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Roopali Khanna, Arvind S Raghuvanshi, Sudeep Kumar, Naveen Garg, Satyendra Tewari, Aditya Kapoor, Pravin K Goel
BACKGROUND: Right ventricular (RV) function has prognostic value in terms of survival and symptoms in patients with mitral stenosis (MS). The aim of the study was to assess RV function by strain analysis in the patients of mitral stenosis and the effect of percutaneous transvenous mitral commisurotomy (PTMC) on it. METHODS: Eighty patients of severe mitral stenosis without overt right heart failure and normal sinus rhythm undergoing PTMC were included. Conventional echocardiography and RV function by TDI-derived longitudinal strain and strain rate were assessed prior and 24 hours post PTMC and compared with 40 healthy age-matched controls...
July 16, 2018: Echocardiography
Edmund K Kerut, Renee Hebert, Michael E Hall, Michael C Turner, Michael R McMullan
A patient's coronary artery calcium score (CACS) is a strong independent predictor of cardiovascular risk. Used in conjunction with traditional measures of risk, the CACS helps the clinician discuss cardiovascular (CV) risk and recommend therapies with the patient. We present several cases in which measurement of the CACS and traditional risk factors were used to help guide the clinician-patient conversation and guide therapies.
July 16, 2018: Echocardiography
Ahmet Seyfeddin Gurbuz, Yakup Alsancak, Abdullah Ozcelik, Sumeyye Fatma Ozer, Mehmet Akif Duzenli
Early infectious endocarditis (IE) occurs in 3% of prosthesis in the first 12 months. Early IE is more aggressive than late prosthetic valve endocarditis. Mortality remains high, despite combined medical and surgical treatment. We present a case of early IE in aortic prosthetic valve complicated with paravalvular abscess, pseudoaneurysm and aorto- right atrial fistula.
July 16, 2018: Echocardiography
Mengyun Yao, Yuman Li, Shima Ibrahim Ali, Mingxing Xie, Qing Lv
This case series describes echocardiographic and computed tomography angiographic (CTA) characteristics, clinical features, diagnosis, and treatment in 15 patients of Pulmonary artery sling (PAS). Echocardiography is effective in diagnosing PAS, when the main pulmonary artery extends to the right pulmonary artery directly with the left pulmonary artery arising from the right pulmonary artery. CTA, clearly demonstrating the position and extent of trachea compression, the anatomy of PAS and the spatial relationships among the PAS, trachea and the esophagus, is necessary for the final diagnosis...
July 13, 2018: Echocardiography
Yoshihito Saijo, Hirotsugu Yamada, Kenya Kusunose, Mika Bando, Susumu Nishio, Yuta Torii, Yukina Hirata, Hiromitsu Seno, Tomomi Matsuura, Takayuki Ise, Takeshi Tobiume, Koji Yamaguchi, Shusuke Yagi, Takeshi Soeki, Tetsuzo Wakatsuki, Masataka Sata
AIM: To improve the prognosis of patients with heart failure, risk stratification in their early stage is important. We assessed whether the change in transmitral flow (TMF) velocity pattern during preload augmentation can predict future hemodynamic worsening in early-stage heart failure patients with impaired relaxation TMF pattern. METHODS: We designed a prospective cohort study that included 155 consecutive patients with impaired relaxation (IR) pattern at rest...
July 13, 2018: Echocardiography
Danai Kitkungvan, Syed W Yusuf, Rohit Moudgil, Nicolas Palaskas, Michele Guindani, Song Juhee, Saamir Hassan, Liza Sanchez, Jose Banchs
BACKGROUND: Previous studies have not evaluated the prevalence and specific risk factors for the development of left ventricular (LV) thrombus in patients with severely reduced left ventricular dysfunction due to chemotherapy-related cardiomyopathy. We sought to evaluate the prevalence and potential markers of LV thrombus in this patient population. METHODS: From January 2009 to December 2013, patients with chemotherapy-related severe LV dysfunction (LV ejection fraction [LVEF] ≤ 30%) identified from MD Anderson Cancer Center database were reviewed...
July 13, 2018: Echocardiography
Ahmed Al-Habbaa, Prashanth Rawla, Mostafa Ebraheem Morra, Ahmed Ahmed Abotaha, Eman El-Sayed Sakr, Mostafa Ahmed Abdo Shehata, Karim Mohamed Shahin, Sarah Abdel Mageed, Nguyen Tien Huy
BACKGROUND: Granulomatosis with polyangiitis (GPA) is a systemic inflammatory condition; however, patients with GPA rarely experience endocardial valve lesions. METHODS: We report a GPA case with tricuspid valve destruction together with a systematic review to highlight the characteristics of all previously reported GPA cases with valvular involvement. RESULTS: Among 36 cases included, the aortic valve was involved in 15 (41.7%) cases while the mitral valve was involved in 9 (25%) subjects...
