Vladyslav Kavalerchyk 🇺🇦 🇩🇪

Echocardiography as art and science. #EACVI Web & Comunication Committee, SoMe ambassador @DGK_org. #SoMe editor #EHJIMP & #EHJCVI.

[Vladyslav Kavalerchyk 🇺🇦 🇩🇪 @echo_stepbystep]

Please subscribe my YouTube channel: https://t.co/G6ZVTzN7H2
I would like to present my project (echocardiography step by step®). With my project, I want to take you into the world of echocardiography through the prism of my experience.

[American Society of Echocardiography @ASE360]

A mitral-aortic intervalvular fibrosa pseudoaneurysm is a rare complication after cardiac surgery.

This report describes the diagnosis & surgical management of an MAIVF pseudoaneurysm in a 3-year-old after the resection of a recurrent subaortic membrane. https://t.co/FHZaGjBUVr

[Konstantinos Papadopoulos @papadocardio]

A routine day in the Echolab 😎 for 4D echo lovers @NMerke @echo_stepbystep @denisamuraru @fiore_corrado @drozgeozden @DrHaniMahmoud @DonalErwan @lpbadano @GEHealthCare

[WilliamZoghbi @WilliamZoghbi]

A defining study on evaluating MR with Echocardiography & impact on @ASE360 Guidelines. @ACCinTouch @SCMRorg

[V.L.Sorrell, MD (@CASEfromASE EIC) @VLSorrellImages]

#JADEL

New in @CASEfromASE... large RA mass.

Given the imaging findings shown, what is the most likely pathology?

A. Angiosarcoma
B. Myxoma
C. Lipoma
D. Rhabdomyoma
E. Thrombus

Follow thread for pathology... (but, answer before looking)? 🤔

@ASE360

[Edgar Argulian @argulian]

Contrast echocardiogram for the same patient 2/3

[JACC Journals @JACCJournals]

New #JACC State-of-the-Art Review: Clinical Considerations in Management of Hypertrophic Cardiomyopathy in Pregnancy

Read here: https://t.co/TEq03lP7NG

#CardioX #HCM

[EACVI President @EACVIPresident]

🫀 How are you applying the 2025 ESC/EACTS guidelines in aortic stenosis?

Share your experience with multimodality imaging, clinical challenges and educational needs.

Your voice matters!

🔗 https://t.co/tIbchN8sgr

#AorticStenosis #EACVI

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

🎯 Less is more in mitral regurgitation assessment

In 177 patients undergoing near-simultaneous Echo & CMR, just 2 ASE criteria identified significant MR with 91–95% specificity.

🫀 Smarter integration, less quantification, greater diagnostic confidence

https://t.co/iFv3BRTsQJ

[Dr. Purvi Parwani @purviparwani]

Not Every Calcified Aortic Valve Is Rheumatic!

Today, one of my trainees described mild focal calcification of the aortic valve as “rheumatic involvement.”

It sparked a great teaching discussion!

How often does rheumatic heart disease involve the aortic valve in isolation?

✅Isolated aortic involvement accounts for <8% of rheumatic heart disease.
✅ Isolated rheumatic aortic stenosis is even rarer (~2%).
✅ Rheumatic aortic regurgitation is more common than isolated rheumatic AS.
✅ Most rheumatic aortic valve disease occurs alongside mitral valve involvement.

🔍 What should we look for on echo?

🫀Commissural fusion — a hallmark of chronic rheumatic valvular disease.
🫀 Leaflet thickening, particularly at the free edges.
🫀 Restricted leaflet mobility.
🫀 Progressive fibrosis and calcification.

Calcification alone does not establish rheumatic etiology.

Before calling an aortic valve rheumatic, look at the commissures—and don’t forget the mitral valve!

Sometimes, the most important imaging finding is what isn’t there.

#EchoFirst #CVImaging #RheumaticHeartDisease #CardioTea

PS found this really nice schematic on insta- if anyone knows the author on X please tag him. I am not able to find him here!

[Edgar Argulian @argulian]

An outpatient transthoracic echocardiogram 1/3

[EHJ-IMP Editor-in-Chief @EHJIMPEiC]

A new report in #EHJIMP highlights a rare but potentially life-threatening complication of mitral transcatheter edge-to-edge repair (M-TEER): right-to-left shunting through an iatrogenic atrial septal defect (iASD).

🔍 Key findings from 444 patients undergoing successful M-TEER:

▪️ 6 patients (1.3%) required emergency iASD closure for acute deoxygenation.
▪️ All had severe tricuspid regurgitation, right ventricular (RV) dilatation, and impaired RV function.
▪️ In 5 of 6 patients, right atrial pressure exceeded left atrial pressure after M-TEER.
▪️ RV function was substantially impaired, with lower TAPSE (15 vs. 19 mm), fractional area change (27% vs. 43%), and RV free-wall strain (−13% vs. −22%).
▪️ Echocardiography underestimated invasively measured systolic pulmonary artery pressure (25.8 vs. 40.3 mmHg; P = 0.035).
▪️ Oxygen saturation decreased by 3–8%; one patient developed cardiogenic shock.

