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@DHZB_Akademie "3D Advanced Echocardiography Workshop" (happening January 22- 24, 2027) makes it clear why this is way "more than just 3D."
The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart culatory support (MCS), and heart failure.
Perfect for clinicians who want practical utility, not just pretty 3D pictures.
Yes, it’s a 3D workshop but we are taking it straight to the ICU
At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases:
Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management.
Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS).
Live Knobology: Real-time mastering of GE & Philips systems.
Register & view the full program: backend.dhzb-akademie.de/app/uploads/20…
Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge
The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart culatory support (MCS), and heart failure.
Perfect for clinicians who want practical utility, not just pretty 3D pictures.
Yes, it’s a 3D workshop but we are taking it straight to the ICU
At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases:
Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management.
Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS).
Live Knobology: Real-time mastering of GE & Philips systems.
Register & view the full program: backend.dhzb-akademie.de/app/uploads/20…
Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge
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Nicolas Merke retweeted
Echo paradise for PISA lovers #echofirst @WvuCvFellows @CASivaram1 @argulian @iamritu @harshi_md
@NMerke proud of our Sonographers at WVU. Great job here. MVA PISA 0.8 MR PISA EROA 0.26
@NMerke proud of our Sonographers at WVU. Great job here. MVA PISA 0.8 MR PISA EROA 0.26
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🔑 is to know that symptoms are due to moderate AS in these patients
This is the most relevant & most difficult question to answer
Is indication of intervention in AS shifting?
Next step is Mitral Valve?
This is the most relevant & most difficult question to answer
Is indication of intervention in AS shifting?
Next step is Mitral Valve?
I wonder what Dr John Webb would say about this re lifetime management of AS, is there a role for SAVR in such patients if they are younger?
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Nicolas Merke retweeted
PROGRESS presented at #TCT2026: Among patients with moderate aortic stenosis and at-risk features, a TAVR strategy was superior to clinical surveillance in reducing the 2-year incidence of death or HF events. The primary endpoint was largely driven by HF hospitalizations, in the le open-label design.
A highly selected population, enriched for risk factors. Medical therapy may also have been suboptimal relative to current standards or evolving evidence. Finally, does intervening earlier in the natural history of the disease mean starting the durability clock sooner than necessary? nejm.org/doi/full/10.10…
A highly selected population, enriched for risk factors. Medical therapy may also have been suboptimal relative to current standards or evolving evidence. Finally, does intervening earlier in the natural history of the disease mean starting the durability clock sooner than necessary? nejm.org/doi/full/10.10…
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Nicolas Merke retweeted
Why am I not very excited about this?
I saw how TAVI started as an alternative for a much superior procedure in inoperative patients, they I saw how the industry gradually increased the indications.
This is a repeat DeJa vu! Do you want me to predict to you the next target?
I saw how TAVI started as an alternative for a much superior procedure in inoperative patients, they I saw how the industry gradually increased the indications.
This is a repeat DeJa vu! Do you want me to predict to you the next target?
PROGRESS presented at #TCT2026: Among patients with moderate aortic stenosis and at-risk features, a TAVR strategy was superior to clinical surveillance in reducing the 2-year incidence of death or HF events. The primary endpoint was largely driven by HF hospitalizations, in the le open-label design.
A highly selected population, enriched for risk factors. Medical therapy may also have been suboptimal relative to current standards or evolving evidence. Finally, does intervening earlier in the natural history of the disease mean starting the durability clock sooner than necessary? nejm.org/doi/full/10.10…
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Nicolas Merke retweeted
⚠️ MV replacement → new AR.
📌AV injury: cusp(s) retraction/tear
👀 doi.org/10.18231/j.ijc…
⚠️ AV replacement → new MR.
📌MV injury: AML retraction/perforation
👀 a case from my archives
Uncommon, but possible.
Keep looking 👀.
Intraop #TEE matters.
#echofirst
📌AV injury: cusp(s) retraction/tear
👀 doi.org/10.18231/j.ijc…
⚠️ AV replacement → new MR.
📌MV injury: AML retraction/perforation
👀 a case from my archives
Uncommon, but possible.
Keep looking 👀.
Intraop #TEE matters.
#echofirst
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Nicolas Merke retweeted
📅 Save the date! 10th Hybrid Symposium on Exercise Echocardiography
🗓 Saturday, March 13, 2027
📍 Hasselt, Belgium + online
🎤 Keynote: Barry Borlaug (@MayoClinic) on exercise hemodynamics in HFpEF
Registration soon!
#HFpEF #CPETecho
🗓 Saturday, March 13, 2027
📍 Hasselt, Belgium + online
🎤 Keynote: Barry Borlaug (@MayoClinic) on exercise hemodynamics in HFpEF
Registration soon!
#HFpEF #CPETecho
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#echofirst case
Can functional tricuspid regurgitation occur without right-sided chamber dilatation?
Our recent case report suggests a potential mechanism: restricted tricuspid annular mobility in a patient with constrictive pericarditis.
After pericardiectomy, annular mobility improved and TR decreased from moderate to mild.
👉 Could this represent a distinct phenotype of functional TR?
🚨 Further studies or observation are needed.
👉 How often do you consider restricted annular mobility in these patients?
👉 How often do you see not clear mechanism in functional TR?
Let start discussion
📄 European Heart Journal – Case Reports
😎 academic.oup.com/ehjcr/advance-…
Can functional tricuspid regurgitation occur without right-sided chamber dilatation?
Our recent case report suggests a potential mechanism: restricted tricuspid annular mobility in a patient with constrictive pericarditis.
After pericardiectomy, annular mobility improved and TR decreased from moderate to mild.
