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Pablo Perez Lopez @pabloplopez.bsky.social · 25/06/2026

#EHJCVI🫀Check out the latest Focus Issue on VHD! Featuring sex differences, myocardial function assessment, AR & AS, prognostic value of MAC, prognostic impact of #CMR, RCTs, a new TR grading, GLIDE Score, and much more! ❤️ A must-read 📊 academic.oup.com/ehj... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 17/06/2026

#EHJCVI🫀Keep the foCUS on poCUS in emergency and critical care settings:💡improve outcomes. AI will enhance diagnostic accuracy 🚨Ongoing practice and continuous learning are essential to maintain competence 👉 doi.org/10.1093/ehjc... #poCUS #ESC #echofirst #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 14/06/2026

#EHJCVI 🫀 More cancer survivors = more CV risk focus. Cardiac imaging must be tailored to unique clinical circumstances and individual patient characteristics. Don't overlook PAD in baseline assessments❗ #CardioOncology 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 10/06/2026

#EHJCVI 🫀| Over 24 years, normal myocardial perfusion imaging scans #CVNuc increased (53% -> 66%) at a Swiss tertiary center. Read more about possible reasons why 👉 doi.org/10.1093/ehjc...

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Pablo Perez Lopez @pabloplopez.bsky.social · 04/06/2026

#EHJCVI 🫀| Using vascular deformation mapping on #yesCCT, latent aortic growth in ascending aortic aneurysms may represent an imaging biomarker of diffuse genetic aortopathy. 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 01/06/2026

#EHJCVI 🫀| In type A aortic dissection, CT-FFR #yesCCT may help identify high-risk patients and optimize post-operative management strategies beyond anatomical CCTA assessment. 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 31/05/2026

#EHJCVI 🫀| Does combining abnormal myocardial perfusion reserve and myocardial infarction on #WhyCMR improve risk stratification in type 2 diabetes mellitus? Find out 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 26/05/2026

#EHJCVI 🫀| Can delayed-phase #yesCCT improve risk stratification? Coexistence of late iodine enhancement and elevated ECV was linked to a 1.84-fold higher hazard of death or unplanned CV hospitalization. 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 25/05/2026

#EHJCVI 🫀Identifying high-risk HCM remains a challenge: should we implement an HCM-LGE score? LGE granularity model (which accounts for extent, septal location, and subepicardial-midwall patterns) demonstrates excellent performance. Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 24/05/2026

#EHJCVI 🫀QUIZ ‼️ Answer: Fake aortic dissection. This case underscores a critical diagnostic pitfall in CT interpretation in patients on mechanical circulatory support 💔 ECG-gated CT is 🔝 Read more ⏩ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 23/05/2026

#EHJCVI 🫀 Beyond the mid-wall pattern‼️ #WhyCMR Subendocardial LGE has prognostic implications in NICM ⚡️Scar phenotyping enhances arrhythmic risk stratification and helps bridge the gap between risk prediction and effective prevention of #SCD ⏩ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 21/05/2026

#EHJCVI 🫀 A paradigm shift in endomyocardial biopsy? #WhyCMR LGE can be transformed into a patient-specific 3D roadmap to guide biopsy 💉 Targeted EMB directly impact therapeutic decision-making, including immunosuppressive treatment ❤️‍🔥 Read more ⏩ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 20/05/2026

#EHJCVI 🫀QUIZ ‼️ 50-year-old with cardiogenic shock 💔 Combined circulatory support with Impella 5.5 and VA-ECMO was needed. Both successfully weaned on Day 12 ✅ Day 16: sudden circulatory collapse⏩ re-initiation VA-ECMO 🚨 #CTAngio after cardiac arrest revealed…

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Pablo Perez Lopez @pabloplopez.bsky.social · 17/05/2026

#EHJCVI 🫀Combining information on carotid plaque calcification and inflammation is 🔑 [68Ga]DOTA-TOC PET/CT carotid uptake 💡 identifies patients with high risk of cardio-cerebrovascular adverse outcomes 🚨 #NuclearCardiology. Read more ⏩️ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 14/05/2026

#EHJCVI 🔎 Moderate + moderate ≠ low risk. In multivalvular disease, combined lesions can behave like severe disease 📊 Cumulative burden should be central to risk assessment #VHD. Read more here: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 13/05/2026

#EHJCVI 🔍🧬 Lp(a) selectively tracks vulnerability. In asymptomatic patients, it was independently associated with high-risk, low-density non-calcified plaque on AI-CCTA, while CAC reflected overall plaque burden 📊 Curious to dive deeper? 👉 Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 12/05/2026

