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Keywords Echocardiography and emergency...

Echocardiography and emergency medicine

https://read.qxmd.com/read/38383436/pembrolizumab-induced-myocarditis-with-complete-atrioventricular-block-and-concomitant-myositis-in-a-metastatic-bladder-cancer-patient-a-case-report-and-review-of-the-literature
#21
REVIEW
R Saad, A Ghaddar, R M Zeenny
BACKGROUND: The cardiovascular system is among the least systems affected by immune-related adverse events. We report a rare life-threatening case of pembrolizumab-induced myocarditis with complete atrioventricular block and concomitant myositis in a metastatic bladder cancer patient. CASE PRESENTATION: An 82-year-old Caucasian female with invasive urothelial carcinoma, started on first-line pembrolizumab, was admitted four days after receiving her second dose for severe asthenia, diffuse muscle aches, neck pain, and lethargy...
February 22, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38380718/transesophageal-echocardiography-a-bibliometric-analysis-from-1979-to-2022
#22
REVIEW
Silei Pan, Zhengkai Li, Yan Wang, Hailong Bing, Haibo Song, Qinjun Chu
OBJECTIVE: Heart disease poses a significant global health challenge. Transesophageal echocardiography (TEE) has gained prominence in clinical practice because of advancements in visual medicine. The present bibliometric analysis provides an overview of TEE research, identifies trends, and highlights emerging topics. METHODS: A comprehensive search of TEE-related literature from the establishment of the Web of Science Core Collection (WOSCC) until 2022 was conducted...
February 2024: Echocardiography
https://read.qxmd.com/read/38379715/the-association-of-the-pulmonary-artery-pulsatility-index-and-right-ventricular-function-after-cardiac-surgery
#23
JOURNAL ARTICLE
Johnny Wei, Abigail Kee, Rachel Dukes, Jack Franke, Vincent Leonardo, Brigid C Flynn
BACKGROUND: The pulmonary artery pulsatility index (PAPi) has been shown to correlate with right ventricular (RV) failure in patients with cardiac disease. However, the association of PAPi with right ventricular function following cardiac surgery is not yet established. METHODS: PAPi and other hemodynamic variables were obtained postoperatively for 959 adult patients undergoing cardiac surgery. The association of post-bypass right ventricular function and other clinical factors to PAPi was evaluated using linear regression...
2024: Critical Care Research and Practice
https://read.qxmd.com/read/38376658/can-absence-of-cardiac-activity-on-point-of-care-echocardiography-predict-death-in-out-of-hospital-cardiac-arrest-a-systematic-review-and-meta-analysis
#24
REVIEW
Omar Albaroudi, Bilal Albaroudi, Mahmoud Haddad, Manar E Abdle-Rahman, Thirumoothy Samy Suresh Kumar, Robert David Jarman, Tim Harris
AIM: The purpose of this systematic review and meta-analysis was to evaluate the accuracy of the absence of cardiac motion on point-of-care echocardiography (PCE) in predicting termination of resuscitation (TOR), short-term death (STD), and long-term death (LTD), in adult patients with cardiac arrest of all etiologies in out-of-hospital and emergency department setting. METHODS: A systematic review and meta-analysis was conducted based on PRISMA guidelines. A literature search in Medline, EMBASE, Cochrane, WHO registry, and ClinicalTrials...
February 20, 2024: The ultrasound journal
https://read.qxmd.com/read/38364037/dynamic-monitoring-tools-for-patients-admitted-to-the-emergency-department-with-circulatory-failure-narrative-review-with-panel-based-recommendations
#25
JOURNAL ARTICLE
Ivor S Douglas, Mohammed H Elwan, Marta Najarro, Stefano Romagnoli
Intravenous fluid therapy is commonly administered in the emergency department (ED). Despite the deleterious potential of over- and under-resuscitation, professional society guidelines continue to recommend administering a fixed volume of fluid in initial resuscitation. Predicting whether a specific patient will respond to fluid therapy remains one of the most important, but challenging questions that ED clinicians face in clinical practice. Surrogate parameters (i.e. blood pressure and heart rate), are widely used in usual care to estimate changes in stroke volume (SV)...
