#EHJCVI🫀Check out the latest Focus Issue on VHD! Featuring sex differences, myocardial function assessment, AR & AS, prognostic value of MAC, prognostic impact of #CMR, RCTs, a new TR grading, GLIDE Score, and much more! ❤️ A must-read 📊 academic.oup.com/ehj... #MedSky

#EHJCVI🫀Keep the foCUS on poCUS in emergency and critical care settings:💡improve outcomes. AI will enhance diagnostic accuracy 🚨Ongoing practice and continuous learning are essential to maintain competence 👉 doi.org/10.1093/ehjc... #poCUS #ESC #echofirst #MedSky

#EHJCVI 🫀 More cancer survivors = more CV risk focus. Cardiac imaging must be tailored to unique clinical circumstances and individual patient characteristics. Don't overlook PAD in baseline assessments❗ #CardioOncology 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Sex differences in alloHSCT outcomes: same MACE, but rLVEF independent predictor of early MACE ONLY in females. ♀️HF & pericardial disease ♂️HF & SVT ⏳TIME for sex-specific risk stratification. Read more 👉 doi.org/10.1093/ehjc... #CardioOncology #MedSky

Sex differences in cardiovascular complications after allogeneic hematopoietic stem cell transplantation: the prognostic role of pre-therapeutic echocardiography and left ventricular ejection fraction

AbstractBackground. Allogeneic hematopoietic stem cell transplantation (alloHSCT) represents a major therapeutic challenge in the treatment of hematologic

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#EHJCVI 🫀| Over 24 years, normal myocardial perfusion imaging scans #CVNuc increased (53% -> 66%) at a Swiss tertiary center. Read more about possible reasons why 👉 doi.org/10.1093/ehjc...

#EHJCVI 🫀| Using vascular deformation mapping on #yesCCT, latent aortic growth in ascending aortic aneurysms may represent an imaging biomarker of diffuse genetic aortopathy. 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀| In type A aortic dissection, CT-FFR #yesCCT may help identify high-risk patients and optimize post-operative management strategies beyond anatomical CCTA assessment. 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀| Does combining abnormal myocardial perfusion reserve and myocardial infarction on #WhyCMR improve risk stratification in type 2 diabetes mellitus? Find out 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀| Can delayed-phase #yesCCT improve risk stratification? Coexistence of late iodine enhancement and elevated ECV was linked to a 1.84-fold higher hazard of death or unplanned CV hospitalization. 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀Identifying high-risk HCM remains a challenge: should we implement an HCM-LGE score? LGE granularity model (which accounts for extent, septal location, and subepicardial-midwall patterns) demonstrates excellent performance. Read more 👉 doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀QUIZ ‼️ Answer: Fake aortic dissection. This case underscores a critical diagnostic pitfall in CT interpretation in patients on mechanical circulatory support 💔 ECG-gated CT is 🔝 Read more ⏩ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Beyond the mid-wall pattern‼️ #WhyCMR Subendocardial LGE has prognostic implications in NICM ⚡️Scar phenotyping enhances arrhythmic risk stratification and helps bridge the gap between risk prediction and effective prevention of #SCD ⏩ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 A paradigm shift in endomyocardial biopsy? #WhyCMR LGE can be transformed into a patient-specific 3D roadmap to guide biopsy 💉 Targeted EMB directly impact therapeutic decision-making, including immunosuppressive treatment ❤️‍🔥 Read more ⏩ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀QUIZ ‼️ 50-year-old with cardiogenic shock 💔 Combined circulatory support with Impella 5.5 and VA-ECMO was needed. Both successfully weaned on Day 12 ✅ Day 16: sudden circulatory collapse⏩ re-initiation VA-ECMO 🚨 #CTAngio after cardiac arrest revealed…

#EHJCVI 🫀Combining information on carotid plaque calcification and inflammation is 🔑 [68Ga]DOTA-TOC PET/CT carotid uptake 💡 identifies patients with high risk of cardio-cerebrovascular adverse outcomes 🚨 #NuclearCardiology. Read more ⏩️ doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🔎 Moderate + moderate ≠ low risk. In multivalvular disease, combined lesions can behave like severe disease 📊 Cumulative burden should be central to risk assessment #VHD. Read more here: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🔍🧬 Lp(a) selectively tracks vulnerability. In asymptomatic patients, it was independently associated with high-risk, low-density non-calcified plaque on AI-CCTA, while CAC reflected overall plaque burden 📊 Curious to dive deeper? 👉 Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI ‼️ LDL-C <55 mg/dL is guideline-recommended, with potential variation in benefit by plaque phenotype. In REASSURE-NIRS, NIRS-derived lipid-rich plaques were associated with greater event reduction 👉 Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀❓Beyond anatomy in chronic coronary disease: does function matter? In ISCHEMIA, peak METs 🏃‍♂️ provided incremental prognostic value beyond CCTA. 💡 A more integrated approach to risk assessment may be needed. ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🔍 What if calcium, not just anatomy, drives success in percutaneous mitral commissurotomy? In CALCIMIT, CT-derived MVCS predicted outcomes. ⚡ Time to integrate quantification? 👉 Find out more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀🧲 Same initial infarct area, different recovery 💡 In 672 first-time #STEMI patients, 🚭 quitting smoking was linked to greater infarct size reduction on #whyCMR and fewer MACE ‼️⏩Read more: doi.org/10.1093/ehjc... #MedSky

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#EHJCVI 🫀🧠 Beyond LA volume in cryptogenic stroke? 🔍 LA strain and sphericity on #echofirst independently predicted recurrent stroke and new #AFib in ESUS ‼️ ⏩Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 Time to refine #echofirst quantification of aortic regurgitation? 🔍 Using #whyCMR as reference, a 2-step TTE algorithm (RegVol≥45 mL + LVEDVi≥93 mL/m²) outperformed traditional criteria for severe AR definition‼️ #VHD ⏩Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 LA strain by #whyCMR refines risk stratification in #HCM with low SCD risk 💡 LVEF>50% + LGE<5% + LA-GLS>37.6% identified an ultra-low-risk subgroup with MACE rate of just 2% ‼️ ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 🫀 🔍 Should stage 3-4 cardiac damage flag futility in #TAVI? In the COMPARE-TAVI 1 sub-study (n=985), all CD stages benefited from TAVI, with similar 1-year futility (death/NYHA 3-4) across groups ‼️ #echofirst #VHD ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

#EHJCVI 📊🧠 In CCTA, risk evolves over time. Stenosis severity predicts short-term events, while plaque burden (PAV) drives long-term outcomes, highlighting the dynamic nature of CAD risk #YesCCT 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

#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