#EHJCVI ‼️ LDL-C <55 mg/dL is guideline-recommended, with potential variation in benefit by plaque phenotype. In REASSURE-NIRS, NIRS-derived lipid-rich plaques were associated with greater event reduction 👉 Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 10/05/2026

#EHJCVI 🫀❓Beyond anatomy in chronic coronary disease: does function matter? In ISCHEMIA, peak METs 🏃‍♂️ provided incremental prognostic value beyond CCTA. 💡 A more integrated approach to risk assessment may be needed. ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 06/05/2026

#EHJCVI 🔍 What if calcium, not just anatomy, drives success in percutaneous mitral commissurotomy? In CALCIMIT, CT-derived MVCS predicted outcomes. ⚡ Time to integrate quantification? 👉 Find out more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 05/05/2026

#EHJCVI 🫀🧲 Same initial infarct area, different recovery 💡 In 672 first-time #STEMI patients, 🚭 quitting smoking was linked to greater infarct size reduction on #whyCMR and fewer MACE ‼️⏩Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 04/05/2026

🚀 Want to stay updated with the latest from #EHJCVI? 📲 Don’t miss out on cutting-edge imaging, key papers, and expert insights shaping cardiovascular medicine 👥 Follow our Social Media Editors and stay one step ahead #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 03/05/2026

#EHJCVI 🫀🧠 Beyond LA volume in cryptogenic stroke? 🔍 LA strain and sphericity on #echofirst independently predicted recurrent stroke and new #AFib in ESUS ‼️ ⏩Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 02/05/2026

#EHJCVI 🫀 Time to refine #echofirst quantification of aortic regurgitation? 🔍 Using #whyCMR as reference, a 2-step TTE algorithm (RegVol≥45 mL + LVEDVi≥93 mL/m²) outperformed traditional criteria for severe AR definition‼️ #VHD ⏩Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 30/04/2026

#EHJCVI 🫀 LA strain by #whyCMR refines risk stratification in #HCM with low SCD risk 💡 LVEF>50% + LGE<5% + LA-GLS>37.6% identified an ultra-low-risk subgroup with MACE rate of just 2% ‼️ ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 28/04/2026

#EHJCVI 🫀 🔍 Should stage 3-4 cardiac damage flag futility in #TAVI? In the COMPARE-TAVI 1 sub-study (n=985), all CD stages benefited from TAVI, with similar 1-year futility (death/NYHA 3-4) across groups ‼️ #echofirst #VHD ⏩ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 22/04/2026

#EHJCVI 📊🧠 In CCTA, risk evolves over time. Stenosis severity predicts short-term events, while plaque burden (PAV) drives long-term outcomes, highlighting the dynamic nature of CAD risk #YesCCT 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 18/04/2026

#EHJCVI ⚠️ CMR staging after STEMI matters 📈 Higher CCS stages of myocardial injury predict worse 1-year outcomes, stage 4 carries the highest risk of MACE and mortality. #WhyCMR 🔗 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 16/04/2026

#EHJCVI 🧲📊 DANAMI-3: ↓ infarct size/transmurality and ↑ myocardial salvage index/LVEF (at acute + 3 months) were associated with lower 10-year mortality/HF hospitalization, while microvascular obstruction was not #WhyCMR 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 14/04/2026

#EHJCVI 📊 EKSTROM trial: at 1 year, colchicine 0.5 mg/day did not reduce low-attenuation plaque, but slowed progression of total plaque burden on CCTA, highlighting a potential role in modulating plaque progression #yesCCT 🔗 Read more -> doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 12/04/2026

#EHJCVI🫀QUIZ‼️A 14-year-old presents with chest pain, elevated troponin, LV dysfunction, and normal coronaries on CTA. MRI shows myocardial injury and an incidental adrenal mass❓ What is the most likely underlying cause? #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 11/04/2026

#EHJCVI 🔍 New insights into PFO risk. Totaro et al. identify “funnel-type” PFO morphology on 3D-TEE as a novel high-risk feature 🧠📊 Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 09/04/2026

#EHJCVI 🏎️🧲 Stress CMR in the fast lane. This editorial explores its role in detecting significant CAD, along with key implications and remaining knowledge gaps 🫀📊 Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 08/04/2026

#EHJCVI 🧲 MRI reveals what wall thickness alone can miss 📏 Wall Thickness SD (WTSD) identifies both overt and early hypertrophic cardiomyopathy, even before hypertrophy is evident 🔍✨Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 05/04/2026

#EHJCVI🫀QUIZ‼️A 70-year-old woman with palpitations and labile blood pressure. Holter ECG shows one run of monomorphic NSVT. History of asthma, hypercholesterolemia, and Barlow’s disease. Referred for TEE during cardio-oncologic surveillance 👉 What’s your diagnosis?

