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Echocardiography

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https://www.readbyqxmd.com/read/28229480/echocardiographic-evaluation-of-right-ventricular-function-in-preterm-infants-with-bronchopulmonary-dysplasia
#1
Renata Bokiniec, Paweł Własienko, Maria Borszewska-Kornacka, Joanna Szymkiewicz-Dangel
AIM: To evaluate right ventricular function in preterm infants with and without bronchopulmonary dysplasia. METHODS: Eighty-nine preterm infants (<32 weeks) were divided into three groups: (1) no-bronchopulmonary dysplasia (n=32); (2) mild-bronchopulmonary dysplasia (n=35); (3) severe-bronchopulmonary dysplasia (n=15). Right ventricular echocardiographic parameters included the following: (1) pulsed-wave Doppler through the tricuspid valve (E/A ratio), pulmonary artery acceleration time, right ventricular ejection time, right ventricular velocity-time integral; (2) tissue Doppler measurements of myocardial velocities and atrioventricular conduction times; (3) pulsed-wave Doppler and tissue Doppler evaluation of myocardial performance index and E/E' ratio; and (4) M-mode detection of right ventricular end-diastolic wall diameter...
February 23, 2017: Echocardiography
https://www.readbyqxmd.com/read/28213948/hourglass-shaped-right-ventricle-and-localized-constrictive-pericarditis
#2
Alper Karakus, Hasan Ari, Sencer Camci, Selma Ari, Ahmet Tutuncu, Mehmet Melek
Constrictive pericarditis is characterized by thick pericardial fibrosis and frequent calcification that progressively impairs diastolic filling of the heart. The diagnosis of constrictive pericarditis has been challenging even though multiple diagnostic modalities have been developed. The diagnosis of constructive pericarditis is especially difficult in localized constrictive pericarditis which is extremely rare. We report a case of localized constrictive pericarditis with a 3D multislice cardiac computed tomography (CT) finding of the constrictive band causing strangulation and hourglass shaping of the right ventricle...
February 18, 2017: Echocardiography
https://www.readbyqxmd.com/read/28213933/evaluation-of-vegetation-size-and-its-relationship-with-septic-pulmonary-embolism-in-tricuspid-valve-infective-endocarditis-a-real-time-3dtee-study
#3
Hiroto Utsunomiya, Javier Berdejo, Sayuki Kobayashi, Hirotsugu Mihara, Yuji Itabashi, Takahiro Shiota
BACKGROUND: Tricuspid valve infective endocarditis (TVIE) causes septic pulmonary embolism (PE). However, the impact of vegetation size on PE is not fully elucidated. METHODS: In 26 consecutive patients with definite TVIE according to Duke criteria, we tested clinical, microbiological, and echocardiographic data including real time three-dimensional transesophageal echocardiography (3DTEE) as potential predictors of PE. 3DTEE measurement of maximum length of vegetation (MLV) was obtained with Advanced QLAB Quantification Software by cropping the 3D volume with the appropriate 2D plane to obtain the largest value...
February 18, 2017: Echocardiography
https://www.readbyqxmd.com/read/28213924/diagnostic-paradox-ruptured-aneurysm-of-sinus-of-valsalva-simulating-tricuspid-valve-endocarditis
#4
Mehar Hoda, Arushi Verma, Sridevi Alapati, Srilatha Alapati, Tharakanatha R Yarrabolu
Rupture of aneurysm of sinus of Valsalva into the right atrium mimicking tricuspid valve endocarditis is a rare presentation. We review a case of spontaneous rupture of aneurysm of sinus of Valsalva into the right atrium presenting as a murmur. Transthoracic echocardiogram showed a mobile mass that appeared to be attached to the tricuspid valve leaflet with moderate tricuspid regurgitation suggestive of tricuspid valve endocarditis. The diagnosis was confirmed as spontaneous rupture of noncoronary sinus in to the right atrium by transesophageal echocardiogram...
February 18, 2017: Echocardiography
https://www.readbyqxmd.com/read/28191731/right-ventricular-systolic-function-in-hypoplastic-left-heart-syndrome-a-comparison-of-manual-and-automated-software-to-measure-fractional-area-change
#5
Hanna K Ruotsalainen, Hannah R Bellsham-Revell, Aaron J Bell, Jaana I Pihkala, Tiina H Ojala, John M Simpson
BACKGROUND: Quantitative echocardiographic assessment of right ventricular function is important in children with hypoplastic left heart syndrome (HLHS). The aim of this study was to examine the repeatability of different echocardiographic techniques, both manual and automated, to measure fractional area change (FAC) in patients with HLHS and to correlate these measurements with magnetic resonance imaging (MRI)-derived ejection fraction (EF). METHODS: Fifty-one children with HLHS underwent transthoracic echocardiography and cardiac MRI under the same general anesthetic as part of routine inter-stage assessment...
