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!

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 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🤗

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

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.