Afaq

cardiologist

[Afaq @cAfaqMusayeva]

What is the underlying mechanism of aort regurgitation? Just rcc prolapse?

[Afaq @cAfaqMusayeva]

@TrackYourHeart Is there any connectiv tissue disease?

[Henry Han @HanCardiomd]

Diagnostic algorithm in mixed valve disease (#MVD)

What are several indices of severity have only been validated in pure #stenosis/#regurgitation ?

https://t.co/muCFLG6H6H

@ESC_Journals #EHJ #CardioEd

[ERM @Owner_X429]

Perioperative Management of DOACs

[The Heart @ZHeart11768530]

🔴 ASE Echocardiography Guidelines for Evaluation of Valvular Regurgitation
🔹 Aortic Valve
🔹 Mitral Valve
🔹 Tricuspid Valve
🔹 Pulmonic Valve

#Valvular #Regurgitation #Echocardiogram #POCUS #diagnosis #cardiology #criteria #POCUS

[Dr. Filippo Cademartiri @FCademartiri]

“Myocardial Strain Imaging: Theory, Current Practice, and the Future”

PDF at: https://t.co/a3lpsNClFk

1. Introduction to Myocardial Strain Imaging
• Definition: Myocardial strain quantifies heart muscle deformation, describing changes in length, thickness, and twisting motions.
• Clinical Relevance: This imaging technique, superior to ejection fraction (EF), detects mild systolic dysfunction, especially in patients with heart failure with preserved EF (HFpEF), valvular diseases, or chemotherapy-related myocardial dysfunction.
• Modality Variants: Includes echocardiography (e.g., speckle-tracking echocardiography, STE) and cardiac magnetic resonance (CMR) methods like feature tracking (FT).

2. Historical Development
• Early Techniques: Used implanted markers and ultrasonic dimension crystals.
• Modern Methods: Progressed from tissue Doppler to advanced CMR tagging and FT for better 3D and segmental analysis.

3. Technological and Methodological Insights
• CMR Techniques:
• Tagging: Applies magnetic grids on myocardium to monitor deformation.
• Feature Tracking (FT): Tracks anatomical landmarks for strain calculation; simpler and widely used clinically.
• Emerging Techniques: 3D CMR and strain-encoded imaging offer better spatial resolution.
• Echocardiography Techniques:
• STE dominates clinical use due to multidirectional tracking of speckles, providing reliable global and segmental strain metrics.

4. Clinical Applications
• Global Longitudinal Strain (GLS):
• More sensitive than EF in detecting early systolic dysfunction.
• Used in HFpEF, specific cardiomyopathies, and chemotherapy monitoring.
• Segmental Strains:
• Useful in identifying localized dysfunctions (e.g., ischemia, hypertrophic cardiomyopathy).
• Right and Left Atrial Strains:
• Indicate diastolic dysfunction and filling pressures.
• Twist and Torsion Analysis:
• Provides insight into ventricular mechanics but is less commonly applied due to technical challenges.

5. Advances and Challenges
• Advantages:
• Offers both global and regional myocardial function analysis.
• Extends to right ventricle (RV) and atria, expanding diagnostic capabilities.
• Challenges:
• Significant vendor variability, dependency on image quality, and complex standardization requirements.
• Limited adoption of advanced techniques like 3D strain due to resolution constraints and complexity.

6. Future Directions
• Layer-Specific Strain Analysis:
• Investigates strain gradients across myocardial layers; currently limited due to technical and reproducibility issues.
• Myocardial Work Index:
• Combines strain with non-invasive pressure estimates to evaluate energy efficiency.
• High Frame Rate Imaging:
• Enhances the detection of rapid cardiac events.
• Prospective Studies:
• Required to validate clinical outcomes and optimize guideline implementation.

7. Practical Considerations
• Strain imaging requires high-quality image acquisition, appropriate region-of-interest (ROI) placement, and software-dependent analysis. It demands awareness of confounding factors like loading conditions, chamber geometry, and patient-specific variables.

