Julia Grapsa

#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

#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

#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

#EHJIMP 🚫 Measuring perivascular adipose tissue attenuation around the RCA or aortic valve adds no incremental prognostic value for MACE prediction in TAVI patients beyond established risk factors 📉 Read more 👉 doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

@escardio.bsky.social

#EHJCVI 🌍 How should we use multimodality cardiac imaging to diagnose cardiovascular involvement in tropical diseases? 🫀 Check out this joint EACVI & DICSB scientific statement highlighting the role of imaging in these conditions 🔎 Read more 👉 doi.org/10.1093/ehjc... @jgrapsa.bsky.social #CardioSky

#EHJCVI 🌀 What’s the incremental value of regurgitant fraction by 3DE in STR? ⚠️ This study shows it’s the strongest severity marker and the only one improving risk stratification beyond EROA 📈, identifying a high-risk subgroup 📊 Read more 👉 doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🧪 What’s the role of MRI-measured myeloperoxidase (MPO) activity in predicting atherothrombosis? 🐇 In rabbits, R1 relaxation rate after MPO-Gd was the best predictor 🧠 But what about MPO in human carotid plaques? 🔍 Dive into the study: doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social

#EHJIMP 🩻 How should coronary assessment be handled in TAVI candidates? 🧠 Is coronary angiography enough? ⚖️ What are the benefits and risks of different approaches? 🔍 Want to know more? doi.org/10.1093/ehji... #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJIMP💡 Can we use CMR to assess pulmonary congestion? 🫁 This study found that patients at risk for HF have significantly higher lung water density (LWD) 📈 Optimal cut-off: 27.6% 🔍 Curious about the results and how LWD was measured? Dive in here: doi.org/10.1093/ehji... #CardioSky

#EHJCVI 📉 Baseline pulmonary vascular resistance >2 WU is linked to worse outcomes in patients undergoing tricuspid annuloplasty. Is it a stronger prognostic marker than PASP or the TAPSE/PASP ratio? What’s the role of post-op PVR? 🫁 Read more doi.org/10.1093/ehjc... #CardioSky @jgrapsa.bsky.social

#EHJCVI 👶 A 2-year-old is admitted for a 3/6 diastolic murmur at the 2nd–4th intercostal spaces along the left sternal border 🎧 TTE reveals the following findings What’s your diagnosis? 🤔🫀 #CardioSky @jgrapsa.bsky.social @escardio.bsky.social

#EHJCVI 🖥️ What’s the prognostic value of ECV-derived radiomics (RadScore) for risk stratification in reperfused STEMI? 🫀 Do patients with increased RadScore face higher MACE risk? ⚠️ Want to know more? 👉 doi.org/10.1093/ehjc... #CardioSky @escardio.bsky.social @jgrapsa.bsky.social

#AI for Preconception #Cardiomyopathy Screening Among Women of Reproductive Age

#CardioSky #CardioObstetrics
www.annfammed.org/content/earl...
@abraguo.bsky.social @garimasharmamd.bsky.social @mdharringtonc.bsky.social @drhelenecollin1.bsky.social @obcriticalcare.bsky.social @erinmichos.bsky.social

#EHJCVI 💬 67-year-old woman with shortness of breath and lower limb oedema 🦵ECG shows atrial fibrillation ⚡ TTE reveals severe MR and TR plus the following findings. What’s your suspicion? What would you do? 🕵️‍♂️🔍 (Part 1) @escardio.bsky.social @jgrapsa.bsky.social

Routine LAA surgical closure for all patients undergoing cardiac surgery?

#CardioSky #Epeeps
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NEJM Editorial Fellow Harleen Marwah, MD, summarizes the SOUL trial. Read the full trial results: nej.md/4hHII5M

#ACC25 #MedSky #CardioSky @accintouch.bsky.social

The Five Times Sit-to-Stand Test Predicts Achievable Exercise Intensity During Stress Echocardiography AbstractBackground. Exercise stress echocardiography (ESE) is becoming increasingly important in assessing heart failure and valvular diseases; however, de

Sarcopenia-related indices, particularly the 5-STS, effectively and simply predicted achievable exercise intensity during ESE, independent of age and sex.
#EHJIMP @jgrapsa.bsky.social @escardio.bsky.social @cardioobdoc.bsky.social
doi.org/10.1093/ehji...

Reduced passive and active 3D LA motion from 4D RGCT associates with more advanced AF and AF recurrence post-ablation, respectively. Future work should extend this approach to larger populations.
@jgrapsa.bsky.social @escardio.bsky.social @cardioobdoc.bsky.social
doi.org/10.1093/ehji...

Pregnancies in women after peri-partum cardiomyopathy #PPCM: global ESC EuroObservational Registry

#CardioSky #CardioObstetrics
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🔥Just published #EHJCVI 🔥

LV GLS and T2 value were independently associated with significant allograft rejection ➡️ incremental value for non-invasive identification of significant rejection in HTx recipients ➡️ academic.oup.com/ehjcimaging/... @escardio.bsky.social @pabloplopez.bsky.social

Skeletal muscle adiposity, coronary microvascular dysfunction #cvCMD, & adverse CV outcomes

#CardioSky
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@escardio.bsky.social @cardioobdoc.bsky.social @gimelliale.bsky.social @shehabanwer.bsky.social @pabloplopez.bsky.social @hancardiomd.bsky.social @bakhshihooman.bsky.social

#CardioSky #MedSky

Read this important study on #EHJIMP what are the parameters of TR regression post M-TEER?
✅ A lower prevalence of atrial fibrillation, smaller left atrial volume index, and smaller right atrial area were significantly associated with TR regression
➡️ lnkd.in/dcv9whsp

With Limited RCTs of Arterial Grafting, Researchers Take a Different Tack A new study comparing multiple and single arterial grafting highlights how physician preference can bias observational data.

To combat some of the limitations of observational analyses in cardiac surgery, factoring in instrumental variables like surgeon preference could potentially alleviate some confounding bias, according to the authors of a new study.

www.tctmd.com/news/limited... #STS2025 #CardioSky

For HTN, starting a 2-pill low-dose Rx was noninferior to stepped monotherapy.
2-pill & 3-pill low-dose strategies were not superior to stepped monotherapy

#CardioSky #MedSky
jamanetwork.com/journals/jam...
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@pabloplopez.bsky.social @victoriadelgadomd.bsky.social @rafavidal.bsky.social @escardio.bsky.social @shehabanwer.bsky.social

3D-US based risk assessment of AAA #EHJCVI

➡️ This study assessed AAA rupture risk parameters over time, based on vessel and intraluminal thrombus geometry.
➡️ peak wall rupture index,peak wall stress, and maximum ILT thickness for varying AAA growth rates
➡️ academic.oup.com/ehjcimaging/...

Mastering #CardiacMRI is no small feat! To help #CVFellows tackle the steep learning curve, I created a cheat-sheet of common values in #CMR 🫀✨

💡 Feedback welcome—what values do you use?
📩 DM for a free high-res editable/printable version!
#MedEd #FOAMed #CardioTwitter #Imaging #ACCFit #WhyCMR #WIC

Difference in cardiac response after transcatheter aortic valve implantation according to flow and gradient pattern AbstractAims. In patients undergoing transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS), data on the differences in subsequent

#EHJCVI🔥 Is there any differences in cardiac response after #TAVI according to flow and gradient pattern?🔥 Read more here 👉 doi.org/10.1093/ehjc... @escardio.bsky.social @pabloplopez.bsky.social @victoriadelgadomd.bsky.social @rafavidal.bsky.social @shehabanwer.bsky.social