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Cardiovascular Ultrasound

Junfang Li, Changhong Lu, Wugang Wang, Kun Gong, Liang Zhao, Zhibin Wang
BACKGROUND AND OBJECTIVES: This study aimed to assess the changes of RA function in patients with obstructive sleep apnea syndrome (OSAS) using velocity vector imaging (VVI) and to evaluate the application of VVI technology. METHODS: According to the apnea-hypopnea index (AHI), 71 patients with OSAS were divided into three groups: mild, moderate, and severe. A total of 30 cases of healthy subjects were enrolled as the control group. Digital images of apex four-chamber views were acquired to measure the right atrium (RA) linear dimensions and volume parameters including RA longitudinal diameter (RAL), transverse diameter (RAT), RA maximum volume (Vmax), RA minimum volume (Vmin), right atrial volume before contraction (Vpre)...
December 13, 2018: Cardiovascular Ultrasound
Amarja Ashok Havaldar
BACKGROUND: Sepsis is characterized by life threatening organ dysfunction with dysregulated immune response. Cardiac dysfunction seen in sepsis is unique as it is reversible within 7-10 days. Initial study by Parker et al. in 1984, showed, paradoxically lower ejection fraction in survivors of septic shock. Subsequent meta-analysis did not support that survivors had lower ejection fraction. Aim of our study was to assess the sepsis induced cardiac dysfunction by 2D echocardiography and Troponin I...
November 30, 2018: Cardiovascular Ultrasound
Zibire Fulati, Yang Liu, Ning Sun, Yu Kang, Yangang Su, Haiyan Chen, Xianhong Shu
BACKGROUND: In patients with left ventricular (LV) dysssynchrony, contraction that doesn't fall into ejection period (LVEj) results in a waste of energy due to inappropriate contraction timing, which was now widely treated by cardiac resynchronization therapy(CRT). Myocardial Contraction Efficiency was defined as the ratio of Efficient Contraction Time (ECTR) and amplitude of efficient contraction (ECR) during LVEj against that in the entire cardiac cycle. This study prospectively investigated whether efficiency indexes could predict CRT outcome...
November 19, 2018: Cardiovascular Ultrasound
Jonas Jarasunas, Audrius Aidietis, Sigita Aidietiene
BACKGROUND: 2D strain imaging of the left atrium (LA) is a new echocardiographic method which allows us to determine contractile, conduit and reservoir functions separately. This method is particularly useful when changes are subtle and not easily determined by traditional parameters, as it is in arterial hypertension and atrial fibrillation (AF). THE AIMS OF OUR STUDY WERE: to determine LA contractile, conduit and reservoir function by 2D strain imaging in patients with mild arterial hypertension and paroxysmal AF; to assess LA contractile, conduit and reservoir functions' relation with LV diastolic dysfunction (DD) parameters...
October 31, 2018: Cardiovascular Ultrasound
Natalia Dłużniewska, Piotr Podolec, Maciej Skubera, Monika Smaś-Suska, Jacek Pająk, Małgorzata Urbańczyk-Zawadzka, Wojciech Płazak, Maria Olszowska, Lidia Tomkiewicz-Pająk
BACKGROUND: Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease and the population of ToF repair survivors is growing rapidly. Adults with repaired ToF develop late complications. The aim of this study was to describe and analyze long-term follow-up of patients with repaired ToF. METHODS: This is a retrospective cohort study. Consecutive 83 patients with repaired ToF who did not undergo pulmonary valve replacement were included. Mean age of all patients was 30...
October 29, 2018: Cardiovascular Ultrasound
Patrizia Aruta, Denisa Muraru, Andrada Camelia Guta, Sorina Mihaila, Niccolò Ruozi, Chiara Palermo, Basma Elnagar, Sabino Iliceto, Luigi P Badano
BACKGROUND: Transcatheter mitral valve replacement (TMVR) is a new therapeutic option for high surgical risk patients with mitral regurgitation (MR). Mitral valve (MV) geometry quantification is of paramount importance for success of the procedure and transthoracic 3D echocardiography represents a useful screening tool. Accordingly, we sought to asses MV geometry in patients with functional MR (FMR) that would potentially benefit of TMVR, focusing on the comparison of mitral annulus (MA) geometry between patients with ischemic (IMR) and non ischemic mitral regurgitation (nIMR)...
