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Intereating mitral PWD with 1. E with short DT after lower IVRT 2. L WAVE due to delayed relaxation 3. A 4. IVCT with earlier relaxation of the apex. This patient probably has reduced SV with E velocity of 60 and preserved EF with IVCT vel. Will be nice to see LVOT and e'/L'

This is annual #EchoNY by Mayo Clinic CV & RTHahnMD We just completed a heated session on transcatheter vs surgical intervention for VHD with Hartzell Schaff, MD Mayra Guerrero, MD Omar Khalique #SariPadang. Passionate discussion by ALL!

What an amazing skill and result of apical myectomy for #apicalHCM by Hartzell Schaff, MD ! Meticulously avoiding injury to papillary muscle. Presented at our annual #EchoNY. The procedure improves LV cavity size, LV filling pressure , and clinical outcome. Mayo Clinic Cardiac Surgery Mayo Clinic CV

Stay tuned tomorrow, will have Jae K. Oh presenting to us Houston Methodist about constrictive pericarditis, timely after the publication of an international statement by Allan L. Klein . Looking forward to hosting him. WilliamZoghbi. Link to watch live vimeo.com/event/4485244

In patients with #cardiogenicshock 🫀worsening global longitudinal #strain #GLS associates with poor outcomes and surpasses conventional #echofirst parameters in prognostic value ☠️ #jacobjentzer ⁦Jae K. Oh⁩ academic.oup.com/ehjcimaging/ad…

At Mayo Clinic, we honor the spirit of Christmas and the message of hope, love and compassion it represents. Whether you're celebrating on Dec. 24 or Dec. 25, may this time be filled with warmth, togetherness and moments of joy with loved ones.

I apologize for delayed response > a year later, but being late is better than never. Julián Vega Adauy HV #colorMmode is a beautiful example for timing of cardiac events. In someone with HF symptoms, the color M-mode alone is good enough for Dx of CP. Agree & Happy Holidays!

The topic was "Pitfalls of hemodynamic assessment" and I showed challenging cases by cath hemodynamics. What is the condition shown in a HF patient by rest and exercise hemodynamics shown? Happy Holidays!

Happy New Year from Rochester, Minnesota!

Hemodynamic cath was done to confirm constriction shown by Echo Doppler because the patient did not have JVP distention and IVC did collapse. LVEDP > RVEDP at rest. Both increased with exercise c/w RCM or CP. CT showed calcified pericardium over the LV. Example of Left-sided CP

Hopefully, 2025 DF guideline Sherif F Nagueh will minimize indeterminate DF based on fewer parameters. Adjudication of diastolic dysfunction based on clinical history should be avoided. You will find our American Society of Echocardiography Editorial interesting. Abdul Jamil Tajik doi.org/10.1016/j.echo…

I agree with you Bob Miles, Jr. We need to make interpretation of DF assessment simple as possible. At Mayo Clinic CV, we report grading and it's associated filling pressure as normal , mild to moderately elevated (gr 2), or severely elevated (gr 3).

We describe depth and location of PE. Mild < 1 cm, moderate >1 to 2 cm, and severe >2. But, more important to assess hemodynamics of PE. Amount of PE does not correlate with hemodynamics. Also important to ? effusive constriction which can be assessed pubmed.ncbi.nlm.nih.gov/29982372/

Asian Pacific Society of Cardiology and Asian Pacific Association of Echocardiography joint session on Mitral Stenosis aaecho Asian Pacific Society of Cardiology Jae K. Oh Alex LEE

Another simplified EROA is r*r* x 0.4 when the aliasing velocity is set at 30 cm/ sec. I like this one better since EROA is 0.4 cm2 when PISA radius is 1 cm. Echo Doppler is now the Gold Standard for cardiac hemodynamics in clinical practice. Abdul Jamil Tajik #LivHatle

Not sure whether the Doppler velocity below the baseline comes from mitral valve. Those flows occur during isovolumic contraction and relaxation time, typically seen in patients with hypertrophic CM with intracavitary gradient or apical pouch. I have not seen MR doing this.

Congratulations! Hatem Soliman, FRCP, FEACVI, FASE, FHEA Edgar Argulian . #Echo is the Gold Standard for cardiac hemodynamic assessment in clinical practice. We should be able to explain all Doppler velocities and it's patterns in terms of hemodynamics. This excellent timely book helps all of us to do that.

Just finished 5 days of Mayo Clinic CV #EchoBoardReview course. We Garvan Kane provided scholarship to 15 fellows around the country who demonstrated leadership in #Echo education, research, and clinical applications. We are continuing the legacy of Abdul Jamil Tajik & #JBSeward.