Jerry Estep

Chair, Department of Cardiovascular Medicine @CleveClinicFL @CleClinicHVTI @HeartVasc_CCFla | opinions are my own

[Feras Alkhalaileh @Ferasalkhalaile]

Check out our new review article about hear transplant. @JerryEstepMD @JoseNaviaMD

[Lars Svensson @LarsSvenssonMD]

Join @CleClinicHVTI for the 28th annual Valve Imaging Summit in Miami Beach 2/27-3/1🫀

Internationally recognized leaders will share best practices, the newest evidence & case-based insights across the spectrum of structural heart.

Link: https://t.co/eB2XI1jIGr
@AllanLKleinMD1

[F. Scott Ross, MD @FScottRossMD]

Cardiac Electrophysiologist Dr J Bibawy is joined by @nbc6 to raise awareness about #AtrialFibrillation warning signs, symptoms and mgmt. Delivering world class care and educating the public is the moto @CleveClinicFL @HeartVasc_CCFla @JerryEstepMD https://t.co/B8t3YoJKJC

[Jerry Estep @JerryEstepMD]

@BoXuMD @NadeenFaza @nicoa002 @purviparwani @ASE360 @JournalASEcho @iamritu @EGarciaSayan @DavidWienerMD @rajdoc2005 @renujain19 @ChamsiPash @almallahmo @OKhaliqueMD @rooshaparikh @Heart_SCCT #ASEchoJC
Multi-modality imaging remains key to monitoring these patients!

[Jerry Estep @JerryEstepMD]

@purviparwani @NadeenFaza @nicoa002 @BoXuMD @ASE360 @JournalASEcho @iamritu @EGarciaSayan @rajdoc2005 @CASivaram1 @renujain19 @PWesslyMD @HFSA @mahwash_kassi @noshreza @hfdocbhimaraj @BhaskarArora_MD #ASEchoJC
These novel parameters can help predict freedom for AR interventions!

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @iamritu @EGarciaSayan @rajdoc2005 @CASivaram1 @renujain19 @PWesslyMD @HFSA @mahwash_kassi @noshreza @hfdocbhimaraj #ASEchoJC
The peak S/D velocity ratio of the outflow cannula is a metric that is inversely proportional to AR severity and the diastolic acceleration of outflow cannula flow is a metric that is directly proportional to AR severity

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @iamritu @EGarciaSayan @rajdoc2005 @CASivaram1 @renujain19 @PWesslyMD @HFSA @mahwash_kassi @noshreza @hfdocbhimaraj #ASEchoJC
Be familiar with novel metrics

[Jerry Estep @JerryEstepMD]

@NadeenFaza #ASEchoJC
Low -flow alarm due to inflow cannula malposition
-Posteriorly positioned inflow cannula (yellow arrow)
-Intermittent interaction with the endocardium associated with LVAD suction events as noted by decrements in the pump speed as noted

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @PWesslyMD @renujain19 @rajdoc2005 @iamritu @EGarciaSayan @gb_mackensen @ray_stainback @HFSA @DavidWienerMD @HeartDocSharon #ASEchoJC
Low -flow alarm due to inflow cannula malposition and directed toward the distal anterolateral free wall and in close proximity to the endocardium (anterior apical position) noted by the yellow arrow.

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @PWesslyMD @renujain19 @rajdoc2005 @iamritu @EGarciaSayan @gb_mackensen @ray_stainback @HFSA @DavidWienerMD @HeartDocSharon #ASEchoJC
Important to know the ideal apical inflow cannula position directed toward to anterior MV leaflet and LVOT parallel to the IVS and free of interaction with adjacent structures as noted (yellow arrow)

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @PWesslyMD @renujain19 @rajdoc2005 @iamritu @EGarciaSayan @gb_mackensen @ray_stainback @HFSA @DavidWienerMD @HeartDocSharon #ASEchoJC
It is important to keep in mind the differential!

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD #ASEchoJC
Optimize heart failure pre LVAD using swan ganz tailored therapy to achieve PCWP reduction and if low CO , IABP pre LVAD use can help to get the patient through the operation. Most of the time significant MR will improve after durable LVAD placement.

[Jerry Estep @JerryEstepMD]

@purviparwani @NadeenFaza @nicoa002 @BoXuMD @ASE360 @JournalASEcho @EGarciaSayan @DavidWienerMD @iamritu @rajdoc2005 @boegel_kelly @PWesslyMD @renujain19 @HFSA Assessing RV remodeling (RV Size) relative to LV size is a key metric to report with a RV/LV ratio > 0.75 being a red flag as illustrated on the right #ASEchoJC

[Jerry Estep @JerryEstepMD]

@NadeenFaza @nicoa002 @BoXuMD @purviparwani @ASE360 @JournalASEcho @EGarciaSayan @DavidWienerMD @iamritu @rajdoc2005 @boegel_kelly @PWesslyMD @renujain19 @HFSA Assessing RV remodeling (RV Size) relative to LV size is a key metric to report with a RV/LV ratio > 0.75 being a red flag as illustrated on the right#ASEchoJC
@nicoa002 @JerryEstepMD @BoXuMD
@purviparwani @ASE360

[Jerry Estep @JerryEstepMD]

@purviparwani @NadeenFaza @nicoa002 @BoXuMD @ASE360 @iamritu @EGarciaSayan @boegel_kelly @DavidWienerMD @rajdoc2005 @HFSA @mahwash_kassi @hfdocbhimaraj @ChamsiPash #ASEechoJC