February 13, 2017: Echocardiography
https://www.readbyqxmd.com/read/28191682/aortic-root-thrombus-complicated-by-left-main-coronary-artery-occlusion-visualized-by-3d-echocardiography-in-a-patient-with-continuous-flow-left-ventricular-assist-device
#6
Monique S Tanna, Alex Reyentovich, Leora B Balsam, John A Dodson, Alan F Vainrib, Ricardo J Benenstein, Barry P Rosenzweig, Muhamed Saric
Aortic root thrombus is an uncommon complication of continuous-flow left ventricular assist devices (LVAD). We present the case of a 71-year-old man with ischemic cardiomyopathy who underwent destination therapy HeartMate II LVAD placement. Eighteen months later, he presented with a cerebrovascular accident followed by myocardial infarction. Transesophageal echocardiography revealed an aortic root thrombus spanning the left and noncoronary cusps and obliterating the left main coronary artery. We discuss the incidence, risk factors, and management of aortic root thrombus in LVAD patients...
February 13, 2017: Echocardiography
https://www.readbyqxmd.com/read/28191665/apical-left-ventricular-myocardial-dysfunction-is-an-early-feature-of-cardiac-involvement-in-myotonic-dystrophy-type-1
#7
Rodrigue Garcia, Quentin Labarre, Bruno Degand, Pierre Ingrand, François Le Gal, Benjamin Bonnet, Anne Delaubier, Claire Guillou, Barnabas Gellen, Damien Coisne, Claire Bouleti, Luc Christiaens
INTRODUCTION: Left ventricular (LV) dysfunction is a major prognostic determinant in myotonic dystrophy type 1 (DM1). Therefore, markers of early-stage LV impairment may be useful. The aim of this study was to evaluate 2D echocardiographic LV strain in a cohort of DM1 patients with preserved left ventricular ejection fraction (LVEF) and to compare the results with matched controls. METHODS: This prospective single-center study included 33 consecutive DM1 patients between February 2014 and February 2015...
February 13, 2017: Echocardiography
https://www.readbyqxmd.com/read/28185312/reproducibility-and-experience-dependence-of-echocardiographic-indices-of-left-ventricular-function-side-by-side-comparison-of-global-longitudinal-strain-and-ejection-fraction
#8
Diego Medvedofsky, Kalie Kebed, Luke Laffin, Jeremy Stone, Karima Addetia, Roberto M Lang, Victor Mor-Avi
BACKGROUND: Although left ventricular (LV) ejection fraction (EF) and global longitudinal strain (GLS) are recommended by the current echocardiographic chamber quantification guidelines, these measurements are not performed routinely. Because EF measurements rely on manual tracing of LV boundaries, and are subject to inter-reader variability and experience dependence, we hypothesized that semiautomated GLS measurements using speckle tracking would be more reproducible and less experience-dependent...
February 9, 2017: Echocardiography
https://www.readbyqxmd.com/read/28181314/congenital-uni-leaflet-mitral-valve-with-severe-stenosis-a-case-report-with-literature-review
#9
Weixin Zhang, Yonghuai Wang, Chunyan Ma, Zhiwei Zhang, Jun Yang
Numerical abnormalities of mitral leaflets is a special entity in congenital mitral malformations. Previously reported cases of uni-leaflet mitral valve were primarily related to absence or dysplasia of certain leaflets. We present a case here with mitral leaflets that were not divided into anterior and posterior as usual, but developed as an integral structure instead, which is different from previously documented cases of uni-leaflet mitral valves. Real time three-dimensional echocardiography (RT3DE) provides a visual presentation of the abnormal mitral structure which was confirmed by surgical operation...
February 9, 2017: Echocardiography
https://www.readbyqxmd.com/read/28177138/application-of-pediatric-appropriate-use-criteria-for-initial-outpatient-evaluation-of-syncope
#10
Heather M Phelps, Michael S Kelleman, Courtney E McCracken, Oscar J Benavidez, Robert M Campbell, Pamela S Douglas, Benjamin W Eidem, Wyman W Lai, Leo Lopez, Kenan W D Stern, Elizabeth Welch, Ritu Sachdeva
BACKGROUND: Syncope is a common reason for outpatient transthoracic echocardiography (TTE). We studied the applicability of pediatric appropriate use criteria (AUC) on initial outpatient evaluation of children (≤18 years) with syncope. METHODS: Data were obtained before (Phase I, April-September 2014) and after (Phase II, January-April 2015) the release of the AUC document from six participating pediatric cardiology centers. Site investigators determined the indication for TTE and assigned appropriateness rating based on the AUC document: Appropriate (A), May Be Appropriate (M), Rarely Appropriate (R), or "unclassifiable" (U) if it did not fit any scenario in the AUC document...
