Pablo Perez Lopez

#EHJCVI🫀What’s the impact of VExUS in acute heart failure management and risk stratification?💧Improvement is linked to better mortality outcomes, while persistent abnormalities may require extended diuretic titration or closer monitoring 📖 Read more 👉 doi.org/10.1093/ehjc... @jgrapsa.bsky.social

#EHJCVI 🫀 How can we better select NICM patients for ICD prevention therapy? ⚡ Does LGE provide additional prognostic value? 🔍 Midwall LGE and scar location significantly influence MAACE risk and can guide treatment decisions 📖 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

🌟 Excited to share that I will be a SoMe ambassador for this year #ESCCongress in Madrid 🇪🇸 I will be sharing highlights in CV imaging, as well as CHD, VHD and PH 🫀🫁 Stay tuned for live updates! #CVImaging #CHD #PulmonaryHypertension #ValvularHeartDisease

#EHJIMP 🫁 Can we use free-breathing ECG-triggered cine CMR instead of SSFP? 🔄 Both methods show good agreement 🫀 Ideal for patients with arrhythmias or limited breath-hold capacity 🧪 Similar diagnostic performance to SSFP 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 📢 Call for Papers: 🫀 Special Issue on CHD
📤 Original, reviews, clinical case series, technical notes & innovations are welcomed!
📚 Topics: tech advancements, clinical applications, multidisciplinary integration, challenges
🔗 Learn more academic.oup.com/ehjimp/pages... #CardioSky

#EHJCVI 🔍 What LV TTE markers predict outcomes in systemic right ventricles? 📏 Systemic RV diameter & FAC, LV ESDi & LV FAC are independent predictors of mortality & transplantation in ACHD patients 📚 Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🐭 What’s the best method to assess LVEF & volumes in a rat model of DOX-cardiotoxicity? 🌀4D & M-mode show the lowest bias and narrowest limits of agreement ✅ Strong correlation across most parameters! 🔍 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🔄 How is LV-A & RV-PA coupling in HFpEF with high LVEF? ⚠️ Higher risk of death & readmission, but why? 📈 These patients show ↑ left Ees/Ea 🫀 Meanwhile, TAPSE/PASP predicts event-free survival, independent of LVEF 📖 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🫀 Is anterior mitral valve leaflet length linked to response to mavacamten in HCM? 📐 Shorter length ➡️ Lower dose & Faster response🔬 Could this be a new treatment predictor? 📚 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 📊 What’s the prognostic utility of CAC vs CCTA metrics in suspected CAD?💡Models including % atheroma vol outperform CAC in prediction 🧱 Non-calcified plaque % shows the highest accuracy for MI 📉 CAC alone may underestimate risk 🔗 Read more 👉 doi.org/10.1093/ehjc... #CardioSky

Our latest work, led by Thomas Lindow, on estimating wedge pressure by #EchoFirst. #Cardiosky

LA volume is not necessarily needed. LA inflow (PVs, PVd) and outflow (E) velocities, which are proportional to pressure gradients, perform just as well.

A multi-institutional collaborative effort 🇦🇺🇸🇪

#EHJIMP 🔍 Can we estimate PAWP with #echofirst without including LAV? 📈 ePAWP-NOLA, derived from E, S & D waves, shows strong agreement with PAWP 🏆 Outperforms ASE/EACVI DD algorithm💥 Correlates with RV afterload, LVAD, and CV death 📖 Read more doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 💡 What are the sex differences in the evolution and outcomes of mild–moderate AS with pLVEF? 📌 Men: faster rise in peak velocity and mean gradient 📌 Women: more concentric LV remodelling, hypertrophy, and declining SV 📚 Dive into the data 👉 doi.org/10.1093/ehjc... #CardioSky

