Jan Verwerft
@VerwerftJan
Followers
3,837
Following
3,147
Media
718
Statuses
8,676
Cardiologist 🇧🇪 | ExerciseEchocardiography | HeartFailure | ValvularHeartDisease | @JessaZiekenhuis | @hartcentrumh
Hasselt, Belgium
Joined April 2020
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Morara
• 122297 Tweets
天使の日
• 82210 Tweets
Bomas
• 67023 Tweets
Kasmuel
• 49548 Tweets
Hayırlı Cumalar
• 46329 Tweets
#يوم_الجمعه
• 32949 Tweets
Michel Blanc
• 32440 Tweets
LINGORM MY AMBULOVE
• 28599 Tweets
#幽助と戸愚呂がズバーンで対決
• 24941 Tweets
#リアルアキバボーイズ武道館
• 24708 Tweets
BUILD WITH ISSUE THAILAND
• 24023 Tweets
感謝マルチガチャ
• 23828 Tweets
Serbest
• 22929 Tweets
名探偵ピカチュウ
• 22605 Tweets
#BuildInBIFW2024
• 19438 Tweets
最大4体ゲット
• 19292 Tweets
人達同士
• 18898 Tweets
#ハマダ歌謡祭
• 14142 Tweets
オベロン
• 11093 Tweets
Pinned Tweet
Magnificent editorial by
@mjandersenMD
in
@JAHA_AHA
🖇️ (editorial)
🖇️ (article)
a high mPAP/CO slope (but not absolute PAPs) suggests HFpEF even if the DST is negative as it correlates with pVO2, NT-proBNP and HFpEF probability
Check out👀our latest analysis in
@JAHA_AHA
Clinical Significance of Exercise Pulmonary Hypertension With a Negative Diastolic Stress Test for Suspected Heart Failure With Preserved Ejection Fraction | Journal of the American Heart Association ()
1/🧵
3
36
88
0
4
21
After learning a lot on
#VExUS
from intensive care and nephrology on
#SoMe
The portal vein, for me, was a revelation 🪄
▶️ very feasible
▶️ often reclassifies RAP
▶️ useable also in AF
Case based learning by ⭐️
#JanStassen
⭐️in this image vignette
@JACCJournals
3
97
258
Thinking 🤔of implementing a Dyspnea Clinic?
Check out our paper in
@JACCJournals
🔗
Putting this together with my brilliant friends
@FH_Verbrugge
,
@guido_claessen
,
@Ph_Bertrand
and
@HerbotsLieven
was an honor and privilege
1/8
7
81
222
11
29
130
Please take a 👀 at our ahead-of-print publication in
@CircAHA
. The 📝 was led by
@sarahhoed
and
@NicolaRiccardo8
.
11
46
123
Proud on this new paper with superstars
#BarryBorlaug
@PieterMartensMD
@FH_Verbrugge
@HerbotsLieven
and
@PaulDendale
307 patients with unexplained dyspnea had combined
#ExerciseEchocardiography
and CPET
11
44
122
Excited to share our paper with
@AndreasGevaert
and
@FH_Verbrugge
@HartcentrumH
@HerbotsLieven
@guido_claessen
@PaulDendale
We know that systolic reserve is reduced in
#HFpEF
; but can systolic reserve help in the diagnosis🤔?
11
33
120
▶️The win ratio: explained by statisticians for clinicians in
@JACCJournals
Honor to be involved!
2
34
115
have been practicing and ... lucky
the quadricuspid pandemic continues😉
10
13
104
#ExerciseEchocardiography
Symposium
spread the word: Registrations are open:
Starring
@Ph_Bertrand
@guido_claessen
@alexvdbruaene
@HerbotsLieven
11
40
91
💥Registration is open💥
👉 7th Exercise Echocardiography Symposium 🚴♀️
online 💻/ in person 🤝
📅 Saturday 23 MAR 2024
📌HFpEF, unexplained dyspnea
📌Valvular Heart Disease,
📌Adult Congenital Heart Disease
📌Athlete's heart
🔗 to register 👇
8
35
94
Very important paper in
@JACCJournals
The mPAP/CO slope in health and disease
Again showing prognostic value
congratulations
@LunaGargani
et al
3
29
92
Pulmonary pressures corrected for flow/CO is THE key 🔑measure of
#ExerciseEchocardiography
3 papers this Oct 👇
1⃣
2⃣
3⃣
Enhancing the TR signal with agitated colloid contrast increases feasibility of mPAP/CO
Grateful for this collaboration with
@Ph_Bertrand
@S_Dhont
▶️
#CPETecho
in primary mitral regurgitation
Check👇📄 it out!
