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diastolic dysfunction assessment by TEE

Agnieszka Trzcinka, John A Fox, Douglas C Shook, Jan N Hilberath, Gregg Hartman, Bruce Bollen, Xiaoxia Liu, Andrea Worthington, Stanton K Shernan
BACKGROUND: A comprehensive transesophageal echocardiographic (TEE) examination is essential for the evaluation of a mitral valve (MV) repair. The edge-to-edge MV repair (i.e., Alfieri stitch) can pose a unique challenge in assessing iatrogenic mitral stenosis, especially when an asymmetric double-orifice is created. The reliability of the simplified Bernoulli equation for evaluating transvalvular pressure gradients across an asymmetric Alfieri MV repair remains controversial. We sought to evaluate the reliability of this principle further by comparing TEE-acquired pressure gradients across each orifice in patients undergoing asymmetric, double-orifice repair...
December 2014: Anesthesia and Analgesia
Raquel A Sirvente, Maria C Irigoyen, Leandro E Souza, Cristiano Mostarda, Raquel N La Fuente, Georgia O Candido, Pamella R M Souza, Alessandra Medeiros, Charles Mady, Vera M C Salemi
BACKGROUND: Sympathetic hyperactivity may be related to left ventricular (LV) dysfunction and baro- and chemoreflex impairment in hypertension. However, cardiac function, regarding the association of hypertension and baroreflex dysfunction, has not been previously evaluated by transesophageal echocardiography (TEE) using intracardiac echocardiographic catheter. METHODS AND RESULTS: We evaluated exercise tests, baroreflex sensitivity and cardiovascular autonomic control, cardiac function, and biventricular invasive pressures in rats 10 weeks after sinoaortic denervation (SAD)...
2014: PloS One
Sasha K Shillcutt, Candice R Montzingo, Ankit Agrawal, Maseeha S Khaleel, Stacey L Therrien, Walker R Thomas, Thomas R Porter, Tara R Brakke
BACKGROUND: Patients with left ventricular diastolic dysfunction (LVDD) are at increased risk of postoperative adverse events. The primary aim of this study was to evaluate the safety and feasibility of using echocardiography-guided hemodynamic management (EGHEM) during surgery in subjects with LVDD compared to conventional management. The feasibility of using echocardiography to direct a treatment algorithm and clinical outcomes were compared for safety between groups. METHODS: Subjects were screened for LVDD by preoperative transthoracic echocardiography (TTE) and randomized to the conventional or EGHEM group...
November 2014: Echocardiography
Kanwal Kumar, Roman G Nepomuceno, Anjala Chelvanathan, Mehrdad Golian, Sheena Bohonis, Kelby Cleverley, Amir Ravandi, Scott Mackenzie, Davinder S Jassal
INTRODUCTION: The perioperative management of patients undergoing cardiac surgery usually requires the accurate assessment of left ventricular filling pressures (LVFP). The gold standard for determining LVFP involves the use of pulmonary artery catheters (PAC). Using tissue Doppler indices (TDI) obtained by transthoracic echocardiography, the ratio of early transmitral filling velocity to the corresponding early mitral annular velocity (E/E') has a strong correlation with pulmonary capillary wedge pressure (PCWP)...
March 2013: Echocardiography
Enbiya Aksakal, Ahmet Kaya, Eftal Murat Bakırcı, Mustafa Kurt, Ibrahim Halil Tanboğa, Serdar Sevimli, Mahmut Açıkel
OBJECTIVE: Studies investigating the comparison and interchangeability of transthoracic (TTE) and transesophageal echocardiography (TEE) regarding left ventricular (LV) systolic and diastolic function are limited. Therefore, in this study, we aimed to investigate agreement between TTE and TEE in the assessment of LV systolic functions by longitudinal myocardial deformation imaging (strain-S and strain rate-Sr) and LV diastolic functions by conventional Doppler parameters. METHODS: Thirty-five patients underwent a clinically indicated cross-sectional study on agreement between two methods...
September 2012: Anadolu Kardiyoloji Dergisi: AKD, the Anatolian Journal of Cardiology
Luis Zabala, Sana Ullah, Carol D'Ann Pierce, Nischal K Gautam, Michael L Schmitz, Ritu Sachdeva, Judith A Craychee, Dale Harrison, Pamela Killebrew, Renee A Bornemeier, Parthak Prodhan
BACKGROUND: Doppler-derived renal blood flow indices have been used to assess renal pathologies. However, transesophageal ultrasonography (TEE) has not been previously used to assess these renal variables in pediatric patients. In this study, we (a) assessed whether TEE allows adequate visualization of the renal parenchyma and renal artery, and (b) evaluated the concordance of TEE Doppler-derived renal blood flow measurements/indices compared with a standard transabdominal renal ultrasound (TAU) in children...
