Top Tweets for #echoFirst
First learn the procedure. Then image it. ⭐ Understanding 🧠 drives imaging 🖥️ #learnfirst #echofirst
38 y.o without any medical illness; recurrent episodes of palpitations; VS stable; #echofirst normal?
What do you think is the #ECG diagnosis❓🤔
Digitized with @PMcardioApp
#Cardiology
#CardioEd
#Cardiotwitter
#Medicalstudent
Rare 🆚 uncommon
Native pulmonary valve endocarditis 🆚 cardiac metastasis from gastric adenocarcinoma #echofirst @NephroP
Two transesophageal echocardiograms: which structures are indicated by 🅰️ and 🅱️? #echofirst @NephroP
🫀#echoboards prep question
The asterisk in panels A-C and the arrow in panel D all indicate the same anatomic structure. What is it?
📌 Panel A is a transthoracic echocardiogram
📌 Panels B–D are transesophageal echocardiograms
🫀 50F, 20 yrs after mediastinal RT for Hodgkin 📡 Now w/ valvular dz — TTE 👇 tells a story 🕵️ 🧠 What's the mechanism? 👉
Vote below — reveal in 24 hours
Case by @LYnalvez @Abdelcards #CardioOnc #CardioTwitter #EchoFirst
Right after MCS implantation, intraoperative TEE guides BVAD cannula assessment - position, flow, and function 🚀
#echofirst #MCS #BVAD
@NephroP Thank you @NephroP ! That’s incredibly kind of you !! I’m delighted that the cases I share are proving useful. Here’s to helping more people sharpen their TEE skills - we’ll keep scanning and learning together #echofirst
Type A dissection ELIMINATED 💪
🔑 BRANCHED FROZEN ELEPHANT 🐘 TRUNK + DAVID PROCEDURE
#echofirst
Illustration credit: https://t.co/eHcj4Qy8we
Which connective tissue disorder is strongly associated with aortic dissection?
a) Turner syndrome
b) Klinefelter syndrome
c) Marfan syndrome
d) Down syndrome
What is the structure shown most likely #echofirst (left lung, left pleura, pericardial hematoma, spleen, stomach…)🤔
#echofirst
✅ Time to close- 🙏 to all comments
✅ Saline contrast study shows prompt contrast filling of RV inflow followed by stalled forward movement beyond mid RV. Color Doppler of apex (see ⬇️) confirms presence of apical ventricular septal rupture with large Left-Right shunt (many of you called it!). Flow through VSR from RV apex to base impedes forward movement of saline contrast & explains why contrast failed to fill entire RV
✅ RVSP was ⬆️ but does not explain by itself the stalled saline contrast movement
@argulian
@Hragy
@HeartOTXHeartMD
@DrRajeshG1
@MKaldas
@bwoody58
The future of #Echofirst isn't acquiring more images—it's interpreting them better.
Five reminders:
• EF is not the whole story.
• "Normal" ≠ healthy.
• Women remodel differently.
• GLS often changes before EF.
• Context is part of every image.
Better imaging begins with better questions.
#Cardiology #CardiacImaging #GLS #HFpEF #StructuralHeartDisease #WomensHeartHealth
@kenyacardiacs
@CASivaram1 @argulian @DrRajeshG1 @Hragy @iamritu @echo_batman @PWesslyMD @purviparwani @HeartOTXHeartMD Pediatric & adult patient #echofirst
#echofirst
✅ Whimsical is the best description that came to mind for this saline contrast TTE
✅ Why are the microbubbles hesitant ⬇️?
@argulian
@alex1708ander
@DrRajeshG1
@hragy
@iamritu
@echo_batman
@PWesslyMD
@purviparwani
@HeartOTXHeartMD
Ready to wean the patient from CPB, following surgery performed under deep hypothermic circulatory arrest (DHCA).
Great #echofirst teams are built on anticipation. Exceptional nurses are always one step ahead ♥️ 🙏👩⚕️
Everything is ready. Imaging can begin. Eyes on the TEE.
@WilliamZoghbi In my opinion, the methodological limitations of this study should be acknowledged whenever it is incorporated into contemporary clinical guidelines. Prospective multicenter validation using modern reference standards (volumetric) is warranted. Until then… #EchoFirst #WhyCMR
Current #guidelines recommend the mitral inflow/LVOT VTI ratio as an easy-to-measure semiquantitative index for isolated primary MR (>1.4 severe, <1 mild). But how robust is the evidence behind it? Let's take a closer look at this widely cited parameter. #EchoFirst Part 1
Congratulations to 🌟@S_Dhont, @_Sara_Ferreira, @Ph_Bertrand and thank you to all co-authors and patients! 🌟
#CPETecho #CardioX #EchoFirst #VHD
#MitralRegurgitation #PMR #MR
🔗
https://t.co/wzA4ozc0bN
6/7
Translate 2D into 3D 🫀
Mastering echocardiography means learning to build a 3D mental model from what you see on 2D #echofirst
Challenge: Which 3D animation best matches the orientation of this mechanical aortic valve prosthesis as seen on the 2D TEE image? 🎞️
1️⃣2️⃣3️⃣
Missed the PFO? Check your Nyquist limit 🌈 first #echofirst 👀
A high Nyquist limit can hide low-velocity shunt flow.
Lower the Nyquist limit → Increase sensitivity → Reveal the #PFO
Here’s a perfect example of why one small Doppler adjustment can make all the difference!
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