Julia Grapsa
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jgrapsa.bsky.social
Julia Grapsa
@jgrapsa.bsky.social
750 followers 170 following 31 posts
Cardiologist, Deputy editor EHJCVI - imaging & VHD ❤️
Posts Replies Media Videos
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 🏃‍♂️ What’s the role of exercise CMR PA compliance in suspected diastolic dysfunction with pRVEF? 🫁 They show a sharper drop in PA compliance during exercise, despite normal resting values 📉 Is there a link with HFA-PEFF score or outcomes? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social
June 5, 2025 at 8:34 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 🧒🫁 Can we use lung ultrasound in pediatric cardiology? 🖋️ This expert opinion from the AEPC Imaging WG outlines key principles, diagnostic applications, limitations, and future directions 🔍 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social
June 7, 2025 at 6:32 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 👀 Our SoMe editor Eirini Beneki presents this fascinating case:🧍‍♂️49-year-old male 😮 Sudden-onset dyspnoea (NYHA IV) one week after chest trauma 🫀EKG: complete heart block + ventricular escape rhythm 🔍 What do the imaging findings reveal? #CardioSky @jgrapsa.bsky.social @escardio.bsky.social
June 4, 2025 at 9:13 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 🚫 Measuring perivascular adipose tissue attenuation around the RCA or aortic valve adds no incremental prognostic value for MACE prediction in TAVI patients beyond established risk factors 📉 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social
June 2, 2025 at 9:06 PM
jgrapsa.bsky.social
@escardio.bsky.social
pabloplopez.bsky.social Pablo Perez Lopez @pabloplopez.bsky.social · May 23
#EHJIMP 🫀 Is epicardial adipose tissue linked to diastolic dysfunction? 👀 This editorial dives into the findings by Ishikawa et al. from a retrospective study of 314 symptomatic CCS patients 🧩 A potential piece in the HFpEF puzzle? 🔍 Read more: doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social
May 25, 2025 at 8:33 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 🌍 How should we use multimodality cardiac imaging to diagnose cardiovascular involvement in tropical diseases? 🫀 Check out this joint EACVI & DICSB scientific statement highlighting the role of imaging in these conditions 🔎 Read more 👉 doi.org/10.1093/ehjc... @jgrapsa.bsky.social #CardioSky
May 24, 2025 at 9:18 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 🌀 What’s the incremental value of regurgitant fraction by 3DE in STR? ⚠️ This study shows it’s the strongest severity marker and the only one improving risk stratification beyond EROA 📈, identifying a high-risk subgroup 📊 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social
May 25, 2025 at 7:41 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 🧪 What’s the role of MRI-measured myeloperoxidase (MPO) activity in predicting atherothrombosis? 🐇 In rabbits, R1 relaxation rate after MPO-Gd was the best predictor 🧠 But what about MPO in human carotid plaques? 🔍 Dive into the study: doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social
May 24, 2025 at 9:22 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP 🩻 How should coronary assessment be handled in TAVI candidates? 🧠 Is coronary angiography enough? ⚖️ What are the benefits and risks of different approaches? 🔍 Want to know more? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social
May 21, 2025 at 9:21 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJIMP💡 Can we use CMR to assess pulmonary congestion? 🫁 This study found that patients at risk for HF have significantly higher lung water density (LWD) 📈 Optimal cut-off: 27.6% 🔍 Curious about the results and how LWD was measured? Dive in here: doi.org/10.1093/ehji... #CardioSky
May 16, 2025 at 3:08 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 📉 Baseline pulmonary vascular resistance >2 WU is linked to worse outcomes in patients undergoing tricuspid annuloplasty. Is it a stronger prognostic marker than PASP or the TAPSE/PASP ratio? What’s the role of post-op PVR? 🫁 Read more doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social
May 14, 2025 at 9:55 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 👶 A 2-year-old is admitted for a 3/6 diastolic murmur at the 2nd–4th intercostal spaces along the left sternal border 🎧 TTE reveals the following findings What’s your diagnosis? 🤔🫀 #CardioSky @jgrapsa.bsky.social @escardio.bsky.social
May 10, 2025 at 6:14 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 🖥️ What’s the prognostic value of ECV-derived radiomics (RadScore) for risk stratification in reperfused STEMI? 🫀 Do patients with increased RadScore face higher MACE risk? ⚠️ Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @escardio.bsky.social @jgrapsa.bsky.social
May 8, 2025 at 8:45 PM
Reposted by Julia Grapsa
cardioobdoc.bsky.social
#AI for Preconception #Cardiomyopathy Screening Among Women of Reproductive Age

#CardioSky #CardioObstetrics
www.annfammed.org/content/earl...
@abraguo.bsky.social @garimasharmamd.bsky.social @mdharringtonc.bsky.social @drhelenecollin1.bsky.social @obcriticalcare.bsky.social @erinmichos.bsky.social
May 2, 2025 at 8:33 PM
Reposted by Julia Grapsa
pabloplopez.bsky.social
#EHJCVI 💬 67-year-old woman with shortness of breath and lower limb oedema 🦵ECG shows atrial fibrillation ⚡ TTE reveals severe MR and TR plus the following findings. What’s your suspicion? What would you do? 🕵️‍♂️🔍 (Part 1) @escardio.bsky.social @jgrapsa.bsky.social
April 30, 2025 at 4:51 PM
Reposted by Julia Grapsa
cardioobdoc.bsky.social
Routine LAA surgical closure for all patients undergoing cardiac surgery?

