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TEE for MVP and severe MR showed P2 flail. The color 3D image shows MR in systole and a smaller diastolic flow that appears to alias at high Nyquist. What's the possible explanation? American Society of Echocardiography OHSU Cardiology Fellowship Ritu Thamman MD Gary Huang, MD Dr G Rajesh (Gopalan Nair Rajesh). #echofirst

Severe TR challenge: gradient across TV is 17 What is the estimated RVSP? IVC was 3 cm with HV systolic flow reversal (RAP > 15) A. 37 B. 32 C. 42 D. No way to know American Society of Echocardiography Ritu Thamman MD Drbernardourrutia Gary Huang, MD OHSU Cardiology Fellowship

30 day post TAVR echo. There is a restrictive VSD. Spectral Doppler from subcostal shown below (gradient 140) Systolic BP 175 mmHG Peak TAVR gradient 25 mmHG Ritu Thamman MD American Society of Echocardiography Dr G Rajesh (Gopalan Nair Rajesh). Gary Huang, MD OHSU Cardiology Fellowship question: 1. What is the PASP?

What do you see in this SSN view? Ritu Thamman MD American Society of Echocardiography Gary Huang, MD OHSU Cardiology Fellowship

TEE done for MSSA bacteremia revealed this mass on anterolateral pap. What's the most likely diagnosis? American Society of Echocardiography V.L.Sorrell, MD (@CASEfromASE EIC) Dr G Rajesh (Gopalan Nair Rajesh). Ritu Thamman MD Gary Huang, MD OHSU Cardiology Fellowship

What do you see in this subcostal image? American Society of Echocardiography Ritu Thamman MD OHSU Cardiology Fellowship Gary Huang, MD

Patient presents with SOB. No significant valvular heart disease. What do you see on this echo? American Society of Echocardiography Echo for fellows Ritu Thamman MD Univ. of Washington Cardiology Fellows UCSF Echo #echofirst #ACCFIT #CardioTwitter #CardioEd

57 year old male with PMH HLD presents for a follow-up visit after a CAC scan. What does the study show? Any further questions or workup? Heart_SCCT #YesCCT Carlos El-Tallawi, MD “HeartToProve” Mohammed Chamsi Pasha, FACC, FASE Nadeen N. Faza, M.D. Juan Lopez-Mattei, MD Dr. Purvi Parwani Roosha Parikh #CardioTwitter #MedEd #MedTwitter

30 year-old male referred for evaluation of palpitations. What do you see on his echo, and what are the next steps? American Society of Echocardiography #echofirst V.L.Sorrell, MD (@CASEfromASE EIC) Echo for fellows Ritu Thamman MD Dr G Rajesh (Gopalan Nair Rajesh). Mohammed Chamsi Pasha, FACC, FASE Carlos El-Tallawi, MD “HeartToProve” Roosha Parikh #CardioTwitter #meded #medtwitter

Last zoom session for ASE leadership academy today! Incredible Insight from guest speakers- Ritu Thamman MD Madeline Jankowski on personal branding! Thank you so much Vera Rigolin for your commitment to develop #Echofirst leaders of tomorrow! So grateful to you and Madhav Swaminathan for the

Presenting the American Society of Echocardiography leadership academy graduates cohort 3! Thank you Vera Rigolin for your incredible mentorship and commitment throughout these 2 years. Thank you Madhav Swaminathan and other ASE leaders for your support and dedication for the American Society of Echocardiography leadership academy!

Fascinating multimodality case presented by Dr. Badano of a psychiatric patient who presented with NSTEMI, found to have placed needles through her chest wall into her heart American Society of Echocardiography #ASE2024 #CardioTwitter #CardioEd

AI, using just ECGs, can assess diastolic function in patients with at least moderate MR when humans cannot? And the severity of diastolic dysfunction using this method correlates with poor outcomes? Interesting study by Gal Tsaban American Society of Echocardiography #ASE2024 #EchoFirst

Just wanted to show these beautiful 3D TEE images of severe tricuspid regurgitation by Jeremy Slivnick Great session with Dr. Purvi Parwani and Stephen Little, MD! American Society of Echocardiography #ASE2024 #EchoFirst

Outstanding posters by former co-fellow Neda Dianati, MD, MSc, FACC of a patient with post-STEMI pseudoaneurysm, and by former residents and current fellows Andrew Pattock and @cooperbkersey of massive intracardiac metastasis! Stony Brook Medicine Univ. of Washington Cardiology Fellows UWashington Heart Institute American Society of Echocardiography #ASE2024 #EchoFirst

Pericardial Paladins including Mohammed Chamsi Pasha, FACC, FASE Allan L. Klein Mohamed Al-Kazaz Keith Collins Gary Huang, MD sharing there immense expertise. #ASE2024 American Society of Echocardiography

Learning points from an informative session moderated by Monica Mukherjee MD, MPH: 1) RV-PA uncoupling is a key feature of right heart failure in the setting of pHTN. 2) This is identified by a low TAPSE (RV contractility)/PASP (RV afterload) ratio. American Society of Echocardiography #ASE2024 #EchoFirst

85 year old F presents with lower extremity edema. Thoughts and next steps? How severe is her TR, and what is her PASP and RA pressure? Normal RV size and systolic function. Mild RAE. American Society of Echocardiography Ritu Thamman MD Echo for fellows Dr G Rajesh (Gopalan Nair Rajesh). Mohammed Chamsi Pasha, FACC, FASE Carlos El-Tallawi, MD “HeartToProve” #CardioEd #echofirst