February 16, 2024: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://read.qxmd.com/read/38360558/diagnostic-challenges-between-takotsubo-cardiomyopathy-and-acute-myocardial-infarction-where-is-the-emergency-a-literature-review
#26
REVIEW
Alexandru Scafa-Udriste, Ruxandra-Nicoleta Horodinschi, Miruna Babos, Bogdan Dinu
BACKGROUND: Takotsubo cardiomyopathy (TC) is an emergency cardiovascular disease, with clinical and paraclinical manifestations similar to acute myocardial infarction (AMI), but it is characterized by reversible systolic dysfunction of the left ventricle (LV) in the absence (most of the time) of obstructive coronary artery disease (CAD). MANAGEMENT OF PATIENTS WITH TC: TC seems to be more frequent in post-menopausal women and it is triggered by emotional or physical stress...
February 15, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38349172/complexities-of-coexisting-cardiac-amyloidosis-and-coronary-artery-disease-a-contemporary-review-of-diagnostic-and-treatment-approaches
#27
JOURNAL ARTICLE
Yahui Lu, Geng Bai, Weiding Wang, Guangping Li
Cardiac amyloidosis (CA) represents an emerging challenge in cardiovascular medicine, with notable clinical overlaps and diagnostic complexities when coexisting with coronary artery disease (CAD). This integrative review navigates the intricate terrain of CA and CAD, elucidating epidemiology, clinical presentations, and diagnostic considerations. Examining both immunoglobulin light chain amyloidosis (AL) and transthyretin amyloidosis, we underscore their shared demographic associations, diagnostic intricacies, and potential diagnostic confounders with CAD...
February 13, 2024: Cardiology in Review
https://read.qxmd.com/read/38349103/-not-available
#28
JOURNAL ARTICLE
Joshua Ravindran, Eirik Hornes Halvorsen, Andreas Kongsvik, Sigurd Birkeland, Einar Gude, Alessandro Müller De Bortoli
BACKGROUND: Ventricular septal rupture (VSR) following acute myocardial infarction is rare in the modern revascularisation era. Nevertheless, clinical awareness is paramount, as presentation may vary. CASE PRESENTATION: A middle-aged male with no history of cardiovascular disease developed progressive heart failure symptoms while travelling abroad. Initial workup revealed a prominent systolic murmur, but findings were inconsistent with acute coronary syndrome. Transthoracic echocardiogram showed a small hypokinetic area in the basal septum, preserved left ventricular function and no significant valvulopathy...
February 13, 2024: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://read.qxmd.com/read/38345648/-septic-cardiomyopathy-diagnosis-and-estimation-of-disease-severity
#29
REVIEW
Ursula Müller-Werdan, Alexander Vogt, Karl Werdan
BACKGROUND: The relevance of septic cardiomyopathy is frequently underestimated due to the complexity of the pattern of cardiac injury and the corresponding difficulties in quantifying the degree of functional impairment. AIM: Account of the methods for diagnosis and severity classification of septic cardiomyopathy. METHODS: Literature review and analysis of the main findings. RESULTS: Septic cardiomyopathy is characterized by both systolic and diastolic impairment of not only the left, but also the right ventricle, as well as by sinus-tachycardiomyopathy (≥ 90-95 beats/min) of variable degree...
February 12, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38343875/the-role-of-stress-echocardiography-in-identifying-cardiotoxicity-an-in-depth-exploration
#30
REVIEW
Sijia Wang, Yi Wang, Shuang Wang
Cancer treatment might cause heart failure and deteriorate the patients' quality of life. Despite the wide use of conventional echocardiography, it often fails to detect cardiotoxicity until advanced cardiac dysfunction at potentially irreversible stages. Advanced techniques, such as three-dimensional imaging and strain analysis in stress echocardiography, have shown promise in identifying cardiotoxicity at subclinical stages, even when traditional measures remain within normal ranges. These novel techniques have been shown to identify cardiac impairment in 30%-50% of the patients undergoing potentially cardiotoxic chemotherapy, which allows for early intervention and enhanced patient management...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38337590/mitral-annular-calcification-related-valvular-disease-a-challenging-entity
#31
REVIEW
Abdulrahman S Museedi, Thierry H Le Jemtel
Mitral valve annular calcification-related valvular disease is increasingly common due to the rising prevalence of age-related mitral annular calcifications. Mitral annular calcification alters the structure and function of the mitral valve annulus, which in turn causes mitral valve regurgitation, stenosis, or both. As it frequently coexists with comorbid conditions and overlapping symptoms, mitral annular calcification-related valvular disease poses significant diagnostic and therapeutic challenges. For instance, left ventricular diastolic dysfunction hinders the assessment of mitral valvular disease...
