🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Learning how to disseminate the information for an unforgettable #ASE2019 American Society of Echocardiography

#ASE2019 #ASEcares terrific idea from ASE's next president Madhav Swaminathan, launching a wellness campaign against physicians and sonographers burnout. ASE has your back!

#ASEchoJC The LVEF did not detect cardiotoxicity soon enough- strain is very sensitive

#ASEchoJC another potential advantage of strain is that longitudinal strain reflects subendocardial fiber layer that may be affected sooner than mid myocardial (EF)

#ASEchoJC in our lab, we often retrace with vendor independent when not sure...a difference of 15% between 2 echoes is considered abnormal but you need great reproducibility for that...

#ASEchoJC

#ASEchoJC on the whole, I only modify end-systole and end-diastole, otherwise most programs drift from their initial values.

#ASEchoJC that is an excellent question- Doppler was used, often anatomical M-Mode

#ASEchoJC Although this is suboptimal, we sometimes report the apical 4 chamber if the algorithm is not tracking the other chambers- at least it gives an idea of the strain- what do others do?

#ASEchoJC Strain at baseline and post-anthracyclines is predictive of subsequent LV dysfunction, strain at baseline predicts symptomatic heart failure in patients treated with anthracyclines.

#ASEchoJC Also, strain can triage patients treated with anthracyclines who have LVEF at the lower limits of normal pubmed.ncbi.nlm.nih.gov/25925220/

#ASEchoJC Patients who are at high risk of CHF (hematological malignancies, EF at the lower limits of normal) to help triage

#ASEchoJC treat risk factors, if HT, prescribe beta-blockers/ACEi/ARB that have shown some effect on the decrease of LVEF in patients treated with chemotherapy. Statins?

#ASEchoJC At this point, SUCCOUR has not changed my practice fundamentally. I use strain mostly to triage high risk patients.

Dr. Javid Moslehi from Vanderbilt Vanderbilt Health discussing ICI myocarditis Ana Barac, MD, PhD, FACC, FAHA APSC 2018 #APSC2018