February 8, 2017: Echocardiography
https://www.readbyqxmd.com/read/28168751/easily-measurable-noninvasive-and-novel-finding-for-pulmonary-hypertension-hypertrophy-of-the-basal-segment-of-septomarginal-trabeculation-of-right-ventricle
#11
Gultekin Karakus, Ertugrul Zencirci, Aleks Degirmencioglu, Tolga Sinan Güvenc, Hale Unal Aksu, Aydin Yildirim
BACKGROUND: Effect of pulmonary hypertension (PH) on right ventricular (RV) geometry constitutes an ideal target to assess both pulmonary artery pressure (PAP) and its physiological importance. In this study, we evaluated the diagnostic power of the basal segment of septomarginal trabeculation (SMT) in predicting the PH and RV hypertrophy by cardiovascular magnetic resonance (CMR) in patients with idiopathic pulmonary arterial hypertension (IPAH) and Eisenmenger's syndrome (ES). METHODS: Eleven patients with IPAH, seven patients with ES, and 20 healthy controls were enrolled...
February 6, 2017: Echocardiography
https://www.readbyqxmd.com/read/28168740/decreased-biventricular-longitudinal-strain-shortly-after-congenital-heart-defect-surgery
#12
Jonne M de Boer, Irene M Kuipers, Liselotte M Klitsie, Nico A Blom, Arend D J Ten Harkel
OBJECTIVE: Impaired ventricular performance in patients who underwent surgery for congenital heart defect (CHD) may ultimately result in clinical heart failure. It is therefore important to regularly evaluate the left ventricular (LV) and right ventricular (RV) performance. We evaluated tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE) before and after surgical correction of a CHD. STUDY DESIGN: Patients with CHD undergoing biventricular corrective surgery were included in this retrospective study...
February 6, 2017: Echocardiography
https://www.readbyqxmd.com/read/28165159/assessment-of-myocardial-ischemia-by-strain-dobutamine-stress-echocardiography-and-cardiac-magnetic-resonance-perfusion-imaging-before-and-after-coronary-artery-bypass-grafting
#13
Assami Rösner, Henrik Schirmer, Amjid Iqbal, Bart Bijnens, Derk Avenarius, Siri Malm
BACKGROUND: Following coronary artery bypass grafting (CABG), testing for myocardial ischemia by noninvasive imaging is often hampered by false-positive results. The aim of this study was to find test parameters with the best potential to identify myocardial ischemia in post-CABG patients. METHODS: Fifty-two consecutive patients scheduled for CABG, underwent both dobutamine stress echocardiography (DSE) and cardiac magnetic resonance first-pass perfusion imaging (CMR-FPPI) with adenosine vasodilation, before and 8-10 months after the surgical revascularization...
February 6, 2017: Echocardiography
https://www.readbyqxmd.com/read/28165145/left-ventricular-diastolic-dysfunction-in-patients-with-chronic-obstructive-pulmonary-disease-impact-of-methods-of-assessment
#14
Heba Farouk, Maged Albasmi, Karim El Chilali, Kareem Mahmoud, Abdo Nasr, Hussein Heshmat, Samah Abdel-Moneim, Essam Baligh
BACKGROUND: The prevalence of left ventricular (LV) diastolic dysfunction in patients with chronic obstructive pulmonary disease (COPD), using different echocardiographic parameters, varies widely in the literature. The highest prevalence of LV diastolic dysfunction was detected using the mitral inflow indexes that are commonly altered in these patients due to the associated tachycardia, reduced preload, and ventricular septal shift. In this study, we aimed at evaluating the impact of the used echocardiographic method of assessment on the prevalence of LV diastolic dysfunction in patients with COPD and normal LV systolic function...
February 6, 2017: Echocardiography
https://www.readbyqxmd.com/read/28160343/the-differences-between-bisecting-and-off-center-cuts-of-the-aortic-root-the-three-dimensional-anatomy-of-the-aortic-root-reconstructed-from-the-living-heart
#15
Shumpei Mori, Robert H Anderson, Natsuko Tahara, Yu Izawa, Takayoshi Toba, Sei Fujiwara, Shinsuke Shimoyama, Yoshiaki Watanabe, Tatsuya Nishii, Atsushi K Kono, Satoru Takahashi, Ken-Ichi Hirata
BACKGROUND: It is axiomatic that the diameter of the virtual basal ring of the aortic root, which is elliptical rather than circular, will differ when assessed using between bisecting as opposed to off-center cuts. Such differences, however, which pertain directly to echocardiographic assessments of the so-called valvar annulus, have yet to be systematically explored. METHODS: We retrospectively analyzed 30 patients undergoing coronary computed tomographic angiography, measuring the virtual basal ring diameter using routine multiplanar reconstructions...
