Sherif F Nagueh

Professor of Medicine at Houston Methodist, Medical director of echocardiography lab at MDHVC

[Mohammed Chamsi Pasha, FACC, FASE @ChamsiPash]

Validating the new diastolic function guidelines https://t.co/qrsa35jpPZ

[Houston Methodist CV @HMethodistCV]

Dr. @SNagueh, our medical director of the echocardiography laboratory, discusses his role as chair of the left ventricular filling pressure (LVFP) guidelines committee with the @ASE360.
Watch the full video: https://t.co/fQYUYPQDuG

[Alicia Rangosch, ACS, RCCS, RDCS, RVT @aliciarangosch]

Must read diastology papers by @SNagueh: Improving the Diagnosis of HFpEF and Improving accuracy for detecting diastolic dysfunction in HFpEF by Echo using the New Algorithm for Estimating Left Ventricular Filling Pressure https://t.co/KoxmHcXNym
#echofirst @wikimagen @NMerke

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

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @PWesslyMD @iamritu @SIwa23288585 RECOMMENDED READ ON THIS SUBJECT

"Improving the Diagnosis of HFpEF: A Comparison of the H2FPEF Score and the 2025 ASE Diastolic Function Guideline Recommendations Using Invasive Hemodynamics as the Gold Standard" #ASEchoJC
https://t.co/IarT8vbnbr @SFNagueh

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

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @PWesslyMD @iamritu @SIwa23288585 Remember that HFpEF is a clinical diagnosis. It can be complex. Integrate all the tools at hand to make the correct diagnosis. #ASEchoJC

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @iamritu @SIwa23288585 #HFpEF #ASEchoJC #EchoFirst

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

@PWesslyMD @NadeenFaza @SNagueh @dysanborn @BonitaEcho @ASE360 #ASEchoJC

[Priscilla Wessly @PWesslyMD]

🧵 HCM diastology pearls
🔹 Impaired LV relaxation can precede LV hypertrophy in genotype-positive individuals.
👉 Diastolic dysfunction may be an early phenotypic marker of HCM.
💡 Symptoms in HCM are not always due to LVOT obstruction.
Diastolic dysfunction often drives dyspnea and exercise intolerance even without obstruction.
#ASEchoJC #EchoFirst @ASE360

[Sherif F Nagueh @SNagueh]

@PWesslyMD @NadeenFaza @dysanborn @BonitaEcho @HeartToProve @ASE360 Reduced LARS associated with higher risk of AFIB development and AFIB recurrence

[Priscilla Wessly @PWesslyMD]

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @HeartToProve @ASE360 🫀 HCM & left atrial mechanics
Reduced LA reservoir and pump strain correlate with:
🔹 Worse functional capacity
🔹 Higher risk of atrial fibrillation
📌 Further study is needed to define LA strain for filling pressure estimation in HCM
#ASEchoJC #EchoFirst @ASE360

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360 #RCM #ASEchoJC

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360 #HCM #ASEchoJC #EchoFirst @ASE360

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

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @PWesslyMD @ASE360 Markers associated with elevated filling pressures in AF patients #ASEchoJC

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

Make sure to review this @JACCJournals paper on diastology assessment in heart transplant patients: https://t.co/YkOgVHXsbr

@ASE360 #ASEchoJC #EchoFirst

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

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @PWesslyMD @ASE360 Heart transplant patients have baseline differences we need to recognize #ASEchoJC

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

@NadeenFaza @SNagueh @dysanborn @BonitaEcho @PWesslyMD @ASE360 In AF -- Diastology can get PAINFUL #ASEchoJC

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360 #ASEchoJC

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360 #ASEchoJC

[Sherif F Nagueh @SNagueh]

@NadeenFaza @dysanborn @BonitaEcho @PWesslyMD @HeartToProve @ASE360 #ASEchoJC @iamritu @purviparwani @DavidWienerMD

[Priscilla Wessly @PWesslyMD]

🫀 Estimating LV filling pressures in Mitral Regurgitation (MR) — a key nuance
In primary MR:
🔹 Chronic LA & LV dilation → ↑ chamber compliance
🔹 This can delay the rise in LAP
But over time ⏳
🔹 LA stiffness ↑ → LAP ↑ → pulmonary pressures ↑
🔹 Often driven by MR itself, not primary myocardial disease
🔑 MR can mask or mimic diastolic dysfunction
#ASEchoJC #EchoFirst @ASE360