Biff Landeck

[Biff Landeck @bifflandeck]

Such a great session on well being at #ASEPCHD22. Congratulations to all of our fantastic speakers and moderators. @ASE360 @MelisWasserman @colin_dunbar2 @BernadetteEcho

[Shelby Kutty, MD, PhD, MHCM @ShelbyKuttyMD]

The key to a great debate is respecting your opponent. @DrJenniferCo_Vu @ShabPeyvandi—You both did a terrific job @ASE360 Echo in Peds & #CHD #ASEPCHD22 debate. Congrats!

@MelisWasserman @bifflandeck @daniel_forsha @Jimmy_C_Lu @SOPedsEcho #CardioEd #cardiotwitter #medtwitter

[Jennifer Co-Vu, MD, FACC, FAAP, FASE @DrJenniferCo_Vu]

Channel 2 @ASE360 Inaugural Echo in Pediatric & Congenital Heart Disease Virtual Experience is now working! #ASEPCHD22
Go to the ASE Learning Hub and click launch now!
@MelisWasserman @bifflandeck @daniel_forsha @ShelbyKuttyMD @craigefleishman @Jimmy_C_Lu @anudodejamd @SOPedsEcho

[Melissa Wasserman @MelisWasserman]

💥 Attention all pediatric/congenital Echocardiographers, adult sonographers & cardiologists interested in CHD, and fellows 💥 Join us on Sept. 17-18 for the @ASE360 Inaugural Echo In Pediatric & Congenital Heart Disease Virtual Course! Click here! https://t.co/rZMF4OgcTi

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @rajdoc2005 @ErinMichos @FredWuMD @Kfarooqi @PushpaShivaram @ShelbyKuttyMD @DrJenniferCo_Vu @EGarciaSayan @NadeenFaza RV features - coarse trabeculations, moderator band, septal papillary muscle for TV

LV features - smoother walls, bullet shape, septophobic papillary muscles for MV

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @rajdoc2005 @FredWuMD @EGarciaSayan @ErinMichos @PushpaShivaram @Kfarooqi @daniel_forsha @ASE360 @DrJenniferCo_Vu The infamous Z-score (or zed score for my friends across the pond)! Measurements are indexed to BSA, Z is the number of SD away from the mean.

[Biff Landeck @bifflandeck]

@iamritu @DrJenniferCo_Vu @MelisWasserman @rajdoc2005 @edwardagill @VLSorrellImages @PushpaShivaram @daniel_forsha @FredWuMD @DocStrom It will impact storage space, but it's worth the impact because structural relationships are the keystone of CHD and sweeps are the best way to show them #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @rajdoc2005 @edwardagill @ErinMichos @NadeenFaza @PushpaShivaram @DrJenniferCo_Vu @daniel_forsha @FredWuMD If the patient needs a ductus as their only source of pulmonary or systemic blood flow, they're ductal dependent.
#echofirst #ASEchoJC @ASE360

[Pushpa Shivaram MD FACC @PushpaShivaram]

@iamritu @MelisWasserman @FredWuMD @bifflandeck @rajdoc2005 @edwardagill @NadeenFaza @DrJenniferCo_Vu @EGarciaSayan @ErinMichos #ASEchoJC

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @FredWuMD @rajdoc2005 @edwardagill @NadeenFaza @PushpaShivaram @DrJenniferCo_Vu @EGarciaSayan @ErinMichos An obstructive pattern in the abd aorta looks like a sawtooth (diastolic continuation) - but if there's an open ductus it can look falsely reassuring. #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @FredWuMD @rajdoc2005 @edwardagill @NadeenFaza @PushpaShivaram @DrJenniferCo_Vu @EGarciaSayan @ErinMichos The key here is getting low on the abdomen and aiming cranially to get a parallel angle for PW Doppler - and don't be fooled by the SMA! #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @edwardagill @rajdoc2005 @PushpaShivaram @DrJenniferCo_Vu @DocStrom @FredWuMD @daniel_forsha @DavidWienerMD Parallel great vessels in parasternal long axis view #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@rajdoc2005 @PushpaShivaram @iamritu @ShelbyKuttyMD @daniel_forsha @FredWuMD @DrJenniferCo_Vu @MelisWasserman @EGarciaSayan @VLSorrellImages @ASE360 Totally agree @rajdoc2005! Hours matter, so don't hesitate to call for help! #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

My #ASEchoJC companion for the night... My sweet girl Rosie! @ASE360 #echofirst

[Biff Landeck @bifflandeck]

@iamritu @PushpaShivaram @ShelbyKuttyMD @daniel_forsha @FredWuMD @DrJenniferCo_Vu @MelisWasserman @EGarciaSayan @rajdoc2005 @VLSorrellImages

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @rajdoc2005 @edwardagill @VLSorrellImages @PushpaShivaram @daniel_forsha @FredWuMD @DrJenniferCo_Vu @DocStrom Subcostal views show cardiac position in the chest and a slow sweep can show all the structures without lung artifact. You can find any associated defects #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@DavidWienerMD @DrJenniferCo_Vu @iamritu @MelisWasserman @rajdoc2005 @PushpaShivaram @FredWuMD @Kfarooqi @daniel_forsha @NadeenFaza @ASE360 Structured communication is key. The pediatric cardiologist is your friend when you're struggling with what you're seeing on a new baby with C-CHD. Don't hesitate to pick up the phone and call! #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@iamritu @MelisWasserman @rajdoc2005 @edwardagill @PushpaShivaram @DrJenniferCo_Vu @boegel_kelly @VLSorrellImages @FredWuMD @NadeenFaza Suprasternal notch and subcostal/subxiphoid. These can be tough. The key is slow, deliberate sweeps. #echofirst #ASEchoJC @ASE360

[Biff Landeck @bifflandeck]

@edwardagill @iamritu @MelisWasserman @rajdoc2005 @PushpaShivaram @DrJenniferCo_Vu @FredWuMD @ErinMichos @ASE360 @DavidWienerMD @daniel_forsha @NMerke @NadeenFaza @EGarciaSayan @DocStrom @Kfarooqi was asking about the partial interrupted aortic arch @edwardagill