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Echocardiography

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https://www.readbyqxmd.com/read/29756686/a-rare-case-of-mitral-valve-dissection-and-aortic-left-ventricular-tunnel-associated-with-possible-autoimmune-vasculitis
#1
Weichun Wu, David H Hsi, Haiping Wang, Chao Dong, LiLi Niu, Hao Wang
We report a very rare case of mitral valve dissection and aortic-left ventricular tunnel caused by possible autoimmune vasculitis. We suspected Behcet's disease in this patient. There was no obvious clinical evidence of infective endocarditis. Echocardiography is the diagnostic tool of choice to recognize valvular dysfunction, related pathology, and possible complications. The patient may require immunosuppressive therapy due to the high likelihood of recurrence in the perioperation period.
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756685/evaluation-of-right-ventricular-myocardial-strains-by-speckle-tracking-echocardiography-after-percutaneous-device-closure-of-atrial-septal-defects-in-children
#2
Qiuqin Xu, Ling Sun, Wanping Zhou, Yunjia Tang, Yueyue Ding, Jie Huang, Hui Wang, Cui Hou, Haitao Lv
OBJECTIVES: The aim of this study was to clarify the influence of the ASD closure by occluder device on right ventricular acute and long-term changes in longitudinal systolic strains, by evaluating right ventricular wall deformation in children using speckle tracking echocardiography (STE). METHODS AND MATERIALS: We enrolled 30 children with ASDs and 40 controls in our study. The Amplatzer atrial defect occluder was used to close the ASDs. Transthoracic echocardiographic examinations were performed at 3 points in time: the day before closure, 1 day after closure, and 3 months after closure...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756643/isolated-premature-restriction-or-closure-of-foramen-ovale-in-fetuses-echocardiographic-characteristics-and-outcome
#3
Xiaoyan Gu, Ye Zhang, Jiancheng Han, Xiaowei Liu, Shuping Ge, Yihua He
BACKGROUND: Premature restriction or closure of foramen ovale (FO) in otherwise structurally normal hearts may be associated with right ventricular dilation, tricuspid regurgitation, pericardial effusion, heart failure, even poor perinatal outcomes. Data about these rare conditions are lacking. METHODS: We retrospectively reviewed the echocardiographic records of 9704 fetuses seen from 2010 to 2014 in Beijing Anzhen Hospital, a regional and national referral center, to ascertain the presence of restriction or closure of FO...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756642/reference-values-and-correlates-of-right-atrial-volume-in-healthy-adults-by-two-dimensional-echocardiography
#4
Francesco Ferrara, Luna Gargani, Saku Ruohonen, Olga Vriz, Marco Scalese, Valentina Russo, Alberto M Marra, Anna Agnese Stanziola, Antonio Cittadini, Antonello D'Andrea, Robert Naeije, Eduardo Bossone
BACKGROUND: Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two-dimensional echocardiography (2DE) in healthy adults. METHODS: A total of 596 healthy subjects [mean age 45.7 ± 14.6 years, range 18-88 years; 60.1% women] underwent a transthoracic echocardiography. In addition, a meta-analysis was performed of published studies measuring RA volume in healthy subjects, using 2DE single plane area-length (A-L) and/or method of disks (MOD) at end-systole in apical four-chamber view...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756640/aortic-valve-hemodynamics-in-atrial-fibrillation-should-the-highest-doppler-signal-be-used-to-estimate-severity-of-aortic-stenosis
#5
Said Alsidawi, Sana Khan, Sorin V Pislaru, Vuyisile T Nkomo
Grading severity of AS in AF is complicated by varying stroke volumes associated with fluctuating maximum velocities and pressure gradients across the aortic valve. Current guidelines recommend averaging five continuous-wave peak velocity and mean gradient (MG) Doppler signals across the aortic valve when estimating severity of AS in AF. However, it is unknown when grading severity of AS how the average of multiple Doppler signals vs the highest Doppler signal in AF compares to the Doppler signals when the patient is in normal sinus rhythm...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756387/adam-c-score-new-risk-score-for-predicting-diagnostic-yield-of-transesophageal-echocardiography-after-cerebral-ischemia
#6
