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Report on CoT-Club 35 Joint Session at EuroEcho-Imaging 2013

Members of Cardiologists of Tomorrow were invited to participate to the Euroecho-Imaging 2013 in Istanbul.

A specific session was organised on 12 December 2013 which was a great success!
Read below the article written by Dr Rafael Vidal-Pérez (Santiago de Compostela , Spain) who presented one of the topics during the session.

It is with a great amount of pride that I write about my experiences attending this year’s Euroecho-Imaging in Istanbul in December.

This year, EACVI Club 35 Committee invited the ESC Cardiologists of Tomorrow group to participate in a joint session, entitled "The heart in systemic diseases: what does the echocardiographist need to know?". On behalf of the EACVI Club 35 Committee we have the pleasure of the participation of the current Chair of the group Denisa Muraru (Padua, Italy) and the past-Chair Laura Ernande (Paris, France) and for the ESC Cardiologists of Tomorrow the invited speakers were Stephane Zuily (Vandoeuvre Les Nancy, France) and me.

For all of us it was very important and an honour to have as chairpersons of the session Prof. Luigi Badano, EACVI past-President and Prof. Fausto Pinto, President-Elect of the European Society of Cardiology and the founding father of the European Association of Echocardiography (EAE).

We were scheduled to speak at the end of the a busy day of the conference. To our pleasant surprise, the room was packed with enthusiastic delegates, ready to attend and to ask questions at the end of the session.

To start with, Laura Ernande presented the characteristic echo findings in patients with metabolic diseases (i.e. obesity, type II diabetes and metabolic syndrome). The prevalence of these diseases is growing.  They are important risk factors for coronary artery disease and heart failure with preserved ejection fraction. Metabolic diseases are characterized by left ventricular (LV) hypertrophy and associated changes in the myocardial structure which explains the echo findings: namely, increased LV mass, decreased myocardial deformation, despite a normal ejection fraction, and diastolic dysfunction.

To follow, it was my pleasure to review the main echo findings in endocrine diseases, there is no specific echo finding that may differentiate one endocrine disease from another and this echo findings reflect the physiopathology of the underlying disease and the effects that the disease has on the heart.

Then, Denisa Muraru presented the echo findings in storage diseases, showing how the clever use of echo in combination with ECG can raise the suspicion of storage diseases when there is an echo finding of increased LV wall thickness that is not otherwise explained. She differentiated between storage (intracellular deposits and high voltages at ECG, e.g. Fabry or Pompe diseases) and infiltrative (extra-cellular deposits and low voltages at ECG, i.e. amyloidosis or Danon) diseases and proposed a practical diagnostic algorithm; she showed a lot of nice cases coming from the fruitful collaboration with members of EACVI club35 from different hospitals of Europe, symbolizing the value of networking.

Finally, Stéphane Zuily presented the echo findings in connective tissue diseases. He concentrated his presentation mainly on Lupus erythematosus and antiphospholipid antibody associated with lupus syndrome, showing an important incidence of pulmonary hypertension and of heart valve diseases, as well as a high incidence of pericardial effusion.

Having the opportunity to present at an international conference it is always an incredible experience and I am very thankful to EACVI Club 35 Committee for giving the Cardiologists of Tomorrow this opportunity to collaborate in the education of our colleagues with this nice topic about what an echocardiographer need to know about common and uncommon diseases.

EACVI Club 35 was celebrating its 3rd birthday at EuroEcho-Imaging 2013 with a really dynamic track targeted at delegates aged 35 years and younger. "In a really short space of time, EACVI Club 35 has grown into a vibrant community with 960 members who come from 76 countries throughout the world", said Denisa Muraru. She told us that "the EACVI Club35 was proud that young people now represent 39% of all EACVI members, whereas at first they accounted for just 5%".

Launched at the EuroEcho 2010 meeting in Copenhagen, EACVI Club 35 had the objective of enhancing the position of young doctors within the echo community. "The idea was to provide access to high quality education and training resources, opportunities to learn from established experts in cardiovascular imaging, enhance networking opportunities and prepare the next generation of EACVI leaders", explained Denisa. All of which can be summarised by their motto "Growing together today, securing excellence tomorrow".

The EAE (then the EACVI), was the first sub-specialty Association of the ESC to create a young group, and has been considered to be the trail blazer of the concept.

On behalf of the ESC Cardiologists of Tomorrow nucleus, I would like to extend our thanks to EACVI and especially Prof. Patrizio Lancellotti, Prof. Luigi Badano and Prof. Gilbert for their support.

Link to the report of the session from Prof. Badano

Dr Rafael Vidal Perez, CoT nucleus member
On behalf of the ESC Cardiologists of Tomorrow nucleus