👉 Could this represent a distinct phenotype of functional TR?
🚨 Further studies or observation are needed.
👉 How often do you consider restricted annular mobility in these patients?
👉 How often do you see not clear mechanism in functional TR?
Let start discussion
📄 European Heart Journal – Case Reports
😎 academic.oup.com/ehjcr/advance-…
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Nicolas Merke retweeted
💫When a beautiful day filled with emotions and #science leaves you a little melancholic, it means you’ve been lucky enough to share the journey with truly special people ♥️🌈
So proud of our newly graduated specialists! 🫀🩺👩🏻⚕️@BURZOTTA_F @Unicatt #cardiotwitter
So proud of our newly graduated specialists! 🫀🩺👩🏻⚕️@BURZOTTA_F @Unicatt #cardiotwitter
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Nicolas Merke retweeted
#echofirst case report about functional TR non atrial nor ventricular
👉 academic.oup.com/ehjcr/advance-…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina
👉 academic.oup.com/ehjcr/advance-…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina
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Nicolas Merke retweeted
@NMerke Different perspectives. Shared expertise. Positive outcomes.
🚀 When imagers from different specialties exchange ideas, everyone wins - especially the patient. #echofirst @NMerke
📌 2D reference plane matters
📌 3D landmarks (⛔️overzoom)
📌 3D image orientation matters
🚀 When imagers from different specialties exchange ideas, everyone wins - especially the patient. #echofirst @NMerke
📌 2D reference plane matters
📌 3D landmarks (⛔️overzoom)
📌 3D image orientation matters
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Nicolas Merke retweeted
@iamritu @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi Indeed a rare congenital anomaly ✨Rudimentary aortic chordae tendineae: a ruptured strand attached to the free edge of LCC 👀 #echofirst
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Nicolas Merke retweeted
@iamritu @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi doi.org/10.1002/ccr3.8…
@iamritu
AR caused by aortic chordae tendineae strands (ACTS) is rare ….
@iamritu
AR caused by aortic chordae tendineae strands (ACTS) is rare ….
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Nicolas Merke retweeted
@alex1708ander @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi #echofirst @alexsfelixecho
🌟Very interesting! Great tweet by master @iamritu about AV strands✨
Recently I had a 45y👨🏽 cryptogenic stroke (2x), no PFO, only finding prominent strands in Ao valve.
I found 📝 about ⬆️ incidence of embolic strokes in this population, without any other cause 🤷🏾
What do U itter
@NMerke @echo_stepbystep @dr_benoy_n_shah @StellEkaterina @echo_batman @purviparwani @pabeda1 @kevin_domingues @KemalogluOz
academic.oup.com/ehjcimaging/ar…
pubmed.ncbi.nlm.nih.gov/9842021/
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Nicolas Merke retweeted
@alex1708ander @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi @alexsfelixecho agree w @alexsfelixecho seen more on aortic valve, But degenerative fenestrations typically don't affect valve function(they occur past the closing edge)
But if adjacent tissue is worn away, they stretch & strand avulses, the cusp may no longer be fully supported & can prolapse
But if adjacent tissue is worn away, they stretch & strand avulses, the cusp may no longer be fully supported & can prolapse
@CASivaram1 @StellEkaterina @DavidWienerMD @purviparwani @argulian @mswami001 @rajdoc2005 @DrRajeshG1 @davidmcnam @renujain19 @AkhilNarangMD AV fenestrations don't directly allow for aortic regurgitation usually, but if they stretch & strand avulses & has a free edge, cusp may no longer be fully supported & can prolapse @joemaleszewski 📷 @MayoClinicCV #echofirst
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Nicolas Merke retweeted
@iamritu @alex1708ander @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi Totally agree with you @iamritu
@dr_yakovlev @echo_stepbystep @PPibarot @fiore_corrado @NMerke @eromerodorta @dr_benoy_n_shah @schaefers_hans @jenn_cy_chung @ovidiogarciav @BavariaMd @IHamamsy @NimeshDesaiMD Sometimes in patients with Ao Valve prolapse there is also comissural fenestrations, annalsthoracicsurgery.org/article/S0003-…. It may offer additional difficulty to repair
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Nicolas Merke retweeted
A case from the recent past - severe AR due to a RCC fenestration without cusp prolapse.
And yes @alexsfelixecho it was very difficult to repair
#echofirst @NMerke
And yes @alexsfelixecho it was very difficult to repair
#echofirst @NMerke
@iamritu @alex1708ander @ASE360 @JournalASEcho @CASEfromASE @CASivaram1 @echo_stepbystep @NMerke @OungSavly @DrRajeshG1 @rajdoc2005 @LucySafi Totally agree with you @iamritu
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Nicolas Merke retweeted
EACVI Board election 🗳️ to shape the future of #echofirst
President @NAjmoneMarsan with strong team
Treasurer @Ph_Bertrand
Councillor @papadocardio & Vlatka Reskovic Luci
👉 escardio.org/communities/as…
President @NAjmoneMarsan with strong team
Treasurer @Ph_Bertrand
Councillor @papadocardio & Vlatka Reskovic Luci
👉 escardio.org/communities/as…
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Nicolas Merke retweeted
Pericardial constraint–associated functional TR☝🏻
An intriguing case and a reminder always to ask: why TR? Not only grading, understanding the mechanism matters! And as in this case, sometimes means looking beyond the valve and the right heart chambers!
An intriguing case and a reminder always to ask: why TR? Not only grading, understanding the mechanism matters! And as in this case, sometimes means looking beyond the valve and the right heart chambers!
#echofirst case report about functional TR non atrial nor ventricular
👉 academic.oup.com/ehjcr/advance-…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina
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