@HeartToProve
Account based inUnited States
About this account
- Account based in
- United States
- Connected via
- United States App Store
Account-level information from X, not a live location or the device used for a specific post.
Conscious lump of atoms posting edutaining tweets | AUBMC cardiology | Houston Methodist Multimodality CV Imaging | Echo + CMR | Valvular heart disease — MVP
Houston Methodist Hospital
Joined April 2017
- Tweets1.5K
- Following87
- Followers12.6K
- Likes3.2K
Carlos El-Tallawi, MD, FACC, FASE retweeted
✅ Two-parameter echo approaches work in chronic AR
🎯 In 214 Echo–CMR patients, 2 approaches anchored in LV remodeling, one requiring color Doppler, the other allowing any AR parameter, performed similarly to ASE algorithm with less quantitation needed.
doi.org/10.1016/j.jcmg.2026.…
Carlos El-Tallawi, MD, FACC, FASE retweeted
A defining study on evaluating MR with Echocardiography & impact on @ASE360 Guidelines. @ACCinTouch @SCMRorg
🎯 Less is more in mitral regurgitation assessment
In 177 patients undergoing near-simultaneous Echo & CMR, just 2 ASE criteria identified significant MR with 91–95% specificity.
🫀 Smarter integration, less quantification, greater diagnostic confidence
doi.org/10.1016/j.jcmg.2026.…
🎯 Less is more in mitral regurgitation assessment
In 177 patients undergoing near-simultaneous Echo & CMR, just 2 ASE criteria identified significant MR with 91–95% specificity.
🫀 Smarter integration, less quantification, greater diagnostic confidence
doi.org/10.1016/j.jcmg.2026.…
Carlos El-Tallawi, MD, FACC, FASE retweeted
In only 1wk! interact with world-renown MMI experts: AI in CV Imaging/valvular heart/HCM/Sarcoid/amyloid... Recording available for 2 mo. Priced for global audience:25-50$! tinyurl.com/57k3hmu4
@HMethodistCV @HMHCardioFellow @JACCJournals @SachinGoelMD @escardio @NadeenFaza
Absolutely agree. You have to pick the beat which unmasks the most suffering that valve can possibly impose on the LV myocardium.
A very good thinking!
Mayo Clinic Echo Lab now recommends measuring a single highest velocity of aortic valve and LVOT to determine AV gradient and AVA. Hope this will become a part of future VHD guideline @ottoecho
Carlos El-Tallawi, MD, FACC, FASE retweeted
🔍 What exactly is prolapse volume?
Prolapse volume is the "hidden" volume trapped between the prolapsing mitral leaflets and the annulus at end-systole.
This volume:
➡️ Is not forward stroke volume
➡️ Is not transvalvular MR
➡️ Returns to the LV during diastole
🫀 Total LV volume load = MR volume + prolapse volume
💎 A paradigm-shifting concept introduced by @HeartToProve @DipanJShah @WilliamZoghbi and colleagues that may help explain disproportionate LV enlargement and remodeling in Barlow MVP.
#ASEchoJC #EchoFirst #MVP @ASE360 #CardioX #MVP @JournalASEcho
Carlos El-Tallawi, MD, FACC, FASE retweeted
💎 Why does the LV sometimes appear "too enlarged" for the degree of MR in MVP?
🫀 Because MR is not the entire volume load.
In the landmark work by @HeartToProve and colleagues, adding prolapse volume to MR volume strengthened the relationship between volume load and LV enlargement.
🎯 Total volume load = MR volume + prolapse volume
A powerful concept that may explain disproportionate LV remodeling in Barlow MVP.
#ASEchoJC #EchoFirst #MVP @ASE360 @JournalASEcho #CardioX
Carlos El-Tallawi, MD, FACC, FASE retweeted
Such an elegant observation, @HeartToProve 👏
💎 The bifid-E wave may be a novel Doppler marker of advanced MVP.
Associated with:
➡️ Bileaflet MVP (33% vs 6% in single leaflet prolapse)
➡️ Larger prolapse volume
➡️ Disproportionate LV enlargement despite mild MR
➡️ LV replacement fibrosis
🔑 On multivariable analysis, the bifid-E wave was the only echocardiographic parameter independently associated with MVP-related fibrosis.
🔍 Sometimes the most important clues are hiding in plain sight on the mitral inflow Doppler.
#ASEchoJC #EchoFirst @ASE360 @JournalASEcho #MVP #CardioX
Our group also identified a novel Doppler sign —Bifid-E wave— that could represent an additional echocardiographic marker of advanced MVP and myocardial fibrosis. Keep an eye out for this next time you're reading a Barlow Echo. #ASEchoJC
Carlos El-Tallawi, MD, FACC, FASE retweeted
Such an important point, @HeartToProve 💎
As highlighted in your editorial 👇, not all flails are created equal.
🎯 A flail leaflet should raise suspicion for severe MR—but it is not synonymous with severe MR. An integrated assessment remains essential.
#ASEchoJC #EchoFirst @ASE360 @JournalASEcho #MVP #WhyCMR
Very important -- flail =/= severe MR! In our data a flail leaflet had 81% specificity for severe MR as defined on CMR >60 mL/50% #ASEchoJC
Carlos El-Tallawi, MD, FACC, FASE retweeted
✨ Huge thank you to everyone who joined tonight's #ASEchoJC!
What an incredible discussion on MVP, MR, MAD, ventricular arrhythmias, and the evolving concept of arrhythmic MVP. 🫀⚡️
Grateful to our outstanding guest authors Dr. Jeffrey Silbiger @LucySafi, @priyaPanday27, and for sharing their expertise and insights, and to my wonderful co-moderators @NadeenFaza and @HeartToProve. A special thank you to our #EchoFirst enthusiasts and engaged audience for contributing to such a lively, thoughtful, and high-yield discussion.
Proud to be part of this amazing global #EchoFirst community! 💙🌍 @ASE360 @JournalASEcho
🤖 Made with AI
