Kardioklick
@kardioklick.bsky.social
Imagining heart in any modality but #echofirst!
Also: Interventional, EKG, structural heart, congenital, heart failure.
Based in Hamburg, Germany
Come join the #cardiosky.
@medsky.social
#medsky
🫀🏃♂️🚴
Also: Interventional, EKG, structural heart, congenital, heart failure.
Based in Hamburg, Germany
Come join the #cardiosky.
@medsky.social
#medsky
🫀🏃♂️🚴
November 10, 2025 at 7:04 AM
November 3, 2025 at 8:44 AM
October 5, 2025 at 9:05 PM
McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst
September 4, 2025 at 12:13 PM
McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst
September 2, 2025 at 4:49 PM
HFrEF is still a very common indication for invasive coronary angiography in our department. This beautiful new trial suggests that #whycmr could be a safe alternative.
Read the editorial here: t.co/Qyvb6mhIA3
#cardiosky
Read the editorial here: t.co/Qyvb6mhIA3
#cardiosky
July 16, 2025 at 1:13 PM
HFrEF is still a very common indication for invasive coronary angiography in our department. This beautiful new trial suggests that #whycmr could be a safe alternative.
Read the editorial here: t.co/Qyvb6mhIA3
#cardiosky
Read the editorial here: t.co/Qyvb6mhIA3
#cardiosky
So, since the #echosky crew doesn't seem to be very enthusiastic about quizes I might as well disclose the answer:
This is a patient post lung transplantation! Pulmonary veins are often connected surgically by attaching the upper part of the LA in toto, hence the resulting increase in LA size.
This is a patient post lung transplantation! Pulmonary veins are often connected surgically by attaching the upper part of the LA in toto, hence the resulting increase in LA size.
July 14, 2025 at 12:58 PM
So, since the #echosky crew doesn't seem to be very enthusiastic about quizes I might as well disclose the answer:
This is a patient post lung transplantation! Pulmonary veins are often connected surgically by attaching the upper part of the LA in toto, hence the resulting increase in LA size.
This is a patient post lung transplantation! Pulmonary veins are often connected surgically by attaching the upper part of the LA in toto, hence the resulting increase in LA size.
I just realized that you and Thomas Lindow published another formula in 2024 that does include LA-size - have you compared the two methods and is there a winner?
I actually programmed both into our echo machine and the values of this one are usually a bit higher.
I actually programmed both into our echo machine and the values of this one are usually a bit higher.
July 13, 2025 at 11:46 AM
I just realized that you and Thomas Lindow published another formula in 2024 that does include LA-size - have you compared the two methods and is there a winner?
I actually programmed both into our echo machine and the values of this one are usually a bit higher.
I actually programmed both into our echo machine and the values of this one are usually a bit higher.
Challenge: Name all possible reasons for LA (and not so much RA) enlargement of with normal EF as in this loop…! I’m curious if somebody guesses the etiology here #echofirst #echosky #cardiosky
July 13, 2025 at 10:32 AM
Challenge: Name all possible reasons for LA (and not so much RA) enlargement of with normal EF as in this loop…! I’m curious if somebody guesses the etiology here #echofirst #echosky #cardiosky
Great commentary on the question of banning individuals from sports based on their genetic risk from Paul Dorian.
(Full text here: www.medscape.com/viewarticle/...)
#TWICpearls
#cardiosky
(Full text here: www.medscape.com/viewarticle/...)
#TWICpearls
#cardiosky
May 24, 2025 at 7:55 AM
Great commentary on the question of banning individuals from sports based on their genetic risk from Paul Dorian.
(Full text here: www.medscape.com/viewarticle/...)
#TWICpearls
#cardiosky
(Full text here: www.medscape.com/viewarticle/...)
#TWICpearls
#cardiosky
Great educational biplane view of washing jets. Reminds be of this famous publication where you can see just how many jets there may be.
www.jacc.org/doi/10.1016/...
#echofirst
www.jacc.org/doi/10.1016/...
#echofirst
May 21, 2025 at 4:34 PM
Great educational biplane view of washing jets. Reminds be of this famous publication where you can see just how many jets there may be.
www.jacc.org/doi/10.1016/...
#echofirst
www.jacc.org/doi/10.1016/...
#echofirst
In fact, a "no-sports-verdict" for no reason would be pretty terrible for MY children as well. It's not like there's great data that this study contradicts. In fact it's hard evidence going against expert consensus. Just look at the ESC sports guidelines, LOE is always C for HCM:
May 21, 2025 at 1:57 PM
In fact, a "no-sports-verdict" for no reason would be pretty terrible for MY children as well. It's not like there's great data that this study contradicts. In fact it's hard evidence going against expert consensus. Just look at the ESC sports guidelines, LOE is always C for HCM:
May 4, 2025 at 6:05 AM
Over at the other site somebody is boasting to have saved a life but stenting a proximal Cx in an asymptomatic patient (big yellow arrows underscore the success!)
I think it could be argued that this patient was actually harmed, given the never-ending 2% annual event rate of any PCI.
#cardiosky
I think it could be argued that this patient was actually harmed, given the never-ending 2% annual event rate of any PCI.
#cardiosky
February 5, 2025 at 2:49 PM
Over at the other site somebody is boasting to have saved a life but stenting a proximal Cx in an asymptomatic patient (big yellow arrows underscore the success!)
I think it could be argued that this patient was actually harmed, given the never-ending 2% annual event rate of any PCI.
#cardiosky
I think it could be argued that this patient was actually harmed, given the never-ending 2% annual event rate of any PCI.
#cardiosky
John Mandrola received some interesting feedback on his CCTA criticism from 🇩🇰 & as it seems our northern neighbor has really championed the diagnostic route in CCS.