June 2012: Anesthesia and Analgesia
T Erdei, Tamás Erdei, M Dénes, A Kardos, C Földesi, A Földesi, A Temesvári, M Temesvári, M Lengyel
PURPOSE: In patients with paroxysmal atrial fibrillation (PAF) little information is available about left atrial (LA)function, and there is less information about LA appendage (LAA) function, and about their relations. METHODS AND RESULTS: 46 patients were selected for catheter ablation (CA) because of nonvalvular PAF.Transthoracic, tissue Doppler and transoesophageal echocardiography was performed before CA. LA volumes and volume index (LAVI) were calculated. LA function was assessed by LA filling fraction (LAFF), LA emptying fraction (LAEF), systolic fraction of pulmonary venous flow (PVSF) and late diastolic velocities of mitral annulus(Aa,, A5at) LAA function was assessed by peak LAA emptying flow velocity (PLAAEFV)...
June 2011: Acta Physiologica Hungarica
Hiroshi Honma, Tadaaki Ohno, Hiroyuki Fujimoto, Tsuyako Matsuzaki, Hiroshige Murata, Kyoichi Mizuno
Arterial stiffening may contribute to secondary myocardial dysfunction. The aim of this study was to assess the stiffness of the thoracic descending aorta (TDA) by performing strain-rate measurements with transesophageal echocardiography (TEE) and to examine the relation of the findings to left ventricular (LV) function. Eight patients (group I) without risk factors for arteriosclerosis and 52 patients (group II) with a high risk of arteriosclerosis underwent transthoracic echocardiography (TTE) and TEE simultaneously...
June 2010: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
Naoyasu Yoshida, Mitsunori Okamoto, Kiyomi Nanba, Masao Yoshizumi
AIM: We assessed left atrial appendage (LAA) function using transthoracic tissue Doppler echocardiography (TDE), and examined the influence of aging on LAA contraction and relaxation. METHODS: The subjects were 45 consecutive patients with heart disease and 110 healthy individuals. LAA wall motion velocity (LAAWV) at the tip of the LAA was measured using transthoracic echocardiography (TTE) and/or transesophageal echocardiography (TEE). RESULTS: We successfully recorded and measured LAAWV using TTE in 105 (95%) of the 110 healthy subjects...
August 2010: Echocardiography
Robina Matyal, Philip E Hess, Balachundhar Subramaniam, John Mitchell, Peter J Panzica, Frank Pomposelli, Feroze Mahmood
OBJECTIVE: To assess the association of perioperative cardiac dysfunction during elective vascular surgery with postoperative outcome. BACKGROUND: Patients with normal systolic function can have isolated diastolic dysfunction. Routine preoperative evaluation of left ventricular (LV) function does not include an assessment of diastolic function for risk stratification. We hypothesized that perioperative assessment of both diastolic and systolic function with transesophageal echo (TEE) may improve our ability to predict postoperative outcome...
July 2009: Journal of Vascular Surgery
Pierre Couture, André Y Denault, Yanfen Shi, Alain Deschamps, Mariève Cossette, Michel Pellerin, Jean-Claude Tardif
PURPOSE: To evaluate the effects of anesthetic induction on bi-ventricular function in patients with known preoperative left ventricular (LV) diastolic dysfunction undergoing coronary artery bypass grafting surgery (CABG). METHODS: Fifty patients with diastolic dysfunction undergoing CABG were studied. Preoperative transthoracic echocardiographic (TTE) examination was performed on the day before surgery and transesophageal echocardiography (TEE) assessment was undertaken after induction of anesthesia with sufentanil, midazolam, isoflurane, and pancuronium...
May 2009: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Catherine Paquet, Alain Deschamps, André Y Denault, Pierre Couture, Michel Carrier, Denis Babin, Sylvie Levesque, Dominique Piquette, Jean Lambert, Jean-Claude Tardif
OBJECTIVE: To evaluate the correlation between baseline cerebral oxygen saturation (ScO(2)) and cardiac function as assessed by pulmonary artery catheterization and transesophageal echocardiography (TEE). DESIGN: A retrospective study. SETTING: A tertiary care university hospital. PARTICIPANTS: Cardiac surgery patients. MEASUREMENTS AND RESULTS: Patients undergoing cardiac surgery with bilateral recording of their baseline ScO(2) using the INVOS 4100 (Somanetics, Troy, MI) were selected...
December 2008: Journal of Cardiothoracic and Vascular Anesthesia
A Ghodsizad, M Niehaus, G Kögler, U Martin, P Wernet, C Bara, N Khaladj, A Loos, M Makoui, J Thiele, M Mengel, M Karck, H M Klein, A Haverich, A Ruhparwar
OBJECTIVE: Functional improvement after acute myocardial ischaemia (MI) has been achieved by transplantation of different adult stem and progenitor cell types. It is controversial whether these cell types are able to form novel functional myocardium. Alternatively, graft-related or immune-related paracrine mechanisms may preserve existing myocardium, improve neovascularisation, affect tissue remodelling or induce endogenous de novo formation of functional myocardium. We have applied an alternative somatic cell type, human cord-blood-derived unrestricted somatic stem cells (USSCs) in a porcine model of acute MI...
