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Echocardiography, 3D

Gülay Gök, Tufan Çınar, Nurten Sayar
INTRODUCTION: Rheumatic mitral stenosis (MS) is an important health issue in developing countries. Assessment of the correct mitral valve area (MVA) is essential for the timing of intervention. Most of the parameters for the assessment of rheumatic MS are derived from Two-dimensional (2D) echocardiography. Three-dimensional (3D) echocardiography is commonly used in our daily practice at the present time. The aim of this study was to assess the value of 3D echocardiography mitral valve vena contracta area (VCA) in predicting the severity of Rheumatic MS by comparing 3D planimetry...
December 11, 2018: Echocardiography
Jung Hee Kim, Jong Hyun Baek
RATIONALE: Patent ductus arteriosus (PDA) ligation by open surgery is more difficult and dangerous in elderly patients than in infants. Nowadays, simple and safe interventional catheterization technology is used for the closure of uncomplicated isolated PDAs. Therefore, an alternative less invasive therapeutic option must be developed to treat complicated PDA. PATIENT CONCERNS: A 53-year-old woman presented with gradually exacerbated dyspnea on effort and continuous cardiac murmurs...
December 2018: Medicine (Baltimore)
Alexander Sedaghat, Baravan Al-Kassou, Vivian Vij, Dominik Nelles, Marko Stuhr, Robert Schueler, Heyder Omran, Jan Wilko Schrickel, Christoph Hammerstingl, Georg Nickenig
AIMS: Percutaneous left atrial appendage occlusion (LAAo) is commonly performed under fluoroscopy including the use of contrast dye. In this study, we aimed to assess feasibility and safety of contrast-free, 3D-echo-based LAAo with the use of the AMPLATZER™ Amulet™ device. METHODS AND RESULTS: We analyzed 20 patients (74 ± 10 years, 65% males) at an increased thromboembolic and bleeding risk (CHA2 DS2 VASC 4.0 ± 1.3; HAS-BLED 3.5 ± 0.9) with chronic renal failure (GFR 41 ± 21 ml/min) undergoing LAAo without the use of contrast dye at our center and compared the results with a propensity-matched cohort (1:1 matching) of conventionally treated patients receiving contrast agent...
December 10, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
Roberto M Lang, Karima Addetia, Akhil Narang, Victor Mor-Avi
The ongoing refinements in 3-dimensional (3D) echocardiography technology continue to expand the scope of this imaging modality in clinical cardiology by offering new features that stem from the ability to image the heart in its complete dimensionality. Over the years, countless publications have described these benefits and tested new frontiers where 3D echocardiographic imaging seemed to offer promising ways to improve patients' care. These include improved techniques for chamber quantification and novel ways to visualize cardiac valves, including 3D printing, virtual reality, and holography...
December 2018: JACC. Cardiovascular Imaging
Toshiyuki Kimura, Véronique L Roger, Nozomi Watanabe, Sergio Barros-Gomes, Yan Topilsky, Shun Nishino, Yoshisato Shibata, Maurice Enriquez-Sarano
Aims: Mechanisms of chronic ischaemic mitral regurgitation (IMR) are well-characterized by apically tethered leaflet caused by papillary muscles (PMs) displacement and adynamic mitral apparatus. We investigated the unique geometry and dynamics of the mitral apparatus in first acute myocardial infarction (MI) by using quantified 3D echocardiography. Methods and results: We prospectively performed 3D echocardiography 2.3 ± 1.8 days after first MI, in 174 matched patients with (n = 87) and without IMR (n = 87)...
December 4, 2018: European Heart Journal Cardiovascular Imaging
Mustafa Dogdus, Evrim Simsek, Cahide Soydas Cinar
BACKGROUND AND AIM: Stable angina pectoris is a common disease that may cause disability. Some noninvasive new methods can be useful for the detection of early-stage coronary artery disease. The relationship between coronary artery disease (CAD) severity and resting 3-dimensional-speckle tracking echocardiography (3D-STE) in stable angina pectoris patients was evaluated in this study. METHODS: One hundred and twenty consecutive patients between 18-80 years of age and without a history of CAD to whom elective coronary angiography was planned after positive stress test or myocardial perfusion scintigraphy were enrolled in the study...
December 4, 2018: Echocardiography
Ming-Dan Deng, Jun-Yang Han, Ke Lin, Hong Tang
RATIONALE: Cardiac inflammatory myofibroblastic tumor (IMT) is a rare primary cardiac tumor which is currently considered as a low-grade neoplasm. The tumor has a predilection in infants and adolescents and primarily occurs as an endocardial-based cavitary mass. However, cardiac IMT that only involves the interventricular septum in middle-aged adults is extremely rarely reported. Considering its infrequency, we report a rare clinical case, with the aim of sharing our experience during the diagnostic procedures...