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Pablo Perez Lopez @pabloplopez.bsky.social · 04/04/2026

#EHJCVI 🫀Stress imaging guides decision-making in paediatric cardiology. Modality choice should reflect expertise, efficacy, limitations, and safety. This study provides a practical framework across multiple clinical scenarios 🧭 Read more 👉 doi.org/10.1093/ehjc... #Medsky

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Pablo Perez Lopez @pabloplopez.bsky.social · 03/04/2026

#EHJCVI 📉 PR prevalence may be underestimated due suboptimal assessment. CMR is gold standard for dx and follow-up, as patients often remain asymptomatic until RV dysfunction. Mortality varies by aetiology, with no increase in idiopathic PR or PH 🔍 👉 doi.org/10.1093/ehjc... #Medsky

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Pablo Perez Lopez @pabloplopez.bsky.social · 31/03/2026

#EHJCVI 📏 MAD is common in pediatric MFS and links to aortic root dilation. Both #Echofirst and #whyCMR provide reliable assessment. MAD should be routinely evaluated from childhood, with potential as a biomarker of disease progression 🔍🧬 Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 30/03/2026

#EHJCVI 🫀 Vegetation size influences indication and timing for surgery in current IE guidelines (IIb recommendation if >10 mm). In a large 🇪🇸 registry, large vegetations were associated with ⬆️ embolic events and mortality ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 29/03/2026

#EHJCVI 📢 #HowTo paper on intracardiac #echofirst ‼️ ICE is a game changer in TAVI, yet still underused. Its use may reduce post-TAVI conduction disturbances ⚡️ This practical paper provides tips and methods for the use of ICE in guiding TAVI ⏭️doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 28/03/2026

#EHJCVI 🫀 Multimodality imaging is key in cardiac tumours ‼️ This rare case highlights the complementary role of #echofirst, #CVNuclear and #whyCMR in diagnosing and managing a primary cardiac granular cell tumour ⏭️ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 27/03/2026

#EHJCVI 🫀 Mixed aortic disease is a hemodynamic challenge and an #echofirst dilemma! In this large Korean cohort, moderate aortic stenosis + regurgitation carried a risk of cardiac death and HF hospitalization comparable to severe AS ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 26/03/2026

#EHJCVI There may be something worse than a broken heart! 💔In #Takotsubo syndrome, physical triggers were linked to worse in-hospital and post-discharge outcomes than emotional ones ‼️ Interestingly, PT showed less LGE and lower troponin 💡 Explore: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 25/03/2026

#EHJCVI 📢 New #EACVI & @ASE360 Consensus Statement on Strain Echo🚨 Strain has moved from the research arena into everyday #echofirst clinical practice. A practical guide for clinical echocardiographers, with clear supporting evidence for its use ⏭️ doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 25/03/2026

#EHJCVI 🫀 Scar is more than just the presence of LGE on #WhyCMR 💡 In this study with >400 #HCM patients, scar composition and border-zone channels predicted arrhythmic events and improved ESC and AHA/ACC risk models ‼️ Read more: doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 20/03/2026

#EHJCVI 🫀 Is air pollution linked to early myocardial remodelling? PM2.5 and PM10 are associated with increased ECV after adjustment, with the strongest associations in men and patients >50 years, and no mediation by inflammatory markers 📊🔬 Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 19/03/2026

#EHJCVI ⏱️ Can left atrial transit time (LATT) predict adverse outcomes? LATT closely correlates with LVEDP and helps estimate it; pLVEDP >13 and >18 are independent risk thresholds, with HR 2.10 and 4.33, respectively 📊⚠️ Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 18/03/2026

#EHJCVI 📏 Should we use sex-specific thresholds for LV hypertrophy in Fabry disease? LVMWT >10 mm in women and >13 mm in men are independently associated with mortality, hospitalization, AF, major arrhythmias, and stroke ⚖️📊 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 17/03/2026

#EHJCVI 📐🔎 Should we assess RV hemisphericity and hemiconicity angle? These 3D shape-based metrics vary by pathology, sex, and age, and carry strong prognostic implications in atrial secondary TR, adding a new layer to RV evaluation 🧭✨Read more 👉 doi.org/10.1093/ehjc... #MedSky

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Pablo Perez Lopez @pabloplopez.bsky.social · 16/03/2026

#EHJCVI 🫀 Can LA parameters help risk-stratify embolic stroke of undetermined source? Patients show larger LA volumes, reduced reservoir and contractile strain, and increased LA circularity, features suggesting atrial cardiomyopathy may play a role 🔍 👉 doi.org/10.1093/ehjc... #MedSky

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