January 2009: Heart: Official Journal of the British Cardiac Society
Huda Elshershari, Qi-Ling Cao, Ziyad M Hijazi
UNLABELLED: Atrial septal defect (ASD) closure reduces symptoms and prevents ongoing congestive heart failure. However, little is known about device closure in the elderly (age > 60 years) and whether it is a safe and effective treatment. In this study, we report our results with ASD transcatheter closure in the elderly patient > 60 years of age using the Amplatzer Septal Occluder (ASO) device. METHODS: Between September 1999 and March 2007, a total of 41 patients (24 females and 17 males) who were > 60 years of age (range 62-87...
April 2008: Journal of Invasive Cardiology
Serdar Sevimli, Sakir Arslan, Fuat Gundogdu, Enbiya Aksakal, Eyup Buyukkaya, Hakan Tas, Yahya Islamoglu, H Yekta Gurlertop, Mustafa Kemal Erol, Mahmut Acikel, Huseyin Senocak, Sule Karakelleoglu, Necip Alp
BACKGROUND: This study aimed to evaluate the efficiency of transesophageal tissue Doppler echocardiography (TDE) in evaluation of the left ventricular functions. To this end, the data obtained by transoesophageal tissue Doppler echocardiography and by transthoracic tissue Doppler echocardiography were compared simultaneously. METHODS: Nineteen consecutive patients (7 female and 12 male) underwent a clinically indicated study. In transthoracic (TTE) and transoesophageal (TEE) echocardiographic study, a Vingmed System Five Doppler echocardiographic unit (GE Vingmed) was used...
October 2007: Echocardiography
Murat Cayli, Esmeray Acartürk, Mesut Demir, Mehmet Kanadaşi
BACKGROUND: The incidence of thromboembolism remains high in patients with mitral stenosis (MS). The left atrial appendage (LAA) is a potential site for development of thrombus and LAA dysfunction is an independent predictor of thromboembolism. The LAA dysfunction is represented by reduced LAA late emptying velocity. But the magnitude of LAA flow velocities is dependent on acute changes in loading conditions. AIM: To investigate the value of the LAA tissue velocities obtained by tissue Doppler imaging (TDI) in assessment of LAA function in MS patients with and without thromboembolic events...
September 2007: Echocardiography
René Prêtre, Alexander Kadner, Hitendu Dave, Dominique Bettex, Michele Genoni
OBJECTIVE: To evaluate the early results of a new method to repair malfunctioning bicuspid aortic valves by creating a tricuspid valve with a crown-like (i.e. anatomic) annulus. MATERIAL AND METHODS: Twelve patients (ages from 10 to 27 years) with chronic regurgitation (and flow-dependent stenosis) of a bicuspid aortic valve underwent repair with the principle of creating a tricuspid valve and a crown-like annulus. The fused leaflets were trimmed and reinserted underneath the existing aortic annulus to create one new native cusp...
June 2006: European Journal of Cardio-thoracic Surgery
Andrzej Wysokiński, Tomasz Zapolski
INTRODUCTION: Atrial fibrillation (FA) coexists with heart failure, and its occurrence frequency increases with age. This arrhythmia can precede heart failure as well as can be a consequence of cardiac function deterioration. AIM OF STUDY: The influence of atrial fibrillation on left ventricle (LV) function assessed by echocardiography in the elderly. Investigated group. Study group consists of 30 older patients 75,9 (+/- 4,6) years old with chronic atrial fibrillation, mean duration 319,5 (+/- 292,5) days and 30 younger patients 56,7 (+/- 3,7) years old with atrial fibrillation, mean duration 254,2 (+/- 191,2) days...
March 2005: Polskie Archiwum Medycyny Wewnętrznej
Ibrahim A Abdalla, R Daniel Murray, Jar Chi Lee, Richard D White, James D Thomas, Allan L Klein
BACKGROUND: Respiratory variation of the pulmonary venous (PV) peak flow velocities can be used to distinguish constrictive pericarditis (constriction) from restrictive cardiomyopathy (restriction). Rapid volume expansion has been used successfully to enhance diastolic pressure equalization in occult constriction. The effect of volume on the respiratory variation in constriction has not been studied previously. This study assessed the utility of volume in enhancing the PV respiratory variation of constriction to further separate it from restriction...
February 2002: Echocardiography
Valerian Fernandes, Leopoldo Olmos, Sherif F Nagueh, Miguel A Quiñones, William A Zoghbi
Reliable screening of mechanical prosthetic mitral valve (PMV) dysfunction by transthoracic echocardiography (TTE) is mandatory because transesophageal echocardiography (TEE) cannot be routinely used. However, acoustic shadowing seriously hampers detection of PMV dysfunction with TTE, particularly regurgitation. To identify TTE indexes that can detect PMV dysfunction (regurgitation or obstruction), 134 patients (age 60 +/- 12 years, 64 men) with PMV who underwent TTE and TEE within 3 +/- 5 days were assessed...
March 15, 2002: American Journal of Cardiology
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