October 12, 2018: Cardiovascular Ultrasound
Raúl Franco-Gutiérrez, Alberto José Pérez-Pérez, Virginia Franco-Gutiérrez, Ana María Testa-Fernández, Rafael Carlos Vidal-Pérez, Manuel Lorenzo López-Reboiro, Víctor Manuel Puebla-Rojo, Melisa Santás-Álvarez, María Generosa Crespo-Leiro, Carlos González-Juanatey
BACKGROUND: Relationship between carotid and coronary artery disease (CAD) in patients undergoing invasive and non-invasive test is unclear. The aim of the study is to evaluate whether carotid disease is associated with CAD in patients submitted to exercise echocardiography (EE) and if it improves the EE ability to predict CAD. METHODS: We retrospectively studied 156 subjects without previous vascular disease who underwent EE, carotid ultrasonography and coronary angiography between 2002 and 2013...
October 9, 2018: Cardiovascular Ultrasound
Xin Huang, Yan Yue, Yinmeng Wang, Yujiao Deng, Lu Liu, Yanqi Di, Shasha Sun, Deyou Chen, Li Fan, Jian Cao
BACKGROUND: Conventional echocardiography is not sensitive enough to assess left ventricular (LV) dysfunction in hypertrophic cardiomyopathy (HCM) patients. This research attempts to find a new ultrasonic technology to better assess LV diastolic function, systolic function, and myocardial longitudinal and circumferential systolic strain of segments with different thicknesses in HCM patients. METHODS: This study included 50 patients with HCM and 40 healthy subjects as controls...
October 2, 2018: Cardiovascular Ultrasound
Eugenio Picano, Quirino Ciampi, Karina Wierzbowska-Drabik, Mădălina-Loredana Urluescu, Doralisa Morrone, Clara Carpeggiani
BACKGROUND: The detection of regional wall motion abnormalities is the cornerstone of stress echocardiography. Today, stress echo shows increasing trends of utilization due to growing concerns for radiation risk, higher cost and stronger environmental impact of competing techniques. However, it has also limitations: underused ability to identify factors of clinical vulnerability outside coronary artery stenosis; operator-dependence; low positivity rate in contemporary populations; intermediate risk associated with a negative test; limited value of wall motion beyond coronary artery disease...
October 2, 2018: Cardiovascular Ultrasound
V A Kuznetsov, A M Soldatova, J D Kasprzak, D V Krinochkin, N N Melnikov
BACKGROUND: Some patients with congestive heart failure have greater improvement of cardiac remodelling after cardiac resynchronisation therapy (CRT) and they are identified as super-responders (SRs). It remains unclear if echocardiographic markers of dyssynchrony could accuratelly predict super-response to CRT. The aim of this study is to evaluate potential echocardiographic predictors associated with super-response to CRT. METHODS: Fifthy nine CRT patients (mean age 52...
October 2, 2018: Cardiovascular Ultrasound
Mustafa Adem Yılmaztepe, Fatih Mehmet Uçar
BACKGROUND: Non-invasive imaging tests are widely used in the evaluation of stable angina pectoris (SAP). Despite these tests, non-significant coronary lesions are not a rare finding in patients undergoing elective coronary angiography (CAG). Two-dimensional (2D) speckle tracking global longitudinal strain (GLS) imaging is a more sensitive and accurate technique for measuring LV function than conventional 2D methods. Layer-specific strain analysis is a relatively new method that provides endocardial and epicardial myocardial layer assessment...
