@BonitaEcho @ASE360 @ScaliaGreg @BurstowDarryl @PetrosProf Congratulations Bon. What an achievement and it couldn’t go to a more deserving person. Your knowledge and teaching has helped thousands of individuals get to where they needed in echo and your teaching helps underpin the practice of everyone associated with you.

@HeartToProve Request: cardiomegaly on chest X-ray.

@BiancaJudyC @sturwohld @echo_batman @Echo_Harefield @echo_stepbystep @echotalk @Becho2106 No, I’m afraid I don’t. It was implemented as a lab directive at The Prince Charlea Hospital.

@cardiojaydoc02 @ASE360 Oh dear…..I think most people wouldn’t ‘get it’.

A very simple and yet interesting method with promising results. Existing parameters used and validation provided. Excellent work @thomas_lindow and @mugander. @BSEcho @ASE360

@DrMattBurrage @heartfoundation @UQMedicine @TRI_info Congratulations Matt, I look forward to reading the results and wish you the best of luck along the way.

@agathakwon I have never needed to incorporate into my assessment of diastolic function for patients in sinus. I am aware the ASE guidelines suggest it for assessment of diastolic function in AF but in those patients I have never needed to use it too, I am aware it’s not a new metric.

@BiancaJudyC @sturwohld @echo_batman @Echo_Harefield @echo_stepbystep @echotalk @Becho2106 Correct, for balloon expandable TAVI prostheses.

@BiancaJudyC @sturwohld @echo_batman @Echo_Harefield @echo_stepbystep @echotalk @Becho2106 Always happy to help 😁

@BiancaJudyC @sturwohld @echo_batman @Echo_Harefield @echo_stepbystep @echotalk @Becho2106 Typically, a balloon expandable prosthesis will require a pre-stent LVOTd and VTI. A self expanding prosthesis will require in-stent, pre-cusp LVOTd and VTI. Shown appears to be balloon expandable so I believe your LVOTd to be too far into the prosthesis and thus underestimated.

@DrWillWatson In answer to number 2: Are cardiologists requiring an echo to answer “what is the EF?” undertaking a targeted echo themselves in clinic using an echo machine vs referring for an echo? This quick and efficient method could help free up pressures on echo departments.

@cardiacpolymath @DrWillWatson Lots of referrers don’t always “know what they are looking for”. Name all the likely causes of: SOBOE or systolic murmur? We need a greater awareness but with ever increasing demands on services to do more, with less the educational component surrounding an echo is being rushed.

@DrWillWatson @nat_echo @dr_benoy_n_shah Very true, I have performed many echo’s when a surgical team working a patient up for CABG with a known EF of 55% requires and echo to re-assess LV function and r/o valvular pathology? One would assume a full clinical assessment has been performed and yet and echo is performed.

@DrRajeshG1 @argulian I think it’s secondary MR due to the early-systolic peaking of MR followed by a mid-systolic reduction as closing forces on the MV are greatest followed by a late systolic MR. The CW Doppler profile should reveal a bi-phasic pattern too mimicking the same pattern seen here.

@BiancaJudyC @ChrissyTEcho @NMerke @DrEmmaRees @Becho2106 I can be helpful however, my observation is I have only ever scanned one patient where it was useful to take into consideration and calculate to help determine the discordance between Doppler haemodynamics and imaging of the aortic valve / aortic root.

As 3D volumes of ventricular size and function become ever more important in routine clinical assessment, please complete the following survey to detail your experiences utilising 3D echocardiography for LV and RV assessment.

@DrPetraJenkins1 I heard someone who was very successful in business say “Train your staff well enough so they can leave, treat your staff well enough so they don’t want to”.

@nat_echo A nice partial atrioventricular septal defect to finish last week. Primum ASD demonstrated L➡️R shunting whilst the TR shunted R➡️L into the LA. Inlet VSD spontaneously closed by TV septal tissue.

@GE_IanMc Excellent use of AI however, from real world experience there are errors in identification of the correct velocity/VTI trace and as can be seen here, the modal velocities are missed, especially the TR signal which can significantly overestimate the estimation of PASP.