July 8, 2018: Echocardiography
Begum Uygur, Omer Celik, Fethi Emre Ustabasioglu, Okan Akinci, Mehmet Erturk
AIM: Rheumatic heart disease is a common cause of valvular disease, especially in developing countries. Echocardiography is the gold standard investigation modality for cardiac valves. In rheumatic mitral stenosis (MS), three-dimensional transesophageal echocardiography (3D TEE) provides better alignment of the image plane at the mitral tips and more accurate and reproducible planimetric measurement of mitral valve area (MVA). Cardiac magnetic resonance (CMR) is a new method that provides evaluation of cardiac anatomy and function noninvasively...
July 7, 2018: Echocardiography
Mohamed Morsy, Teresa Slomka, Anuj Shukla, Dipan Uppal, Ritin Bomb, Oluwaseun A Akinseye, Santhosh K G Koshy, Nadish Garg
BACKGROUND: Atrial fibrillation (AF) is a common arrhythmia after trauma or burn injury; however, its predisposing factors are not well known. Moreover, little is known about its effect on mortality and other short-term clinical outcomes. OBJECTIVES: This study is aimed at identifying risk factors for new-onset AF in patients admitted with blunt trauma or burn injuries at a Level 1 academic trauma center, and to determine its effects on the short-term clinical outcomes...
July 6, 2018: Echocardiography
Osama El Razaky, Doaa El Amrousy, Shaymaa Elrifaey, Marwa Elgendy, Wesam Ibrahim
OBJECTIVES: To revaluate the role of three-dimensional speckle tracking echocardiography (3D-STE) in the evaluation of subclinical myocardial dysfunction in asymptomatic children with type 1 diabetes mellitus (DM). PATIENTS AND METHODS: Fifty asymptomatic children with type 1 DM were included as a patient group. Fifty healthy children of matched age, sex, and weight served as a control group. Laboratory investigations in the form of complete blood count (CBC), liver function test, renal function test, complete blood lipid profile, glycosylated hemoglobin (HbA1c), fasting and 2 hours postprandial (PP) glucose levels, and cardiac troponin I (cTnT I) were drawn...
July 6, 2018: Echocardiography
Moustafa O Elsheshtawy, Mahmoud Abdelghany, Pria Sriganesh, Kan Liu, Adnan Sadiq
Congenital inferior sinus venosus defect (SVD) is a rare congenital heart disease. Proper diagnosis of this disease is challenging and requires understanding of cardiac hemodynamics. Here, we discuss a patient with a late presentation of combined congenital inferior SVD associated with congenital pulmonary stenosis.
July 5, 2018: Echocardiography
Edmund Kenneth Kerut, Michael E Hall, Michael C Turner, Michael R McMullan
As coronary artery calcium (CAC) is atherosclerosis and not just a marker of cardiovascular (CV) disease, measurement of a patient's coronary artery calcium score (CACS) is a strong predictor of risk. Clinically performed in asymptomatic patients, the CACS, along with several CV risk factors, namely age, sex, ethnicity, diabetes, tobacco use, family history, cholesterol level, blood pressure, and use of cholesterol or hypertensive medications, provide a predictive model of 10 year risk for CV events. A smartphone "App" makes this quick to obtain and use...
July 5, 2018: Echocardiography
Ting-Yan Xu, Hang Zhao, Zhi-Qing Qiao, Ben He, Xue-Dong Shen
OBJECTIVE: This study aimed to evaluate the effects of the combined use of external therapeutic ultrasound (ETUS) and the specific glycoprotein IIb/IIIa inhibitor tirofiban on myocardial no-reflow in a canine model of acute myocardial infarction after reperfusion. METHODS: The canine myocardial no-reflow model was established by a 3-hour occlusion of the left anterior desecending coronary artery followed by a 2-hour reperfusion. Twenty-four canines were divided into four groups (6/group): (1) control, (2) tirofiban alone, (3) ETUS combined with tirofiban (ETUS + tirofiban), and (4) ETUS alone...
July 5, 2018: Echocardiography
Sumeet Gandhi, Wassim Mosleh, Joshua Shen, Chi-Ming Chow
Automation, machine learning, and artificial intelligence (AI) are changing the landscape of echocardiography providing complimentary tools to physicians to enhance patient care. Multiple vendor software programs have incorporated automation to improve accuracy and efficiency of manual tracings. Automation with longitudinal strain and 3D echocardiography has shown great accuracy and reproducibility allowing the incorporation of these techniques into daily workflow. This will give further experience to nonexpert readers and allow the integration of these essential tools into more echocardiography laboratories...