#EHJIMP 🫧 What’s more effective for PFO: Valsalva or party balloon inflation manoeuvre during agitated saline contrast TTE? 🎈 PBIM upgraded or confirmed severity, boosting diagnostic accuracy from 75% ➡️ 91% in significant shunts 🔬 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🚫 Can T1 mapping help detect obstructive CAD? 📉 Lower T1 values correlate with reduced MBP, but results are influenced by sex and DM 🎯 Suggested cutoff: ≤5.4%, but ❌ not statistically significant when validated against ICA 🧪 Read more doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🧮 How can we assess contractility in AS? 📊 Is the LVEF/ESWS ratio influenced by loading conditions? 📉 ESWS drops after TAVR, reflecting afterload, 🔼 while LVEF corrected to ESWS rises slightly, highlighting load dependency 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 📌 What should we do with LV thrombus? 📚 This editorial explores key questions: which echo features predict resolution 🔍, how long to keep OAC 💊, how often to repeat TTE 🖥️, and what to do in case of suboptimal resolution ⚠️ Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 👀 Can we stratify CCS patients by PCATA and EAV? 📊 Patients with high EAV index & low/high PCATA show the highest risk scores, CACS, and CAD burden 🔺 PCATA is associated with ↑ plaque volume → independent of EAV index 📖 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🫀 What's the value of ventricular strain in systemic sclerosis? 📉 Both LVGLS and RVGLS are linked to death or MACE, unlike LVEF and RVEF 🧠 How does strain compare to traditional prognostic markers? 🔍 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP ☢️ Gaps remain in research on radio-exposure risk in interventional cardiology and the impact of gender-specific radiation-induced diseases 📣 This step-by-step call to action urges progress toward gender equity in CV imaging 📄 Read the letter 👉 doi.org/10.1093/ehji... #CardioSky

#EHJCVI 🫀 TTE shows an LA false lumen with suspected LV aneurysm 🌀 Doppler LV flow enters inferior wall rupture → tunnels into LA false lumen → crosses PFO → reaches RA 🧲 CMR confirms pseudoaneurysm and myocardial rupture 🔎 Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🫁 Why is RV–PA coupling important in ATTRwt-CM? 📉 This study shows that RVGLS/sPAP is associated with cardiac death, even after adjusting for TAPSE/sPAP and other prognostic factors 📊 Want to know the AUC and best cut-off? 🔗 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🧑‍⚕️ 53-year-old male with a 10-day history of chest pain and no prior cardiovascular history: no hypertension, diabetes, or coronary heart disease 🏥 Emergency bedside TTE on admission shows the following 🫀 What’s your diagnosis? 🔍 #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP 🧒🫁 Can we use lung ultrasound in pediatric cardiology? 🖋️ This expert opinion from the AEPC Imaging WG outlines key principles, diagnostic applications, limitations, and future directions 🔍 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 📢 Call for Papers: #CardioSky @escardio.bsky.social
🫀 Special Issue Imaging in VHD
📅 Deadline: July 31, 2025
👩‍🔬 Guest Editor: Marie-Annick Clavel
📤 Original research, systematic reviews, short reports & image-based submissions welcomed!
🔗 Learn more academic.oup.com/ehjcimaging/...

#EHJIMP 🫀 What alternatives to traditional RF can help assess sex differences in CV risk?‌ Women show superior aortic GLS and ventriculoarterial coupling, better aligned with Framingham scores 📈 Could this improve low-risk stratification? Read more 👉 doi.org/10.1093/ehji... #CardioSky

#EHJCVI 📏 What should we use in aortic regurgitation: LVESDi or LVESVi? 📊 Cut-offs: LVESDi ≥20 mm/m², LVESVi ≥45 ml/m². Both elevated → worse 10-year survival 📉 Even in asymptomatic patients or LVEF >55%, LV dilation = higher mortality. Read more 👉 doi.org/10.1093/ehjc... #CardioSky

#EHJIMP 🏃‍♂️ What’s the role of exercise CMR PA compliance in suspected diastolic dysfunction with pRVEF? 🫁 They show a sharper drop in PA compliance during exercise, despite normal resting values 📉 Is there a link with HFA-PEFF score or outcomes? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJCVI 🔎 Can we use CT radiomics to detect cardiac amyloidosis? 🖥️ This editorial Meng et al. reviews its diagnostic power vs other modalities and explores limitations. Could radiomics become part of the amyloidosis algorithm? 🧩 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 👀 Our SoMe editor Eirini Beneki presents this fascinating case:🧍‍♂️49-year-old male 😮 Sudden-onset dyspnoea (NYHA IV) one week after chest trauma 🫀EKG: complete heart block + ventricular escape rhythm 🔍 What do the imaging findings reveal? #CardioSky @jgrapsa.bsky.social @escardio.bsky.social