#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 🫀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 🫀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 💡SOLUTION: Cardiac neuroendocrine tumours are exceedingly rare. Multiparametric CMR #whyCMR is key to tumour characterization and preoperative assessment. Complete surgical resection remains the only definitive treatment 👉 ⏩Read more: academic.oup.com/ehj...

#EHJCVI 🔍 What is the diagnosis?
A) Cardiac hemangioma
B) Cardiac rhabdomyoma
C) Cardiac neuroendocrine tumor
D) Cardiac Sarcoma
🗳️ Vote in comments 👇

#EHJCVI 🧲 What’s the utility of CMR quantification of tricuspid regurgitation? CMR-derived regurgitant fraction reflects right-sided HF, liver involvement, and adverse RV remodeling, aligning with prognostic markers (TAPSE/PASP, TRISCORE) 📉🔍 👉 doi.org/10.1093/ehjc... #MedSky

🫀#EHJCVI When the LV grows an extra chamber. During routine cardio-oncology imaging, a 70-year-old woman was found to have a contracting 4-cm LV diverticulum, creating a rare double-chambered LV, easily mistaken for an aneurysm, yet entirely benign 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Image Focus | Liver herniation to the pericardium 🤯👀 This case beautifully illustrates the importance of multimodality #CVImaging, particularly in rare, bizarre cases! #echofirst #CCT
⏩ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Who said LV filling pressures can’t be assessed by #whyCMR? 🤔 In this analysis of >450 patients with non-ischemic 🫀 disease, PCWP estimated by #whyCMR was a strong independent prognostic factor, enhancing risk stratification‼️⏩Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 An unusual cough in the pediatric setting... A 12-yr-old male presented with persistent cough. 👦 #echofirst and #CCT found a large LAA aneurysm, compressing the LV. After surgery, complete resolution of respiratory symptoms was achieved 🔍 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📢 New #EACVI Consensus Statement🚨 Role of multimodality imaging in the management of #HCM in 2025🫀In-depth, state-of-the-art document focusing on the role and advances of #CVImaging techniques in #HCM💡#echofirst #WhyCMR #CVNuclear #CCTV ⏩ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Referral for intervention in aortic regurgitation, a classical clinical conundrum‼️ Current criteria may overlook early myocardial damage💡Time to integrate #whyCMR fibrosis metrics to personalize timing of valve intervention❓⏩Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Prognosis in #Fabry disease - is there more to it than just the X count 🧬? Does LVH fully capture cardiac involvement in females with FD👩? 'Milder does not mean benign'⚠️The reaffirmed importance of sex-specific thresholds in FD ⏩ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 How to choose between 2nd line therapies for HOCM ? 🤔 Mavacamten, but not disopyramide, ⬇️ LV mechanical dispersion and GWW, while ⬆️ GWE in a cohort of 120 #HCM pts ⚡Those under #CMI also showed fewer arrhythmic events. Read more: doi.org/10.1093/ehjc... #MedSky