MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'European Journal of Echocardiography' source. Sun, 21 Mar 2010 14:01:15 +0100 http://www.medworm.com/index.php?rid=3351599&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F202%3Frss%3D1 Echocardiography plays a key role in the assessment of infective endocarditis (IE). It is useful for the diagnosis of endocarditis, the assessment of the severity of the disease, the prediction of short- and long-term prognosis, the prediction of embolic events, and the follow-up of patients under specific antibiotic therapy. Echocardiography is also useful for the diagnosis and management of the complications of IE, helping the physician in decision-making, particularly when a surgical therapy is considered. Finally, intraoperative echocardiography must be performed in IE to help the surgeon in the assessment and management of patients with IE during surgery. The current ‘recommendations for the practice of echocardiography in infective endocarditis’ aims to provide both an up... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351599 Thu, 11 Mar 2010 09:46:29 +0100 3351599 http://www.medworm.com/index.php?rid=3351598&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F198%3Frss%3D1 We report three patients with mobile left ventricular (LV) thrombus arising from the LV aspect of severe calcified mitral annulus in the setting of normal LV function, mitral valve function, and sinus rhythm. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351598 Thu, 11 Mar 2010 09:46:29 +0100 3351598 http://www.medworm.com/index.php?rid=3351597&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F195%3Frss%3D1 This report explores the difficulties and ethical dilemmas encountered dealing with the need for urgent valve surgery and coronary revascularization in association with an unplanned, but wanted pregnancy in an older woman. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351597 Thu, 11 Mar 2010 09:46:29 +0100 3351597 http://www.medworm.com/index.php?rid=3351596&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F192%3Frss%3D1 We report the case of a 76-year-old lady who had a mitral valve (MV) replacement for severe MV stenosis. Several days following the procedure, a routine transthoracic echocardiogram (TTE) was performed. Despite the prosthesis leaflets opening well anterograde maximum velocities were elevated; MV peak velocity of 2.4 m/s. A transoesophageal echocardiogram (TEE) demonstrated the superior strut of the prosthesis appearing to rotate inwards such that the ventricular (non-fixed) end of the struts approximate to one another during systole, reducing the effective orifice area for anterograde flow. A 3D TEE was performed. This showed that the valve struts were not parallel, with the planes of the struts converging from the base to the apex. However, this abnormal conformation appeared to be fixed ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351596 Thu, 11 Mar 2010 09:46:29 +0100 3351596 http://www.medworm.com/index.php?rid=3351595&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F190%3Frss%3D1 We report a rare case of bilateral TMJ dislocation in an 84-year-old man prior to DC cardioversion (DCCV) for atrial flutter. Shortly after TEE and DCCV, the patient complained of bilateral facial pain. An orthopantomogram revealed bilateral TMJ dislocation. A closed reduction was performed by Maxillo-facial surgeons under intravenous anaesthesia. Although very uncommon, the physician should be aware of the complication and its management. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351595 Thu, 11 Mar 2010 09:46:29 +0100 3351595 http://www.medworm.com/index.php?rid=3351594&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F189%3Frss%3D1 A 73-year-old female patient was referred for evaluation after suffering an atypical chest pain. Physical examination and ECG were normal. The echocardiogram showed a normal ventricular function. Attached to the anterior leaflet an accessory mitral valve tissue was identified. In systole, this mitral tissue creates an image that looks like the ‘number 2’. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351594 Thu, 11 Mar 2010 09:46:29 +0100 3351594 http://www.medworm.com/index.php?rid=3351593&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F186%3Frss%3D1 We present the case of a 24-year-old female with atypical presentation of TC occurring in the setting of paranasal sinus surgery under local anaesthesia with post-surgical nasal packing. She did not demonstrated ST-segment elevation on electrocardiogram, but transient moderate LV systolic dysfunction and localized wall motion abnormality affecting basal to mid-ventricular anterior and anteroseptal wall. She rapidly and completely recovered without sequelae. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351593 Thu, 11 Mar 2010 09:46:29 +0100 3351593 http://www.medworm.com/index.php?rid=3351592&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F184%3Frss%3D1 Libman–Sacks endocarditis, characterized by sterile fibrofibrinous vegetations that have the potential to develop anywhere on the endocardial surface, was originally reported in 1924. The mitral valve is most commonly affected, followed by the aortic valve, whereas tricuspid and pulmonary valves are seldom involved. Libman–Sacks vegetations can be found in ~1 of 10 patients with systemic lupus erythematosus by transoesophageal echocardiography (TTE), and they are variably associated with lupus duration, disease activity, anticardiolipin antibodies, and antiphospholipid syndrome manifestations. The capability to perform real-time 3D (RT3D) imaging in the evaluation of Libman–Sacks vegetation size may strengthen the already established role of transthoracic echocardiogram a... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351592 Thu, 11 Mar 2010 09:46:29 +0100 3351592 http://www.medworm.com/index.php?rid=3351579&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2FE2%3Frss%3D1 We describe a case of a female aged 55 years, presenting with an acute inferior ST-elevation myocardial infarction. The coronary ischaemia has resulted from a spontaneous right coronary artery dissection due to a right coronary cusp sinus of valsalva aneurysm (SVA). Sinus of valsalva aneurysm is a rare, often congenital, cardiac condition. The SVA rupture may lead to acute haemodynamic instability; therefore, recognition of the condition is important, generally requiring definitive surgical intervention. Right coronary artery ischaemia may result commonly from osteal compression by the SVA, however has never been previously described to occur from spontaneous coronary dissection. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351579 Thu, 11 Mar 2010 09:46:29 +0100 3351579 http://www.medworm.com/index.php?rid=3351578&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2FE1%3Frss%3D1 We describe a case of ICD-infected endocarditis with positive blood cultures for Staphylococcus epidermidis without any physical findings or raised inflammatory parameters in serum plasma levels. In this case, three-dimensional echocardiography demonstrated an added value to two-dimensional echocardiography. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351578 Thu, 11 Mar 2010 09:46:29 +0100 3351578 http://www.medworm.com/index.php?rid=3351591&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F176%3Frss%3D1 Conclusion The reference values for global and segmental longitudinal strain and SR obtained from this population study are applicable for use in a wide clinical setting. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351591 Thu, 11 Mar 2010 09:46:28 +0100 3351591 http://www.medworm.com/index.php?rid=3351590&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F172%3Frss%3D1 Conclusion Successful balloon dilation in membranous type PA–IVS can be predicted by a scoring system using RV/LV diameter ratio and RV/LV length ratio. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351590 Thu, 11 Mar 2010 09:46:28 +0100 3351590 http://www.medworm.com/index.php?rid=3351589&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F165%3Frss%3D1 Conclusion Intracoronary autologous BMC transfer provides an overall treatment effect on echocardiographic parameters of diastolic function in patients after AMI. However, this effect is basically related to an early improvement of parameters of diastolic function without a sustained effect on long-term follow-up. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351589 Thu, 11 Mar 2010 09:46:28 +0100 3351589 http://www.medworm.com/index.php?rid=3351588&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F157%3Frss%3D1 Conclusion Quantitative assessment of global and regional RV function during SE was feasible using VVI analysis. Longitudinal velocity and SR of the RV basal lateral wall were significantly better than longitudinal displacement or strain for detecting RV response during SE. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351588 Thu, 11 Mar 2010 09:46:28 +0100 3351588 http://www.medworm.com/index.php?rid=3351587&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F149%3Frss%3D1 Conclusion Systolic M-mode annulus excursion showed better inter-observer reproducibility than other traditional and newer measurements of LV systolic and diastolic function. Repeated analyses of the same recordings underestimate the more clinically relevant inter-observer reproducibility by ~40% for most measurements of LV function. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351587 Thu, 11 Mar 2010 09:46:28 +0100 3351587 http://www.medworm.com/index.php?rid=3351586&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F138%3Frss%3D1 Conclusion In contrast to recommendations of the manufacturer, data sets from both RT3DE transducers showed acceptable agreement to CMR for volumetric parameters only for low tCFA. Fine-tuning of software settings is mandatory to improve accuracy. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351586 Thu, 11 Mar 2010 09:46:28 +0100 3351586 http://www.medworm.com/index.php?rid=3351585&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F131%3Frss%3D1 Conclusion CRT can reduce moderate or severe baseline MR to non-significant in one-third of patients. However, its persistence was associated with worse clinical evolution, greater incidence of arrhythmic events, and less reverse remodelling. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351585 Thu, 11 Mar 2010 09:46:28 +0100 3351585 http://www.medworm.com/index.php?rid=3351584&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F125%3Frss%3D1 Conclusion Trained readers may rapidly estimate EF by a novel WMSI system, which was found to be accurate compared with 3D method and GLS. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351584 Thu, 11 Mar 2010 09:46:28 +0100 3351584 http://www.medworm.com/index.php?rid=3351583&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F119%3Frss%3D1 Conclusion RegR measured by VFM, a new Doppler method allowing quantitative analysis of FV in spite of the presence of turbulent flow, is a highly reproducible parameter with good accuracy for AR quantification. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351583 Thu, 11 Mar 2010 09:46:28 +0100 3351583 http://www.medworm.com/index.php?rid=3351582&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F109%3Frss%3D1 Conclusion For patients with preserved EF received RVA pacing, half of them would develop systolic dyssynchrony which was associated with EF deterioration and LV enlargement. A low normal EF, a high cumulative percentage of RVA pacing, and pre-existing LV hypertrophy were predictors of developing dyssynchrony. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351582 Thu, 11 Mar 2010 09:46:28 +0100 3351582 http://www.medworm.com/index.php?rid=3351581&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F97%3Frss%3D1 Several automated border detection approaches for three-dimensional echocardiography have been developed in recent years, allowing quantification of a range of clinically important parameters. In this review, the background and principles of these approaches and the different classes of methods are described from a practical perspective, as well as the research trends to achieve a robust method. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351581 Thu, 11 Mar 2010 09:46:28 +0100 3351581 http://www.medworm.com/index.php?rid=3351580&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F2%2F81%3Frss%3D1 For many years, the echocardiographic quantitative assessment of right ventricular (RV) function has been difficult owing to the complex RV anatomy. Identifying an accurate and reliable echocardiographic parameter for the functional assessment of the RV still remains a challenge. The review presents a summary of the most studied and presently used parameters of RV function, with their reported normal values, as well as advantages and limitations of use. Combinations of these parameters are used in daily clinical practice, each one offering only partial information about the status of the RV. Myocardial velocity and strain rate imaging have promising results in the assessment of RV function. There is hope that novel myocardial deformation parameters and three-dimensional echocardiography-de... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3351580 Thu, 11 Mar 2010 09:46:28 +0100 3351580 http://www.medworm.com/index.php?rid=3139958&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F91%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139958 Mon, 04 Jan 2010 15:56:34 +0100 3139958 http://www.medworm.com/index.php?rid=3139957&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F89%3Frss%3D1 This is a case report of a patient presenting with breathlessness who was thought to have suspected systemic lupus erythematosus, but was actually diagnosed with an atrial myxoma. It shows how cardiac pathology can be easily misdiagnosed as suspected pulmonary pathology and serves as a reminder to clinicians when investigating a patient with breathlessness. It also raises the question as to which patients should undergo routine pre-operative echocardiography before thoracic surgery. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139957 Mon, 04 Jan 2010 15:56:34 +0100 3139957 http://www.medworm.com/index.php?rid=3139956&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F85%3Frss%3D1 A 71-year-old woman with a history of childhood pulmonary tuberculosis was admitted to our hospital for exertional dyspnoea (NYHA functional class II). Transthoracic and transoesophageal echocardiography demonstrated moderate to severe mixed mitral valve disease due to massive mitral annular calcification (MAC) and extensive infiltrative calcification of the atrioventricular groove. In addition, a very uncommon intramyocardial calcification of the ventricular septum and the lateral free wall was diagnosed. This case demonstrates a rare combination of mitral valve disease secondary to MAC, and a small hypertrophied left ventricle, as well as epipericardial and myocardial calcification likely due either to the massive MAC with myocardial extension or to former tuberculous perimyocarditis. Th... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139956 Mon, 04 Jan 2010 15:56:34 +0100 3139956 http://www.medworm.com/index.php?rid=3139955&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F82%3Frss%3D1 We describe a case of small cell carcinoma of the lung presenting as a mediastinal mass detected incidentally on transthoracic echocardiography and nuclear SPECT imaging. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139955 Mon, 04 Jan 2010 15:56:34 +0100 3139955 http://www.medworm.com/index.php?rid=3139954&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F80%3Frss%3D1 A 64-year-old-man underwent routine elective right-left heart catheterization, 1 year after cardiac transplantation for terminal ischaemic cardiomyopathy. Surprisingly, selective coronary angiography disclosed coronary–pulmonary artery fistula with three feeding vessels originating from the proximal right coronary artery, the proximal portion of the left anterior descending artery, the circumflexus artery, and the left main coronary artery, draining into the pulmonary trunk. For this particular patient, without any significant cardiac complaints or symptoms, with normal cardiac dimensions and haemodynamic findings, a conservative approach was decided on. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139954 Mon, 04 Jan 2010 15:56:34 +0100 3139954 http://www.medworm.com/index.php?rid=3139953&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F77%3Frss%3D1 The present report describes the case of a 55-year-old woman who suffered from cardio-embolic stroke originating from malignant fibrous histiocytoma (MFH) localized on the mitral valve. The patient underwent transthoracic two-/three-dimensional and transoesophageal echocardiography which demonstrated the mass protruding in the outflow tract of the left ventricle. Differential diagnosis had to be made with other masses in the left ventricle, such as thrombi, vegetations, and cardiac tumours. Surgery was performed to remove the tumour and the surgery findings confirmed echocardiographic images. Primary cardiac tumours are a rare entity, and their incidence is ~0.0017–0.019%. The majority of them are benign, but in a quarter of cases they are malignant. This case is an example of an MFH... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139953 Mon, 04 Jan 2010 15:56:34 +0100 3139953 http://www.medworm.com/index.php?rid=3139952&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F74%3Frss%3D1 In this report, a 57-year-old male with diffuse large B-cell lymphoma involving the heart and great vessels is presented. Trans-thoracic echocardiography was the first modality used to establish the diagnosis. Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) showed diffuse increased metabolic activity of the heart walls and hypermetabolic lesions occupying cardiac chambers in some areas. The patient underwent systemic chemotherapy, and after 13 days, a marked regression of the tumour mass was evident based on echocardiographic examination. After completing six R-CHOP chemotherapy treatments, PET imaging was planned to control the residual mass, but the patient was intubated due to pneumonia that developed after the sixth chemotherapy session and ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139952 Mon, 04 Jan 2010 15:56:34 +0100 3139952 http://www.medworm.com/index.php?rid=3139951&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F64%3Frss%3D1 Conclusions RV remodelling in PAH patients can be accurately assessed with both 3DE and CMR. Both modalities are robust and reproducible with CMR being more reproducible for measurements of EF and RV mass. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139951 Mon, 04 Jan 2010 15:56:34 +0100 3139951 http://www.medworm.com/index.php?rid=3139950&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F57%3Frss%3D1 Conclusion In this cohort of patients, TEE confirms the role of ‘gold standard’ exam for the detection of PFO; the non-invasive methods, and the TTE in particular, present a good diagnostic accuracy, but are inferior to the TEE because of the low negative predictive value and the non-optimal detection of small shunts. If the only purpose of TEE is the detection of significative interatrial shunt, TEE can be replaced by TTE. The R3DTE presents a good diagnostic accuracy, provides a better anatomical definition of the interatrial septum, and may have a role in this setting of patients, but does not add a lot to the TTE for the diagnosis. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139950 Mon, 04 Jan 2010 15:56:34 +0100 3139950 http://www.medworm.com/index.php?rid=3139949&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F51%3Frss%3D1 Conclusion The reference ranges presented for the TDI parameters of Sa velocity, Ea velocity, and E/Ea ratio will help to standardize the assessment of LV function by tissue Doppler echocardiography. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139949 Mon, 04 Jan 2010 15:56:34 +0100 3139949 http://www.medworm.com/index.php?rid=3139948&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F44%3Frss%3D1 Conclusion Intra-observer reproducibility for myocardial velocity and deformation indices in neonates is adequate for these parameters to be used in clinical research. Inter-observer reproducibility is sub-optimal suggesting that these measurements should be used in clinical practice with caution. Myocardial acceleration, a marker of contractile function, was poorly reproducible. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139948 Mon, 04 Jan 2010 15:56:34 +0100 3139948 http://www.medworm.com/index.php?rid=3139947&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F38%3Frss%3D1 Conclusion LA remodelling occurs in patients with LV diastolic dysfunction and LA volume expressed the severity of diastolic dysfunction. Initially, the LA compensates for changes in LV diastolic properties by augmenting active atrial contraction. As the severity of diastolic dysfunction increases, this compensatory mechanism fails as atrial mechanical dysfunction sets in, resulting in lower total atrial emptying volume. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139947 Mon, 04 Jan 2010 15:56:34 +0100 3139947 http://www.medworm.com/index.php?rid=3139946&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F27%3Frss%3D1 Although right ventricular (RV) failure is the main cause of death in patients with pulmonary arterial hypertension (PAH), there is insufficient data about the effects of PAH treatment on RV geometry and function mainly because the RV assessment has been hampered by its complex crescentic shape, large infundibulum, and its trabecular nature. Echocardiography is a widely available imaging technique particularly suitable for follow-up studies, because of its non-invasive nature, low cost, and lack of ionizing radiation or radioactive agent. Real-time three-dimensional echocardiography (RT3DE) has been shown to be accurate in assessing RV and left ventricular (LV) volumes, stroke volumes, and ejection fractions in comparison with cardiac magnetic resonance imaging. In this review, we describe... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139946 Mon, 04 Jan 2010 15:56:34 +0100 3139946 http://www.medworm.com/index.php?rid=3139945&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F19%3Frss%3D1 Conclusion The RV seems to accommodate well to acute severe PR. No changes in global or regional longitudinal contractility or deformation were observed despite significant changes in the cardiac chamber geometry. An increase in radial shortening may imply that the RV compensates by increasing radial contraction as an adjunct to dilatation. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139945 Mon, 04 Jan 2010 15:56:34 +0100 3139945 http://www.medworm.com/index.php?rid=3139944&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F14%3Frss%3D1 Conclusions Live 3D TEE allows more sensitivity and was feasible identification of prolapse or flail of individual segments of MV leaflets during surgery. We conclude that live 3D TEE should be regarded as an important adjunct to the standard 2D TEE examination in making decisions about MV surgery. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139944 Mon, 04 Jan 2010 15:56:34 +0100 3139944 http://www.medworm.com/index.php?rid=3139943&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F9%3Frss%3D1 Conclusion Assessment of AVA by means of 3D-TOE is feasible in most patients with aortic valve stenosis. Reliability of the measurement is good. However, there is some disagreement with standard 2D-TTE that needs further investigation. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139943 Mon, 04 Jan 2010 15:56:33 +0100 3139943 http://www.medworm.com/index.php?rid=3139942&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F11%2F1%2F1%3Frss%3D1 Conclusion RT 3D TEE as an adjunct to 2D TEE is a feasible and safe tool to guide transcatheter device closure of interatrial communications, resulting in a reduction of radiation exposure. These data indicate that RT 3D TEE can be used to safely monitor interatrial defect closure in clinical routine. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=3139942 Mon, 04 Jan 2010 15:56:33 +0100 3139942 http://www.medworm.com/index.php?rid=2960478&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2Fiii23%3Frss%3D1 constitute a heterogenous group of heart muscle conditions that all have, in common, the symptoms of heart failure. Diastolic dysfunction with preserved systolic function is often the only echocardiographic abnormality that may be noted, although systolic dysfunction may also be an integral part of some specific pathologies, particularly in the most advanced cases such as amyloid infiltration of the heart. By far, the majority of restrictive cardiomyopathies are secondary to a systemic disorder such as amyloidosis, sarcoidosis, scleroderma, haemochromatosis, eosinophilic heart disease, or as a result of radiation treatment. The much more rare diagnosis of idiopathic restrictive cardiomyopathy is supported only by the absence of specific pathology on either endomyocardial biopsies or at po... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960478 Wed, 04 Nov 2009 15:08:56 +0100 2960478 http://www.medworm.com/index.php?rid=2960477&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2Fiii15%3Frss%3D1 This article therefore explores the pivotal role of echocardiography in the evaluation and management of patients with DCM. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960477 Wed, 04 Nov 2009 15:08:56 +0100 2960477 http://www.medworm.com/index.php?rid=2960500&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F994-a%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960500 Wed, 04 Nov 2009 15:08:55 +0100 2960500 http://www.medworm.com/index.php?rid=2960499&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F994%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960499 Wed, 04 Nov 2009 15:08:55 +0100 2960499 http://www.medworm.com/index.php?rid=2960498&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F993%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960498 Wed, 04 Nov 2009 15:08:55 +0100 2960498 http://www.medworm.com/index.php?rid=2960497&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F991%3Frss%3D1 Here we present a huge cardiac cyst hydatid case with wonderful echocardiographic and computed tomographic images, causing cardiac symptoms and electrocardiographic changes. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960497 Wed, 04 Nov 2009 15:08:55 +0100 2960497 http://www.medworm.com/index.php?rid=2960496&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F989%3Frss%3D1 We report a case of 43-year-old previously healthy male admitted to our hospital with symptoms of heart failure. Two-dimensional echocardiography demonstrated a previously undiagnosed dilated cardiomyopathy and massive left intraventricular thrombi. Because patient did not give consent for surgical thrombectomy, thrombolytic treatment with streptokinase was introduced. In the further course of hospitalization, ischaemic stroke was diagnosed despite the resolution of intracardiac thrombi observed on serial control echocardiography. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960496 Wed, 04 Nov 2009 15:08:55 +0100 2960496 http://www.medworm.com/index.php?rid=2960495&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F987%3Frss%3D1 The pericardial effusion localized on the upper portion of the right atrium is a classical complication of the post-operative heart surgery setting. This issue is most likely not visualized by transthoracic echocardiography and needs the transoesophageal approach. The present case reports a situation where an associated bilateral pleural effusion permitted a new view of the heart which has been helpful to confirm the diagnosis of tamponade and to re-transfer the patient to the operative room. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960495 Wed, 04 Nov 2009 15:08:55 +0100 2960495 http://www.medworm.com/index.php?rid=2960494&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F984%3Frss%3D1 A 64-year-old female presented with biventricular heart failure. Echocardiography revealed features suggestive of amyloidosis, including segmental impairment of longitudinal strain (rate) in the septal and anterior segments, which matched delayed gadolinium-enhanced cardiac magnetic resonance. Guided endomyocardial biopsy confirmed the presence of perivascular amyloid deposits. Tissue Doppler and gadolinium-enhanced magnetic resonance may be helpful in delineating cardiac amyloidosis. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960494 Wed, 04 Nov 2009 15:08:55 +0100 2960494 http://www.medworm.com/index.php?rid=2960493&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F982%3Frss%3D1 We report a case of percutaneous mitral valve repair, using the Mitraclip device, in which we show that application of real-time three-dimensional transoesophageal echocardiography (3D-TEE) is extremely helpful for the guidance of this procedure. Because of its excellent visualization capacities, 3D-TEE simplifies the transseptal puncture, the positioning of the clip above the mitral valve orifice, the grasping of the mitral valve leaflets, and the evaluation of the final result. Therefore, we conclude that 3D-TEE has the potential to increase the safety and efficacy of this new technique to treat mitral regurgitation in patients who cannot undergo conventional valve surgery. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960493 Wed, 04 Nov 2009 15:08:55 +0100 2960493 http://www.medworm.com/index.php?rid=2960492&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F979%3Frss%3D1 Sixty-three-year-old male patient. Previous history of rheumatic valvular disease. He underwent multiple mitral and aortic valve replacements. Nowadays, he presents a periprosthetic mitral leak. He underwent a leak closure by using a percutaneous approach. During the procedure, the superiority of 3D TEE over 2D TEE was confirmed for wires and device positioning, excluding interference with the prosthesis discs and evaluating the residual periprosthetic regurgitation. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960492 Wed, 04 Nov 2009 15:08:55 +0100 2960492 http://www.medworm.com/index.php?rid=2960491&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F975%3Frss%3D1 We present a case of secondary cardiac lymphoma in an HIV patient presenting with heart failure. Transthoracic echocardiography showed increased left ventricular (LV) wall thickness and an extensive mass in the right cavities with involvement of the tricuspid annulus (Figure 1). Doppler tissue imaging (DTI) showed reduced systolic and diastolic velocities at mitral and tricuspid annulus, compatible with systolic and diastolic myocardial dysfunction, likely owing to infiltration. After 2 weeks of chemotherapy, repeated exam showed significant reduction of the tumour mass and of the LV wall thickness, as well as normalized systolic and diastolic velocities at mitral and tricuspid annulus, as assessed by DTI. Use of transthoracic echocardiography, mostly two-dimensional imaging, has been desc... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960491 Wed, 04 Nov 2009 15:08:55 +0100 2960491 http://www.medworm.com/index.php?rid=2960490&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F968%3Frss%3D1 Conclusion In patients with new-onset HF and LVSD for whom there are no clinical and exploratory data suggestive of ischaemic heart disease, CMR with LGE is an excellent means of ruling out significant CAD and is a valid alternative to angiography. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960490 Wed, 04 Nov 2009 15:08:55 +0100 2960490 http://www.medworm.com/index.php?rid=2960489&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F961%3Frss%3D1 Conclusion Dynamic MR during exercise is related to the 3D changes in LV shape and in LV synchronicity. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960489 Wed, 04 Nov 2009 15:08:55 +0100 2960489 http://www.medworm.com/index.php?rid=2960488&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F956%3Frss%3D1 Conclusion Myocardial contrast perfusion echocardiography provides equal endocardial border delineation compared with LVO modality. Although the inter-observer agreement is slightly higher with LVO compared with MCE, it is not significantly different with MCE at peak stress. Despite the similar improvement in endocardial border delineation, LVO settings allow the detection of more WMA than MCE at peak stress, leading to a significantly higher accuracy for the detection of ischaemia in patients suspected of coronary artery disease when only wall motion is taken into account. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960488 Wed, 04 Nov 2009 15:08:55 +0100 2960488 http://www.medworm.com/index.php?rid=2960487&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F947%3Frss%3D1 Conclusion This study demonstrated significant biventricular diastolic and biatrial systolic and diastolic dysfunction in MFS patients. Our findings suggest that MFS affects diastolic function independently. Diastolic abnormalities could be attributed to fibrillin-1 deficiency and dysregulation of transforming growth factor-β activity in the cardiac extracellular matrix. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960487 Wed, 04 Nov 2009 15:08:55 +0100 2960487 http://www.medworm.com/index.php?rid=2960486&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F941%3Frss%3D1 Conclusion In controls, systolic tissue velocities are significantly higher in males compared with females, which may be explained by the increased chamber size of men. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960486 Wed, 04 Nov 2009 15:08:55 +0100 2960486 http://www.medworm.com/index.php?rid=2960485&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F933%3Frss%3D1 Conclusion Contrast echocardiography provided improved prediction of outcome compared with unenhanced echocardiography following AMI. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960485 Wed, 04 Nov 2009 15:08:55 +0100 2960485 http://www.medworm.com/index.php?rid=2960484&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F926%3Frss%3D1 Conclusion In addition to diastolic dysfunction, subclinical LV longitudinal dysfunction is preferentially and frequently observed in asymptomatic diabetes patients with normal LVEF. The decrease in LS correlated with duration of diabetes. 2DSTE has the potential for detecting subclinical LV systolic dysfunction and might provide useful information of the risk stratification in an asymptomatic diabetic population. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960484 Wed, 04 Nov 2009 15:08:55 +0100 2960484 http://www.medworm.com/index.php?rid=2960483&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F922%3Frss%3D1 Conclusion Intraoperative 3D echography is a feasible non-invasive imaging modality for intraoperative assessment of CoA and its repair, which provides useful additional information. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960483 Wed, 04 Nov 2009 15:08:55 +0100 2960483 http://www.medworm.com/index.php?rid=2960482&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F914%3Frss%3D1 Conclusion 2D-S shows a different response in longitudinal and radial functions to increased afterload. Longitudinal function is early impaired, whereas radial function remains preserved. This finding justifies the combined assessment of both radial and longitudinal regional myocardial functions to characterize myocardial dysfunction and might help to better identify the transition to heart failure in pressure-overload cardiomyopathy. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960482 Wed, 04 Nov 2009 15:08:55 +0100 2960482 http://www.medworm.com/index.php?rid=2960481&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F907%3Frss%3D1 Conclusion Intraventricular dyssynchrony correlates with higher LV filling pressure and lower ejection fraction and it is an independent predictor of poor aerobic capacity; it may be helpful for functional evaluation of CHF patients. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960481 Wed, 04 Nov 2009 15:08:55 +0100 2960481 http://www.medworm.com/index.php?rid=2960480&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F906%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960480 Wed, 04 Nov 2009 15:08:55 +0100 2960480 http://www.medworm.com/index.php?rid=2960479&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2F893%3Frss%3D1 The main mission statement of the European Association of Echocardiography (EAE) is ‘to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular ultrasound in Europe’. As competence and quality control issues are increasingly recognized by patients, physicians, and payers, the EAE has established recommendations for training, competence, and quality improvement in echocardiography. The purpose of this document is to provide the requirements for training and competence in echocardiography, to outline the principles of quality measurement, and to recommend a set of measures for improvement, with the ultimate goal of raising the standards of echocardiographic practice in Europe. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960479 Wed, 04 Nov 2009 15:08:55 +0100 2960479 http://www.medworm.com/index.php?rid=2960476&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2Fiii9%3Frss%3D1 Hypertrophic cardiomyopathy (HCM) is diagnosed on the basis of left ventricular (LV) hypertrophy for which there is insufficient explanation (e.g. mild hypertension or mild aortic stenosis with marked hypertrophy). Echocardiography is an invaluable tool in the diagnosis and follow-up of patients with HCM. Echocardiographic assessment requires a comprehensive assessment in several imaging planes with careful attention to correct beam alignment in order to minimize errors in the measurement of LV wall thickness and appropriate identification of hypertrophy with an unusual distribution. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960476 Wed, 04 Nov 2009 15:08:55 +0100 2960476 http://www.medworm.com/index.php?rid=2960475&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2Fiii3%3Frss%3D1 The normal left ventricle comprises an inlet, apical trabecular, and an outlet portion although these portions do not have discrete anatomical borders. The ventricular wall is thickest near the cardiac base and thins to 1–2 mm at the apex. Characteristically, the muscle bundles at the apical portion are thin, but there are also thicker bundles and very fine strands that may be mistaken on imaging as pathologies. Transmurally through the ventricular wall, the myoarchitecture has a typical arrangement of myocardial strands that change orientation from being oblique in the subepicardium to circumferential in the middle and to longitudinal in the subendocardium. The circumferential portion is the thickest with the longitudinal portion the thinnest. In the hypertrophied ventricle the circ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960475 Wed, 04 Nov 2009 15:08:55 +0100 2960475 http://www.medworm.com/index.php?rid=2960474&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F8%2Fiii1%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2960474 Wed, 04 Nov 2009 15:08:55 +0100 2960474 http://www.medworm.com/index.php?rid=2883899&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F889%3Frss%3D1 An 84-year-old man with non-ischaemic cardiomyopathy underwent cardiac resynchronization therapy (CRT) based on the presence of drug-refractory heart failure, depressed left ventricular ejection fraction (25%), and wide QRS complex (160 ms). Longitudinal tissue velocity revealed no significant dyssynchrony (23 ms in Yu index and 35 ms in opposing wall delay). However, longitudinal tissue Doppler strain revealed unique appearances in apical four-chamber and long-axis views. The anterior and inferior septum at basal and mid-levels had reversed strain (becoming positive), indicating paradoxical systolic expansion. Ejection fraction dramatically improved from 26 to 50% the day following CRT, and this beneficial effect of CRT was sustained 12 months following CRT. The presence of the segmental ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883899 Mon, 12 Oct 2009 15:37:39 +0100 2883899 http://www.medworm.com/index.php?rid=2883898&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F887%3Frss%3D1 Standard ultrasound has a poor accuracy in the detection of carotid plaque surface irregularities and ulcers, which are features of vulnerable lesions. Sonographic contrast agents can improve vessel wall lumen definition, thus potentially overcoming this limitation. Recent studies also suggest that contrast ultrasound can be used to study intraplaque neovascularizaion, a potential marker of high-risk lesions. This case represents a striking example of the added value of contrast ultrasound to improve diagnostic accuracy of vascular studies, particularly in the detection of plaque surface irregularities and plaque neovascularization. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883898 Mon, 12 Oct 2009 15:37:39 +0100 2883898 http://www.medworm.com/index.php?rid=2883897&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F884%3Frss%3D1 We report a case with multiple valve papillary fibroelastoma which was identified only by intraoperative transoesophageal echocardiography. The patient complained of atypical chest pains. She was affected by coronary artery disease and had previously had a myocardial infarct. This finding dictated a change in the operative approach. The aortic valve resection was performed in addition to coronary revascularization. If the intraoperative transoesophageal echocardiography was not performed, our patient would have had just coronary artery bypass graft surgery, probably without solving the symptoms. Furthermore, in future she would have undergone another cardiac operation for resection of aortic masses and valve replacement. The intraoperative use of Transoesophageal Echocardiography improves ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883897 Mon, 12 Oct 2009 15:37:38 +0100 2883897 http://www.medworm.com/index.php?rid=2883896&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F880%3Frss%3D1 We report the case of a patient who presented AS associated with left ventricular (LV) dyssynchrony. A DSE was performed, which showed no contractile reserve but an increase in LV dyssynchrony. In this patient, the reduced aortic valve area was probably because of the association of inadequate forward stroke volume due to ischaemic cardiomyopathy and fixed severe AS. The cause of LV dysfunction may include a certain degree of intrinsic myocardial dysfunction due to ischaemic cardiomyopathy and afterload mismatch associated with dynamic LV dyssynchrony, which could be a determinant of forward stroke volume response. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883896 Mon, 12 Oct 2009 15:37:38 +0100 2883896 http://www.medworm.com/index.php?rid=2883895&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F876%3Frss%3D1 In this report, we describe two cases of LHIS where cardiac surgical intervention was indispensable: in the first patient, due to the presence of an additional left atrial tumour found out as mixoma and in the second, to relief a superior vena cava obstruction together with bypass grafts for severe coronary artery disease. Histological samples of the interatrial septal lesion were obtained in both cases either because of uncertainty of the diagnosis (Case 1) or to confirm the diagnosis (Case 2). (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883895 Mon, 12 Oct 2009 15:37:38 +0100 2883895 http://www.medworm.com/index.php?rid=2883894&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F872%3Frss%3D1 We present two cases of IVCT that was incidentally discovered during a routine two-dimensional echocardiography. Real-time three-dimensional echocardiography (RT3DE) assessment of IVCT added more valuable information that may help in its management. To the best of our knowledge, this is the first case report using RT3DE in the assessment of IVCT. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883894 Mon, 12 Oct 2009 15:37:38 +0100 2883894 http://www.medworm.com/index.php?rid=2883893&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F865%3Frss%3D1 Conclusion LA size constitutes a morphological expression of abnormal segmental relaxation, with volume-derived indexes of LA enlargement, exhibiting higher correlation with segmental DD compared to the respective 1D indexes, and LAV/BSA to be an independent predictor of segmental DD in hypertensive heart disease. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883893 Mon, 12 Oct 2009 15:37:37 +0100 2883893 http://www.medworm.com/index.php?rid=2883892&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F858%3Frss%3D1 Conclusion Quantitative CSE has the potential to detect angiographically significant coronary artery stenoses as well as angiographic success after PCI. Trial registration: ClinicalTrials.gov Identifier: NCT00354081. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883892 Mon, 12 Oct 2009 15:37:37 +0100 2883892 http://www.medworm.com/index.php?rid=2883891&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F847%3Frss%3D1 Conclusion Decreased myocardial function results in a more symmetrical outflow, while very asymmetrical traces suggest increased contractility, potentially inducing intra-cavity gradients during DSE. Therefore, including outflow symmetry as a clinical measurement provides additional information on patients with CAD. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883891 Mon, 12 Oct 2009 15:37:37 +0100 2883891 http://www.medworm.com/index.php?rid=2883890&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F841%3Frss%3D1 Conclusion TDI is a more accurate and powerful method than PW or M-mode in determination of early cardiac involvement related to type 1 DM even in the subclinical phase as well as hereditary cardiomyopathies. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883890 Mon, 12 Oct 2009 15:37:36 +0100 2883890 http://www.medworm.com/index.php?rid=2883889&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F833%3Frss%3D1 Conclusion LA deformation is increased in all phases in MR. Unchanged LA EF and reduced A' may reflect the reduced contractile contribution to left ventricular filling. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883889 Mon, 12 Oct 2009 15:37:36 +0100 2883889 http://www.medworm.com/index.php?rid=2883888&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F826%3Frss%3D1 Conclusion The non-invasively obtained Vp evaluates LV relaxation even during AF regardless of ventricular rhythm or the presence of pathological changes. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883888 Mon, 12 Oct 2009 15:37:36 +0100 2883888 http://www.medworm.com/index.php?rid=2883887&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F813%3Frss%3D1 Conclusion Evidence supports the use of quantitative MCE as a non-invasive test for detection of CAD. Standardizing MCE quantification analysis and adherence to reporting standards for diagnostic tests could enhance the quality of evidence in this field. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883887 Mon, 12 Oct 2009 15:37:36 +0100 2883887 http://www.medworm.com/index.php?rid=2883886&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F7%2F811%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2883886 Mon, 12 Oct 2009 15:37:35 +0100 2883886 http://www.medworm.com/index.php?rid=2689645&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F808%3Frss%3D1 A 62-year-old female with supraventricular tachycardia underwent a contrast echocardiogram to assess left ventricular structure and function due to sub-optimal images on conventional imaging. Multi-pulse, phase inversion, low mechanical index imaging was used (left ventricular opacification), combined with bolus dosing of a perflutren microsphere (Definity®). In the parasternal short-axis view, during contrast imaging, flow within a septal coronary artery could be directly visualized. The corresponding coronary angiogram demonstrated prominent septal perforators arising from the LAD artery. By exploiting the non-linear oscillation properties of microbubbles and the linear oscillation properties of tissue, at low MI, contrast-specific imaging has the ability to enhance the contrast sign... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689645 Mon, 10 Aug 2009 23:00:00 +0100 2689645 http://www.medworm.com/index.php?rid=2689644&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F806%3Frss%3D1 We report on a young woman, who initially presented with fever, elevated inflammatory markers, and symptoms of ulcerative pancolitis but without any cardiac co-morbidity. A few days after total colectomy, the patient complained of acute abdominal pain which led to the suspected diagnosis of mesenteric ischaemia caused by a septic embolus. Transthoracic and transoesophageal echocardiography showed a large vegetation on the anterior leaflet of the mitral valve. The patient was successfully treated by an operative approach including mitral valve replacement. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689644 Mon, 10 Aug 2009 23:00:00 +0100 2689644 http://www.medworm.com/index.php?rid=2689643&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F804%3Frss%3D1 A 22-year-old man with a 4 month history of dyspnoea on exertion was referred for echocardiography. Transthoracic echocardiography revealed a balloon-shaped cystic mass (2 x 2 cm) attached to the left ventricular outflow tract (LVOT). Continuous-wave Doppler echocardiography showed a 44 mmHg mean LVOT gradient. The patient underwent transoesophageal echocardiography for detailed echocardiographic examination of LVOT and aortic valve. Transoesophageal echocardiography revealed a balloon-shaped cystic mass originating from the LVOT at the aorto-mitral communication. In the operating theatre, a cystic ballooning subaortic membrane was found and excised successfully. The morphology of the membrane was similar to that shown by transoesophageal echocardiography. (Source: European Journal of Echo... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689643 Mon, 10 Aug 2009 23:00:00 +0100 2689643 http://www.medworm.com/index.php?rid=2689642&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F801%3Frss%3D1 We report a rare case of incomplete form of Shone's complex composed of a complete bridge-type DOMV and bicuspid aortic valve, well demonstrated by both transthoracic and transoesophageal echocardiography and cardiac magnetic resonance imaging. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689642 Mon, 10 Aug 2009 23:00:00 +0100 2689642 http://www.medworm.com/index.php?rid=2689641&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F793%3Frss%3D1 Conclusion Ageing is associated with increased LV torsion secondary to reduced rotational deformation delay and increased peak basal rotation. LV torsion and strain patterns in patients with HfnEF are similar to age-related changes apart from circumferential strain, which is enhanced in patients with HfnEF. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689641 Mon, 10 Aug 2009 23:00:00 +0100 2689641 http://www.medworm.com/index.php?rid=2689640&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F784%3Frss%3D1 Conclusion Three-dimensional echocardiography combined to semi-automated quantification software shows fair agreement with MRI for RV volumes and EF measurement in patients with repaired ToF and adequate intra- and interobserver variability. These results suggest applicability for serial follow-up of patients with right heart congenital disease. However, the accuracy of 3DE echo diminishes with larger RV volumes, in part due to current difficulty to include the entire RV in the imaged sector. Technical progress in transducers beam geometry is likely to address this issue. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689640 Mon, 10 Aug 2009 23:00:00 +0100 2689640 http://www.medworm.com/index.php?rid=2689639&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F776%3Frss%3D1 Conclusion RVP worsens mechanical ventricular dyssynchrony in patients with reduced EF. These effects are most pronounced in patients with either normal QRS width or LBBB during intrinsic rhythm. In contrast, patients with an RBBB during intrinsic rhythm without RVP evidenced a better preserved haemodynamic function and mechanical synchrony with RVP, despite a comparable extent of pacing-induced QRS prolongation. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689639 Mon, 10 Aug 2009 23:00:00 +0100 2689639 http://www.medworm.com/index.php?rid=2689638&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F769%3Frss%3D1 Conclusion Overnight sleeping in OSA patients is associated with the development of subclinical systolic dysfunction and exaggerated diastolic dysfunction. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689638 Mon, 10 Aug 2009 23:00:00 +0100 2689638 http://www.medworm.com/index.php?rid=2689637&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F765%3Frss%3D1 Conclusion In patients with HF with preserved LV ejection fraction, cTnT is strongly associated with the extent of LV relaxation abnormalities and LV mass. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689637 Mon, 10 Aug 2009 23:00:00 +0100 2689637 http://www.medworm.com/index.php?rid=2689636&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F760%3Frss%3D1 Conclusion Patients with TC show abnormal global and regional strain patterns during the acute phase of the disease which improve over time. However, subtle abnormalities of regional LV function seem to persist into the early follow-up period as suggested by the presence of PSS in more than half of LV segments. Long-term follow-up studies are needed to clarify whether these subtle abnormalities will further improve. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689636 Mon, 10 Aug 2009 23:00:00 +0100 2689636 http://www.medworm.com/index.php?rid=2689635&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F753%3Frss%3D1 Conclusion Atrial myocardial deformation properties, assessed by SRI, are abnormal in asymptomatic patients with rheumatic MS. The degree of this impairment is predictor of events in a 3 year follow-up. SRI could be helpful in decision-making of asymtomatic patients with MS. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689635 Mon, 10 Aug 2009 23:00:00 +0100 2689635 http://www.medworm.com/index.php?rid=2689634&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F745%3Frss%3D1 Conclusion In hypertensive subjects with preserved LV EF, parameters of longitudinal LV systolic mechanics may not reflect the LV myocardial contractility status in steady-state conditions under short-term treatment with β1-block. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689634 Mon, 10 Aug 2009 23:00:00 +0100 2689634 http://www.medworm.com/index.php?rid=2689633&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F738%3Frss%3D1 Conclusion The present study provides normal ranges for atrial dimensions and contractility with a new, fast, and reproducible technique that can be used bedside without offline analysis. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689633 Mon, 10 Aug 2009 23:00:00 +0100 2689633 http://www.medworm.com/index.php?rid=2689632&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F733%3Frss%3D1 Conclusion The prevalence of RV systolic and diastolic dysfunctions was not uncommon in patients with preserved EF HF. However, patients with preserved EF HF had milder degree of RV systolic and diastolic dysfunctions compared with those with reduced EF HF. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689632 Mon, 10 Aug 2009 23:00:00 +0100 2689632 http://www.medworm.com/index.php?rid=2689631&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F726%3Frss%3D1 Conclusion DASE with SonoVue© infusion for myocardial perfusion assessment was exceptionally safe even when routinely performed within the first 5 days following a chest pain episode of undetermined origin in subjects without ECG and troponin abnormalities. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689631 Mon, 10 Aug 2009 23:00:00 +0100 2689631 http://www.medworm.com/index.php?rid=2689630&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F723%3Frss%3D1 Conclusion CAS severity progresses faster in D than in non-D in subjects with moderate CAS at baseline. Statins do not affect progression of CAS. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689630 Mon, 10 Aug 2009 23:00:00 +0100 2689630 http://www.medworm.com/index.php?rid=2689629&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F716%3Frss%3D1 Cardiac deformation imaging is being used more and more routinely in resting echocardiography. The technique can also be applied to stress studies, and may provide additional information to that obtained by standard analysis alone. This review explores its present role, limitations, and potential uses. Although currently not widely used in stress studies, deformation imaging has the capability to provide clinically useful information. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689629 Mon, 10 Aug 2009 23:00:00 +0100 2689629 http://www.medworm.com/index.php?rid=2689628&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F6%2F713%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2689628 Mon, 10 Aug 2009 23:00:00 +0100 2689628 http://www.medworm.com/index.php?rid=2564362&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F732%3Frss%3D1 A 13-year-old boy was admitted to our department after an out-of-hospital cardiac arrest during physical exertion. Transitory ST-segment elevation in the anterior chest leads was noted after defibrillation. At 48 h, initial evaluation was performed. Twelve-lead EKG and telemetry were normal. Transthoracic echocardiography showed normal left ventricle (LV) size and global function. Segmental two-dimensional (2D) longitudinal strain of the anterior wall was significantly decreased when compared with the other segments, and was associated with post-systolic shortening. Coronary angiography and 64-slice computed tomography revealed an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). ALCAPA is a rare congenital malformation. The usual clinical course is a severe ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564362 Thu, 02 Jul 2009 23:00:00 +0100 2564362 http://www.medworm.com/index.php?rid=2564361&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F729%3Frss%3D1 Using real-time 3D-speckle-tracking in the clinical course of Tako-Tsubo turned out as a quick and feasible tool for recognition and follow-up of wall motion abnormalities. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564361 Thu, 02 Jul 2009 23:00:00 +0100 2564361 http://www.medworm.com/index.php?rid=2564360&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F726%3Frss%3D1 We describe a case of a 32-year-old Caucasian woman with PFE of pulmonic valve diagnosed by echocardiography. The patient underwent surgery due to high mobility of the tumour and high risk of embolic complications. The surgery was done with complete tumour resection and total preservation of valve function. This case report discusses diagnostics of PFEs, their characteristic echocardiographic and histological features, and possible complications and suggests treatment options in this rare cardiac tumour. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564360 Thu, 02 Jul 2009 23:00:00 +0100 2564360 http://www.medworm.com/index.php?rid=2564359&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F724%3Frss%3D1 We report a case of a quadricuspid aortic valve associated with severe aortic regurgitation and left ventricular systolic dysfunction. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564359 Thu, 02 Jul 2009 23:00:00 +0100 2564359 http://www.medworm.com/index.php?rid=2564358&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F721%3Frss%3D1 A rare presentation with rapidly progressive right heart failure due to tricuspid inflow obstruction (simulating right-sided valvular heart disease) caused by a non-coronary cusp sinus of Valsalva aneurysm with small perforation is reported. The aneurysm was causing ball valve obstruction at the tricuspid valve, leading to dilated right atrium and back pressure changes which were relieved after successful aneurysectomy. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564358 Thu, 02 Jul 2009 23:00:00 +0100 2564358 http://www.medworm.com/index.php?rid=2564357&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F718%3Frss%3D1 An 85-year-old woman underwent transthoracic echocardiography for the investigation of breathlessness and atypical chest discomfort. Clinical examination was unremarkable. A standard 12 lead ECG demonstrated anterior T wave inversion, but was otherwise normal. Transthoracic echocardiography demonstrated a normally functioning left ventricle with hypertrophy and trabeculation of the apical and lateral segments. Imaging with colour flow Doppler demonstrated blood flow from the epicardial surface into the left ventricular cavity through the hypertrophied segment of myocardium during diastole. A diagnosis of multiple, diffuse coronary-left ventricular fistulae predominantly of a large diagonal branch of the left anterior descending artery was made at coronary angiography. The patient responded... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564357 Thu, 02 Jul 2009 23:00:00 +0100 2564357 http://www.medworm.com/index.php?rid=2564356&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F716%3Frss%3D1 We present a case of a mechanical mitral valve thrombosis in a 37-year-old woman occurred 2 days after a Caesarean delivery. The patient stopped warfarin and initiated low-molecular-weight heparin 1 week before the programmed delivery. Subsequently the diagnosis of thrombosis, heparin infusion was started however unsuccessfully and eventually patient was referred for cardiac surgery. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564356 Thu, 02 Jul 2009 23:00:00 +0100 2564356 http://www.medworm.com/index.php?rid=2564355&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F713%3Frss%3D1 We describe a case of a 69-year-old woman in whom the diagnosis of IVNC was discovered late, whereas former echocardiographic examinations were considered normal. She was known for systolic left ventricular dysfunction for 3 years and then became symptomatic (NYHA III). In the past, she suffered from multiple episodes of deep vein thrombosis and pulmonary embolism. Electrocardiogram revealed a wide QRS complex, and transthoracic echocardiography showed typical apical thickening of the left and right ventricular myocardial wall with two distinct layers. The ratio of non-compacted to compacted myocardium was >2:1. Cardiac MRI confirmed the echocardiographic images. Cerebral MRI revealed multiple ischaemic sequellae. In view of the persistent refractory, heart failure in medical treatment ... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564355 Thu, 02 Jul 2009 23:00:00 +0100 2564355 http://www.medworm.com/index.php?rid=2564354&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F711%3Frss%3D1 We report a case where real-time 3D TEE proved the non-thrombotic nature of a particular pectinated muscle arrangement within the LAA. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564354 Thu, 02 Jul 2009 23:00:00 +0100 2564354 http://www.medworm.com/index.php?rid=2564353&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F707%3Frss%3D1 Echo contrast agents are widely used and safe but can rarely produce serious side effects. This—to the author's knowledge—is the first detailed published case report of a patient who had a severe and complex sequence of adverse reactions within 3 min of having an intravenous infusion of Sonovue initiated, and where the causal connection between Sonovue and the adverse reaction is not diluted by potential side effects from dobutamine. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564353 Thu, 02 Jul 2009 23:00:00 +0100 2564353 http://www.medworm.com/index.php?rid=2564352&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F704%3Frss%3D1 We report the case of a patient with an intracardiac mass diagnosed by echocardiography. The pathology of the mass was compatible with ectopic thyroid tissue with no signs of malignancy. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564352 Thu, 02 Jul 2009 23:00:00 +0100 2564352 http://www.medworm.com/index.php?rid=2564351&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F702%3Frss%3D1 A patient with atrial tachycardia presented with dyspnoea on exertion. Transoesophageal echocardiography revealed idiopathic left atrial appendage stenosis. The mouth of the atrial appendage was narrowed, and there was a high velocity to and fro jet between the left atrial body and the left atrial appendage. The study, therefore, suggested isolated left atrial appendage orifice stenosis. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564351 Thu, 02 Jul 2009 23:00:00 +0100 2564351 http://www.medworm.com/index.php?rid=2564350&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F695%3Frss%3D1 Conclusion PSLS at rest was significantly lower in patients with left main or three-vessel CAD without RWMA, and might be useful for identifying patients with a severe CAD. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564350 Thu, 02 Jul 2009 23:00:00 +0100 2564350 http://www.medworm.com/index.php?rid=2564349&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F691%3Frss%3D1 Conclusion Elevated BNP levels correlate with response of systolic right ventricular function assessed by IVA to Dobutamine stress. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564349 Thu, 02 Jul 2009 23:00:00 +0100 2564349 http://www.medworm.com/index.php?rid=2564348&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F683%3Frss%3D1 Conclusion Although both methods regarding LV UR correlated well, these methods cannot be interchanged. STI showed a bias to underestimate UR at high values. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564348 Thu, 02 Jul 2009 23:00:00 +0100 2564348 http://www.medworm.com/index.php?rid=2564347&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F677%3Frss%3D1 Conclusion The empirical relationships derived in this cohort do not support the need to scale myocardial and SR derived from 2D speckle or TDI for any index of LV morphology. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564347 Thu, 02 Jul 2009 23:00:00 +0100 2564347 http://www.medworm.com/index.php?rid=2564346&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F669%3Frss%3D1 Conclusion The most robust method to assess LV rotation with QLAB software is from the mid-myocardium. This method is feasible in approximately two-thirds of subjects and has good intra-observer, inter-observer, and temporal reproducibility, allowing to study changes over time in LV rotation in an individual patient. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564346 Thu, 02 Jul 2009 23:00:00 +0100 2564346 http://www.medworm.com/index.php?rid=2564345&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F663%3Frss%3D1 Conclusion Myocardial contractile reserve (global and regional) is a strong predictive factor of LV reverse remodelling after CRT. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564345 Thu, 02 Jul 2009 23:00:00 +0100 2564345 http://www.medworm.com/index.php?rid=2564344&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F654%3Frss%3D1 Conclusion Abnormal relaxation appears to have a particular distribution over the myocardial walls. Basal parts are generally more heavily affected, particularly the septal and inferior walls. The lateral wall and apical regions are more resistant to diastolic abnormalities. In subjects with normal global DD, strain echocardiography has an incremental value over mitral annular diastolic velocities and global indices of DD for early detection of diastolic abnormalities. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564344 Thu, 02 Jul 2009 23:00:00 +0100 2564344 http://www.medworm.com/index.php?rid=2564343&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F647%3Frss%3D1 Conclusion Type 2 diabetic patients demonstrate an early and concomitant induction of systolic and diastolic myocardial dysfunction as a preclinical manifestation of diabetic cardiomyopathy. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564343 Thu, 02 Jul 2009 23:00:00 +0100 2564343 http://www.medworm.com/index.php?rid=2564342&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F641%3Frss%3D1 Conclusion Our results confirm progressive adverse RV–LV interaction in the long-term post-operative follow-up of TOF. The use of z-scores facilitated the analysis of time courses of LV and RV diameters. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564342 Thu, 02 Jul 2009 23:00:00 +0100 2564342 http://www.medworm.com/index.php?rid=2564341&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F635%3Frss%3D1 Conclusion Pulmonary artery systolic pressure at peak exercise can reach values ≥60 mmHg in many healthy individuals older than 60 with good exercise capacity. However, high levels of PASP > 60 mmHg for low level of exercise should be considered abnormal. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564341 Thu, 02 Jul 2009 23:00:00 +0100 2564341 http://www.medworm.com/index.php?rid=2564340&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F630%3Frss%3D1 Conclusion Despite the post-operative reduction of RV performance along the long axis suggested by TAPSE and PSV, the absence of a decrease in 3D RVEF leads to caution in the interpretation of these 2D and Doppler parameters after cardiac surgery, supporting the hypothesis of geometrical rather than functional changes in the right ventricle. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564340 Thu, 02 Jul 2009 23:00:00 +0100 2564340 http://www.medworm.com/index.php?rid=2564339&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F625%3Frss%3D1 Conclusion Aortic arch analysis showed significant pathology in 2% of the adult population undergoing routine TTE. This led to therapeutic interventions in all patients with abnormal findings, and to curative therapy in more than quarter of them. Aortic arch analysis should be mandatory during a routine exam and part of any standard digital acquisition protocol for TTE in adults. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564339 Thu, 02 Jul 2009 23:00:00 +0100 2564339 http://www.medworm.com/index.php?rid=2564338&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F619%3Frss%3D1 Conclusions RT3DE provides improved accuracy of RV function assessment and decreases interobserver variability when compared with 2D views. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564338 Thu, 02 Jul 2009 23:00:00 +0100 2564338 http://www.medworm.com/index.php?rid=2564337&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F613%3Frss%3D1 Conclusions Ejection fraction is not the arithmetic average of regional EFs. An increase of asynchrony increases D-EF, i.e. it reduces the merit of EF as a measure of cardiac function. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564337 Thu, 02 Jul 2009 23:00:00 +0100 2564337 http://www.medworm.com/index.php?rid=2564336&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F607%3Frss%3D1 Conclusions Speckle tracking echocardiography dobutamine stress appears to provide comprehensive information on LV mechanical status in the aftermath of ACE. The modality may help risk stratify such patients. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564336 Thu, 02 Jul 2009 23:00:00 +0100 2564336 http://www.medworm.com/index.php?rid=2564335&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F602%3Frss%3D1 Conclusion The Aortascan BVI 9600 automatically detects the aortic diameter with a 90% sensitivity without the need for a trained operator. Because of these unique capabilities, it can be used for AAA screening outside the hospital. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564335 Thu, 02 Jul 2009 23:00:00 +0100 2564335 http://www.medworm.com/index.php?rid=2564334&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F594%3Frss%3D1 Echocardiography has become an integral part of modern cardiology, and parameters measured by echocardiography are enshrined in guidelines as components of clinical decision-making in the management of heart failure, valve disease and arrhythmias. This review will explore four modalities which will underpin the future of echocardiography - the hand-held machine, quantification, three-dimensional imaging, and contrast. Finally, we will explore the implications of the new financial milieu for the selection of cardiac imaging modalities. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564334 Thu, 02 Jul 2009 23:00:00 +0100 2564334 http://www.medworm.com/index.php?rid=2564333&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F585%3Frss%3D1 During the last decade tissue Doppler and myocardial deformation imaging has been introduced to quantify myocardial function in patients with congenital heart disease. These methods could have potential benefits for patients where the anatomy makes it difficult to quantify ventricular function using M-mode or two-dimensional volumetric techniques. In this overview, the potential benefits as well as limitations of the techniques are discussed. Looking directly into the myocardium renders the techniques geometry-independent, allowing the quantification of right ventricular as well as univentricular systolic function. The limitations include the influence of variable loading conditions as well as different methodological problems. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564333 Thu, 02 Jul 2009 23:00:00 +0100 2564333 http://www.medworm.com/index.php?rid=2564332&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F5%2F583%3Frss%3D1 (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2564332 Thu, 02 Jul 2009 23:00:00 +0100 2564332 http://www.medworm.com/index.php?rid=2443492&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F596%3Frss%3D1 Shunt malformations caused by a prior cardiac gunshot accident are a very rare cause for late deterioration of ventricular function. This case describes the long-term echocardiographic findings in a patient with a cardiac gunshot at age 13, presenting with progressive signs of congestive heart failure 25 years later. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443492 Fri, 29 May 2009 04:00:00 +0100 2443492 http://www.medworm.com/index.php?rid=2443491&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F593%3Frss%3D1 Cardiac myxomas originating from the left ventricular free wall are extremely rare. A 32-year-old Swiss male was found to have a 5  x  3  x  3 cm myxoma originating from the left ventricular free wall using transthoracic echocardiography. The tumour was successfully treated by surgical excision but the mitral valve could not be preserved because of an untypical interference of the myxoma with the subvalvular apparatus. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443491 Fri, 29 May 2009 04:00:00 +0100 2443491 http://www.medworm.com/index.php?rid=2443490&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F590%3Frss%3D1 We report a case of accidental finding of asymptomatic cardiac and pulmonary embolism caused by cement leakage after PVP. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443490 Fri, 29 May 2009 04:00:00 +0100 2443490 http://www.medworm.com/index.php?rid=2443489&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F588%3Frss%3D1 We present the case of a mobile tricuspid valve blood cyst that was incidentally found in a patient evaluated for systolic heart murmur. Systolic murmur was found to originate from a muscular-type ventricular septal defect of no haemodynamic significance. The lack of echocardiographic evidence of tricuspid valvular dysfunction and indication for repair of co-existent ventricular septal defect suggested a benign course and, therefore, we monitored the patient safely by echocardiography. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443489 Fri, 29 May 2009 04:00:00 +0100 2443489 http://www.medworm.com/index.php?rid=2443488&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F585%3Frss%3D1 We present a case of a patient with an IDH after acute anterolateral myocardial infarction, focusing on the utility of echocardiography in the diagnosis and follow-up of this unusual complication. By this imaging modality, it was possible to see the various acoustic densities of the progressive clotting of the intramyocardial haematoma, its extension through the haemorrhagic dissection, as well as its independency in relation to ventricular cavities and extracardiac space by confirming intact epicardial and endocardial layers. Based on this report, we believe that serial two-dimensional echocardiography, added, when necessary, by the use of contrast agents is the non-invasive method ideally suited to confirm the diagnosis and monitor its evolution at the patient's bedside. (Source: Europea... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443488 Fri, 29 May 2009 04:00:00 +0100 2443488 http://www.medworm.com/index.php?rid=2443487&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F582%3Frss%3D1 We report the case of a patient with ischaemic cardiomyopathy who was admitted to our hospital for an echocardiographic follow-up a few days after the implantation of a biventricular pacemaker/defibrillator. Transthoracic echocardiographic examination revealed an immobile echogenic mass attached to the left atrial side of the fossa ovalis which was not present a month before the biventricular pacemaker implantation. Because the images of the pre-operative echocardiogram were not available at the time of the examination, the differential diagnosis included a tumour or a thrombus formed on the left side of intra-atrial septum. The use of low myocardial infarction contrast echocardiography and power Doppler clarified the lack of microcirculation and blood flow within the mass, respectively, a... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443487 Fri, 29 May 2009 04:00:00 +0100 2443487 http://www.medworm.com/index.php?rid=2443486&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F579%3Frss%3D1 We describe the first case of LV–RA communication following a tricuspid annuloplasty not combined to a left valve surgery. The case we report concerns a 73-year-old woman who underwent a double-valve surgery (pulmonary valve replacement and tricuspid annuloplasty) for symptomatic severe right heart failure due to post-endocarditis pulmonary valve regurgitation. A LV–RA shunt was discovered 1 year after surgery. This case report confirms the responsibility of a tricuspid annuloplasty in an acquired LV–RA shunt. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443486 Fri, 29 May 2009 04:00:00 +0100 2443486 http://www.medworm.com/index.php?rid=2443485&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F576%3Frss%3D1 We report on an 81-year old man with decompensated severe aortic regurgitation due to a large paravalvular leakage of mechanical aortic valve prosthesis. Because of relevant co- morbidities the patient was unable to undergo cardiovascular surgery. Non- invasive imaging allowed exact localization of the leakage and sizing of the defect diameter; therefore, we decided to perform interventional closure of the defect using the Amplatzer Vascular Plug III device. The intervention was guided by transoesophageal echocardiography. Afterwards the patient's medical condition improved continuously. Follow up echocardiography showed stepwise decrease in severity of aortic valve insufficiency. These findings illustrate, first, that echocardiography is extremely helpful to select patients which may bene... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443485 Fri, 29 May 2009 04:00:00 +0100 2443485 http://www.medworm.com/index.php?rid=2443484&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F572%3Frss%3D1 We present two patients with symptomatic paravalvular mitral regurgitation who were deemed too high risk for re-operation because of multiple previous sternotomies and comorbidities. Percutaneous three-dimensional (3D) echocardiography-guided repair with septal occluder devices was undertaken in the first case of a paravalvular defect adjacent to a mitral bioprosthesis and in the second case adjacent to a mechanical mitral prosthesis. Both cases illustrate the advantage 3D echocardiography provides by allowing en-face views of the paravalvular leak and unique views of the catheter and device placement. The second case further demonstrates the novel use of full volume colour to define the extent of the regurgitant jet and provides information critical to device sizing and placement. (Source... European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443484 Fri, 29 May 2009 04:00:00 +0100 2443484 http://www.medworm.com/index.php?rid=2443483&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F569%3Frss%3D1 We present an adult patient who had an acute myocardial infarction complicated by a ventricular septal defect and had it repaired percutaneously. Real-time three-dimensional echocardiography (RT3D) before and during the closure procedure were performed. RT3D provided anatomical and functional information of the defect as well as real-time guidance during the procedure. This case highlights the utility of three-dimensional echocardiography in guiding transcatheter procedures. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443483 Fri, 29 May 2009 04:00:00 +0100 2443483 http://www.medworm.com/index.php?rid=2443482&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F567%3Frss%3D1 We report a case of an unusual congenital mitral regurgitation resulting from restriction of the mitral leaflet caused by thick fibrotic tissue connecting left atrial roof and the anterior leaflet precluding sufficient coaptation. To the best of our knowledge, this pathology has never been reported before. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443482 Fri, 29 May 2009 04:00:00 +0100 2443482 http://www.medworm.com/index.php?rid=2443481&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F562%3Frss%3D1 Conclusion Doppler annular velocities provided useful information for prognostication of patients with systolic HF. Particularly, categorization of patients according to Em velocities allowed us to further stratify patients with RMF and non-RMF. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443481 Fri, 29 May 2009 04:00:00 +0100 2443481 http://www.medworm.com/index.php?rid=2443480&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F556%3Frss%3D1 Conclusion Coronary artery spasm can be induced at DSE, but is a rare finding; it could, though, be clinically relevant as it may partly explain some erroneously labelled ‘false-positive’ examinations. Methylergometrine provocation test is a safe and advisable approach in such situations. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443480 Fri, 29 May 2009 04:00:00 +0100 2443480 http://www.medworm.com/index.php?rid=2443479&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F549%3Frss%3D1 Conclusion Our findings indicate that epicardial fat reflects carotid artery stiffness in hypertension-induced organ damage. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443479 Fri, 29 May 2009 04:00:00 +0100 2443479 http://www.medworm.com/index.php?rid=2443478&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F543%3Frss%3D1 Conclusion RT3D TEE can be used to guide transcatheter ASD closure with the advantages of lower cost than ICE, and ability to visualize en-face views of the ASD. ASD and BD as measured by RT3D TEE differ when compared with 2D imaging. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443478 Fri, 29 May 2009 04:00:00 +0100 2443478 http://www.medworm.com/index.php?rid=2443477&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F537%3Frss%3D1 Conclusion Implementation of digital echocardiography, certified sonographers, and a miniaturized echo system allowed improvement of the cost-effectiveness of the service provided by the echo-lab for inpatients, and avoided patients' discomfort derived from prolonged waiting time before and after the exam. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443477 Fri, 29 May 2009 04:00:00 +0100 2443477 http://www.medworm.com/index.php?rid=2443476&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F532%3Frss%3D1 Conclusion The present study has established and confirmed a solid, easy to use nomogram-based method to accurately quantify severe AS. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443476 Fri, 29 May 2009 04:00:00 +0100 2443476 http://www.medworm.com/index.php?rid=2443475&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F527%3Frss%3D1 Conclusion Young trained BAV athletes have normal LV performance. Nevertheless, these athletes tend to have lower strain than healthy subjects in the LV basal segments. The clinical implications of this finding are uncertain and require further investigation. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443475 Fri, 29 May 2009 04:00:00 +0100 2443475 http://www.medworm.com/index.php?rid=2443474&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F519%3Frss%3D1 Conclusion Arterial stiffness and LVH are independently related to abnormal segmental relaxation and global longitudinal systolic deformation in hypertensive disease. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443474 Fri, 29 May 2009 04:00:00 +0100 2443474 http://www.medworm.com/index.php?rid=2443473&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F513%3Frss%3D1 Conclusion CE is an extremely sensitive procedure for the detection of PAVMs with substantial clinical impact. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443473 Fri, 29 May 2009 04:00:00 +0100 2443473 http://www.medworm.com/index.php?rid=2443472&cid=s_35540_7_f&fid=35540&url=http%3A%2F%2Fejechocard.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F10%2F4%2F509%3Frss%3D1 We describe a group of family members, including a pair of identical twins, each of whom suffered from thalassaemia major requiring multiple transfusions. Cardiac magnetic resonance demonstrated myocardial iron overload, and impairment of systolic function. Echocardiography confirmed both significant left ventricular systolic and diastolic impairment, along with features consistent with left ventricular non-compaction. This finding has not been noted in association with thalassaemia-related cardiac disease before. We then review the cardiac manifestations which occur in association with thalassaemia major. (Source: European Journal of Echocardiography) European Journal of Echocardiography journals http://www.medworm.com/rss/comments.php?id=2443472 Fri, 29 May 2009 04:00:00 +0100 2443472