Read the article: https://t.co/U1YiunyiqM
@VikashJaiswalMD @EHJIMPEiC

#Cardiology #StructuralHeart #MTEER #MitralRegurgitation #Echocardiography #RightVentricle #CardiacImaging #Cardiotwitter

[EHJ-IMP Editor-in-Chief @EHJIMPEiC]

Can clinically manifest cardiac sarcoidosis occur in the absence of LGE on CMR?

A new study published in #EHJ-IMP provides evidence that clinically significant, metabolically active cardiac sarcoidosis may occur despite the absence of late gadolinium enhancement (LGE) on cardiac magnetic resonance (CMR).

🔬 Key findings
• Among 46 treatment-naïve patients with clinically manifest, FDG-avid cardiac sarcoidosis, 4 (8.7%) had no detectable LGE on CMR.
• All 4 LGE-negative patients presented with advanced conduction system disease; 3 had complete heart block.
• Left ventricular ejection fraction was higher in LGE-negative than in LGE-positive patients (70% vs. 50%; P = 0.010).
• Myocardial inflammatory burden, assessed by LV SUVmax on FDG-PET, was lower in LGE-negative patients (3.9 ± 0.9 vs. 9.6 ± 5.2; P = 0.037).
• Three of the 4 LGE-negative patients received immunosuppressive therapy.

📄 Read the full article: https://t.co/7sVyufW7IU
@EHJIMPEiC @VikashJaiswalMD
🗣️#CardioTwitter #Cardiology #CardiacSarcoidosis #Sarcoidosis #WhyCMR #CVImaging #NuclearCardiology #FDGPET #EPeeps #HeartBlock #Arrhythmia #HeartFailure #MedEd #EHJIMP

[Nicolas Merke @NMerke]

#echofirst 3D Compilation
Teasing #3DEchoBerlin
22.01.- 24.01.2027 Advanced Echocardiography Workshop

Sunday 3D Hands on with GE &amp; Philips (TomTec)
👉https://t.co/p01SiqsFD1
👉 https://t.co/p01SiqsFD1

[Nicolas Merke @NMerke]

🫀 3D Advanced Echo Workshop | 22–24 Jan 2027, Berlin
#echofirst
International experts, hybrid format. 3D focus, but not only.
Friday's Basics session alone: physics by images, how to do 3D, contrast in unexpected ways, live knobology on GE & Philips real 3D cases. And that's just the start.
@echo_batman @alexsfelixecho @papadocardio @fiore_corrado
And many more to come
👉 https://t.co/Hfgfow9ayg
👉 https://t.co/vxTQVtbpCa

[Vladyslav Kavalerchyk 🇺🇦 🇩🇪 @echo_stepbystep]

🚀 ICE is transforming cardiac interventions!

@DonalErwan &amp; @AugustinCoisne highlight the shift from procedural guidance to precision intervention.

🔹 Real-time 3D/4D imaging
🔹 Safer, smarter workflows
🔹 AI-assisted navigation
☑️https://t.co/y4iCEMlTTQ

@EHJCVIEiC

[Vladyslav Kavalerchyk 🇺🇦 🇩🇪 @echo_stepbystep]

🚨 Can AI decode TR prognosis—or merely encode measurement errors?

@lpbadano &amp; Penso challenge PISA-derived EROA, Doppler-estimated pressures &amp; missing quantitative RV assessment.

AI 🤖 cannot correct flawed measurements!

☑️https://t.co/jyrwOEhmSE

@EHJCVIEiC @EACVIPresident

[Vladyslav Kavalerchyk 🇺🇦 🇩🇪 @echo_stepbystep]

🚨 Featured on the cover of EHJ–Cardiovascular Imaging!

9,761 patients with TR: Explainable AI reveals key mortality predictors.

🔹 SPAP &amp; right atrial pressure dominate
🔹 EROA outperforms integrated TR grading
🔗 https://t.co/c9EsExnlxW

@EHJCVIEiC @EACVIPresident

[Jose Carlos Fernández Camacho @josecaferca]

Young patient with partial mitral annuloplasty ring detachment 🔪 at @CardioPuerto @ImagenCardiaca @NMerke @alex1708ander @alexsfelixecho @lna22vf @dani11gf @echo_stepbystep @mgonzale2 #echofirst #TEE

[Vladyslav Kavalerchyk 🇺🇦 🇩🇪 @echo_stepbystep]

🫀🚀 Ready to take your 3D Echo skills to another dimension? 👽

Join international experts in Berlin, 22–24 Jan 2027! Hands-on training, advanced imaging &amp; real cases by @NMerke &amp; #friends

⚠️ Only a few places left!

🔗 https://t.co/6VXuVL2AA6

[NephroPOCUS @NephroP]

What's in the RA❓
Remember - When you hear hoofbeats, think horses, not zebras.
#POCUS #Nephpearls #FOAMed