🔗
Outcome data + two-centre study
🇧🇪
@JessaZiekenhuis
🔗
#ZOL
🇧🇪
3
10
36
1
25
90
Merry Christmas ! 🍾and....
SAVE the DATE Saturday March 19 8.30 AM CET
#ExerciseEchocardiography
#echofirst
#CardioTwitter
LIVE cases and talks by experts
@Ph_Bertrand
@guido_claessen
@alexvdbruaene
@HerbotsLieven
6
27
84
Bicycle echocardiography symposium 2020 video’s of presentations and live cases available
@HartcentrumH
5
23
85
Great work by
@ClaeysMathias
! in
@ESC_Journals
Impaired biventricular contractile reserve in patients with diastolic dysfunction: insights from exercise stress echocardiography
4
22
76
portal vein Doppler could become gamechanger
Is it better for monitoring 📈 decongestion 🚿than IVC diameter and collapsibility?
@LHoyesWouter
@ArgaizR
@maartenfalter
@msiuba
@YouriBekhuis
@ThinkingCC
@DelpireBoris
@khaycock2
@katiewiskar
🔴 Assessment of Venous Congestion Using Vascular Ultrasound
#OpenAccess
#2023review
#MedX
#MedTwitter
#CardioTwitter
#MedEd
#cardiotwitter
#FOAMed
#CardioEd
#Cardiology
#MedEd
#ENARM
#cardiotwiteros
#meded
#cardiology
#CardioTwitter
#CardioEd
1
39
112
9
16
74
So honoured by the brilliant editorial from two giants in the HFpEF field
@JenHoCardiology
and
@lamcardio
2
24
72
4
1
72
What causes the high retrograde A waves in the pulmonary and hepatic veins?
Mitral inflow and ECG are also provided.
8
16
71
Beautiful 😎
How to look at a Tricuspid Valve
🫀Use parasternal RV inflow view
⬆️ 2D ‘over gain’
💡 Correct with 4D gain
🃏 Gamma & Tissue Transparency
#echofirst
#3Decho
#CardioTwitter
14
53
197
3
13
72
50 yo female; amaurosis fugax; no inflammation, blood culture negative;
#cardiotwitter
#echofirst
What do you think?
13
18
67
Prospective Screening for Transthyretin Cardiac Amyloidosis in Spinal Stenosis patients:
30% (n = 3/10) of Westermark grade 4 patients had ATTR-CM
#PhilippeDebonnaire
@JACCJournals
2
19
63
A great honour having our HFpEF workup in
#EHJ
today!
The findings summarised in a
brilliant tweetorial by
@FH_Verbrugge
Teaming up again with the great
@VerwerftJan
to share our experience with
#echoCPET
in
#HFpEF
. This hot-of-the-press paper
@ESC_Journals
demonstrates myriad of opportunities for diagnosis & treatment, far beyond
#SGLT2i
only. Tweetorial below!
@SarahStroobant2
@HerbotsLieven
6
83
201
5
12
63
The four RV 2D views explained by 3D: rotate while looking for the anatomic references: a)4CH, clockwise rotation to b) coronory sinus, counterclockwise to c)aortic valve and d)RV outflow view
#echofirst
2
12
61
Managing Patients With Moderate Aortic Stenosis by
#JanStassen
and a stellar group co-authors
#JACCimg
0
17
58
@hvanspall
Almost 60% of patients with HFpEF suffer from chronotropic incompetence while being on beta-blockers
Teaming up again with the great
@VerwerftJan
to share our experience with
#echoCPET
in
#HFpEF
. This hot-of-the-press paper
@ESC_Journals
demonstrates myriad of opportunities for diagnosis & treatment, far beyond
#SGLT2i
only. Tweetorial below!