September 26, 2018: Cardiovascular Ultrasound
Maria Chiara Scali, Quirino Ciampi, Eugenio Picano, Eduardo Bossone, Francesco Ferrara, Rodolfo Citro, Paolo Colonna, Marco Fabio Costantino, Lauro Cortigiani, Antonello D' Andrea, Sergio Severino, Claudio Dodi, Nicola Gaibazzi, Maurizio Galderisi, Andrea Barbieri, Ines Monte, Fabio Mori, Barbara Reisenhofer, Federica Re, Fausto Rigo, Paolo Trambaiolo, Miguel Amor, Jorge Lowenstein, Pablo Martin Merlo, Clarissa Borguezan Daros, José Luis de Castro E Silva Pretto, Marcelo Haertel Miglioranza, Marco A R Torres, Clarissa Carmona de Azevedo Bellagamba, Daniel Quesada Chaves, Iana Simova, Albert Varga, Jelena Čelutkienė, Jaroslaw D Kasprzak, Karina Wierzbowska-Drabik, Piotr Lipiec, Paulina Weiner-Mik, Eva Szymczyk, Katarzyna Wdowiak-Okrojek, Ana Djordjevic-Dikic, Milica Dekleva, Ivan Stankovic, Aleksandar N Neskovic, Angela Zagatina, Giovanni Di Salvo, Julio E Perez, Ana Cristina Camarozano, Anca Irina Corciu, Alla Boshchenko, Fabio Lattanzi, Carlos Cotrim, Paula Fazendas, Maciej Haberka, Bozena Sobkowic, Wojciech Kosmala, Tomasz Witkowski, Piotr Gosciniak, Alessandro Salustri, Hugo Rodriguez-Zanella, Luis Ignacio Martin Leal, Alexandra Nikolic, Suzana Gligorova, Madalina-Loredana Urluescu, Maria Fiorino, Giuseppina Novo, Tamara Preradovic-Kovacevic, Miodrag Ostojic, Branko Beleslin, Bruno Villari, Michele De Nes, Marco Paterni, Clara Carpeggiani
BACKGROUND: The effectiveness trial "Stress echo (SE) 2020" evaluates novel applications of SE in and beyond coronary artery disease. The core protocol also includes 4-site simplified scan of B-lines by lung ultrasound, useful to assess pulmonary congestion. PURPOSE: To provide web-based upstream quality control and harmonization of B-lines reading criteria. METHODS: 60 readers (all previously accredited for regional wall motion, 53 B-lines naive) from 52 centers of 16 countries of SE 2020 network read a set of 20 lung ultrasound video-clips selected by the Pisa lab serving as reference standard, after taking an obligatory web-based learning 2-h module ( http://se2020...
September 25, 2018: Cardiovascular Ultrasound
Andreea Motoc, Juan-Pablo Abugattas, Bram Roosens, Esther Scheirlynck, Benedicte Heyndrickx, Carlo de Asmundis, Gian-Battista Chierchia, Steven Droogmans, Bernard Cosyns
BACKGROUND: Atrial fibrillation (AF) is the most common arrhythmia worldwide. Nowadays, AF ablation is a valuable treatment option. It has been shown that the left atrium (LA) diameter is a predictor of AF recurrence after cryoballoon ablation (CBA). Since it does not reflect the true LA size, we compared the role of different LA anatomical parameters using echocardiography for the prediction of AF recurrence after CBA. METHODS: We retrospectively included 209 patients (mean age 56...
September 25, 2018: Cardiovascular Ultrasound
Jing Zhang, Philip J Chowienczyk, Tim D Spector, Benyu Jiang
BACKGROUND: Interactions between the left ventricular (LV) and the arterial system, (ventricular-arterial coupling) are key determinants of cardiovascular function. However, most of studies covered multiple cardiovascular risk factors, which also contributed to the morphological and functional changes of LV. The aim of this study was to examine the relationship between arterial stiffness and LV structure and function in healthy women with a low burden of risk factors. METHODS: Healthy women from the Twins UK cohort (n = 147, mean age was 54...