February 3, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38327492/case-report-a-myxoma-with-a-far-reach
#32
Elias Akiki, Arman Arghami, Muhannad A Abbasi, Edward A El-Am, Ali Ahmad, Thomas A Foley, Richard C Daly, Joseph J Maleszewski, Reto Kurmann, Kyle W Klarich
A 73-year-old woman presented to the emergency department with a syncopal episode and a history of dizzy spells. A transthoracic echocardiogram demonstrated a large left atrial mass extending into the right upper pulmonary veins. Subsequently, cardiac magnetic resonance imaging and coronary computed tomography angiography with three-dimensional reconstruction and printing of the heart and mass were performed, which demonstrated a high index of suspicion for an atypical left atrial myxoma. The mass was excised robotically, and the pathology report confirmed a diagnosis of myxoma...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38318910/-index-of-microcirculatory-resistance-is-associated-with-left-ventricular-remodeling-in-patients-with-acute-anterior-st-segment-elevation-myocardial-infarction-undergoing-emergency-primary-percutaneous-coronary-intervention
#33
JOURNAL ARTICLE
Fangfang Wang, Fumeng Liang, Nan Li, Xiaoxiao Wang, Jiangli Han, Lijun Guo
OBJECTIVE: To evaluate whether index of microcirculatory resistance (IMR) is associated with left ventricular (LV) remodeling in acute anterior ST elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PPCI). METHODS: This was a single-center retrospective cohort study. The patients with first anterior STEMI who received PPCI from January 2014 to August 2017 in Peking University Third Hospital was enrolled. After PPCI, IMR was measured immediately by using pressure/temperature guidewire...
February 18, 2024: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://read.qxmd.com/read/38316020/accuracy-of-pediatric-interventricular-septal-thickness-measurement-obtained-via-point-of-care-ultrasound-a-prospective-study
#34
JOURNAL ARTICLE
Ahmed Hasan, Nessy Dahan, Adetunbi Ayeni, Manoj Chhabra, Patrick McGrory
BACKGROUND: Hypertrophic cardiomyopathy is a genetic, life-threatening cardiovascular disease that often goes unidentified in pediatric patients. Patients are often asymptomatic and neither history or physical examination are reliable to detect the disease. The only reliable method to diagnose hypertrophic cardiomyopathy is with echocardiography to look at interventricular septal thickness. Emerging literature has shown that cardiac point-of-care ultrasound (POCUS) performed by pediatric emergency medicine (PEM) physicians is as effective and accurate compared with cardiac echocardiography performed by pediatric cardiologists...
February 5, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38311529/a-novel-tool-for-predicting-an-abnormal-echocardiogram-in-patients-with-pulmonary-embolism-the-peace-score
#35
JOURNAL ARTICLE
Nour Al Jalbout, Irene Ma, Hamid Shokoohi, Kathleen McFadden, Christopher Kabrhel, Nicholas Giordano, Andrew Liteplo
BACKGROUND: Transthoracic echocardiography (TTE) is an essential tool for risk-stratifying patients with pulmonary embolism (PE), but its availability is limited, often requiring hospitalization. Minimal research exists evaluating clinical and laboratory criteria to predict lack of abnormal TTE findings. OBJECTIVE: We aimed to identify predictors associated with abnormal TTE results in patients with PE to potentially identify those safe for early discharge. METHODS: In this retrospective study, we analyzed an existing database of patients with venous thromboembolism (VTE) at two academic emergency departments, including adult patients with confirmed PE who underwent TTE...
