Head of Cardiac Imaging @PeninsulaHealth. Believer in Appropriate Use. 'Every modality has it's place'. Striving to address disparities in Cardiology.

Melbourne, Australia
Joined March 2018
Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
After-Hours Versus In-Hours Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock pubmed.ncbi.nlm.nih.gov/4266…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Assessing LV diastolic function is one of the most nuanced tasks in echocardiography, overlapping terminology, load dependence, and discordant parameters make it genuinely hard to do consistently at the bedside. This review in #EHJCVI offers a pragmatic, tier-based framework built around the 2025 ASE recommendations, using a probabilistic approach that integrates clinical context, echo findings, advanced imaging, and emerging AI to sharpen both diagnosis and prognosis. Kudos to Dr @argulian , who led this work with exceptional clarity and vision. Beyond being one of the very best imaging cardiologists in the world, Edgar is a wonderful clinician and exceptional human being. It is a privilege to learn from and collaborate with him. And what an honour to share authorship with two giants of the field, @SNagueh and @OttoSmiseth , whose work has shaped how all of us think about diastology. Don’t miss it ➡️ academic.oup.com/ehjcimaging… #Echocardiography #Cardiology #DiastolicFunction #HeartFailure #CardiacImaging #EHJCVI
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Together with @VictorDayan1 and @kaulcsmc, with input from many professional surgical societies also, we have written a viewpoint in EHJ regarding the change in default age threshold for TAVI from 75yrs (2021 guideline) to 70yrs (2025 guideline) 1/4 xitter.cf/dr_benoy_n_shah/status…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
When I saw this it got me thinking about phone use in medical conferences too At a recent meeting, of 12 people in the FRONT row, 5 were on their mobiles instead of listening to the speaker. 3 were fellow speakers! When did we become so uninterested? So distracted? 1/3
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Strong slide #HRS2026
Debate summary highlighting limitations of argument against LAA occlusion #HRS2026
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
FlecaED: safety & efficacy of IV FLEC in selected AF pts with stable CAD EF > 35% in RCT vs Amio #EHRA2026
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
There's a reason why certain papers ask Drs old enough to be a grandparent to current resident doctors to write these pieces Difficult to describe just how much has changed over the years Why I Support the Junior Doctors’ Strike tctmd.com share.google/jHL1xbAAxJ9Yldd…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
So many valuable wisdom pearls here by @SVRaoMD! Understanding what leadership truly means, its ups and downs and tradeoffs.
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
#CAC was NEVER intended guide downstream testing in asymptomatic people. The CAC score and even the location should not influence testing. The use of #CAC to help identify people who need more intensive preventive strategies is the intention. I also think the opportunistic identification of CAC is one that we need far more of
Replying to @drjohnm
I have been outspoken on the massive misuse of CAC testing for a long time (excerpt from my book in 2011) and have never ordered one.
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
👏 Big congrats to Xiaowei Wang, who has been awarded a University of Melbourne 2025 Strategic Grant for Outstanding Women. Xiaowei has also announced this week that she's just completed a Senior Executive MBA with the Melbourne Business School. medicine.unimelb.edu.au/abou…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
🔥Unexpected opening for our 2026 Advanced CV Imaging Fellowship. Unfortunately applicants need US cardiology training and unable to support J1 visa. Let’s learn together with stellar faculty, volume and dedicated equipment! Application link below, message me if interested. 🤩
Are you ready to take your cardiovascular expertise to the next level? Join our Advanced Cardiovascular Imaging Fellowship and get hands-on training in state-of-the-art imaging technologies with world-class faculty. 🌟 allinahealth.org/for-medical…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Great start to #ACCLegConf with friends and colleagues from across different state chapters, member sections, and councils who are all passionate about advocacy 👏 @DrEugeneYang @drdavemd #ACCPrevention #ACCImaging @ACCMass
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
The EHRA Antiarrhythmic Drug Compendium is now published in full A practical, comprehensive resource for the safe and effective use of AADs in daily practice.
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Grateful to Dr. John Mandrola for highlighting our withdrawal-AF RCT in this week’s This Week in Cardiology podcast 🎧🫀 Clear, thoughtful, and refreshingly nuanced commentary 🎙️ medscape.com/viewarticle/100…
📄 Now online in European Heart Journal: academic.oup.com/eurheartj/a… @drjohnm – at Bacchus Marsh, Victoria
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Scammers are using AI to create fake videos of trusted doctors, including those who work at the Baker Institute, to promote ‘miracle cures’ for conditions like diabetes. These scams endanger lives. Discuss any treatment changes with your GP or specialist. baker.edu.au/scamalert
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
Are you ready to take your cardiovascular expertise to the next level? Join our Advanced Cardiovascular Imaging Fellowship and get hands-on training in state-of-the-art imaging technologies with world-class faculty. 🌟 allinahealth.org/for-medical…
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
You’re standing there, staring at the monitor. Your name’s Raymond, right? Raymond K. Hessel. I’ve seen your initials on the reports, the timestamps, the endless queue of scans stacking up like a deck of cards dealt by a cruel hand. You’re 28, maybe 29, drowning in the glow of PACS screens, and tonight—tonight, you hit zero. The Cardiovascular Radiology worklist. Cleared. No more backlog. Cardiac CTs, Cardiac MRIs, Vascular CTs, MRIs, Doppler US cases—all gone. Done. You didn’t think this day would come, did you, Ray? You thought it’d be eternal—slice after slice, vessel after vessel, a tidal wave of contrast and calcium scores crashing over you. But here we are. You burned through it. The slate’s clean. How’s it feel? That last case signed off, that empty queue staring back at you like a miracle? What’s next, huh? You gonna sit there, refresh the system, wait for the next flood of stat orders to roll in? Or are you gonna feel this? You’re alive right now, Ray. The weight’s off. No more 3 a.m. calls about TAVR measurements, no more juggling five modalities at once. You beat the backlog. You stared into the heart of the beast—literally—and you won. What do you want to do with that? Tomorrow, when the new cases drop—and they will, Ray, they always do—what’s gonna keep you going? You’ve seen the end of the line. You’ve tasted the air on the other side. Don’t forget it. Don’t let the grind bury you again. Take this victory. Run with it. Make it mean something—a coffee break that’s actually a break, a breath that’s not interrupted by a page. Now go. Get out of here. The Cardiovascular Imaging worklist is yours to reclaim. You’ve got a clean slate. Don’t waste it.
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT 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
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Manuja Premaratne MBBS FRACP FSCCT FCSANZ CBCCT retweeted
#JACCIMG honors Drs. Márton Kolossváry & Andrew Lin with the Jagat Narula Award for their groundbreaking research on coronary plaque radiomic phenotypes predicting fatal or nonfatal MI! 🎉 📎: jacc.org/doi/10.1016/j.jcmg.… #ACC25 #TheFaceOfCardiology #cvMI #cvImaging @MKolossvary
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