@SarahStroobant2
@HerbotsLieven
6
83
201
3
9
57
For AS in AF don’t average the gradients, use the highest
12 patients with severe AS show lower averaged AV mean gradient in AF but comparable highest AV peak and mean gradient in AF vs. SR in the same pt.
@JournalASEcho
#cardiotwitter
@ACCinTouch
@ASE360
@iamritu
@DocStrom
0
7
22
3
15
56
Great to see 2 📝of our group referenced in 👇 exiting
#HFA
#EAPC
consensus document on
#ExerciseTesting
in
#HFpEF
2
9
53
VKA or DOAC?
Contrast gives the answer of course - apical thrombus!!
0
6
29
16
6
53
The 6th
#ExerciseEchocardiography
symposium was a fantastic experience with almost 350 enthusiastic participants online and on-site!
Thanks, everyone, for making this event possible and a big success!
The 7th edition (2024) will be on Saturday, March 16 2024: 📅 Save the date
3
4
53
If "non-compaction cmp" is to be used, we should reserve this label for cases like this👇
Male 55 y/o, dyspnea and symptoms of left heart failure. Non-compacted ventricle
3
24
55
5
11
52
Now THAT is a fibroelastoma
Never saw one in so clearly
Beauty!
Cerebral lacunar infarcts no arrhythmia. What do you think?
#echofirst
@RodrigogpLima
@NMerke
@echo_stepbystep
@echotalk
@iamritu
@dr_benoy_n_shah
@KardiologieHH
@VerwerftJan
25
31
122
2
12
51
Left atrial to ventricular volume ratio and relation to fitness, cardiovascular risk factors and diastolic function in healthy individuals. The HUNT Study
1
15
49
80 yo male; heart failure; severe MR on echofirst; LFLGAS (AVA 0.8 cm²; MG 21 mmHg; SVi 30 ml/m²)
3
10
44
Check out our latest 📄 🇧🇪🇨🇦🇦🇺
The Oxygen Cascade According to HFpEF Likelihood: A Focus on Sex Differences | JACC: Advances
Regardless of
#HFpEF
probability scores, ♀ have ⬇️peak VO2 than ♂ ⏪ ⬇️ O2 delivery &⬇️ O2 extraction
🧵1/14
Background:
4
19
49
Learned this on Twitter! thx
@NMerke
@RODRIGOVISCONT1
@RodrigogpLima
@hahn_rt
Severe AS with mild functional TR
3
7
44
Sat 23 MARCH 2024
Our 7th exercise echocardiography symposium is on the
@escardio
event calendar 🗓️
and endorsed by the EAPC 🇪🇺en BWGNICI 🇧🇪
🗺️in beautiful
@stadhasselt
and online 💻
🖇️
🖊️Registration is open
4
19
43
#iCPET
case: 74 yo female with unexplained dyspnea (completely normal pulmonary testing and no HFpEF on
#echofirst
); H2FPEF score 2
CO increased from 7 tot 11.4 L/min
Stops with severe dyspnea and an oxygen sat of 87 %
some lung comets on
#LUS
during exercise
13
6
42
Prevalence and incidence of diastolic dysfunction in atrial fibrillation: clinical implications
0
19
43
General cardiologist, Imager, VHD and HF specialist: see you in person on NOV 18 at the
#echofirst
congress of
#BWGNICI
🔗
0
13
42
🍾congratulations 🇧🇪
@guido_claessen
@ALaGerche
@RWillemsKUL
@HerbotsLieven
@HeinHeidbuchel
@ClausPiet
@ClaeysMathias
@PrashSanders
@Elliott_AD
@C_VanDeHeyning
@c_dausin
@KJanssensAU
et al! 🇦🇺
Thanks for pushing the field op sports cardiology forward 🙏
@CircAHA
Very interesting work from the team at
@HartcentrumH
in the rapidly evolving field of
#Sportscardiology
! 1 in 6 elite endurance athletes showing reduction in
#LVEF
or
#RVEF
. But is this part of the athletic phenotype spectrum or a marker of cardiac disease? Read all about it👇🤓
2
18
46
3
15
41
Great session SCD during sports 👇
SCD more frequent than cancer deaths in the young
Screening and the role of
▶️ECG
▶️CMR
▶️Exercise testing
▶️🧬
Diffusing Resuscitation techniques and AED’s
What defines an athlete ?
