prognostic in lamin DCM 🙏Huge thanks to our patients @RoyalFreeNHS @RoyalPapworth @uhbtrust #FToscana & our funders: @SCMR @NIHRresearch #DrAlFarih @JccmoonMoon https://t.co/sLLBTUhfzo

Direct comparison of STE vs FT-CMR for RV strain: ✅ Strong correlation (r=0.81) 📈 Excellent detection of RV dysfunction (AUC 0.94) 💡 RV GLS outperformed TAPSE/S′ 🔍 Modalities complementary, not interchangeable Read the 2022 article here:

3D echo improves TR severity grading vs. 2D, closely matching CMR. A new 5-class CMR grading scheme enhances multimodality assessment! @DoldiP #AHAJournals https://t.co/rbk94aEafz

Indexed RV volumes can miss dilation, esp at extremes of body size. In @PCVDJournal, we show that relative RV size (RV/LV volume ratio) improves detection of RV dilation & predicts outcomes🫀🏥🪦in PH. @JiwonKimMD @MMukherjeeMD @Tsay_What @CardioMDPhD 🔗 https://t.co/baRhXwSXQ2