JASE

JASE brings physicians & sonographers the latest clinical & scientific info on use of cardiac ultrasound #echofirst @ase360

[JASE @JournalASEcho]

PLEASE NOTE: Beginning today, JASE will be available online only.

[American Society of Echocardiography @ASE360]

This JASE study aimed to elucidate the clinical features & outcomes of infants (<1 year old) diagnosed with bicuspid aortic valve (BAV) in order to establish evidence-based guidelines for follow-up surveillance that may safely reduce the burden of testing. https://t.co/9wfXb3aWd2

[American Society of Echocardiography @ASE360]

Assessment of left ventricular diastolic function remains one of the most persistent challenges in echocardiography.

Read our @JournalASEcho article, "Reframing Diastolic Function: From Classification to Continuous Physiology." https://t.co/vwAkC4hw5M

[American Society of Echocardiography @ASE360]

We've released a #new State-of-the-Art Review, "The Effect of General Anesthesia and Mechanical Ventilation on the Echocardiographic Evaluation of Cardiac Function!"

Read it now: https://t.co/cbmJ46fd5C

[American Society of Echocardiography @ASE360]

Our June 2026 @JournalASEcho is online! https://t.co/j8gidGN8GF

This new issue features:
🔷 Our new #ASEGuideline
🔷 Sex Differences in LV Size & Function before & after MV Repair
🔷 Reframing Diastolic Function: From Classification to Continuous Physiology
🔷 And so much more!

[Nadeen N. Faza, M.D. @NadeenFaza]

@PWesslyMD @LucySafi @PriyaPanday27 @HeartToProve @ASE360 @JournalASEcho #ASEchoJC The Pickelhaube sign: Lateral annular S′ ≥16 cm/s associated with ventricular arrhythmias in MVP ⚡️
#EPeeps
👉https://t.co/1nt0u3KMBZ

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

@PWesslyMD @LucySafi @PriyaPanday27 @NadeenFaza @ASE360 @JournalASEcho @purviparwani @iamritu @DavidWienerMD @SIwa23288585 @EACVIPresident #ASEchoJC

[Priscilla Wessly @PWesslyMD]

✨ Huge thank you to everyone who joined tonight's #ASEchoJC!
What an incredible discussion on MVP, MR, MAD, ventricular arrhythmias, and the evolving concept of arrhythmic MVP. 🫀⚡️
Grateful to our outstanding guest authors Dr. Jeffrey Silbiger @LucySafi, @priyaPanday27, and for sharing their expertise and insights, and to my wonderful co-moderators @NadeenFaza and @HeartToProve. A special thank you to our #EchoFirst enthusiasts and engaged audience for contributing to such a lively, thoughtful, and high-yield discussion.
Proud to be part of this amazing global #EchoFirst community! 💙🌍 @ASE360 @JournalASEcho

[Priscilla Wessly @PWesslyMD]

#ASEchoJC

[Priscilla Wessly @PWesslyMD]

#ASEchoJC

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

@PWesslyMD @LucySafi @PriyaPanday27 @NadeenFaza @ASE360 @JournalASEcho Our group also identified a novel Doppler sign —Bifid-E wave— that could represent an additional echocardiographic marker of advanced MVP and myocardial fibrosis. Keep an eye out for this next time you're reading a Barlow Echo. #ASEchoJC

[Nadeen N. Faza, M.D. @NadeenFaza]

#ASEchoJC 🫀 Is this patient a good candidate for M-TEER?

#EchoFirst holds the answer 💡. 🔑 features that guide candidacy and device selection include:
✅ 3D mitral valve area
✅ Posterior leaflet length
✅ Baseline transmitral gradient
✅ Prolapse/flail location
✅ Flail gap and width
✅ Barlow’s disease
✅ Calcification in the grasping zone

The procedure starts long before the procedure—at the #EchoFirst workstation. #CardioTwitter #Echofirst #MTEER🫀📸

[Lucy @LucySafi]

@PWesslyMD clip away from clefts to avoid opening up the clefts and worsening the MR #ASEchoJC @ASE360

[Priscilla Wessly @PWesslyMD]

#ASEchoJC

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

@PWesslyMD @LucySafi @PriyaPanday27 @NadeenFaza @ASE360 @JournalASEcho Prolapsing valves pull on chords/papillary muscles, stretching the LV wall inward. This causes "curling" (LV crest rotates posteriorly) & the Pickelhaube sign -- a sharp late-systolic S’ wave >16 cm/s on TDI. Both are markers of increased arrhythmia risk! #ASEchoJC

[Priscilla Wessly @PWesslyMD]

#ASEchoJC Q 10 What are curling and the Picklehaube sign and how are these related to papillary muscle traction? @LucySafi @PriyaPanday27 @NadeenFaza @HeartToProve
#ASEchoJC #EchoFirst #CardioTwitter #EPeeps #MVP @ASE360 @JournalASEcho

[Priscilla Wessly @PWesslyMD]

💎 #ASEchoJC Barlow's valves can be challenging for TEER.
⚠️ Multiple MR jets
⚠️ Excess leaflet redundancy
⚠️ Leaflet clefts
⚠️ Annular/PML calcification
🫀 Broad jets may require multiple clips.
🫀 Grasping near a cleft may worsen MR.
🫀 Calcification can limit usable leaflet tissue.
🎯 Anatomy determines complexity.
#ASEchoJC #EchoFirst #CardioX #MVP @ASE360 @JournalASEcho

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

@PWesslyMD @ASE360 @JournalASEcho Very important -- flail =/= severe MR! In our data a flail leaflet had 81% specificity for severe MR as defined on CMR >60 mL/50% #ASEchoJC

[Priscilla Wessly @PWesslyMD]

💎 #ASEchoJC Imaging is central to MVP intervention planning.
Before TEER or surgery, echo helps define:
🫀 Mechanism of MR
🫀 Mitral valve area
🫀 Leaflet length
🫀 Leaflet clefts
🫀 Mitral annular calcification
🎯 Successful intervention starts with understanding anatomy.
#ASEchoJC #EchoFirst #CardioTwitter #MVP @ASE360 @JournalASEcho

[Lucy @LucySafi]

@PWesslyMD @PriyaPanday27 @NadeenFaza @HeartToProve @ASE360 @JournalASEcho @DavidWienerMD @iamritu @purviparwani @boegel_kelly @argulian Imaging is central to MVP management—defining leaflet pathology, MR severity, ventricular remodeling, and procedural feasibility. Echo, CMR, & CT guide surgical vs transcatheter repair strategies #ASEchoJC

[Priscilla Wessly @PWesslyMD]

#ASEchoJC Q 9 How does imaging guide surgical and transcatheter intervention in MVP, and what is the role of repair in arrhythmic MVP?
@LucySafi @PriyaPanday27 @NadeenFaza @HeartToProve @ASE360 @JournalASEcho