#CardioSky #Epeeps
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @cardiacpa1.medsky.social @jkhmd.bsky.social @gimelliale.bsky.social @narrowqrs.bsky.social @victoriadelgadomd.bsky.social @jgrapsa.bsky.social
April 3, 2025 at 1:12 PM
Reposted by Julia Grapsa
nejm.org
NEJM Editorial Fellow Harleen Marwah, MD, summarizes the SOUL trial. Read the full trial results: nej.md/4hHII5M

#ACC25 #MedSky #CardioSky @accintouch.bsky.social
March 29, 2025 at 8:00 PM
Reposted by Julia Grapsa
gimelliale.bsky.social
Sarcopenia-related indices, particularly the 5-STS, effectively and simply predicted achievable exercise intensity during ESE, independent of age and sex.
#EHJIMP @jgrapsa.bsky.social @escardio.bsky.social @cardioobdoc.bsky.social
doi.org/10.1093/ehji...
The Five Times Sit-to-Stand Test Predicts Achievable Exercise Intensity During Stress Echocardiography
AbstractBackground. Exercise stress echocardiography (ESE) is becoming increasingly important in assessing heart failure and valvular diseases; however, de
doi.org
March 15, 2025 at 12:48 PM
Reposted by Julia Grapsa
gimelliale.bsky.social
Reduced passive and active 3D LA motion from 4D RGCT associates with more advanced AF and AF recurrence post-ablation, respectively. Future work should extend this approach to larger populations.
@jgrapsa.bsky.social @escardio.bsky.social @cardioobdoc.bsky.social
doi.org/10.1093/ehji...
pendingpublications
Pending Publication
doi.org
March 6, 2025 at 7:52 PM
Reposted by Julia Grapsa
cardioob.bsky.social
Pregnancies in women after peri-partum cardiomyopathy #PPCM: global ESC EuroObservational Registry

#CardioSky #CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social
February 23, 2025 at 6:11 PM
jgrapsa.bsky.social
🔥Just published #EHJCVI 🔥

LV GLS and T2 value were independently associated with significant allograft rejection ➡️ incremental value for non-invasive identification of significant rejection in HTx recipients ➡️ academic.oup.com/ehjcimaging/... @escardio.bsky.social @pabloplopez.bsky.social
February 13, 2025 at 11:40 PM
Reposted by Julia Grapsa
cardioobdoc.bsky.social
Skeletal muscle adiposity, coronary microvascular dysfunction #cvCMD, & adverse CV outcomes

#CardioSky
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @erinmichos.bsky.social @purviparwani.bsky.social @anastasiasmihaili.bsky.social @gimelliale.bsky.social @biljanaparapid.bsky.social
February 4, 2025 at 2:16 AM
jgrapsa.bsky.social
#CardioSky #MedSky

Read this important study on #EHJIMP what are the parameters of TR regression post M-TEER?
✅ A lower prevalence of atrial fibrillation, smaller left atrial volume index, and smaller right atrial area were significantly associated with TR regression
➡️ lnkd.in/dcv9whsp
February 2, 2025 at 8:07 AM
Reposted by Julia Grapsa
yaelmaxwell.bsky.social
To combat some of the limitations of observational analyses in cardiac surgery, factoring in instrumental variables like surgeon preference could potentially alleviate some confounding bias, according to the authors of a new study.

www.tctmd.com/news/limited... #STS2025 #CardioSky
With Limited RCTs of Arterial Grafting, Researchers Take a Different Tack
A new study comparing multiple and single arterial grafting highlights how physician preference can bias observational data.
www.tctmd.com
January 31, 2025 at 10:18 PM
Reposted by Julia Grapsa
cardioobdoc.bsky.social
For HTN, starting a 2-pill low-dose Rx was noninferior to stepped monotherapy.
2-pill & 3-pill low-dose strategies were not superior to stepped monotherapy

#CardioSky #MedSky
jamanetwork.com/journals/jam...
@jama.com @anastasiasmihaili.bsky.social @vietheartpa.bsky.social @psatishmd.bsky.social
February 1, 2025 at 3:28 AM