
Cardiologist | Advanced/Structural Echo Fellow #iEcho @HMethodistCV | @ClevelandClinic IM alum | MD via UFBA 🇧🇷 | Wife, dog mom 🐺 | Tweets=my own views
Houston, TX
Joined September 2016
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Isadora Mathias, MD retweeted
Replying to @Joe_Aoun_ @djc795 @EdwardsLifesci @SachinGoelMD @SLittleMD @MReardon19 @NadeenFaza @IsaMathiasMD @CatherineTeng6 @HMethodistCV
4- these patients can have flail leaflets from repeated biopsies (partial=more challenging not to be pinned, complete= unsuitable for this device)
No other major differences noted.
We’ve done some T-TEER in ❤️ transplants @SachinGoelMD , and we’ve noted more challenges in that
Proud to be part of this team!
New milestone: We performed one of the first transcatheter tricuspid valve replacements-EVOQUE @EdwardsLifesci in a ❤️ transplant recipient. Grateful to our amazing team! @SachinGoelMD @SLittleMD @MReardon19 @NadeenFaza @HassaanBArshad1 @IsaMathiasMD @CatherineTeng6 @HMethodistCV
Isadora Mathias, MD retweeted
SAVE THE DATE for our upcoming ASE Journal Club on X, coming on Wednesday, April 23, from 8-9 PM ET! 🙌 #ASEchoJC
The live social event will be moderated by @NadeenFaza and @PWesslyMD. Guest authors include @Vidhu_anand and @pattypellikka.
Sign up: bit.ly/3Ym4RPX
Isadora Mathias, MD retweeted
Proud of our fellow @smitha_narayana presenting on behalf of collaborators #ACC25 @ACCinTouch! ⭐️In 2020, only 2.3% of mitral TEER procedures in US were performed by female operators while 97.7% were done by men. Data after 2020 coming soon. @MayoClinicCV
This maneuver, in select cases, can increase patient’s candidacy for T-TEER. Heart team discussion involving EP is paramount when we #treatTR in patients with CIEDs. #iEcho @ACCinTouch Thanks Dr. Faza for impeccable mentorship, @ChonyAlbertMD @AmitGoyalMD for a great discussion!
Isadora Mathias, MD retweeted
One of the most important trials at @ACCinTouch #ACC25 ! Compared fluid restriction to liberal approach in #HeartFailure. Why?
This affects individuals w/HF EVERY DAY!
✨No benefit of Fluid Restriction
✨No HARM for liberal fluid intake
✨Improved QOL in liberal fluid intake
Isadora Mathias, MD retweeted
A night to remember at the ACC 75th Anniversary Gala. Honored to celebrate with inspiring leaders and so grateful to @WilliamZoghbi for the invite! @IsaMathiasMD @NadeenFaza @DipanJShah @n_kleiman @almallahmo @ACCinTouch – at Chicago, IL
Isadora Mathias, MD retweeted
One of the most rewarding aspects of this journey in medicine is the good friends we make on the way! #ACC25 @IsaMathiasMD @ahmad_m_l
Isadora Mathias, MD retweeted
A lovely milestone gala celebrating #ACC25 75th anniversary. So special to celebrate with our @HMethodistCV family and all. Onward! @ACCinTouch @ASE360 @SCMR @Heart_SCCT @DrMarthaGulati @escardio
Isadora Mathias, MD retweeted
🚨 Exciting news! Our PGY 6 fellow Dr. Priyanka Bhugra and Dr Nadia Fida had a case published in NEJM this weekend. A great example of the groundbreaking work happening at HMH CV. Check it out! #HMHCardiology #NEJM #HMHCV nejm.org/doi/full/10.1056/NE…
Challenging case only made possible by excellent teamwork 😃
Torrential TR, not candidate for any TTVR device, TricValve. Challenging T-TEER anatomy, treated thanks to amazing imaging guidance by @SLittleMD @IsaMathiasMD Catherine Teng @MethodistHosp @NadeenFaza @HassaanBArshad1 @Joe_Aoun_ @PaulSorajj74157 @hahn_rt
Isadora Mathias, MD retweeted
Maya’s Magical Heart on live TV! Empowering kids with cardiac conditions to embrace their journey with resilience and optimism. Grateful for this platform to raise awareness! @valeriaduarteMD @WilliamZoghbi @SLittleMD @MiguelVldrbno @NadeenFaza @LadorAdi @SrihariNaiduMD
Isadora Mathias, MD retweeted
🌟Thrilled to share my book, Maya’s Magical Heart—a children’s story to empower young readers to navigate their cardiac health with courage, resilience, and joy. I am deeply grateful for the unwavering support and encouragement of my mentors and friends.
📖a.co/d/8Gdn0qX
Isadora Mathias, MD retweeted
🆕📝optimal cutoff points for severe AS vary by range of LVEF (<35%, 35%-50%, >50%) bit.ly/3NVYGfU
🫀If LVEF <35%, use MG of 30 rather than 40 for severe AS
🫀MG & Vmax better than AVA in Dx severe AS adjudicated by C-CT
🫀In LG AS w LVEF <35%, DSE finds contractile reserve in 2/3 patients
🫀If LVEF 35-50%, DSE finds CR in 1/2 patients
🫀1/3 pts had paradoxical LG AS w LVEF >50% yet still got DSE(?)
🫀1/4 pts labeled pseudo-severe AS by DSE had true severe AS by C-CT(not validated in LF)
Isadora Mathias, MD retweeted
Replying to @EGarciaSayan @PWesslyMD @nishath_quader @iamritu @rajdoc2005 @SachinGoelMD @GilbertTangMD @DeeDeeWangMD @Joe_Aoun_ @SLittleMD @boegel_kelly @purviparwani @ASE360 @IsaMathiasMD @Pooh_Velagapudi
We use
-A mobile shield
-Radiation pads
-Radiations skirts
-Fusion imaging capabilities
#ASEchoJC
Isadora Mathias, MD retweeted
Replying to @EGarciaSayan @NadeenFaza @PWesslyMD @nishath_quader @iamritu @rajdoc2005 @SachinGoelMD @GilbertTangMD @DeeDeeWangMD @Joe_Aoun_ @SLittleMD @boegel_kelly @purviparwani @ASE360 @IsaMathiasMD @Pooh_Velagapudi
A few examples of shielding options that can be implemented to protect the IE during SHI are presented in our paper #ASEchoJC
Isadora Mathias, MD retweeted
Replying to @NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @EGarciaSayan @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @IsaMathiasMD @LucySafi @SLittleMD
🔑 Radiation protection setup is essential!
Ceiling-suspended lead shields decrease IE exposure by 5-fold
Use RADPAD® disposable shields for added protection
Consider modern systems to reduce scatter radiation
#RadiationSafety @ASE360 #ASEchoJC


















