July 5, 2018: Echocardiography
Mohammad Sahebjam, Vahide Montazeri, Arezoo Zoroufian, Ali Hosseinsabet, Masoumeh Lotfi-Tokaldany, Arash Jalali
AIM: We intended to assess the left atrial deformation parameters, using two-dimensional speckle tracking (2DSTE) and transesophageal echocardiography (TEE), and determine the correlation between these two techniques in order to recognize the patients at risk for cardioembolic events. METHOD: Strain and strain rate were measured using 2DSTE among 26 patients in sinus rhythm, with isolated moderate to severe mitral stenosis. Left atrial (LA) volume parameters (maximum, minimum and preatrial contraction) were measured...
July 3, 2018: Echocardiography
Anderson S Duque, Conrado L Ceccon, Wilson Mathias, Joana Diniz Majesky, Luis H Gowdak, João C N Sbano, Luis Antonio Machado Cesar, Maria Cristina Abduch, Márcio S M Lima, Paulo M M Dourado, Cecilia B B V Cruz, Jeane M Tsutsui
BACKGROUND: Cardiac shockwave therapy (CSWT) is a new potential option for the treatment of patients with chronic coronary disease and refractory angina (RA). We aimed to study the effects of CSWT on left ventricular myocardial perfusion and mechanics in patients with RA. METHOD: We prospectively studied 19 patients who underwent CSWT. Left ventricular mechanics were evaluated by speckle tracking echocardiography (STE), and myocardial perfusion by single-photon emission computed tomography, using stress/rest-Technetium-99 m Sestamibi, for determination of summed stress score (SSS)...
July 1, 2018: Echocardiography
Anna Brand, Marny Bathe, Anne Hübscher, Gerd Baldenhofer, Robert Hättasch, Ute Seeland, Sabine Oertelt-Prigione, Mirjam Rücke, Vera Regitz-Zagrosek, Karl Stangl, Henryk Dreger, Verena Stangl, Fabian Knebel
AIM: We aim to determine normative reference data of phasic right atrial (RA) strain and to investigate determinants, possible clinical implications as well as feasibility and reproducibility of RA strain analysis. METHODS AND RESULTS: Right atrial strain was analyzed in 266 participants of the cross-sectional Berlin Female Risk Evaluation (BEFRI) study using 2D speckle-tracking echocardiography (2D STE). To determine reference values, phasic RA strain was determined in a subgroup of 123 individuals without known cardiovascular diseases or risk factors...
July 1, 2018: Echocardiography
Robert Kulina, Karthik Seetharam, Sunil Agarwal, Brandon M Wiley, Jagat Narula, Farooq A Chaudhry, Partho P Sengupta
BACKGROUND: Software-based beamforming which utilizes delay and standard beamforming is a signal processing technique that temporarily stores data from each probe element to improve specular reflections to improve the image resolution. We compared a software algorithm which uses delay and standard beamforming with delay and sum beamforming in standard, hardware to evaluate endocardial borders and need for echo contrast. METHODS: In this prospective study, eligible participants were ≥18 years of age referred clinically for transthoracic echocardiograms...
June 26, 2018: Echocardiography
Eduardo Félix Martins Santana, Antônio Fernandes Moron, Edward Araujo Júnior, Maurício Mendes Barbosa, Herbene Jose Figuinha Milani, Stephanno Gomes Pereira Sarmento, Sérgio Cavalheiro
OBJECTIVE: Fetal hemodynamic changes have already been described during open myelomeningocele repair. This study aimed to access fetal myocardial performance index (MPI) during this high-complexity surgery. METHODS: Open myelomeningocele repair was performed in 37 fetuses between the 24th and 27th week of gestation. MPI was calculated at specific periods: pre-anesthesia, postanesthesia, neurosurgery (early skin manipulation, spinal cord releasing, and sintesis), and end of surgery...
June 26, 2018: Echocardiography
Matle J Fung, Liza Thomas, Dominic Y Leung
AIMS: Alterations in left atrial (LA) and left ventricular (LV) function have been documented in hypertensive patients. However, the correlation of LA with LV functional changes has not been established. Using normotensive controls, we examined LA functional changes in hypertensive patients by strain deformation analysis, and their relationship to LV functional changes including contractile reserve (CR). METHODS: One hundred and sixteen patients (61 men, aged 57...
June 26, 2018: Echocardiography
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