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Always need to learn🧑‍⚕️
Cardiology Fellow / ECG / ETT/Interventional Cardiology /Internal Medecine /

[Nadeen N. Faza, M.D. @NadeenFaza]

@PWesslyMD @LucySafi @PriyaPanday27 @HeartToProve @ASE360 @JournalASEcho #ASEchoJC The Pickelhaube sign: Lateral annular S′ ≥16 cm/s associated with ventricular arrhythmias in MVP ⚡️
#EPeeps
👉https://t.co/1nt0u3KMBZ

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@MirSuhayel @Frances98392343 @KostekMilan @TheECGMedic @DrparrayMD @DrRazi4 2nd AV block Mobitz 1

[NephroPOCUS @NephroP]

#POCUS #echofirst #Nephpearls
RVOT pulse-wave Doppler can provide useful clues about pulmonary vascular resistance.
In normal individuals (A), the waveform has a smooth, dome-shaped appearance, with peak velocity occurring in mid-systole, reflecting a compliant, low-resistance pulmonary circulation.
As RV afterload increases, the waveform gradually becomes more triangular. The RVOT acceleration time shortens, and the peak velocity shifts earlier into systole (B).
With further increases in pulmonary vascular impedance and reduced arterial compliance, a characteristic mid-systolic notch may appear (C), creating the classic "W sign."
In advanced pulmonary hypertension with RV failure, the Doppler envelope becomes smaller and more abbreviated, with a very short and steep AccT (D). This reflects rapid equilibration of RVOT and proximal pulmonary artery pressures due to severe afterload elevation.
Like most POCUS findings, RVOT Doppler should be interpreted in the context of the overall echocardiographic picture rather than in isolation.

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@Ecgloverr Inferior OMI with anteroseptal old ischemic changes🤔

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@Ecgloverr Welcome back

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@sohrab1104 @ecgandrhythmRoe @Ecgloverr @ecgrhythms @Frances98392343 Bifasicular block with 1st Degree AV Block 🤔

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@Frances98392343 Afib
Inferior OMI

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@Frances98392343 Wellens Type B

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@PrmFerdi @fzn733 @shakilED @Dr_Shiv_kumar_ AFL with variable conduction

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@ecgandrhythmRoe @ECGEPSCADEVICE NSVT

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@sohrab1104 @ecgandrhythmRoe @Frances98392343 @KostekMilan Long QT

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@MirSuhayel @AlexKohMD @ecgandrhythmRoe @DrparrayMD @Frances98392343 @KostekMilan @MusaMayayise @TheECGMedic @The_Nanashi_O @RobertHermanMD No obvious of acute ischaemic changes

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@heinyycz @ecgandrhythmRoe @KostekMilan I think Mobitz 1

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@Frances98392343 AFL

[Ritika Tuli @RitikaTuliMD]

#CardioNuggets™

The Pickelhaube sign is a sharp, spiked high-velocity systolic tissue Doppler signal of the lateral mitral annulus seen in arrhythmic mitral valve prolapse.

It’s named after the old German “Pickelhaube” helmet because the Doppler waveform resembles the helmet’s pointed spike.

Why it happens:
Prolapsing mitral leaflets cause abrupt systolic tugging of the papillary muscles/mitral annulus → creating a tall systolic velocity spike on TDI.

Why it matters:
Suggests arrhythmic MVP
Associated with ventricular arrhythmias/SCD risk
Often seen with bileaflet MVP and mitral annular disjunction (MAD)

Image from @drahmedmohsen85

#CardioNuggets #MedEd #EchoFirst

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@BINITALAARAWAN @FBomide @MAMO_24911 @amreshgul @Ecgloverr @OnlyEcg1 @TheECGMedic @Arron_Pearce_ @Monika1986G @XkeiT5stoD53218 Not every elevation of troponin is of coronary origin

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@MirSuhayel @MusaMayayise @RobertHermanMD @TheECGMedic @The_Nanashi_O @DrparrayMD @Frances98392343 LAD

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@PrmFerdi No obvious of acute ischaemic changes

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@TheECGMedic Pericarditis with AFL