Michelle Nsahlai, MD

[Michelle Nsahlai, MD @MNsahlai]

@FrancescaKahale Best of Luck to you!!! it will work out

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Echofirst
@DeBakeyCVedu @NadeenFaza
sometimes a picture is worth a thousand words

Apical HCM- drop out sign due to complete cessation of flow in mid LV

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#ThinkPEt
@DeBakeyCVedu
@almallahmo ,@NadeenFaza @WilliamZoghbi
Thank you Dr Al-Mallah .
pt with inappropriate shocks and negative EMB pre transplant
📌PET c/w Anti-inflammatory CM start therapy.
📌PET for dx, prognosis, guide therapy and monitoring tx response

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#ThinkPET
@DeBakeyCVedu @almallahmo
Dr Wollinsky reminding us why for SPECT
📌we should always prone patients if possible
📌CT attenuation correction useful.

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#ThinkPET
@DeBakeyCVedu @NadeenFaza

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#WhyCMR
@DeBakeyCVedu @FNabiMD
ASD and L PAPVR
🔺 if you find one defect, look for others!
🔺En face views very useful
🔺Account for your net flow!
CCMRI useful for device sizing

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#WhyCMR
#Epeeps
@DeBakeyCVedu @DipanJShah @NadeenFaza
great case by Dr Dipan Shah
📌Bileaflet MVP as cause of syncope
📌MVP with scar leads to worse prognosis due to more VT

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#WhyCMR
#ACCFIT
@DipanJShah @DeBakeyCVedu @WilliamZoghbi @NadeenFaza

18 year old with myocarditis . Should he be allowed to play football? Consider :
📌 Holter monitoring
📌Exercise stress
📌follow up cardiac Biomarker
📌Re-image in 3 to 6 months

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#WhyCMR
@DeBakeyCVedu @NadeenFaza @FNabiMD
📌CMR a should be a first line test in patients with suspected Amyloidosis.
📌Patients with AL amyloidosis do not necessarily show an increase in Lv wall thickness

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Echofirst
@DeBakeyCVedu
@SLittleMD @maquinonesmd @NadeenFaza

Interesting case of a patient with end-side MV leaflet end to side Coaptation.
📌Eccentric jet on TTE
📌asymmetric tethering of posterior leaflet!
? TEE not needed to assess MR. only for edge-edge repair

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Yes CCT
#ACCFIT
@DeBakeyCVedu ,@NadeenFaza @n_kleiman

Who gets a TAVR vs who doesn’t!
patients with BAV
📌Evaluate AV calcification
📌Presence of calcified Raphe
yes and yes ➡️ think SAVR

[Michelle Nsahlai, MD @MNsahlai]

@MMI2021
@DeBakeyCVedu
@n_kleiman
when considering our patients for TAVR. Here is what we still need to know
📌Stroke ! We need better predictors !

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Echofirst
@DeBakeyCVedu @NadeenFaza @WilliamZoghbi

another great review on assessment of MR after MV edge to edge repair
📌Pisa calculation not valid
📌 A dominance in Mitral inflow pattern suggests mild MR
📌resolution of systolic flow reversal in pulmonary veins

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Echofirst
#ACCFIT
@DeBakeyCVedu
@WilliamZoghbi

Great talk on assessment of AR after TAVR

[Hyeon-Ju (HJ) Ali, MD @HJRyooAli]

🙏Dr @hahn_rt for insights re: TR

📍Classification includes CIED & functional -> atrial/ventricular
📍Severity: difficult to assess given low pressures, direction of jet, etc
📍PISA + 3D VC area are validated methods
📍Impact of RV/PA decoupling
📍Exciting innovations

#MMI2021

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#Echofirst
@DeBakeyCVedu
When it is not where you expect it to be😳
Papillary Fibroelastoma in the LV
Think outside the box!

[Michelle Nsahlai, MD @MNsahlai]

#MMI2021
#ThinkPET
@DeBakeyCVedu

[DeBakey CV Education - World Class CV Training @DeBakeyCVedu]

#LIVE NOW! Join @NadeenFaza as she shares her insight on the importance of the function of the Right Ventricle in Heart Failure! #MMI2021 #CVImaging #WIC

Tune in @ https://t.co/lv6snqkdUp

[Michelle Nsahlai, MD @MNsahlai]

@DeBakeyCVedu
#MMI 2021
#Echofirst
@robertomlang
Unexplained MR, do not forget Clefts
thank you Dr Lang for reminding us about the distinction between prolapse and Billowing