Dr. Basl Bernieh

Cardiologist,
Sopron Hospital

[American Society of Echocardiography @ASE360]

This video provides a step-by-step roadmap for healthcare providers to teach and troubleshoot the Goal Directed Valsalva technique and addresses common pitfalls.

Watch our Goal Directed Valsalva Education Series, featuring free educational resources! https://t.co/cC9Q3ESKVN

[Bonita Anderson @BonitaEcho]

Check out new additions to #ESANZ History Series:
📖 Carpentier Classification
https://t.co/AnY6QykMVU
📖 Sievers Classification
https://t.co/EuHNeSmo59

🎥 ESANZ members can also access a library of educational videos:
https://t.co/wDvbNAea3e

Join ESANZ:
https://t.co/1kDZQkrE9o

[American Society of Echocardiography @ASE360]

🫀PRODUCT OF THE MONTH🫀
#AdvancedEcho 2026 online course is a comprehensive program designed to update cardiology and imaging professionals on the forefront of cardiovascular ultrasound.

Sign up: https://t.co/xPARaiaItB

[American Society of Echocardiography @ASE360]

We describe a rare @CASEfromASE of a 42-year-old man who presented with an ST-segment elevation myocardial infarction & was ultimately found to have external coronary compression from herniation of the left ventricle through a partial pericardial defect. https://t.co/uFQuJL9GIs

[Dr. Basl Bernieh @BaslDr]

https://t.co/NS85qtAp9Q

[American Society of Echocardiography @ASE360]

Libman-Sacks endocarditis is a rare cardiac manifestation of systemic lupus erythematosus.

This is the case of a patient w/ poorly controlled SLE who presented w/ acute decompensated HF due to severe MR from LSE and concomitant constrictive pericarditis. https://t.co/rCQKwrkPsI

[Alexander Mladenow MD @alex1708ander]

@loomba_rohit Source: Echocardiography in CHD Made Simple Ho, Rigby, Anderson 2006

@cardiopedhnn @OungSavly @SIwa23288585 @WithAScalpel

[Carlos El-Tallawi, MD, FACC, FASE @HeartToProve]

Pulmonary vein Doppler tracks LA–LV hemodynamics beat-to-beat:

•S wave → LA relaxation + annular descent (systolic suction)
•D wave → LV filling (mirrors mitral E)
•Ar wave → atrial contraction (retrograde)

Blunted S, dominant D, ↑Ar? → elevated LA pressure & reduced compliance.

Simple waveform. High-yield physiology. 🫀

[Dr. Basl Bernieh @BaslDr]

@arabmemesss ما رأيك يا @grok

[Dr. Basl Bernieh @BaslDr]

@drahmedmohsen85 Pericarditis

[Dr. Basl Bernieh @BaslDr]

@drahmedmohsen85 Methyldopa

[Alexander Mladenow MD @alex1708ander]

Adam Christian Thebesius 1686-1732

To get the coronary sinus (CS) in TEE slowly advance the probe from the mid-esophageal 4Ch view till the MV disappears and instead of it the CS appears #echofirst

By zooming in on the image the Thebesian valve can be occasionally seen

[Dr. Basl Bernieh @BaslDr]

@IIrinaT Yes

[Dr. Basl Bernieh @BaslDr]

What type of VT is this, and where is it originating from?

[Dr. Basl Bernieh @BaslDr]

@Ecgloverr Let's see what the others say.

[CardiovascularCorner @TrackYourHeart]

Cardiac Amyloidosis Diagnosis
Cardiac amyloidosis is a restrictive cardiomyopathy caused by extracellular deposition of misfolded amyloid proteins in the myocardium, leading to stiffening and heart failure.

Key Diagnostic Steps
1️⃣ Suspect in HFpEF with wall thickening, low voltage ECG, elevated troponin/BNP, or unexplained heart failure.
2️⃣ Screen for monoclonal protein:
🔹Serum-free light chains
🔹Serum & urine immunofixation
3️⃣ Bone scintigraphy (PYP, DPD, HMDP) is useful if no monoclonal protein is found.
4️⃣ Biopsy (fat pad or endomyocardial) with Congo red staining & mass spectrometry if needed.

TTR gene testing helps distinguish wild-type (ATTRwt) vs variant (ATTRv) amyloidosis.

Reference: Braunwald’s Heart Disease, 12th Edition
Image: Diagnostic algorithm for cardiac amyloidosis

#Cardiology #HeartFailure #Amyloidosis #MedicalEducation

[CardiovascularCorner @TrackYourHeart]

Constrictive pericarditis is a condition where the sac around the heart becomes thick and stiff, making it harder for the heart to fill properly. #Cardiology #ConstrictivePericarditis

[Milan Koštek @KostekMilan]

Coumel sign.
https://t.co/edJ7fdtEWN

[Edgar Argulian @argulian]

Spectral Doppler tracings provide important hemodynamic insights. This book is dedicated to interpretation of spectral Doppler recordings, similar to EKG books focused on EKG interpretation. Examples of some spectral Doppler patterns which may not be widely known:

Notched aortic regurgitation
Interrupted aortic regurgitation
Phantom systole
Double peak LVOT signal
Notched tricuspid regurgitation
Giant L wave
Intermittent systolic flow reversal in hepatic veins
Merged tricuspid regurgitation

@EchoSoliman

[Dr. José Ángel Cabrera @jacabreracardio]

Left Atrial Appendage Closure: Reaching More Patients Every Day
🔹Relevant Anatomic landmarks for LAA Closure🔹
https://t.co/Ecd03V2OIE @JACCJournals @secardiologia @ritmo_SEC