Ekaterina Stellbrink

Myxoma is the most common benign primary cardiac tumor. Hypovascular myxomas are frequently diagnosed, whereas hypervascular myxomas are rare.

Read our CASE report, "Hypervascular Myxoma in the Left Atrium," here: bit.ly/4prRl9B

All 3 tested vendors showed bias & wide limits of agreement
🚨Automatization≠high accuracy
AI Algorithms in #echofirst are not echo Gods, just as good as they were trained☝🏻
Algorithms must be HCM-aware!

I love using AI on my busy echo days- it is fast, super reproducible. BUT… a recent study shows that AI tools weren’t trained on HCM patients. In hypertrophic cardiomyopathy, they underestimate LVEF and overestimate volumes.

Aren’t we just comparing different“rulers”, not “truth”?
@kardioklick.bsky.social @benoyshah.bsky.social @nmerke.bsky.social @victoriadelgadomd.bsky.social @denisamuraru.bsky.social @alexmla.bsky.social @echosoliman.bsky.social

More❓❓ than answers…

What is the best modality?☝🏻 still no data linking CMR param. to hard outcomes!
Simplified: echo has outcome data but questionable precision.
CMR has superior precision but lacks outcome validation?🧐

What is the best parameter in TR (and MR!) regurg volume or fraction?

I still remember how surprised (and frankly disillusioned) I was when I first saw the Uretsky et al. data 🥴 : clear discordance between echo and CMR-derived severity of mitral
regurg bit.ly/4k7VfRr

Now we have not less uncertainty with TR 📑 💡

bit.ly/3RS79CW

I have cases with MVP with or without MAD who have reduced LV function and fibrosis beyond an extent that I would expect in a patient MVP. I see those as cardiomyopathy patients

I definitely will🤗

#EHJCVI 🤔 16-year-old male with a 2-month history of intermittent chest tightness. No prior surgical history ✂️ or traumatic injuries 🤕 ECG shows right axis deviation. Cardiac enzymes and BNP normal ✅ TTE normal ✅ MRI reveals this: 👀 @escardio.bsky.social @jgrapsa.bsky.social

MV surgery corrects MR but may not eliminate the structural changes.
Probably MVP+MAD 🟰cardiomyopathy, not just isolated valve disease

Despite younger age, complete surgical correction of MAD, pat. with pre-op. MAD had an
↗️ in VA in long-term FU after MV surgery
@kardioklick.bsky.social @benoyshah.bsky.social @echocardioblog.bsky.social @echopro.bsky.social @nmerke.bsky.social @denisamuraru.bsky.social

Mitral annular disjunction and mitral valve prolapse: long-term risk of ventricular arrhythmias after surgery AbstractBackground and Aims. Mitral valve prolapse (MVP) is associated with progressive mitral regurgitation (MR) requiring surgical correction. A subset o

Finally! 📑 💡largest MV surgery cohort MVP with MAD! FU median 5,4 y.

I always thought that in MVP and MAD excessive mech. stress ➡️ leaflet degeneration, ➡️ PM fibrosis = substrate for VA
One would expect that correcting MV and MAD would reduce VA🧐
bit.ly/3Yic9o4

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Have you seen our new aortic regurgitation guideline, published this week?

Join Dr Kelly Victor and Dr Rebecca Hahn to discuss this exciting publication: youtu.be/VxSTPtMC8hc

Read the guideline: doi.org/10.1186/s441...

Just flew in…
To explore this clear blue sky 🦋

Statements about DDF based on velocities measured after MV opening (already after the important part of diastole- IVRT) is a big simplification of diastolic function. It’s likely that we’re not always able to accurately detect or reveal DDF, even when it’s undoubtedly present

Both systolic and diastolic functions are linked because they both depend on the same myocardial properties-contractility, relaxation, stiffness (those we can’t measure non-invasively yet). If systolic function is impaired, diastolic function will inevitably be affected.