Clément Charbonnel, Christophe Jego, François Jourda, Ulric Vinsonneau, Philippe Garçon, Guillaume Turlotte, Jean François Rivière, Marion Maurin, Rémy Lubret, Patrick Meimoun, Chrystelle Akret, Maxime Cournot, Charles Sokic, Laurent Michel, Maryse Lescure, David Kenizou, Marie Melay, Maxime Fayard, Bruno Gallet, Rémi Fouche, Luc Janin-Manificat, Nicolas Dijoux, Anne Céline Martin, Aurélia Tho-Agostini, Hubert Mann, Cécile Ricard, Fernando Pico, Jean Louis Georges, Loïc Belle, Patrick Jourdain
BACKGROUND AND AIM: The clinical utility of transesophageal echocardiography (TEE) after brain ischemia (BI) remains a matter of debate. We aimed to evaluate the clinical impact of TEE and to build a score that could help physicians to identify which patients should better benefit from TEE. METHODS: This prospective, multicenter, observational study included patients over 18 years old, hospitalized for BI. TEE findings were judged discriminant if the results showed important information leading to major changes in the management of patients...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756381/myocardial-multilayer-strain-does-not-provide-additional-value-for-detection-of-myocardial-viability-assessed-by-spect-imaging-over-and-beyond-standard-strain
#7
Elisabeth Orloff, Pauline Fournier, Frédéric Bouisset, Thomas Moine, Maxime Cournot, Meyer Elbaz, Didier Carrié, Michel Galinier, Olivier Lairez, Thomas Cognet
BACKGROUND: The aim of this study was to evaluate the value of multilayer strain analysis to the assessment of myocardial viability (MV) through the comparison of both speckle tracking echocardiography and single-photon emission computed tomography (SPECT) imaging. We also intended to determine which segmental longitudinal strain (LS) cutoff value would be optimal to discriminate viable myocardium. METHODS: We included 47 patients (average age: 61 ± 11 years) referred to our cardiac imaging center for MV evaluation...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756358/echocardiographic-parameters-to-identify-sickle-cell-patients-with-cardio-pathology
#8
Simbo Chiadika, Mary Lim-Fung, Fiorella Llanos-Chea, Astrid Serauto Canache, Wei Yang, Christina Paruthi, Xu Zhang, David D McPherson, Modupe Idowu
BACKGROUND: Sickle cell disease (SCD) affects millions of people and causes chronic hemolytic anemia leading to vasculopathies such as pulmonary hypertension and abnormalities in cardiac function that increase complications and mortality. It is therefore crucial to identify cardiac abnormalities in SCD. We aimed to assess the prevalence of echocardiographic parameters in SCD to help identify cardiopulmonary risk. METHODS: Ninety-one patients (53% male), median age of 30, body surface area (BSA) of 1...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756329/a-patient-with-an-unusual-cyst-of-the-inter-atrial-septum-and-atrial-sepal-defect
#9
Daye Dong, Tongwei Zhu, Xingan Yang, Jia Zhu
Hepatic and renal cysts are relatively common among healthy people, but there are few published reports of primary cysts of the atrial septum. Here, we report a case of an unusual cyst of the atrial septum accompanied by atrial septal defect (ASD) in a 42-year-old woman. Microscopic examination showed the deposition of calcium salts within the tissue mass and an organized thrombus surrounded by a fibrous capsule. The case was discussed with reference to the relevant published literature and compared to other documented types of atrial septal cysts...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29756230/the-relationship-between-pulmonary-artery-wedge-pressure-and-pulmonary-blood-volume-derived-from-contrast-echocardiography-a-proof-of-concept-study
#10
Ken Monahan, Daniel Lenihan, Evan L Brittain, Linda Saliba, Robert N Piana, Leslie L Robison, Melissa M Hudson, Gregory T Armstrong
BACKGROUND: Pulmonary transit time (PTT) obtained from contrast echocardiography is a marker of global cardiopulmonary function. Pulmonary blood volume (PBV), derived from PTT, may be a noninvasive surrogate for left-sided filling pressures, such as pulmonary artery wedge pressure (PAWP). We sought to assess the relationship between PBV obtained from contrast echocardiography and PAWP. METHODS: Participants were adult survivors of childhood cancer that had contrast echocardiography performed nearly simultaneously with right-heart catheterization...
