Top Tweets for #ExerciseEcho
4/
💡 Why it matters:
Referral bias is a common flaw in #ExerciseEcho studies — patients are often referred because of poor exercise results.
We avoided this by:
✅ Using a multicenter cohort
✅ Modeling MV surgery as time-dependent
✅ Excluding it from the composite outcome

Our October 2025 @JournalASEcho is online! https://t.co/JI8zWg5YPr
This issue features:
🫀 Exercise Echocardiography for Risk Stratification in Unexplained Dyspnea
🫀 Multimodality Imaging in Presurgical Evaluation of Total Anomalous Pulmonary Venous Connection
🫀 And more!

👀Our editorial in @ESC_Journals #EJPC — a 🧵
🫁Dyspnea remains a common yet frustrating complaint. We argue for a standardized approach centered on #CPETecho— combining respiratory gas analysis & exercise echocardiography.
👉https://t.co/Qi7pXS0mYw
#CPET #ExerciseEcho #HFpEF
2025 Jan 31:S1885-5857(25)00028-3.Rev Esp Cardiol. doi: 10.1016/j.rec.2025.01.009.
#Exerciseecho can help to diagnose Cardiac #Amyloidosis
AS at ExE ↑↑ sensitivity; persistence of AS from rest to ex. ↑↑ Specificity (91%) @ PPV (88%) @ was associated to worse findings.

Excellent talk by @LunaGargani on Right Heart Hemodynamica during exercise echo, starting with the physiological basis and concluding with clinical implications. #echofirst #exerciseecho


AS most of you know, the HFA-PEFF score is subdivided in a "resting" score (maximum of 6).
0-1: <25% HFpEF
2-4: intermediate
5-6: >90% HFpEF
Intermediate patients should ⏩ #ExerciseEcho
high exercise E/e' or PAPs can add 2-3 points
https://t.co/P2Ik6s5MOo
@VerwerftJan and @guido_claessen in action - Educative live cases at #ExerciseEcho symposium @HartcentrumH

Great #ExerciseEcho #CPETecho #LUS paper by @EchoLab_Gunma
💧#HFpEF patients more B-lines
💧Most prominent in recovery
💧B-lines have incremental diagnostic value
https://t.co/Vavo4GLd3L
#ExerciseEcho in mitral regurg
📍Ex test in all ‘discordant’ MR
📍PAP, MR severity, LV&RV reserve stratify risk
📍Big ⬆️at low watts🟰prognostic
📍Additive value of #CPETecho
@AugustinCoisne at #ESCCongress #CVImaging #Exercise @Sarah_Moharem @PezelT @DonalErwan @MarcDweck

‼️new paper ‼️ #CPETecho parameters to diagnose #HFpEF in patients w/ exertional dyspnea
🧵below by 1st auth @VerwerftJan
📝#openaccess https://t.co/sdqBp6ny4X
🙏@PaulDendale @HerbotsLieven @guido_claessen @FH_Verbrugge 4 collab
#ExerciseEcho #EchoFirst #HeartFailure #Dyspnea
Excited to share our paper with @AndreasGevaert and @FH_Verbrugge @HartcentrumH @HerbotsLieven @guido_claessen @PaulDendale
https://t.co/l3XhXCgscu
We know that systolic reserve is reduced in #HFpEF; but can systolic reserve help in the diagnosis🤔?

@Dominik_Linz @drraviele @PrashSanders @DrJasonAndrade Advocate of the devil here. Does his mild COPD cause his dyspnea, or his HFpEF? Pts with AFib + dyspnea almost always meet diagnostic criteria for HFpEF. You should probably do #ExerciseEcho with #CPET to find out. Few therapeutic implications (currently). https://t.co/xQ2v6zIbLq
@SilCastelletti @escardio @SSharmacardio @erikesolberg @chiarabd @torlascoc @s_gati @JccmoonMoon @StGeorgesUni @CRY_UK @AndrewJMDSilva @MarcoGuglielmo @MichaelPapadak2 @SantoDellegrot1 @AndreBaggi @ThomasTreibel @alessia_gimelli @GPontone1973 @achir76 @s_e_petersen Yes, and clinical context. When in doubt, #ExerciseEcho can also differentiate pathology from athlete's heart - @guido_claessen did some great work here (including this one: https://t.co/CP6OMQwz8R). Or exercise MRI if you're lucky enough to have that.
Diagnosis of #HFpEF:
📌50% of patients clinically obvious
📌50% needs more diagnosis including #ExerciseEcho
📌🔫battle of the scores: H2FPEF score and HFA-PEFF score both predictive of outcomes
prof.Guazzi #ESCPrev2021
@FH_Verbrugge @VerwerftJan @rudolf_deboer @AdriaanVoors

50Y woman post PCI (LAD+Diagonal)
Diabetes. Chest pain on exertion.
#EchoFirst
#stressecho
#exerciseecho
#bikeecho
@yreddyhf @FH_Verbrugge @Ph_Bertrand @KDujardin What’s your approach in paradoxical LFLGAS. When do you sent for AVR. I like to do CA score and an #ExerciseEcho : projAVA and it helps to exclude that it’s a patient with peripheral limitation/frailty (and an AS as comorbidity) : RER < 1.05, no exPHT, no increase in gradients.
For these crazy #COVID times: #exerciseecho w/o wires & leads…..(if very very needed)
the only issue: you have to crop the images
heres an ischemic case
#ProtectYourselfAndOthers
Dedicated to my #ExerciseEcho friends @RodrigogpLima @momiamd @DiegoChango1 @MigueldeBoedo and #ExerciseEchoLovers❤️
75yo 👵🏻,atypical CP,dyslipidaemia.
#EE in treadmill,modified Bruce
Complained of unsustainable dyspnea Images at Peak exercise(still walking) (@peteiro technique)
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