September 25, 2018: Cardiovascular Ultrasound
Nicoline W E van den Berg, Dean R P P Chan Pin Yin, Wouter R Berger, Jolien Neefs, Rianne H A C M De Bruin-Bon, Henk A Marquering, Annelie Slaar, R Nils Planken, Joris R de Groot
BACKGROUND: Advanced atrial fibrillation (AF) patients have persistent AF, failed previous catheter ablation and/or an enlarged left atrium (LA), which is associated with a reduced success of AF ablation. Transthoracic echocardiography (TTE) and contrast enhanced magnetic resonance angiography (CE-MRA) are available to assess LA volume. However, it is unknown how these modalities relate in patients with advanced AF. We therefore compared the reproducibility of TTE and non-triggered CE-MRA in advanced AF patients and their ability to select patients with successful thoracoscopic AF ablation...
September 18, 2018: Cardiovascular Ultrasound
Vicente Mora, Ildefonso Roldán, Elena Romero, Diana Romero, Javier Bertolín, Natalia Ugalde, Carmen Pérez-Olivares, Melisa Rodriguez-Israel, Jana Pérez-Gozalbo, Jorge A Lowenstein
BACKGROUND: Left ventricular ejection fraction (LVEF) results from the combined action of longitudinal and circumferential contraction, radial thickening, and basal and apical rotation. The study of these parameters together may lead to an accurate assessment of the cardiac function. METHODS: Ninety healthy volunteers, categorized by gender and age (≤ 55 and >  55 years), were evaluated using two-dimensional speckle tracking echocardiography. Transversal views of the left ventricle (LV) were obtained to calculate circumferential strain and left ventricular twist, while three apical views were obtained to determine longitudinal strain (LS) and mitral annular plane systolic excursion (MAPSE)...
September 18, 2018: Cardiovascular Ultrasound
Jakub Kaczynski, Rachel Home, Karen Shields, Matthew Walters, William Whiteley, Joanna Wardlaw, David E Newby
BACKGROUND: Transcranial Doppler ultrasound remains the only imaging modality that is capable of real-time measurements of blood flow velocity and microembolic signals in the cerebral circulation. We here assessed the repeatability and reproducibility of transcranial Doppler ultrasound in healthy volunteers and patients with symptomatic carotid artery stenosis. METHODS: Between March and August 2017, we recruited 20 healthy volunteers and 20 patients with symptomatic carotid artery stenosis...
September 11, 2018: Cardiovascular Ultrasound
Courtney E Bennett, Sandhya Samavedam, Namita Jayaprakash, Alexander Kogan, Ognjen Gajic, Hiroshi Sekiguchi
BACKGROUND: The purpose of this study was to determine the ideal timing for providers to perform point-of-care ultrasound (POCUS) with the least increase in workload. METHODS: We conducted a pilot crossover study to compare 2 POCUS-assisted evaluation protocols for acutely ill patients: sequential (physical examination followed by POCUS) vs parallel (POCUS at the time of physical examination). Participants were randomly assigned to 2 groups according to which POCUS-assisted protocol (sequential vs parallel) was used during simulated scenarios...
September 11, 2018: Cardiovascular Ultrasound
Tao Cong, Jinping Gu, Alex Pui-Wai Lee, Zhijuan Shang, Yinghui Sun, Qiaobing Sun, Hong Wei, Na Chen, Siyao Sun, Tingting Fu
BACKGROUND: Atrial fibrillation (AF) can result in atrial functional mitral regurgitation (MR), but the mechanism remains controversial. Few data about the relationship between the 3-dimensional morphology of the MV and the degree of MR in AF exist. METHODS: Real-time 3-dimensional transesophageal echocardiography (3D-TEE) of the MV was acquired in 168 patients with AF (57.7% persistent AF), including 25 (14.9%) patients with moderate to severe MR (the MR+ group) and 25 patients without AF as controls...
August 21, 2018: Cardiovascular Ultrasound
Hongmin Zhang, Xiaoting Wang, Xiukai Chen, Qing Zhang, Dawei Liu
BACKGROUND: The tricuspid annular plane systolic excursion (TAPSE) is commonly recommended for estimating the right ventricular systolic function. The central venous pressure (CVP), which is determined by venous return and right heart function, was found to be associated with right ventricular outflow fractional shortening. This study thus aimed to investigate the relationship between the TAPSE and CVP in mechanically ventilated critically ill patients. METHODS: This is a prospective observational study...
August 7, 2018: Cardiovascular Ultrasound
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