Discover and read the best of Twitter Threads about #echofirst
Most recents (4)
Evaluation of Cardiac Masses:
A Tweetorial for #FITSurvivalGuide 🚨 #ACCImaging @ASE360 @SCMR @journalofCMR @ACCinTouch
Dedicated:@dr_chirumamilla & all #ACCFIT in #CardioTwitter
Main Ref: link.springer.com/article/10.100… Palaskas, et al. Curr Treat Options Cardio Med (2018) 20: 29.
A Tweetorial for #FITSurvivalGuide 🚨 #ACCImaging @ASE360 @SCMR @journalofCMR @ACCinTouch
Dedicated:@dr_chirumamilla & all #ACCFIT in #CardioTwitter
Main Ref: link.springer.com/article/10.100… Palaskas, et al. Curr Treat Options Cardio Med (2018) 20: 29.
Usually, it all starts with an abnormal finding in an echo suggestive of intracavitary mass. How can we tell one from the other? It can be confusing.
For artifacts, I did a Tweetorial already that describes the most common ones. Basic understanding of ultrasound physics is needed to be able to explain them: twitter.com/i/moments/1030…
#FITSurvivalGuide on Restrictive Cardiomyopathy (RCM) vs Constrictive Pericarditis (CP).
In both:
💠Diastolic RV & LV impaired; systolic function preserved
💠HFpEF phenotype, predominant “R sided” signs (JVP, edema, ascites)
1/12
@dr_chirumamilla @Pooh_Velagapudi @bcostelloMD
In both:
💠Diastolic RV & LV impaired; systolic function preserved
💠HFpEF phenotype, predominant “R sided” signs (JVP, edema, ascites)
1/12
@dr_chirumamilla @Pooh_Velagapudi @bcostelloMD
🔑 to understanding different filling:
RCM = myocardial disorder
CP = pericardial disorder.
2/12
@majazayeri @fawazalenezi55 @SanChris999 @GuruKowlgi @Nidhi_Madan9 @sabeedak1 @noshreza @SaggerMawri @nsivcd @DrManiCardio @khandelwalMD @drjohnm @heartdoc45 @zainasadEP @docaward
RCM = myocardial disorder
CP = pericardial disorder.
2/12
@majazayeri @fawazalenezi55 @SanChris999 @GuruKowlgi @Nidhi_Madan9 @sabeedak1 @noshreza @SaggerMawri @nsivcd @DrManiCardio @khandelwalMD @drjohnm @heartdoc45 @zainasadEP @docaward
RCM
💠Stiff myocardium➡️early diastolic ⏫LV and RV pressure w/small vol ∆
💠 Echo: early diastolic abnormalities
💠High initial flow (= E wave; so E/A >2); ends abruptly (⬇️E decel time)
⚠️Restrictive pattern also in stage 3 HFrEF w/abnl early diastole
3/12
💠Stiff myocardium➡️early diastolic ⏫LV and RV pressure w/small vol ∆
💠 Echo: early diastolic abnormalities
💠High initial flow (= E wave; so E/A >2); ends abruptly (⬇️E decel time)
⚠️Restrictive pattern also in stage 3 HFrEF w/abnl early diastole
3/12
#FITSurvivalGuide: The Forgotten Valve-#TricuspidRegurgitation (#TR) #tweetorial for the new #ACCFIT!
1⃣ Anatomy
2⃣ Etiologies
3⃣ Classification
4⃣ Diagnosis
5⃣ Treatment
Resources: @ASE360 @JACCJournals @CircAHA @ACCCardioEd @UMNews @Medtronic
1/10
cc: @dr_chirumamilla
1⃣ Anatomy
2⃣ Etiologies
3⃣ Classification
4⃣ Diagnosis
5⃣ Treatment
Resources: @ASE360 @JACCJournals @CircAHA @ACCCardioEd @UMNews @Medtronic
1/10
cc: @dr_chirumamilla
[2/10] Impt to understand #TricuspidValve 1⃣ Anatomy
3 leaflets ⬇️ + fibrous annulus + 2 papillary 💪🏽 + chordae tendinae + RA/RV ❤️
⬛️ Anterior 🍃 (largest)
◾️Posterior
▪️Septal (smallest)
(note: throughout #tweetorial, see image descriptions for more content)
3 leaflets ⬇️ + fibrous annulus + 2 papillary 💪🏽 + chordae tendinae + RA/RV ❤️
⬛️ Anterior 🍃 (largest)
◾️Posterior
▪️Septal (smallest)
(note: throughout #tweetorial, see image descriptions for more content)
[3/10] 2⃣ Etiologies = Structural (1º) vs. Functional (FTR)
Keep chart ⬇️ DDx in mind when reading #EchoFirst
~80% of significant TR = FTR/2º to TA dilatation + leaflet tethering ⬅️ RV remodeling ⬅️ volume and/or pressure overload
Structural (1º) cause = less common
Keep chart ⬇️ DDx in mind when reading #EchoFirst
~80% of significant TR = FTR/2º to TA dilatation + leaflet tethering ⬅️ RV remodeling ⬅️ volume and/or pressure overload
Structural (1º) cause = less common
1/11
Today's #FiTSurvivalGuide for basic #EchoFirst views
Parasternal Long Axis:
Left lateral decubitus
3rd L intercostal space. Move⬆️or⬇️ to find window
👀descending aorta, coronary sinus, pericardium, LV, both leaflets of MV, LA, aortic valve & root, RV
Today's #FiTSurvivalGuide for basic #EchoFirst views
Parasternal Long Axis:
Left lateral decubitus
3rd L intercostal space. Move⬆️or⬇️ to find window
👀descending aorta, coronary sinus, pericardium, LV, both leaflets of MV, LA, aortic valve & root, RV
2/11
RV Inflow View:
Medial angulation of scan plane
👀RA, Tricuspid valve, RV
Further angulate probe to remove portion of LV (seen in A, but not in B)
RV Inflow View:
Medial angulation of scan plane
👀RA, Tricuspid valve, RV
Further angulate probe to remove portion of LV (seen in A, but not in B)
3/11
Parasternal short
👀annulus, 3 cusps of aortic valve (open in systole, close in diastole), coronary ostia (LM at 4 & RCA at 11), LA, IAS, RA, TV, RVOT, pulmonary valve, proximal pulmonary artery (slight superior angulation for R & L branches)
#FiTSurvivalGuide
Parasternal short
👀annulus, 3 cusps of aortic valve (open in systole, close in diastole), coronary ostia (LM at 4 & RCA at 11), LA, IAS, RA, TV, RVOT, pulmonary valve, proximal pulmonary artery (slight superior angulation for R & L branches)
#FiTSurvivalGuide