CCTA will receive coverage in 🇩🇪 in 2025 and I‘m curious how the country with one of the highest PCIs/capita will deal with it.
CCTA will receive coverage in 🇩🇪 in 2025 and I‘m curious how the country with one of the highest PCIs/capita will deal with it.
December 21, 2024 at 6:57 PM
John Mandrola received some interesting feedback on his CCTA criticism from 🇩🇰 & as it seems our northern neighbor has really championed the diagnostic route in CCS.
CCTA will receive coverage in 🇩🇪 in 2025 and I‘m curious how the country with one of the highest PCIs/capita will deal with it.
CCTA will receive coverage in 🇩🇪 in 2025 and I‘m curious how the country with one of the highest PCIs/capita will deal with it.
Guckt man sich die Eisenstange an, ist sie genau da geknickt wo die Taube sitzt. Das verstehe ich nicht!
December 21, 2024 at 12:32 PM
Guckt man sich die Eisenstange an, ist sie genau da geknickt wo die Taube sitzt. Das verstehe ich nicht!
From the nature article. Even if red wine was helpful for CV disease - that benefit may be outweighed by other trouble.
The question really is: Do we have the evidence to actually recommend somebody to drink 1 glass of wine every day for overall health benefit?
I think not.
The question really is: Do we have the evidence to actually recommend somebody to drink 1 glass of wine every day for overall health benefit?
I think not.
December 20, 2024 at 5:21 AM
From the nature article. Even if red wine was helpful for CV disease - that benefit may be outweighed by other trouble.
The question really is: Do we have the evidence to actually recommend somebody to drink 1 glass of wine every day for overall health benefit?
I think not.
The question really is: Do we have the evidence to actually recommend somebody to drink 1 glass of wine every day for overall health benefit?
I think not.
Fascinating:
Cardiac amyloidosis patients have impaired LArStrain out of proportion to their LA size. It seems as if the amyloid stiffens the atrial myocardium and prevents further dilatation despite elevated pressure.
Also: Thrombembolic risks rises even in sinus rhythm!
E. Sade
#euroecho24
Cardiac amyloidosis patients have impaired LArStrain out of proportion to their LA size. It seems as if the amyloid stiffens the atrial myocardium and prevents further dilatation despite elevated pressure.
Also: Thrombembolic risks rises even in sinus rhythm!
E. Sade
#euroecho24
December 13, 2024 at 2:09 PM
Fascinating:
Cardiac amyloidosis patients have impaired LArStrain out of proportion to their LA size. It seems as if the amyloid stiffens the atrial myocardium and prevents further dilatation despite elevated pressure.
Also: Thrombembolic risks rises even in sinus rhythm!
E. Sade
#euroecho24
Cardiac amyloidosis patients have impaired LArStrain out of proportion to their LA size. It seems as if the amyloid stiffens the atrial myocardium and prevents further dilatation despite elevated pressure.
Also: Thrombembolic risks rises even in sinus rhythm!
E. Sade
#euroecho24
Arrhythmogenic mitral valve prolapse. Great session with experts K. Haugga, F. Nesta and B. Essayagh.
Main take away: Every prolapse needs a Holter and often #whycmr. And still a lot of unanswered questions but an algorithm that helps for now:
#euroecho24
Main take away: Every prolapse needs a Holter and often #whycmr. And still a lot of unanswered questions but an algorithm that helps for now:
#euroecho24
December 13, 2024 at 12:32 PM
Arrhythmogenic mitral valve prolapse. Great session with experts K. Haugga, F. Nesta and B. Essayagh.
Main take away: Every prolapse needs a Holter and often #whycmr. And still a lot of unanswered questions but an algorithm that helps for now:
#euroecho24
Main take away: Every prolapse needs a Holter and often #whycmr. And still a lot of unanswered questions but an algorithm that helps for now:
#euroecho24
Yes it’s fused BAV, partial-fused BAV (often overlooked) and 2-sinus BAV. Also the angle of the opening should be reported as this has implications for the heart surgeon.
December 13, 2024 at 10:10 AM
Yes it’s fused BAV, partial-fused BAV (often overlooked) and 2-sinus BAV. Also the angle of the opening should be reported as this has implications for the heart surgeon.
Answer: BOTH!
BAV with fused cusps and raphe with ascending aneurysm probably has more shear-stress etiology and the true bicuspid with root dilatation more likely a genetic background (some have Loeys-Dietz without other features).
www.nejm.org/doi/full/10....
BAV with fused cusps and raphe with ascending aneurysm probably has more shear-stress etiology and the true bicuspid with root dilatation more likely a genetic background (some have Loeys-Dietz without other features).
www.nejm.org/doi/full/10....
December 13, 2024 at 10:05 AM
Answer: BOTH!
BAV with fused cusps and raphe with ascending aneurysm probably has more shear-stress etiology and the true bicuspid with root dilatation more likely a genetic background (some have Loeys-Dietz without other features).
www.nejm.org/doi/full/10....
BAV with fused cusps and raphe with ascending aneurysm probably has more shear-stress etiology and the true bicuspid with root dilatation more likely a genetic background (some have Loeys-Dietz without other features).
www.nejm.org/doi/full/10....
Who wouldn't want to be the test person in this experiment where you perform Valsalva while having a TOE-probe down your esophagus.
The early days of sports physiology!
Actually, not even that long ago.
#euroecho24
The early days of sports physiology!
Actually, not even that long ago.
#euroecho24
December 12, 2024 at 10:21 PM
Who wouldn't want to be the test person in this experiment where you perform Valsalva while having a TOE-probe down your esophagus.
The early days of sports physiology!
Actually, not even that long ago.
#euroecho24
The early days of sports physiology!
Actually, not even that long ago.
#euroecho24