November 2018: Medicine (Baltimore)
Haiyan Xu, Jiangjin Li, Zhi Bao, Changsong Xu, Yuanyuan Zhang, Hailang Liu, Jing Yang
BACKGROUND: Right ventricular apical (RVA) pacing is related to adverse left ventricular (LV) remodelling. This study assessed changes in global longitudinal strain (GLS) after permanent RVA pacing, and investigated whether GLS at one month can predict later LV ejection fraction (LVEF) decline. METHODS: The study enrolled 68 patients with normal LVEF (≥50%) who underwent dual chamber pacemaker implantation for third-degree atrioventricular block. Global strains and LVEF were assessed using three-dimensional (3D) speckle tracking strain echocardiography (STE)...
November 23, 2018: Heart, Lung & Circulation
Natalie A Silverton, James P Lee, Candice K Morrissey, Colby Tanner, Josh Zimmerman
OBJECTIVE: To compare intraoperative right ventricular (RV) strain measurements made with left ventricular (LV) strain software commonly found on the echocardiography machine (Philips QLAB chamber motion quantification, version 10.7, Philips, Amsterdam, The Netherlands), with offline analysis using the dedicated RV strain software (EchoInsight, version, Epsilon Imaging, Ann Arbor, MI). DESIGN: Prospective, nonrandomized, observational study. SETTING: Single tertiary level, university-affiliated hospital...
November 2, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Tong Zhu, Wen Zeng, Yushu Chen, Yu Zhang, Jiayu Sun, Zhigang Liang, Zunyuan Yang, Wei Cheng, Lei Wang, Bin Song, Bing Wu, Fangtong Wang, Yinan Liang, Li Gong, Jie Zheng, Fabao Gao
BACKGROUND: Spontaneous T2DM in rhesus monkeys manifests as isolated diastolic dysfunction in the early stage of diabetic cardiomyopathy, similar to humans. Myocardial deformation measurements have emerged as a superior way to measure left ventricular (LV) function in the early stage of cardiac dysfunction, making it possible to further evaluate early-stage LV dysfunction in spontaneous T2DM rhesus monkeys. METHODS: Spontaneous T2DM rhesus monkeys with isolated diastolic dysfunction (T2DM-DD, n = 10) and corresponding nondiabetic healthy animals (ND, n = 9) were prospectively scanned for a CMR study...
November 26, 2018: BMC Medical Imaging
Nikoloz Koshkelashvili, Priya Kohli, Jason Linefsky
CLINICAL INTRODUCTION: A 57-year-old man from the USA with a history of atrial fibrillation and hypertension was evaluated for progressive dyspnoea and decreased energy. The patient denied a history of congestive heart failure, systemic symptoms or myocardial infarction. He was found to have a 3/6 holosystolic murmur radiating to the axilla. Transthoracic echocardiography (TTE) reported a reduced ejection fraction of 40%, mitral valve regurgitation and absence of interatrial shunts. The remaining cardiac valves were without abnormality...
November 22, 2018: Heart: Official Journal of the British Cardiac Society
Bijan Siassi, Mahmood Ebrahimi, Shahab Noori, Shuyang Sheng, Debjit Ghosh, Istvan Seri
There is a great need for training in pediatric echocardiography. In addition to physicians being trained in pediatric cardiology and echocardiography technologists, neonatologist, pediatric intensivists, and other health care professionals may be interested in such training. Since, there is limited opportunity of training on live patients, echocardiographic simulators may be of help. No simulator with complete range of echocardiographic modalities is available for neonates and infants. The aim of this project was to develop a mannequin-based echocardiographic simulator capable of simulating full range of pediatric 2D, color flow Doppler, spectral Doppler, and M-mode echocardiograms...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Keping Chen, Yuqiu Li, Yan Dai, Qi Sun, Bin Luo, Chao Li, Shu Zhang
Aims: This study explores the feasibility of left bundle branch pacing (LBBP) and characterizes electrocardiogram (ECG) patterns during the pacing in comparison with conventional right ventricular pacing (RVP). Methods and results: Forty pacing-indicated patients were prospectively enrolled. Twenty patients underwent LBBP (the LBBP group), and 20 patients underwent RVP (the RVP group). Left bundle branch pacing was achieved by transseptal method in the basal ventricular septum...
November 20, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Jiwon Kim, Javid Alakbarli, Brian Yum, Nathan H Tehrani, Meridith P Pollie, Christiane Abouzeid, Antonino Di Franco, Mark B Ratcliffe, Athena Poppas, Robert A Levine, Richard B Devereux, Jonathan W Weinsaft
Ischemic mitral regurgitation (iMR) augments risk for right ventricular dysfunction (RVDYS ). Right and left ventricular (LV) function are linked via common coronary perfusion, but data is lacking regarding impact of LV ischemia and infarct transmurality-as well as altered preload and afterload-on RV performance. In this prospective multimodality imaging study, stress CMR and 3-dimensional echo (3D-echo) were performed concomitantly in patients with iMR. CMR provided a reference for RVDYS (RVEF < 50%), as well as LV function/remodeling, ischemia and infarction...