0
11
42
🤨Provocative editorial 🧐: possibly AS is (just) one of the many comorbidities in HFpEF we need to address?
@EACVIPresident
@ESC_Journals
@escardio
🖇️HFpEF in patients with moderate/severe aortic stenosis: what harms our patients most?
8
15
41
Online participation still possible by registering at ; see you Sat MAR 19, kick of at 9 AM CET
#ExerciseEchocardiography
Symposium
spread the word: Registrations are open:
Starring
@Ph_Bertrand
@guido_claessen
@alexvdbruaene
@HerbotsLieven
11
40
91
1
14
41
▶️👥with moderate AS and HFpEF have worse exercise hemodynamics than severe AS 👥
▶️It’s about the LV an LV compliance …‼️
#aorticstenosis
: The valve vs.
#HFpEF
!
Read the latest paper from our group
@ESC_Journals
:
Exercise impairment & adverse hemodynamics correspond better w HFpEF phenotype than AS severity...
@sarahhoed
@VerwerftJan
@yreddyhf
@guido_claessen
@Cosyns
5
24
77
2
12
48
Ventricular ectopi: is there retrograde conduction and why can you tell by looking at the
#echofirst
5
10
41
#cardiotwitter
78 yo F dyspnea 4 years after MVR 27 mm; VO2peak 80 %;
#echofirst
TRG increases from 25 to 67 mmHg and mitralMG from 5 to 12 mmHg during exercise.
#TOE
👇
5
15
41
Atrial myocardial edema 😳
A 79 y/o female presented with acute
#HeartFailure
and new onset
#AFib
. TTE followed by TEE showed the markedly thickened atrial wall.
#whyCMR
and biopsy ➡️ giant cell
#myocarditis
with lone atrial involvement.
#JACCCaseReports
#CardioTwitter
#OpenAccess
3
80
208
2
9
41
@NMerke
L wave:
To see this there has te be 1️⃣bradycardia2️⃣delayed relaxation3️⃣elevated filling pressures
2
2
39
👀 our latest paper
#CPETecho
#ExerciseEchocardiography
#VHD
#AS
Another fantastic collaboration between
@JessaZiekenhuis
@HartcentrumH
@uhasselt
and
@UZBrussel
@VUBrussel
Under the lead of
@FH_Verbrugge
and
@sarahhoed
▶️👥with moderate AS and HFpEF have worse exercise hemodynamics than severe AS 👥
▶️It’s about the LV an LV compliance …‼️
2
12
48
1
10
39
Thé best ending
#ESC2023
with a delicious traditional « broodje kroket » and the fabulous company of super🌟
@maartenfalter
and
@YouriBekhuis
0
0
39
What's abnormal when screening elite
#athletes
?
Don't miss the results of
@ProATHeart
(🇦🇺🇧🇪prospective assessment of cardiac remodelling and its clinical consequences in elite athletes) @
#ESCCongress2022
Late Braking
check out this team 👇
2
11
39
🤔💭How can
#CPETecho
help you identify the underlying causes of unexplained breathlessness 💨?
Join us at the Athens EAPC Congress in Room 3 on Friday, April 26th! I look forward to seeing you there. 👋
1
6
38
Moderate aortic stenosis: importance of symptoms and left ventricular ejection fraction
1
12
37
👩 + Smaller LV and RV
▶️Lower stroke volume reserve with exercise CMR
▶️Lower VO2
Study by
#MarkHaykowsky
@guido_claessen
@ALaGerche
@S_FoulkesAEP
@erin_howden
et al.
Hypothesis = lower physical activity ▶️ smaller engines
3
14
37
Really enjoyed the
#3DWorkshop2022
#DeutschesHerzzentrumBerlin
today by a famulous faculty
@eromerodorta
@NMerke
@FabianKnebel
@denisamuraru
an
#AndreasHagendorff
Is this beginning to look like it?
