Marco Kaldas

!A physician with Passion for Cardiology #CVimaging #yesCCT #whyCMR #echofirst
“I know that thou canst do all things, and nothing is impossible with thee”

[Marco Kaldas @MKaldas]

@JaeKOh2 @ASE @aae_echo He should tell him : This is a case of severe restrictive cardiomyopathy and the VSD influenced such cath hemodynamics

[Michael Megaly @MichaelMegalyMD]

#CTO #PCI skills can help you in a multitude of situations as well!

An older patient (80s) presented with NSTEMI and cardiogenic shock, surgical turndown with trifurcation LM disease and ostial LAD CTO.
Impella support; LAD identified with #HDR and crossed; followed by DK crush into LAD/LCX and sequential kissing for the trifurcation.

I believe that without CTO skills, this patient would likely not make it.

#CardioX #ACCFIT

[Hany Ragy @Hragy]

@mmamas1973 @CVREPfoundation Carlo Di Mario on future of IRS Rx

[RTHahnMD @hahn_rt]

NEW ASE Recommendations for the Intraprocedural Imaging for M-TEER https://t.co/zwUucAIOiP @SLittleMD @ASE360 @JournalASEcho @ACCinTouch @SCAI @purviparwani @iamritu

[Chittur Sivaram MD MACP MACC @CASivaram1]

#echofirst
✅ Quiz for fellows
✅ TTE, Young male on mavacamten
✅ Findings & diagnosis?
@argulian
@iamritu
@NMerke
@echo_batman
@HeartOTXHeartMD
@Hragy
@purviparwani

[Marco Kaldas @MKaldas]

@CASivaram1 @argulian @iamritu @NMerke @echo_batman @HeartOTXHeartMD @Hragy @purviparwani Paradoxical jet flow directed from the apex to the base is present simultaneously with the rapid filling signal

[Omar Khalique @OKhaliqueMD]

First of its kind study demonstrating overestimation of calcium on #EIDCT vs #PCDCT as compared to microCT as a gold standard in explanted coronaries. @onco_cardiology @ziadalinyc @rooshaparikh @Heart_SCCT @ACCinTouch @NYSCACC @iamritu @purviparwani
https://t.co/L9EJNDm0an

[Marco Kaldas @MKaldas]

Many happy returns to all my Muslim friends ❤️

[Lucy @LucySafi]

Excited to share our latest work on T-TEER! We break down how to mirror M-TEER workflows for the TV—highlighting key anatomic parallels, imaging strategies, procedural steps to simplify a complex intervention. A practical step-by-step guide
Link -> https://t.co/xcDFbRZzSW

[Marco Kaldas @MKaldas]

@DrShashiVohra1 @drkeithsiau Maybe it was a traveler's diarrhea and you didn't need all these antibiotics ?

[Marco Kaldas @MKaldas]

@Hragy Maybe not just post prolapse and there is systolic bowing of anterior leaflet / traction by chordae . Any concern for rheumatic fever ? TEE to check the subvalvular apparatus, papillary muscle displacement etc

[Irina Akhmedova @Irina67790690]

❗️
2‑month‑old baby with Hypertrophic Cardiomyopathy and mid‑ventricular obstruction.

[Dr. Purvi Parwani @purviparwani]

Landmark #whyCMR paper on HCM
From @JAMA_current

Among patients with #hypertrophic #cardiomyopathy followed for nearly 7 years, key predictors of adverse outcomes included

1. late gadolinium enhancement (LGE) percentage on #whyCMR,
2. left ventricular (LV) mass index,
3. LV end-systolic volume index,
4. history of heart failure, and
5. log(N-terminal pro–B-type natriuretic peptide [NT-proBNP]).

LGE ≥9% of LV mass was associated with substantially increased risk for the composite of hypertrophic cardiomyopathy–related deaths, ventricular arrhythmias, and transplant or LV assist device implant.

These findings provide prospective evidence for integrating #whyCMR and blood biomarkers in risk assessment for hypertrophic cardiomyopathy. #HCM

https://t.co/idxjF1VGV7

Congratulations Dr. @ChrisKramerMD and others from HCM registry on this terrific paper.

[Ahmed Ghoneem @AGhoneemMD]

#medtwitter #cardiotwitter My original account is hacked! Please ignore any messages or posts from this account.
I have been trying to get it back, but @Support has not been helpful! @elonmusk
Please share this post & help my voice be heard
@DrMarthaGulati @CardioNerds @premium

[Ziad Ali @ziadalinyc]

And we’re off!

First HeartFlow NAVIGATE-PCI case.

Precision in PCI isn’t just by IVUS/OCT anymore— the standard has expanded to CT-Guided PCI. NAVIGATE-PCI will test how data-driven tools can optimize decision-making, streamline workflow, and improve outcomes in the cath lab.

Optimal PCI is guided, precise, data-driven inside #ctguidedpci or outside #imagefirst the lab

@Heartflow @StFrancis_LI @ESHLOF @DrAllenJ @djc795 @DoosupShin @rooshaparikh @OKhaliqueMD @CathElectroSurg @JWMoses @ColletCarlos @yadersandoval @manosbrilakis @kalazizimd

[Jama Jahanyar,MD,PhD,FACS @JJahanyarMDPhD]

I haven't posted in a while... but here a technique to repair an anterior MV prolapse with transfer of P2 segment, and patch repair of P2. A technique I have learned from Prof. El Khoury. This is open for discussion. More to come;) @GebrineK

[Marco Kaldas @MKaldas]

@TrackYourHeart Went into the 3rd Dimension

[Marco Kaldas @MKaldas]

@SVRaoMD @benhibbertMDPhD @TCTMD Great points 👍🏼 With very low event rates on DOACs, even a slightly worse therapy can pass) Margin selection can artificially favor LAAO.
Should we accept clinically meaningful excess stroke risk to gain less bleeding?

[Alexander Mladenow MD @alex1708ander]

Teaching case/decision making

👉 M. 69 yo with severe AS scheduled for SAVR

📍preop TTE
📍intraop TEE (pre-CPB)
📍no pt’s informed consent about MV surgery

Intraop TEE done by a fellow

How would you proceed #echofirst @iamritu @NMerke @CASivaram1 @DrRajeshG1 @OungSavly

[Marco Kaldas @MKaldas]

@fbalex19071 @CASivaram1 @alex1708ander @iamritu @NMerke @DrRajeshG1 @OungSavly It is definitely more than mild look here . Also 3D Mitral shows significant lack of scallops coaptation in systole where the jet originates . Don’t rely on PISA it is less reliable in MVP

[Mamas A. Mamas @mmamas1973]

Happy Eid ul Fitr - wishing all my muslim friends all the best to their family full of happiness and success for the year ahead