November 20, 2018: International Journal of Cardiovascular Imaging
Valentina Volpato, Roberto M Lang, Megan Yamat, Federico Veronesi, Lynn Weinert, Gloria Tamborini, Manuela Muratori, Laura Fusini, Mauro Pepi, Davide Genovese, Victor Mor-Avi, Karima Addetia
BACKGROUND: Evaluation of the tricuspid annulus is crucial for the decision making at the time of left heart surgery. Current recommendations for tricuspid valve repair are based on two-dimensional (2D) transthoracic echocardiography (TTE), despite the known underestimation compared with three-dimensional (3D) echocardiography. However, little is known about the differences in 3D tricuspid annular (TA) sizing using TTE versus transesophageal echocardiography (TEE). The aims of this study were to (1) compare 2D and 3D TA measurements performed with both TTE and TEE and (2) compare two 3D methods for TA measurements: multiplanar reconstruction (MPR) and dedicated software (DS) designed to take into account TA nonplanarity...
November 17, 2018: Journal of the American Society of Echocardiography
Aldostefano Porcari, Giulia De Angelis, Simona Romani, Alessia Paldino, Jessica Artico, Antonio Cannatà, Piero Gentile, Bruno Pinamonti, Marco Merlo, Gianfranco Sinagra
Dilated cardiomyopathy (DCM) is generally thought as a final common pathway of several conditions leading to the same clinical phenotype. Multiple imaging modalities play a fundamental role in recognizing the underlying pathological substrate in DCM. Areas covered: Echocardiography represents the first reliable and easily accessible diagnostic tool, allowing the identification of associated cardiac abnormalities, such as valve disease and highlighting features associated with an adverse prognosis. Recent advances in technology such as strain analysis and 3D-echocardiography have improved the diagnostic and prognostic capabilities of this technique...
November 20, 2018: Expert Review of Cardiovascular Therapy
Ralf Guenzinger, Ruediger S Lange, Friedrich-Christian Rieß, Thorsten Hanke, Nicolas Bischoff, Jean-Francois Obadia, Gideon Sahar, Dani Bitran, Harold Roberts, Shuzhen Li, Steven F Bolling
BACKGROUND:  Functional tricuspid regurgitation (FTR) secondary to left-sided heart disease may lead to poor quality of life and reduced long-term survival. This study evaluated clinical and functional outcomes of patients undergoing tricuspid valve (TV) repair using a rigid three-dimensional ring (Contour 3D, Medtronic) concomitant with another procedure. METHODS:  From September 2011 to July 2015, 112 patients (mean age 70.9 ± 9.0 years) were enrolled at 10 centers in Europe, Israel, and the United States...
November 16, 2018: Thoracic and Cardiovascular Surgeon
Stefaan Bouchez, G Burkhard Mackensen, Eckhard Mauermann, Linda McCleish, Frederick Cobey, Madhav Swaminathan, Patrick Wouters
OBJECTIVES: In this measurement validation study, the authors evaluated agreement between 2-dimensional (2D) and three-dimensional (3D) transesophageal echocardiography (TEE), measuring anterior mitral valve leaflet length by both novice and experienced echocardiographers. DESIGN: This was a retrospective, observational study. SETTING: Single university hospital. PARTICIPANTS: Analyses on datasets from 44 patients. INTERVENTIONS: None...
July 7, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Sarah Chambers Gurson
PURPOSE OF REVIEW: Advances in ultrasound technology have led to new ways of evaluating cardiac function and structure, including myocardial deformation imaging (strain and strain rate), cardiac MRI and three-dimensional (3D) printing. As ultrasound technology has improved, it has become possible to use these modalities to evaluate the fetal heart. This article will review some of the more recent developments in applying these techniques to the evaluation of fetal cardiac structure and function...
November 15, 2018: Current Opinion in Cardiology
Jouni K Kuusisto, Vesa M Järvinen, Juha P Sinisalo
BACKGROUND: Left atrial volume is a prognostic factor in cardiac pathologies. We aimed to validate left atrial volume detection with 3D and 2D echocardiography (3DE and 2DE) by human cadaveric casts. 3DE facilitates measurement of atrial volume without geometrical assumptions or dependence on imaging angle in contrast to 2DE methods. METHODS: For method validation, six water-filled balloons were submerged in a 20-l water tank and their volumes were measured with 3DE...
November 15, 2018: BMC Medical Imaging
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