The review emphasizes myocardial strain imaging’s transformative potential in diagnosing and managing cardiovascular diseases, while recognizing the need for standardization, technological improvements, and further research. If you’d like, I can extract specific sections or elaborate further on any topic.

[Lucy @LucySafi]

🫀 A deep dive into mitral annular disjunction (MAD) in MVP patients published this month in @JournalASEcho
🔍Pts with MVP were subclassified based on the mitral annulus phenotype in systole & diastole
📊True-MAD ➔ clear separation btw P2 & LV myocardium in both diastole & systole
⚖️Pseudo-MAD ➔ defined as the presence of only systolic apparent disjunction
⚠️ Pseudo-MAD linked to arrhythmic MVP features, including systolic curling and Pickelhaube appearance
📈 TTE proves is a reliable tool for identifying MAD phenotypes, with 89% accuracy & high intra-/interrater agreement
💡 Why it matters: Early recognition of Pseudo-MAD can help assess risk for arrhythmic MVP & guide treatment strategies, especially in advanced cases with severe MR
🔗Link ➔ https://t.co/zaTyVku9zj

[Robert Herman, MD, PhD @RobertHermanMD]

New #EKG patterns in acute myocardial infarction due to thrombotic plaque rupture:
❌ STEMI / NSTEMI
✅ State of the coronary artery

Great work by @fabrizioricci @martini_chia!

[Edgardo Alania @Ed_Alania]

🔴 Predictive Value of RV Sensing During Cardiac Device Implantation to Diagnose Cardiac Amyloidosis @JACCJournals #Cardioed #Cardiology #Amyloidosis #Epeeps

[Afaq @cAfaqMusayeva]

Arterial təzyiqin doğru şəkildə ölçülməsinin önəmi.

[American College of Cardiology @ACCinTouch]

Understand the best practices for BP measurement for #hypertension patients with this infographic. 👇 Access the infographic, patient case quizzes & more 🆓 education w/ ACC's online course: https://t.co/BouB1rDXYk

#FusterCVS #ACCEd

[İlham Əliyev @azpresident]

8 Noyabr - Zəfər Günü

#ZəfərGünü

[The Heart @ZHeart11768530]

🔴Atlas of Regional Left Ventricular Scar in Nonischemic Cardiomyopathies: Substrates and Etiologies⤵️State-of-the-Art #2024Review #OpenAccess

🔹https://t.co/RuHuMIRr94
#FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter

[Oren Gottfried, MD @OGdukeneurosurg]

Great Potassium knowledge

[Afaq @cAfaqMusayeva]

@elonmuskADO Exactly twitter

[Afaq @cAfaqMusayeva]

@drnijad @JACCJournals This article very interesting and controversial.

[Afaq @cAfaqMusayeva]

Ona görə dahi şair yenə yada düşür :

Millət necə tarac olur olsun, nə işim var?!
Düşmənlərə möhtac olur olsun, nə işim var?!

[Afaq @cAfaqMusayeva]

Əfsus ki, bizlərdə insanlara doğru yol göstərildiyində yol göstərinin hansısa məqsədi olduğu düşünülür. Bu özəlliklə xəstələrə aid bir vəziyyətdir, ixtisaslaşmış həkimə yönləndirilmək anlayışı bizim millətin təfəkküründə heç vaxt yer etməyəcək.

[Azerbaijan Society of Cardiology @AzeCardiology]

1st International Hypertension Joint Meeting by @AzeCardiology & #EuropeanSocietyofHypertension @UlviMirzoyev
@Rahimov073 @islamliaysel @MehribanIsgand1 @TofigSadigov @oktaymusayev1 @ImanovGalib @drnijad @elyar_zeynalov @Dr_Elnure @VNazirova @cAfaqMusayeva @TKDsosyal @escardio

[Afaq @cAfaqMusayeva]

@ASE360 @CASEfromASE @VLSorrellImages @taylorswift13 Very rare interesting view

[Afaq @cAfaqMusayeva]

@UlhasDr VT- AV dissociation (V1)