FLUTTER @FibrilloFlutter

High-output heart failure associated with arteriovenous fistula remains an underrecognized, albeit well-described, clinical entity. This is a nice case with illustrative images - doi: 10.1016/j.jaccas.2026.107193. PMID: 41770183 #POCUS #Nephpearls

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FLUTTER @FibrilloFlutter

a week ago

@Adenozin_MD @Ecgloverr @DrRazi4 Complet AV block

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FLUTTER @FibrilloFlutter

a week ago

@Ecgloverr @Frances98392343 @syamkumarmd @ALFIEEP1 @Hapa_EP @DaveRichley @AThomazAndrade @javadm20 @SergioPinski @ecgandrhythmRoe @ProfDConnelly @ECGEPSCADEVICE @Koichi16423232 AT 🤔

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Edgar Argulian @argulian

a week ago

Most echocardiography laboratories have adopted the 2016 diastolic guidelines. With the release of the 2025 update, an important question arises: What are the key conceptual differences between the 2016 and 2025 approaches to diagnosing diastolic dysfunction? academic.oup.com/ehjcimaging/ad… @JGrapsa

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FLUTTER @FibrilloFlutter

2 weeks ago

@Frances98392343 Mobitz 1

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FLUTTER @FibrilloFlutter

2 weeks ago

@Frances98392343 @BerkBmf +1

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Nadeen N. Faza, M.D. @NadeenFaza

2 weeks ago

@PWesslyMD @LucySafi @PriyaPanday27 @HeartToProve @ASE360 @JournalASEcho #ASEchoJC The Pickelhaube sign: Lateral annular S′ ≥16 cm/s associated with ventricular arrhythmias in MVP ⚡️ #EPeeps 👉jacc.org/doi/epdf/10.10…

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FLUTTER @FibrilloFlutter

3 weeks ago

@MirSuhayel @Frances98392343 @KostekMilan @TheECGMedic @DrparrayMD @DrRazi4 2nd AV block Mobitz 1

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NephroPOCUS @NephroP

3 weeks ago

#POCUS #echofirst #Nephpearls RVOT pulse-wave Doppler can provide useful clues about pulmonary vascular resistance. In normal individuals (A), the waveform has a smooth, dome-shaped appearance, with peak velocity occurring in mid-systole, reflecting a compliant, low-resistance pulmonary circulation. As RV afterload increases, the waveform gradually becomes more triangular. The RVOT acceleration time shortens, and the peak velocity shifts earlier into systole (B). With further increases in pulmonary vascular impedance and reduced arterial compliance, a characteristic mid-systolic notch may appear (C), creating the classic "W sign." In advanced pulmonary hypertension with RV failure, the Doppler envelope becomes smaller and more abbreviated, with a very short and steep AccT (D). This reflects rapid equilibration of RVOT and proximal pulmonary artery pressures due to severe afterload elevation. Like most POCUS findings, RVOT Doppler should be interpreted in the context of the overall echocardiographic picture rather than in isolation.

NephroPOCUS @NephroP

3 weeks ago

#POCUS #Nephpearls #FOAMed The RV should normally appear smaller than the LV in the apical 4-chamber view and should not exceed about two-thirds of the LV size. If the RV appears equal to or larger than the LV, significant RV dilation should be suspected. Another helpful