4
4
37
fever with negative hemocultures; INR tightly controled; TOE for suspected endocarditis a few months ago was normal; HC also neg at that time; scheduled vor FDG-PET; no MR; PG 12 mmHg; MG 6 mmHg
2
14
36
Terrific imaging
@LHoyesWouter
🫀 Severe MR - 60 yo man
❓ What is the mechanism?
#tee
#echofirst
#Cardiology
@VerwerftJan
@NMerke
@echo_stepbystep
@VDelgadoGarcia
@NephroP
@EACVIPresident
@echo_batman
9
36
86
3
2
35
Grateful for this collaboration with
@Ph_Bertrand
@S_Dhont
▶️
#CPETecho
in primary mitral regurgitation
Check👇📄 it out!
🔗
Outcome data + two-centre study
🇧🇪
@JessaZiekenhuis
🔗
#ZOL
🇧🇪
In this study including 128 patients reveals new insights:
📍mPAP/CO slope, not peak sPAP, correlates with peak VO2 and is a stronger predictor of clinical outcomes including MV intervention,
#AFib
, 🏥, and ☠️.
📍1-year event-free survival was 55%, dropping to 46% at 2
0
12
42
3
10
36
Thx for posting this! Very proud. The first output of our dyspnea clinic with combined CPET and
#ExerciseEchocardiography
📌
#IronDeficiency
& w/ Impaired Biventricular Reserve, ⬇️Exercise Capacity in 👥 w/ Unexplained Dyspnea
#CardioEd
2
23
77
6
12
34
Hey
#CardioTwitter
!
Interested in
#EchoFirst
#ExerciseEchocardiography
? See you Sat Mar 18 2023 in Hasselt 🇧🇪
Great honor to host
#MarcoGuazzi
as keynote speaker and the usual suspects
@FH_Verbrugge
@Ph_Bertrand
@guido_claessen
#JanStassen
and
@HerbotsLieven
0
13
34
h/o aortic bioprosthesis, now fever and blood culture with S. Anginosis
3
10
33
Case: 72 yo male
•NYHA II
•UIP with DLCO 39 % and FEV1 108%
•NT-proBNP 160 ng/L
•HFA-PEFF 3 an H2FPEF 3
•no LAE or LVH, RV normal, minimal TR, TRG 17 mmHg
3
10
34
The results of master
@heart
🇧🇪 Presented @
#ACC23
by
#RubenDeBosscher
and simpub in
#EHJ
@ESC_Journals
:
▶️More plaques (all types) in lifelong endurance athletes than in healthy controls!
EJERCICIO FÍSICO DE LARGA DURACIÓN Y ATEROSCLEROSIS CORONARIA
🟤Atletas inicio >30 a 🆚 atletas larga duración 🆚 controles
🟤PF: prevalencia de placas coronarias
🟤Se encontró >prevalencia de placas coronarias calcificadas, NO calcificadas y mixtas en atletas 🤔🤯
4
34
113
5
8
34
#cardiotwitter
,
An elite
#athlete
with EF of 45 % is not infrequent:
#DCM
or normal?
In asymptomatic athletes with reduced
#EF
(ATrEF) EF increases during exercise
#whyCMR
with 11 % (to >60 %)
#ExerciseEchocardiography
as a gatekeeper to
#exerciseCMR
?
2
8
34
Should impaired oxygen uptake with exercise PHT be a trigger for AVR in patients with aortic stenosis?
Please take a 👀 at our ahead-of-print publication in
@CircAHA
. The 📝 was led by
@sarahhoed
and
@NicolaRiccardo8
.
11
46
123
1
10
33
The right parasternal window makes all the difference 👇
11
29
130
1
4
33
#echofirst
Parasternal window for
#AorticStenosis
LGAS becomes very severe HGAS
PG 33 becomes 140 mmHg
2
9
31
One figure that says it all
How to interpret exercise RHC data?
Peak PAWP or PAWP/CO slope to define HFpEF?
Exercise haemodynamics in heart failure with preserved ejection fraction: a systematic review and meta-analysis
@cla_baratto
@jeanlucvachiery
@lpbadano
@ESC_Journals
2
18
75
2
3
32
a patient with second degree AV block. What are the arrows indicating?
