McMaster Heart Function Education

The official Twitter page for McMaster Heart Failure Education. Tweets our own.

[Jerome Adams @JeromeAdamsMD]

Major alcohol study just released (after unexplained delay from HHS):

Even 1 drink per day linked to higher risks of serious illness & premature death - including liver cirrhosis, certain cancers, and injuries. No net health benefits found at any level.

This taxpayer-funded review adds to evidence that alcohol harms start low. It’s sparking fresh questions about past U.S. dietary guidelines and potential industry influence.

Key takeaway: Less is better for long-term health! https://t.co/Xq1Q5BV2u3

[European Society of Cardiology Journals @ESC_Journals]

A Digital Health Program Enhances Walking Capacity and Health Status in Symptomatic Peripheral Artery Disease https://t.co/QcDe5g51tv

#EHJDigital #eHealth
@BruiningNico @rafavidalperez @fwasselbergs @rbcasado

[JAMA @JAMA_current]

Meta-analysis of digitalis glycosides in HFmrEF or HFrEF indicated reduced risk of worsening #HeartFailure events, with no difference in mortality, across multiple randomized trials.

https://t.co/lZMrggrAvm

[Harriette Van Spall, MD MPH 🇨🇦 @hvanspall]

In this scientific statement, we
💢address the multidimensional needs of older adults w/ #HF, paying attention to multimorbidity, frailty, goals of care
💢discuss strategies to ⬆️uptake of #HF drug & device Txs that improve outcomes but are underused in👵🏼
https://t.co/dBd5920YzM

[Circulation @CircAHA]

HIF-2 drives coronary inflammation, remodeling, and thrombosis in a novel mouse model recapitulating Kawasaki disease. Pharmacological HIF-2 targeting may be a new therapeutic strategy for coronary vasculitis. https://t.co/BvBGjXCdpS

[Radcliffe Cardiology @radcliffeCARDIO]

#HFpEF is no longer defined by unmet need, evidence-based therapies are here and they're changing practice 🫀

Dr @hvanspall hosts this Masterclass with Prof @MajaCikes, unpacking the trial evidence reshaping HF management – from SGLT2 inhibitors & non-steroidal MRAs to phenotype-driven care in obesity-related HFpEF

Key trials: EMPEROR-Preserved, DELIVER, TOPCAT, FINEARTS-HF, STEP-HFpEF, SUMMIT + a look ahead to HF-POLARIS and MARITIME-HF

Watch video + slides here https://t.co/Rh3icRkpn9

#CardioX #HeartFailure #HFpEF #HFmrEF #SGLT2 #Cardiology #CME

[Chittur Sivaram MD MACP MACC @CASivaram1]

#echofirst
✅ Time to close. 🙏 for comments
✅ Unusual PW Doppler from PV showing a brief reversal prior to the usual P wave related reversal (Ar)
✅ This is not an artifact since it was reproducible, gain setting was OK etc ⬇️
✅ During later part of diastasis here there was a brief period when LV diastolic pressure exceeded LA pressure
✅ Is this an unusual finding indicative of ⬇️ diastolic LV compliance? Stiff LA?
@echo_batman
@argulian
@EchoSoliman
@strain_rate
@iamritu
@BryanTanMD
@HeartOTXHeartMD
@purviparwani
@JaeKOh2
@SNagueh

[Henry Han @HanCardiomd]

Blood #aldosterone concentrations and effects of #MRA in #HeartFailure

Pooled analysis of 1,019 HF patients (DOSE, CARRESS-HF, MDR, #TOPCAT) showed #MRA benefit was dependent on baseline aldosterone: high aldosterone predicted improved outcomes (HR 0.63), while low aldosterone was associated with worse outcomes (HR 1.66

https://t.co/lXALZ6qjOU

#EHJ @ESC_Journals @markcpetrie20 @ehj_ed @EJHFEiC @MarcoMetra

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Mitral Valve Anatomy: Leaflets, Annulus, and Subvalvular Apparatus

👉The mitral valve is an integrated unit: saddle annulus, anterior and posterior leaflets, commissures, chordae, and papillary muscles.
👉Posterior scallops P1–P3 oppose anterior segments A1–A3, with fibrous aorto-mitral continuity anchored by both trigones.
👉Primary chordae support leaflet edges, while secondary chordae and two papillary muscle groups stabilize coaptation and LV geometry.