November 22, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38307769/infective-endocarditis-the-role-of-pet-imaging-in-diagnosis-and-management
#36
JOURNAL ARTICLE
Kevin Emery Boczar, Lawrence Lau, Nuha Hejji, Christiane Wiefels
Positron emission tomography (PET) with 18 F-fluorodeoxyglucose (18 F-FDG) has recently emerged as an increasingly used alternative and supplementary imaging modality for the diagnosis of infective endocarditis. 18 F-FDG PET/CT imaging for IE is given a Class I recommendation (level of evidence B) and is therefore recommended in cases of possible prosthetic valve IE to both detect valvular lesions, as well as confirm the diagnosis of IE. They have also given a class I recommendation (level of evidence B) for brain and whole-body 18 F-FDG PET/CT and/or MRI imaging to detect peripheral lesions for patients with either native or prosthetic valve IE...
February 1, 2024: Journal of Medical Imaging and Radiation Sciences
https://read.qxmd.com/read/38302868/a-case-report-on-ultrasound-guided-pericardiocentesis-with-a-right-parasternal-approach-a-novel-in-plane-lateral-to-medial-technique
#37
JOURNAL ARTICLE
Najem Abdullah Mohammed, Tanweer A Al-Zubairi, Moad H Al-Soumai
INTRODUCTION: Emergency pericardiocentesis is a life-saving procedure that is performed to aspirate fluid from the pericardial space in patients who have severe pericardial effusion that is causing hemodynamic compromise. The current gold standard for pericardial fluid aspiration is ultrasound-guided pericardiocentesis. Echocardiography with a low-frequency transducer has generally been used in pericardiocentesis, but this method lacks real-time visualization of the needle trajectory, leading to complications...
February 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38296275/impact-of-left-atrial-appendage-thrombus-location-on-diagnostic-accuracy-of-cardiac-ct-a-single-centre-case-control-study
#38
JOURNAL ARTICLE
Chuxian Guo, Zhi Jiang, Jionghong He, Haiyan Ma, Yuquan Wang, Jing Tan, Qiaoqiao Ou, Ye Tian, Longhai Tian, Qifang Liu, Jing Huang, Long Yang
OBJECTIVE: Cardiac CT (CCT) is an emerging non-invasive modality for assessing left atrial appendage (LAA) thrombus, but the results were conflicting. Our study aims to evaluate the accuracy of CCT for detecting LAA thrombus in patients undergoing catheter ablation of atrial fibrillation, using trans-oesophageal echocardiography (TEE) as the reference standard. DESIGN: Case-control study. SETTING: Patient data were collected from a tertiary hospital in China between 2017 and 2022...
January 31, 2024: BMJ Open
https://read.qxmd.com/read/38276131/post-capillary-pulmonary-hypertension-clinical-review
#39
REVIEW
Joshua M Riley, James J Fradin, Douglas H Russ, Eric D Warner, Yevgeniy Brailovsky, Indranee Rajapreyar
Pulmonary hypertension (PH) caused by left heart disease, also known as post-capillary PH, is the most common etiology of PH. Left heart disease due to systolic dysfunction or heart failure with preserved ejection fraction, valvular heart disease, and left atrial myopathy due to atrial fibrillation are causes of post-capillary PH. Elevated left-sided filling pressures cause pulmonary venous congestion due to backward transmission of pressures and post-capillary PH. In advanced left-sided heart disease or valvular heart disease, chronic uncontrolled venous congestion may lead to remodeling of the pulmonary arterial system, causing combined pre-capillary and post-capillary PH...
January 22, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38275929/risk-factors-for-atrial-fibrillation-in-the-dog-a-systematic-review
#40
REVIEW
Giulia Arcuri, Carlotta Valente, Caterina Perini, Carlo Guglielmini
Different risk factors for atrial fibrillation (AF) development have been identified in numerous studies on humans, but this information is less clearly available on the dog. The aim of this systematic review is to determine the risk factors for AF in the dog. Following the PRISMA 2020 guidelines, we conducted a comprehensive search using the Web of Science and Scopus databases for articles reporting on cases of spontaneously occurring AF in dogs. The level of evidence was assessed using the Evidence Quality Grading System of the National Institute of Health...
January 21, 2024: Veterinary Sciences
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