Intra- and extra- cardiac shunt can coexist. Differentiate mainly via flow pattern not cycle timing.
•PFO: transient/intermittent bolus which can be late if RAP>LAP occurs late.
•Transpulmonary: continuous trail of bubbles; can occur early for example in liver cirrhosis patients with large stroke volumes.
1/9
The 2026 ACC/AHA Dyslipidemia Guidelines are officially here!
Replacing the 2018 guidelines, these new updates bring major shifts in risk assessment, novel lipid markers, and cholesterol targets.
Here are the most salient features you need to know. 🧵👇
#Cardiology #MedTwitter
We've released a #new State-of-the-Art Review, "Noninvasive Methods to Assess Vascular Health in Children and Adolescents: Current State-of-the-Art and Future Perspectives."
Read our JASE article: https://t.co/WymOfSFPJl
Causal role of adipose tissue-derived adipokines in the pathogenesis of #HFpEF: experimental demonstration as the basis for clinical targeting. Read this interesting hypothesis in #EHJ
👉 https://t.co/DByymJGieq
@RoccoMontone@ehj_ed#heartfailure
Patients with greater spontaneous echo contrast (SEC) grade displayed a higher incidence of thromboembolic events and DRT, and combined SEC grade and #AFib type independently predicted these events. Further research is needed https://t.co/bzuuFwYCGG #JACCCEP
Coming May 4, the ASCeXAM Review Course will cover all aspects of #CVUltrasound essential to these examinations, including physics, valvular heart disease, strain and 3D imaging, contrast echo, ischemic heart disease & congenital heart disease.
Sign up: https://t.co/cZwvISN8Fi
Heart failure evidence update 2026
Major developments include the emergence of non-steroidal mineralocorticoid receptor antagonists and incretin-based therapies for heart failure (HF) with mildly reduced and preserved EF, the validation of rapid guideline-directed medical therapy optimization strategies in acute HF, and new evidence supporting digitalis glycosides in HF patients with reduced EF. Device-based care has evolved with transcatheter edge-to-edge repair for valvular heart disease
#Cardiology #MedTwitter #CardioTwitter #HeartHealth #Healthcare
@mvaduganathan@SJGreene_md@gcfmd@biljana_parapid@DrMarthaGulati@hvanspall@hfcollaboratory@HFA_President@AndrewJSauer@dranulala@ShelleyZieroth
https://t.co/x73Xa1vSPT
Our state-of-the-art review on pulmonary HTN due to left heart ds (group 2) now publ in JACC. Poor prognosis, esp when pre-capillary PH develops (PVR >2 WU - CpcPH). No specific Rx exist. We're starting the PULSE-LHD trial of PA denervation in 500 pts with group 2 PH and CpcPH.
We believe this will be a great step further in defining sex specific thresholds in valvular heart disease. Congratulations Pilar Lopez Santi !
https://t.co/XANzECuHmQ
🔴A 'pillar approach' is recommended by international societies for patients with heart and kidney disease to reduce long-term complications. The pillars
🔹 HFrEF
🔹 HFpEF
🔹 Diabetic CKD
🔹 AF
#CardioTwitter#medx#medEd
🫀ANOTHER NEW GUIDELINE🫀
We have just released "Recommendations for Cardiac Point-of-Care Ultrasound Nomenclature." Read it here: https://t.co/6H8s9hAw97
#ASEGuidelines#POCUS#CardioX
👦👧De pequenino é que se aprende a salvar vidas...
📖 O livro infantil “Vou-te salvar! Suporte Básico de Vida” ensina as crianças a realizar manobras de suporte básico de vida (SBV) de forma divertida e educativa. A história do Duarte e dos seus primos mostra como todos podemos fazer a diferença em momentos críticos.
No âmbito do projeto de Literacia para a Saúde "E.S.T.A.R e viver bem na freguesia" e para assinalar o Dia Mundial da Criança a 1 de junho, este livro será distribuído numa ação de sensibilização a decorrer na Mexilhoeira Grande, no concelho de Portimão.
#SPC
Ever wonder why some people with #AFib, tachycardias, and PVCs develop arrhythmia-induced #cardiomyopathy and others don’t? See some of the insights behind this disease in this week's #JACC state-of-the-art review: https://t.co/OSWNETIRrZ @PShoureshi
#JADEL
Just dropped in CASE:
- 77W with AF-RVR and stroke; referred for LAAO device.
Major Teaching Point:
- ALWAYS review entire baseline TEE to exclude OTHER CVA causes
Check out what they found:
https://t.co/X8VuK0pMVB
Follow thread 4 great images!
@ASE360@CASEfromASE