May 14, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749653/three-dimensional-echocardiography-in-acute-heart-failure-can-and-should-we-do-it-in-the-emergency-department
#11
Sajith Matthews, Phillip D Levy, Mark Favot, Laura Gowland, Aiden Abidov
Despite its proven superiority over two-dimensional transthoracic echocardiography (2DTTE) for left ventricular (LV) volumes and ejection fraction, clinical use of 3DTTE remains very limited in the acute setting. 3DTTE may have significant clinical advantages in the assessment of acute heart failure. Further exploration of 3DTTE utilization may help in more precise assessment of the regional wall-motion abnormalities, early identification of acute ischemic from nonischemic LV dysfunction with a more precise approach to the AHF management...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749652/evolution-of-echocardiography-in-subclinical-detection-of-cancer-therapy-related-cardiac-dysfunction
#12
REVIEW
Rohit Moudgil, Saamir Hassan, Nicolas Palaskas, Juan Lopez-Mattei, Jose Banchs, Syed Wamique Yusuf
Cancer therapies have resulted in increased survivorship in oncological patients. However, the benefits have been marred by the development of premature cardiovascular disease. The current definition outlines measurement of ejection fraction as a mean to diagnose cancer therapeutic-related cardiac dysfunction (CTRCD); however, up to 58% of the patients do not regain their cardiac function after the CTRCD diagnosis, despite therapeutic interventions. Therefore, there has been a growing interest in the markers for early myocardial changes (ie, changes with normal left ventricular ejection fraction [LVEF]) that may predict the development of subsequent left ventricular ejection fraction reduction or progression to heart failure...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749648/adult-type-alcapa-syndrome-a-rare-coronary-artery-anomaly
#13
Alexandros P Patrianakos, Adam Hatzidakis, Maria Marketou, Fragiskos I Parthenakis
Anomalous origin of the left coronary artery arising from the pulmonary artery (ALCAPA or Bland-White-Garland syndrome) is a rare but serious congenital coronary artery anomaly, with a poor prognosis without surgical repair. There are two types of ALCAPA syndrome: infant type and adult type. We present a rare case of a 63-year-old female patient, with isolated left anterior descending artery origin from the pulmonary artery. Coronary computed tomography angiography revealed giant and tortuous coronary arteries with many collaterals between the left and right coronary system...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749646/left-and-right-ventricular-morphology-and-function-in-athletes-with-elevated-pulmonary-systolic-arterial-pressure
#14
Oana Mirea, Oana M Corîci, Octavian Istrătoaie, Ionuț Donoiu, Maria Iancău, Constantin Militaru
OBJECTIVES: The objective of the study was to evaluate the prevalence and potential impact of elevated pulmonary arterial systolic pressure (PASP) on left and right cardiac morphology and function in young elite athletes. METHODS: In total, 85 professional athletes (40 endurance, 20 strength, and 25 mixed training, mean age 17.8 ± 4.0) and 50 sedentary controls (mean age 18.6 ± 3.3) underwent transthoracic echocardiographic examination. Two-dimensional measurements of the right (RV) and left ventricle (LV) were obtained...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749645/right-ventricular-dyssynchrony-and-its-improvements-after-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease
#15
Batur Kanar, Beste Ozben, Elif Yıldırım, İpek Ozmen, Rüya Aydin
