🫀Open Call for Council Nominations🫀 We are seeking the best & brightest members to move forward the mission & goals of ASE! Consideration for leadership positions should be based on valuable service to ASE or contributions to the field of #CVUltrasound. https://t.co/xcJ3KUnJBU

The simultaneous impact of breast cancer therapy on the heart beyond the left ventricle & its prognostic implications are not understood. The objective of this @JournalASEcho study was to determine how breast cancer therapy affects all 4 cardiac chambers. https://t.co/PyKqMzVKPX

We've released a State-of-the-Art Review, "The Role of Left Atrial Strain in Patients With Low CHA2DS2-VASc Scores: Refining Stroke Risk Assessment." Read the @JournalASEcho article here: https://t.co/xR4IAdP4pm

Our November 2025 @JournalASEcho is online! https://t.co/E2M0s7SUTw This issue features: 🫀 NEW #ASEGuideline on Strain 🫀 Prognostic Value of Right Atrial Analysis in Patients With Nonischemic Cardiomyopathy 🫀 Real-Time Global Longitudinal Strain During Echocardiography

🫀NEW GUIDELINE🫀 Read our newest #ASEGuideline, "Clinical Applications of Strain Echocardiography," developed in collaboration with the European Association of Cardiovascular Imaging of the @escardio! https://t.co/MIijQG2I3F

🌺 REGISTRATION OPEN 🌺 Course Director @SLittleMD invites all echocardiography enthusiasts to join us at #EchoHawaii, taking place January 19-22, at the Fairmont Orchid resort! SAVE $225 by registering early! Early registration ends December 16. Sign up: https://t.co/UuZyDKW7PA

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

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

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 @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

@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

@NadeenFaza @JGrapsa @PWesslyMD @ASE360 @iamritu @renujain19 @argulian @purviparwani @JournalASEcho @EGarciaSayan @AguilarMolina_ 1/ TR jet alignment > 20° = underestimates. Overgain = falsely high; undergain = missed jet. Measure the “chin” – the dense leading edge. #ASEchoJC