4
11
31
Cutoffs for RV dysfunction💡
2
4
31
Prognostic utility of cardiopulmonary exercise testing with simultaneous exercise echocardiography in heart failure with preserved ejection fraction
0
5
31
One month to go‼️
📌Hybrid
📌Live cases and talks in English
📌Free of charge but registration required
🔗 to register 👇
#echofirst
#CPETecho
#ExerciseEchocardiography
2
12
30
The brilliant
@FH_Verbrugge
🇧🇪🇺🇸 paper in
@CircAHA
Altered Hemodynamics and End-Organ Damage in Heart Failure: Impact on the Lung and Kidney
#cardioTwitter
#cardioEd
#cardiology
#AHA23
1
38
83
0
4
30
Case from the archive
Severe refractory hypoxemia after surgical closure of large ASD type II
😳
3
9
29
Excellent overview by experts in the field 🇧🇪
@S_Deferm
@Ph_Bertrand
In the the
#EHJ
.ACVC
@EHJACVCEiC
@FH_Verbrugge
0
91
199
0
9
30
Atrial myopathy-type HFpEF identified by AI analysis of ECG
Thx for highlighting 👍
@denisamuraru
@iamritu
Left Atrial Cardiomyopathy
@denisamuraru
#ESC23
chairs
@JGrapsa
@tom_marwick
🌟🌟
LACM assoc w cryptogenic stroke, even in patients w/o AFib (ARCADIA trial testing DOAC for LACM to prevent stroke)
LACM detected by AI using NSR EKG, before structural &
3
41
103
0
10
30
We need prospective data in the
#Athlete
's Heart to deal with the ample grey zones.
@guido_claessen
Don't miss the
#ProAtHeart
@ProATHeart
⏰ Monday 11.40 / Munich / online 📎
1
7
29
Atrial myopathy: where HFPEF and AF meet
Amazing study👇
Histological validation of atrial structural remodelling in patients with atrial fibrillation. Discover more in
#EHJ
@escardio
@ESC_Journals
#CardioTwitter
#atrialfibrillation
1
58
137
0
9
29
amazing study👇😲
Based on 956 participants
#LOOP
study, left atrial strain by echo is associated with subclinical AF detected by long-term continuous rhythm monitoring
@CopCard
@TorBiering
@fwemmer1
@CIRL_DK
#AHAJournals
@JiwonKimMD
@kaznegishi
0
14
36
2
2
29
VExUS and Lung US in acute HFPEF
🔴 Non-invasive imaging in acute decompensated heart failure with preserved ejection fraction
✅
#MedX
#MedTwitter
#CardioTwitter
#medx
#medEd
#MedTwitter
#MedEd
#cardiotwitter
#FOAMed
#CardioEd
#Cardiology
#MedEd
#ENARM
#cardiotwiteros
0
79
210
0
5
28
Peritoneal Na removal with Na-free 10% dextrose?🤔
@NephroP
,
@FH_Verbrugge
,
@iceman_ex
,
@AndreasGevaert
@khaycock2
DOI: 10.1161/CIRCULATIONAHA.119.043062
3
5
28
HFpEF in the blue box is the most challenging scenario. How to vasodilate? Great concept by
@FudimMarat
in
@JCardFail
🔥🚨Pressures Do Not Equal Volumes🚨
#1
We present ➡️ Discordance of Pressure and Volume: Potential Implications for Pressure-Guided
Remote Monitoring in Heart Failure
➡️We explored pressure-volume relationship
in ambulatory HF pts. managed with CardioMEMS
7
88
265
1
0
28
Sex Differences in the athlete's heart: crucial to understand sex-differences in HFpEF
Electrical and structural remodelling in female athlete's heart: A comparative study in women vs men athletes and controls
#female
#athlete
#sportsadaptation
#SportsCardiology
0
21
55
1
2
25
Important👇
#HeartFailure2021
LBT: In patients with
#HFpEF
and chronotropic incompetence, withdrawal of beta-blockers resulted in substantial short-term improvement in peak VO2 in the Preserve-HR trial.
#HF
#heartfailure
#HFA_ESC
3
35
98
1
5
27