[CardiovascularCorner @TrackYourHeart]

What's the most likely diagnosis ⁉️

[Dr M.AL-gradey @MAbdullah58266]

A patient came in with shortness of breath.

Then the X-ray loaded 😭

And it looked like someone had left a sword inside the chest.

Quick diagnosis challenge 🩻

What’s the most likely diagnosis?

Wild guesses are welcome 👀

[AHA Science @AHAScience]

The Cardiovascular-Kidney-Metabolic Syndrome Guideline will reshape CKM syndrome prevention and care.

[Harriette Van Spall, MD MPH 🇨🇦 @hvanspall]

Prof @jhfrudd masterfully leads a podcast on #HFpEF & #AF
Have a listen on your work commute or workout!
https://t.co/Edhg7YwP59

Podbean: https://t.co/qyn95A0LE6
Apple Podcasts: https://t.co/gNAkd7Fwi0
Spotify: https://t.co/tuJ7ZYFXm1
Amazon Music: https://t.co/mpECs0ljgd

[Hany Ragy @Hragy]

Severe post COVID myocarditis, free TR, mod MR, massive ascitis and pleural effusion, small pericardial effusion, look at the mobile masses, do you know what this is?

[Gregg Fonarow MD @gcfmd]

❤️‍🩹 Heart failure

💊 SGLT inhibitors

🚀 Ultrafast clinical benefits (across the EF spectrum)

🪎 Amazing value

🛎️ What are you waiting for?

[Harriette Van Spall, MD MPH 🇨🇦 @hvanspall]

We are delighted to welcome Dr @CarlChiefCard back to McMaster to present at our Regional Grand Rounds.

#PVCs: the good, bad, and ugly

Tuesday Jun 9
8 am EST

On your Teams link

[RTHahnMD @hahn_rt]

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

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

@PWesslyMD @LucySafi @PriyaPanday27 @HeartToProve @ASE360 @DavidWienerMD @iamritu @purviparwani @SIwa23288585 @boegel_kelly @JournalASEcho ⏳ Late-Systolic MR: A Major Pitfall🛑
🔹EROA, vena contracta, and jet area are instantaneous measurements and may overestimate the overall burden of late-systolic MR
🔹 Regurgitant volume better reflects total MR severity in these patients

#ASEchoJC
https://t.co/JtfBQXR5RC

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

🔑Key Takeaways on MVP, MR, MAD & Arrhythmic Risk 🫀 #ASEchoJC

✅ MVP affects ~2.5% of the population and is the leading cause of primary MR.

✅ Diagnosis requires ≥2 mm leaflet displacement in the PLAX/long-axis view.

✅ Barlow’s disease ≠ FED:
• Barlow = redundant bileaflet prolapse
• FED = isolated segment prolapse with chordal rupture

✅ MR assessment is tricky—eccentric, multiple, commissural, and late-systolic jets can underestimate severity.

✅ Not all MAD is created equal:
True MAD persists in systole and diastole; pseudo-MAD does not.

✅ MAD and prolapse volume add to LV volume overload beyond MR alone.

⚠️ Arrhythmic MVP can occur even without severe MR.

🚩 Echo markers of increased VA/SCD risk:
• Bileaflet prolapse
• MAD >8.5 mm
• Pickelhaube sign
• Curling
• Mechanical dispersion
• Double-peak strain pattern

🎯 CMR is critical for risk stratification—fibrosis by LGE or elevated ECV identifies patients at higher arrhythmic risk.

See you next #ASEchoJC!

@PWesslyMD @HeartToProve @LucySafi @CASivaram1 @iamritu @purviparwani @ASE360 @JournalASEcho

[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