Nicoletta Orphanou
@NOrphanou
Cardiologist with a special interest in TOE, valve diseases and cardiomyopathies .
📍🇨🇾🇬🇧
🩺🏃🏻♀️🎾🍰🍷
ID:1172056132925435905
12-09-2019 07:55:50
289 Tweets
226 Followers
225 Following
What would u give in these 2 cases of #coronaryectasia (DAPT/DOACS/DOACS+SAPT)?
1. Subacute MI -ectatic LCx, no severe stenosis
2. Chest pain & ST ↓ in precordial leads, Trop (-) Ectatic RCA & slow flow. MIЯVΛƬ #IC Mamas A. Mamas Gabriele Ghetti Michael Savage Jacqueline Tamis-Holland
Fever after a recent AVR, with unwelcome visitors showing up in blood cultures! TOE confirmed our fears. Vegetation on a calcific mitral valve was noted on P2B-P3. Prosthetic valve had no thickening/vegetations.Do u see any other findings ? #echofirst #CardioTwitter Echofirst Bot
We need some RT for the EAPC Certification!!
Dr Anastasia Mihailidou FAHA FCSANZ FESC Hany Ragy Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦 EAPCPresident Dr Emmanuel Androulakis Anna Kate Barton Giuseppe Biondi-Zoccai Andreas Gevaert Silvia Castelletti
An interesting TOE case of an asymptomatic, 50-year-old patient with rheumatic-looking valves.
Findings:
- Dilated LV
- Flail NCC of the aortic valve - causing severe AR
- Restricted posterior mitral valve leaflet
- Mild plus MR
#echofirst #CardioTwitter Echofirst Bot
An interesting case of a supracristal VSD and associated AR, in a 30y old. It is the least common type of VSD except in Asian population where it accounts for ~30% of VSDs. It is unusual for these defects to close spontaneously. #echofirst #CardioTwitter #VSD
How a frequently omitted view can make a big difference in the diagnosis of a patient:
♂️ HFrEF, mechanical MV & bioprosthetic AV
- Right parasternal view revealed high gradients of the bioprosthetic AV
➡ Dx: Patient-prosthesis mismatch
#echofirst Echofirst Bot Anastasia Vamvakidou
60Y old with no past hx. jaw pain every morning in the past 2 months, couldn't associate it with exertion. Exercise test stopped at stage 1 due to jaw pain appearance. No ECG changes but look at the echo! Anastasia Vamvakidou Chris Kairis Vass Vassiliou Echofirst Bot #Echo #echofirst
E/e’ on stress echo predicts ☠️beyond ischemia & LVEF
Mayo Clinic CV📝>14k pts
Pts w E/e’≥15 post exercise 1.39x⬆️risk(95% CI 1.18-1.65, p<0.0001)of all-cause☠️c/w pts w/o⬆️LV filling pressures
adjusted for age, sex, exercise capacity, LVEF, pulm htn
bit.ly/3Rb74dV
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Restricted and stuck mitral prothesis leaflet on 2D, 3D, trueVue images on TEE and fluoroscpy😨
Vladyslav Kavalerchyk 🇺🇦 Emergency Echo American Society of Echocardiography Turkish Society of Cardiology Özge Özden Kayhan Gamze Babur Güler Matters of the Heart 🫀 Emre Karakuş
A novel subcutaneous formulation of #furosemide delivered by an abdominal patch infusion device in patients with #HF : data from two phase 1 studies bit.ly/46pJejY
Stefan Agewall Felice Gragnano European Society of Cardiology #EHJPharmacotherapy #ESCYoung
#TMVR is making progress. The AMEND #MR annuloplasty ring is a specialized technology delivering surgical-like outcomes via a transeptal approach. Isaac George MD presented 1-year FIH results at #TVT2023 . Columbia Valve Center Columbia Medicine tctmd.com/slide/amend-tr… #InnovationWithPurpose
🤔 What are the consistencies, discrepancies and gaps in the 🇺🇸 and 🇪🇺 Guidelines for VHD Management?
➡️ Happy to share with you the latest article from the EuroValve Consortium published in JACC Journals
🌐 sciencedirect.com/science/articl… European Society of Cardiology EACTS ACC Media Center AHA Science
Was a great honour to write this editorial for JACC Journals with legendary Sean Pinney ➡️ American College of Cardiology Right Heart Dysfunction in HFpEF: More Complex and More Common Than We Thought∗ | Journal of the American College of Cardiology jacc.org/doi/10.1016/j.…