#EHJCVI ⚠️ CMR staging after STEMI matters 📈 Higher CCS stages of myocardial injury predict worse 1-year outcomes, stage 4 carries the highest risk of MACE and mortality. #WhyCMR 🔗 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🧲📊 DANAMI-3: ↓ infarct size/transmurality and ↑ myocardial salvage index/LVEF (at acute + 3 months) were associated with lower 10-year mortality/HF hospitalization, while microvascular obstruction was not #WhyCMR 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📊 EKSTROM trial: at 1 year, colchicine 0.5 mg/day did not reduce low-attenuation plaque, but slowed progression of total plaque burden on CCTA, highlighting a potential role in modulating plaque progression #yesCCT 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

Pheochromocytoma-induced myocardial infarction with nonobstructive coronary arteries A 14-year-old boy presented with chest tightness and shortness of breath without obvious causative factors over the past two weeks. On physical examination

#EHJCVI 🫀QUIZ‼️ Answer: Pheochromocytoma-induced MINOCA (Ku et al., doi.org/10.1093/ehjc...) 🧠 A rare but reversible cause. Early recognition is key.

#EHJCVI🫀QUIZ‼️A 14-year-old presents with chest pain, elevated troponin, LV dysfunction, and normal coronaries on CTA. MRI shows myocardial injury and an incidental adrenal mass❓ What is the most likely underlying cause? #MedSky

#EHJCVI 🔍 New insights into PFO risk. Totaro et al. identify “funnel-type” PFO morphology on 3D-TEE as a novel high-risk feature 🧠📊 Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🏎️🧲 Stress CMR in the fast lane. This editorial explores its role in detecting significant CAD, along with key implications and remaining knowledge gaps 🫀📊 Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🧲 MRI reveals what wall thickness alone can miss 📏 Wall Thickness SD (WTSD) identifies both overt and early hypertrophic cardiomyopathy, even before hypertrophy is evident 🔍✨Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀SOLUTION‼️It shows normal contraction; there were no signs of abnormal trabeculation. The pouch filled up with blood during diastole and contracted during systole. This huge diverticulum can be considered a rare case of double-chambered LV. ‼️https://doi.org/10.1093/ehjci/jeaf103

#EHJCVI🫀QUIZ‼️A 70-year-old woman with palpitations and labile blood pressure. Holter ECG shows one run of monomorphic NSVT. History of asthma, hypercholesterolemia, and Barlow’s disease. Referred for TEE during cardio-oncologic surveillance 👉 What’s your diagnosis?

#EHJCVI 🫀Stress imaging guides decision-making in paediatric cardiology. Modality choice should reflect expertise, efficacy, limitations, and safety. This study provides a practical framework across multiple clinical scenarios 🧭 Read more 👉 doi.org/10.1093/ehjc... #Medsky

#EHJCVI 📉 PR prevalence may be underestimated due suboptimal assessment. CMR is gold standard for dx and follow-up, as patients often remain asymptomatic until RV dysfunction. Mortality varies by aetiology, with no increase in idiopathic PR or PH 🔍 👉 doi.org/10.1093/ehjc... #Medsky

#EHJCVI 📏 MAD is common in pediatric MFS and links to aortic root dilation. Both #Echofirst and #whyCMR provide reliable assessment. MAD should be routinely evaluated from childhood, with potential as a biomarker of disease progression 🔍🧬 Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Vegetation size influences indication and timing for surgery in current IE guidelines (IIb recommendation if >10 mm). In a large 🇪🇸 registry, large vegetations were associated with ⬆️ embolic events and mortality ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📢 #HowTo paper on intracardiac #echofirst ‼️ ICE is a game changer in TAVI, yet still underused. Its use may reduce post-TAVI conduction disturbances ⚡️ This practical paper provides tips and methods for the use of ICE in guiding TAVI ⏭️doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Multimodality imaging is key in cardiac tumours ‼️ This rare case highlights the complementary role of #echofirst, #CVNuclear and #whyCMR in diagnosing and managing a primary cardiac granular cell tumour ⏭️ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Mixed aortic disease is a hemodynamic challenge and an #echofirst dilemma! In this large Korean cohort, moderate aortic stenosis + regurgitation carried a risk of cardiac death and HF hospitalization comparable to severe AS ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI There may be something worse than a broken heart! 💔In #Takotsubo syndrome, physical triggers were linked to worse in-hospital and post-discharge outcomes than emotional ones ‼️ Interestingly, PT showed less LGE and lower troponin 💡 Explore: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📢 New #EACVI & @ASE360 Consensus Statement on Strain Echo🚨 Strain has moved from the research arena into everyday #echofirst clinical practice. A practical guide for clinical echocardiographers, with clear supporting evidence for its use ⏭️ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Scar is more than just the presence of LGE on #WhyCMR 💡 In this study with >400 #HCM patients, scar composition and border-zone channels predicted arrhythmic events and improved ESC and AHA/ACC risk models ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Is air pollution linked to early myocardial remodelling? PM2.5 and PM10 are associated with increased ECV after adjustment, with the strongest associations in men and patients >50 years, and no mediation by inflammatory markers 📊🔬 Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI ⏱️ Can left atrial transit time (LATT) predict adverse outcomes? LATT closely correlates with LVEDP and helps estimate it; pLVEDP >13 and >18 are independent risk thresholds, with HR 2.10 and 4.33, respectively 📊⚠️ Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📏 Should we use sex-specific thresholds for LV hypertrophy in Fabry disease? LVMWT >10 mm in women and >13 mm in men are independently associated with mortality, hospitalization, AF, major arrhythmias, and stroke ⚖️📊 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📐🔎 Should we assess RV hemisphericity and hemiconicity angle? These 3D shape-based metrics vary by pathology, sex, and age, and carry strong prognostic implications in atrial secondary TR, adding a new layer to RV evaluation 🧭✨Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Can LA parameters help risk-stratify embolic stroke of undetermined source? Patients show larger LA volumes, reduced reservoir and contractile strain, and increased LA circularity, features suggesting atrial cardiomyopathy may play a role 🔍 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI🫀How do sex and valve morphology shape AS severity? In fibrotic vs calcific remodeling, calcification shows the strongest association with severity, while fibrosis may represent a distinct phenotype more prominent in women with BAV 🔍 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀Too old or too sick for TAVI? When should we consider futility in advanced AS? This editorial explores whether advanced cardiac damage helps identify patients unlikely to benefit from TAVI and where the line should be drawn 🔍 Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 💡 Cardiac invasive lung cancer is extremely rare. #whyCCT is key for identifying tumour-related coronary involvement and differentiating it from CAD. Diagnosis was confirmed via thoracic biopsy, and best supportive care was provided 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🔍 What is the diagnosis?

A) Invasive Osteosarcoma
B) Invasive lung carcinoma
C) Primary cardiac lymphoma
D) Primary cardiac sarcoma

🗳️ Vote in comments 👇

#EHJCVI🫀When the coronaries are not moving as usual?!: Coronary angiogram in a 69 yo w with anterior AMI and COPD revealed severe stenosis of the LAD & diagonals with loss of motion related to the cardiac cycle. CXR showed a silhouette sign, and CCTA showed this 👀 #whyCCT.