February 3, 2017: Echocardiography
https://www.readbyqxmd.com/read/28150401/evaluation-of-longitudinal-left-ventricular-function-in-patients-with-coronary-artery-ectasia-and-vitamin-d-deficiency-by-2d-speckle-tracking-echocardiography
#16
Hasan Aghajani, Mohsen Faal, Ali Hosseinsabet
OBJECTIVES: Coronary artery ectasia (CAE) is defined as the dilation of at least one segment of the coronary arteries that reaches at least 1.5 times the size of a normal neighboring segment. It has been shown that left ventricular (LV) diastolic function is impaired in patients with CAE. Also, it has been shown that LV function is impaired in vitamin D-deficient subjects compared with vitamin D-sufficient subjects and vitamin D deficiency is prevalent in CAE patients. We hypothesized that LV function is impaired in patients with CAE so we evaluated longitudinal LV myocardial function by 2D speckle tracking echocardiography (2DSTE) in patients with CAE and vitamin D deficiency without significant coronary artery stenosis and compared the results with those of subjects with vitamin D deficiency and near-normal coronary arteries...
February 2, 2017: Echocardiography
https://www.readbyqxmd.com/read/28139073/assessment-of-left-ventricular-functions-and-myocardial-iron-load-with-tissue-doppler-and-speckle-tracking-echocardiography-and-t2-mri-in-patients-with-%C3%AE-thalassemia-major
#17
Mehmet Emre Ari, Filiz Ekici, İbrahim İlker Çetin, Emine Betül Tavil, Neşe Yaralı, Pamir Işık, Tuncay Hazırolan, Bahattin Tunç
BACKGROUND: The purpose of this study is to determine early myocardial dysfunction in β-thalassemia major (BTM) patients. Where the myocardial dysfunction cannot be detected by conventional echocardiography, it could be detected by tissue Doppler imaging (TDI) or speckle tracking echocardiography (STE). METHODS: In this study, we analyzed 60 individuals, 30 of whom were BTM patients and the other 30 of whom were the control group. T2* magnetic resonance imaging (MRI) was used to measure cardiac iron deposition...
January 31, 2017: Echocardiography
https://www.readbyqxmd.com/read/28139021/echocardiographic-characteristics-of-pulmonary-artery-involvement-in-takayasu-arteritis
#18
Wei Jiang, Yuanhua Yang, Xiuzhang Lv, Yidan Li, Zhanhong Ma, Jifeng Li
BACKGROUND: Up to 50% patients with Takayasu arteritis have pulmonary artery involvement. Hence, the early identification of pulmonary artery involvement to facilitate prompt treatment is required. METHODS: This retrospective study was performed in patients diagnosed with Takayasu arteritis between January 2009 and January 2016. Pulmonary artery involvement was confirmed with computed tomographic pulmonary angiography. Images from transthoracic echocardiography in three windows (suprasternal right pulmonary artery long-axis view, parasternal aortic short-axis view, and subxiphoid view) were documented and analyzed...
January 31, 2017: Echocardiography
https://www.readbyqxmd.com/read/28139004/a-rare-cardiac-tumor-bronchogenic-cyst-of-interatrial-septum
#19
Eriko Miwa, Tomoko Tani, Yukikatsu Okada, Yutaka Furukawa
Intracardiac bronchogenic cysts are uncommon congenital tumors, which rarely become symptomatic. We describe a rare case of bronchogenic cyst in the atrioventricular node. A 36-year-old man with third-degree atrioventricular block was referred to our hospital. Transthoracic echocardiography revealed a cystic mass at the right atrial aspect of the low interatrial septum. He underwent surgical resection of the mass, and a permanent epicardium pacemaker was implanted. His postoperative course was uneventful. Microscopic examination showed a cyst surrounded by ciliated columnar epithelium and partially smooth muscle, and the histopathological diagnosis was bronchogenic cyst...
January 31, 2017: Echocardiography
https://www.readbyqxmd.com/read/28130885/multiple-unruptured-aortic-sinus-of-valsalva-aneurysms-a-rare-presentation
#20
Keerthi Chigurupati, Balaji Kumaresan, Shrinivas Gadhinglajkar, Rupa Sreedhar
Aneurysms of sinus of Valsalva, usually a rare presentation, account for 0.1%-3.5% of congenital heart defects. They rarely present unless rupture occurs. There are very few cases of unruptured sinus of Valsalva aneurysms that presented with myocardial ischemia, symptomatic cardiac dysfunction, and conduction abnormalities. We present a case of multiple unruptured sinus of Valsalva aneurysms with particular emphasis on the transesophageal echocardiography.
January 28, 2017: Echocardiography
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