PURPOSE: Whether pathologic alterations of right ventricle (RV) in chronic obstructive pulmonary disease (COPD) affect intra- and interventricular dyssynchrony due to changes in mechanical activation of the septum and RV is unclear. The aim of this study was to determine mechanical activation and its changes after pulmonary rehabilitation program (PRP) with speckle tracking echocardiography (STE) in COPD patients. METHODS: After the exclusion of 15 patients due to poor echogenicity and 5 patients not tolerating PRP out of 69 consecutive COPD patients undergoing PRP, the remaining 49 patients and 41 healthy subjects were enrolled...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29749644/-gigantic-biatrial-myxoma-with-right-heart-functional-impairment
#16
Julián Vega Adauy, Luigi Gabrielli, Samuel Córdova, Paul McNab, Rodrigo Saavedra, Marta Piñeiro, Ricardo Zalaquett
Cardiac myxomas are frequently located in the left or right atria, with multiple locations being rare. We report a 59-year-old healthy female with 5 months of cough and exertional dyspnea. A transthoracic echocardiography (TTE) exhibits a 9 × 5 cm nonpedunculated tumor arising from the interatrial septum (IAS) and inhabiting both atria, but was unable to depict the relation with the IAS. Transesophageal echocardiography exposes a single tumor crossing the IAS through an ostium secundum atrial septal defect (ASD) causing right heart functional impairment...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29744921/value-of-speckle-tracking-echocardiography-for-prediction-of-stroke-risk-in-atrial-fibrillation-time-to-spare-a-stare-outside-the-box
#17
EDITORIAL
Samir Kanti Saha, Anatoli Kiotsekoglou
No abstract text is available yet for this article.
May 9, 2018: Echocardiography
https://www.readbyqxmd.com/read/29737022/incremental-benefit-of-three-dimensional-transthoracic-echocardiography-in-the-assessment-of-left-atrial-appendage-aneurysm-leading-to-severe-extrinsic-compression-of-a-coronary-artery
#18
Rohit Tandon, Mohammed J Arisha, Navin C Nanda, Sooraj Kumar, Gurpreet S Wander, Swetha Srialluri, Hassan Kamel, Ahmed Y Salama
Left atrial appendage aneurysm (LAA AN) is a rare disease entity, which can be congenital or acquired in nature. We report an adult patient with LAA AN presenting with anginal chest pain in whom live/real time three-dimensional transthoracic echocardiography (3DTTE) provided incremental value over the two-dimensional (2D) technique in providing a more comprehensive assessment of the lesion. A literature review of the salient features of LAA AN is also provided in a tabular form.
May 7, 2018: Echocardiography
https://www.readbyqxmd.com/read/29726029/near-complete-aortic-mechanical-valve-dehiscence-due-to-endocarditis-reinfection
#19
Neal S Gerstein, Castigliano M Bhamidipati, Peter M Schulman
Prosthetic valve infective endocarditis (IE) is one of the most serious postimplantation complications. Prosthetic aortic valve IE constitutes 1%-6% of all prosthetic valve IE cases. We present a dramatic echocardiographic case of prosthetic aortic valve IE leading to near-complete valve dehiscence. Echocardiographic evidence of prosthetic aortic valve rocking motion is indicative of significant dehiscence. Aside from IE, other causes and risk factors for prosthetic aortic valve dehiscence include inflammatory and autoimmune vasculitides, concomitant ascending aorta aneurysm, and aortic root calcification...
May 3, 2018: Echocardiography
https://www.readbyqxmd.com/read/29719067/echocardiographic-evaluation-of-cardiac-dyssynchrony-does-it-still-matter
#20
REVIEW
Donato Mele, Giovanni Andrea Luisi, Michele Malagù, Anna Laterza, Roberto Ferrari, Matteo Bertini
Cardiac resynchronization therapy (CRT) is an established treatment for patients with heart failure and left ventricular systolic dysfunction. For many years, cardiac mechanical dyssynchrony assessed by echocardiography has been considered as a key evaluation to characterize CRT candidates and predict CRT response. In current guidelines, however, CRT implant indications rely only on electrical dyssynchrony. The aim of this article was to clarify whether and how the evaluation of cardiac mechanical dyssynchrony should be performed today by echocardiography...
May 2, 2018: Echocardiography
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