“Spread the echo, not the virus”

Batman-Echo retweeted
Replying to @drjohnm @KDujardin
Residual risk is not the same as residual risk factors; is a about a complex interrplay of initiators, perpetuator mechanisms (including inflammation), atherosclerotic burden & stochastics.
1
2
416
Batman-Echo retweeted
Now, imagine we would implant a bioprosthesis with a functional AVA of < 1cm2 in a average sized individual with normal flow rates. What do you expxect from AT, ET/AT and DVI? Would the scheme above still be valid?
1
2
186
What is that at the aortic valve?
8
8
87
21,071
It is a male athlete 20 yrs old. Some other images to increase differenrial thinking😁.
1
644
What’s the diagnosis in 79F?
7
9
41
4,867
Most probable complicated CCMA (tooth paste ejected😐) ; she had TIA. CRP 5; HC pending. A year ago only MAC. CT today. Will go for quick surgery given TIA. Meanwhile anti-platelet therapy rather than anticoag.
2
1
6
521
Batman-Echo retweeted
Artificial intelligence applied to electrocardiogram to rule out acute myocardial infarction: the ROMIAE multicentre study. Read more in the @EHJ at doi.org/10.1093/eurheartj/eh… #ArtificialIntelligence #Electrocardiogram @ESCardio @ESC_Journals
3
29
63
4,733
Batman-Echo retweeted
As physicians, our ethical responsibility to our patients is so deeply ingrained that many of us hesitate to speak up about compensation for additional work like this . Advocating for ourselves is perceived as putting money before patients. Caring for physicians is not at odds with caring for patients- It is one of the prerequisites for it- Until the healthcare systems understand this- and put physician wellbeing first- we won’t solve this problem and more and more burden will be placed on us!
2
1
1
207
Batman-Echo retweeted
And it’s 100% responsible for physician burnout and stress!
Patient portal messaging volume in the US increased by more than 150% between 2020 and 2025, with messages per patient rising from 0.99 to 2.50 per year. Over 8 billion encounters were analyzed, showing that office visit rates also increased, while telephone encounters decreased modestly. Messaging prevalence was highest among females, middle-aged adults, and those living in low social vulnerability index quartiles or urban areas. Increases in patient messaging were not associated with fewer in-person visits, indicating that portal communications are expanding, not substituting, traditional care. ja.ma/4ag9Ckg
4
4
33
7,200
8 years after my (last) professional cycling race, my cycling jump suit still fits….😉
2
20
1,042
Our new article ‘Continoous Wave Doppler Interrogation in Valvular Heart Disease’ is The Most Read and Editor’s choice at the European Heart Journal - Imaging Methods and Practice. Thank you everyone and let’s keep Reviving Echo Doppler! @argulian @echo_batman #EACVI #echofirst @alessia_gimelli
🚀 CW Doppler interrogation in valvular heart disease. Pearls and pitfalls. Read our new document. 1st of series of our new consortium Reviving Echo Doppler (RED) with @argulian @echo_batman Open access link 🔗 academic.oup.com/ehjimp/arti… #echofirst #EACVI @EACVIPresident @DanXAugustine @dr_benoy_n_shah @denisamuraru @VDelgadoGarcia @EACVIPresident @alessia_gimelli
1
16
53
6,264
Batman-Echo retweeted
👉OVER A CENTURY OF SCIENCE. ONE CONSISTENT MESSAGE. ☝️In medicine, few hypotheses have been tested as rigorously as the relationship between LDL cholesterol and atherosclerotic cardiovascular disease. 🐇 1913 – Nikolai Anitschkow demonstrated that cholesterol-rich diets induce atherosclerosis in experimental models. ❤️ 1948 – The Framingham Heart Study established the association between cholesterol levels and cardiovascular risk. 🏆 1964 Nobel Prize – Konrad Bloch and Feodor Lynen elucidated the biosynthesis and metabolism of cholesterol. 🏆 1985 Nobel Prize – Michael Brown and Joseph Goldstein discovered the LDL receptor, transforming our understanding of cholesterol regulation and familial hypercholesterolemia. 💊 1994 (4S Trial) – Lowering LDL-C with statins reduced cardiovascular events and mortality. 💊+ 💊2015 (IMPROVE-IT) – Further LDL-C reduction with ezetimibe translated into additional cardiovascular benefit. 💉2017–2018 (FOURIER & ODYSSEY Outcomes) – PCSK9 inhibitors demonstrated that achieving very low LDL-C levels produces further risk reduction. 🧬👫🏻🔬🩻Today – Genetics, epidemiology, pathology, imaging, Mendelian randomization studies, and randomized clinical trials continue to converge on the same conclusion. More than a century of basic science and clinical research has consistently pointed in one direction: 👉LDL cholesterol is causal. ☝️Lower is better. ☝️Earlier is better. ☝️Longer is better. When a scientific concept is supported by experimental biology, human genetics, epidemiology, randomized clinical trials, and two Nobel Prizes in Medicine, it is no longer merely a hypothesis. 🙌 It is biology. @society_eas @nationallipid
13
42
162
39,933
Did I trace well or not? See poll. Patient with HFpEF and AS….
4
6
24
13,028
Did I trace LVOT correctly?
44% Yes
39% No
18% Should put sample closer
57 votes • Final results
2
794
Batman-Echo retweeted
Together with @VictorDayan1 and @kaulcsmc, with input from many professional surgical societies also, we have written a viewpoint in EHJ regarding the change in default age threshold for TAVI from 75yrs (2021 guideline) to 70yrs (2025 guideline) 1/4 nitter.net/dr_benoy_n_shah/status…
7
29
62
24,556