Saurabh Malhotra

Imaging Cardiologist, Director of Advanced Cardiac Imaging @CookCtyHealth #CVImaging #NotNonInvasive

[Sara Hazaveh @SaraHazaveh]

Grateful my case was selected for the #ASNC FIT Case Competition! Huge thanks to my amazing mentors @Vandyckmarian @PWengrofskyMD for making this possible and ASNC for organizing such an enriching session for our educators! A great way to kick off the #ACC25 weekend! @MyASNC

[Ahmad El Yaman @ahmadyaman2000]

Presenting a case highlighting the importance of checking for incidental findings in nuclear #Hybrid_Imaging. At @MyASNC FIT Show-a-case
Grateful to @almallahmo for his invaluable mentorship.
#CVNuc

[Saurabh Malhotra @NotNoninvasive]

Teaching pearls on #CVNuc #CVPET @MyASNC

[Saurabh Malhotra @NotNoninvasive]

Kickstarting the @ACCinTouch weekend in Chicago with a packed house @MyASNC FIT Show-a-case. 30 cases, covering a wide breath of #CVNuc, being presented by FITs from all over the country and beyond. @PanithayaC @premsoman123 @kananth12 @rlweinberg @almallahmo

[Saurabh Malhotra @NotNoninvasive]

Kickstarting the @ACCinTouch weekend in Chicago with a packed house @MyASNC FIT Show-a-case. 30 cases, covering a wide breath of #CVNuc, being presented by FITs from all over the country and beyond. @PanithayaC @premsoman123 @kananth12 @rlweinberg @almallahmo

[ASNC Society @MyASNC]

📢 Join us TONIGHT for the Optimizing the Diagnosis of ATTR-CM webinar!

Learn the latest techniques for acquiring, interpreting & reporting Tc-99m HMDP & Tc-99m PYP—plus best practices for each tracer.

Register👉https://t.co/rlO8Gh6aBX
#cvnuc

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

Join us today for best practices for ATTR amyloidosis @MyASNC @NotNoninvasive @PanithayaC @MasriAhmadMD @DorbalaSharmila @DrCAkincioglu
📷 tracers update and clinical cases🫀
#CVNuc #ThinkAmyloid

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

PYP test is a simple and transformative imaging for ATTR amyloidosis @MyASNC @NotNoninvasive @Amyloidosisfdn #CvNuc @MyASNC
SPECT imaging is needed to ensure myocardial uptake

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

Tips and tricks for ATTR SPECT imaging.
👇do not depend on planar -->Do SPECT
🫵 PYP uptake can be patchy or diffuse
✍️ Expect wash out with HMDP and scan at 1 hour
@MyASNC #CVNuc @premsoman123 @NotNoninvasive

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

3 hour imaging with HMDP can lead to false negative scan for ATTR amyloidosis @MyASNC @NotNoninvasive

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

🫀 Is it cardiac Amyloidosis?
@MyASNC @premsoman123 @NotNoninvasive @MasriAhmadMD @DorbalaSharmila
#CvNuc @AmyloidosisA @Amyloidosisfdn @Amyloidosis_ARC @ACCinTouch @AHAScience

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

ATTR SPECT not always diffuse for Cardiac Amyloidosis. 👇👇👇
@MyASNC @NotNoninvasive @DrCAkincioglu @MasriAhmadMD #CvNuc

[ASNC Society @MyASNC]

Supply chain issues make it tough to rely on Tc-99m PYP for ATTR-CM, potentially delaying treatment. But did you know Tc-99m HMDP is a viable alternative?

Join us next week to learn best practices for the use of each tracer & key differences.

Register👉https://t.co/5Bjz9hzjiD

[CIGDEM AKINCIOGLU @DrCAkincioglu]

Last day of Cardiac Amyloidosis Masterclass! Everything you need to know about treatment strategies @NotNoninvasive @MasriAhmadMD and other distinguished faculty. Do NOT miss #ThinkAmyloid #CVCNuc - 🫶@MyASNC @PanithayaC

[A.Sami Abuzaid MD,EMHL,FASE,FSCCT,FSCMR,FESC,FACC @AabuzaidDr]

Use of cardiac biomarkers for Cardiac Amyloidosis staging @Amyloiosisfdn @BU_Amyloidosis @MayoAmyloid @MasriAhmadMD @BrettSperryMD @NotNoninvasive @ICOSociety
@MyASNC #ThinkAmyloid #CvNuC

[Marian VanDyck-Acquah MD FASNC FASE FACC @Vandyckmarian]

Excellent MASTERCLASS ON CARDIAC AMYLOIDOSIS from ASNC every year gets better - particularly exciting for our patients with new treatments on the horizon
Important quality measures have to be in place
THANK YOU
@MyASNC @premsoman123 @MasriAhmadMD @NotNoninvasive
@sarahcud

[Yoshito Kadoya, MD PhD FACC FESC FASNC @Yoshito_Kadoya]

What causes “thick walls” in the heart? 🔎

• Hypertrophy: Genetic (HCM), Hemodynamic (HTN, Aortic Stenosis), Endocrine, Athlete’s Heart
• Infiltrative: Amyloidosis, Hemochromatosis
• Storage Disorders: Fabry, Danon, Friedreich’s Ataxia

#Amyloidosis #CVNuc
@MyASNC

[Yoshito Kadoya, MD PhD FACC FESC FASNC @Yoshito_Kadoya]

Sensitivity of Biopsies in AL #Amyloidosis 🎯

• Fat pad alone ~77%
• Combine fat pad + bone marrow → ~89% sensitivity
• Peripheral nerve, skin, liver, GI → 60~85%
• Kidney & Heart → around 95%🌟

#CVNuc @MyASNC

[Yoshito Kadoya, MD PhD FACC FESC FASNC @Yoshito_Kadoya]

Takeaways on genetic testing for #Amyloidosis:

• Common types: ATTRwt > AL > AA = LECT2 > hereditary
• 15% of cases are hereditary 🧬 (watch for family history, younger onset, & TTR gene variants)
• DPD/PYP can be positive in hereditary amyloid 🔎

#CVNuc @MyASNC

[Yoshito Kadoya, MD PhD FACC FESC FASNC @Yoshito_Kadoya]

🔎 Key Echo Takeaways for #Amyloidosis:
• Thick walls (>12 mm) + large atria + pericardial effusion = not always specific
• “Starry sky” sign 🌌 isn’t specific—use GLS to quantify
• Apical sparing with normal LVEF can be a major clue 🏆
#CVNuc @MyASNC