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Procedure: Ultrasound
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Total 378 results found since Jan 2013.
A woman in her 50s with acute chest pain
Submitted and written by Anonymous, edits by Meyers and SmithA 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache.Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 FTriage ECG:ECG Interpretation:Sinus rhythm with normal QRS. There is slight STE in V1, V2, and aVR, with STD in V3-V6, I, aVL, and II. There are T waves in lead III which are suspicious for hyperacute T waves, with reciprocal negative large T wave inversions in aVL. I do not think this ECG is by itself diagnostico...
Source: Dr. Smith's ECG Blog - January 6, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Intraoperative Imaging for Porcelain Aorta
Diffuse calcification of ascending aorta which may extend down is known as “Porcelain aorta”. Intraoperative epiaortic echocardiography along with manual palpation during surgery has been described as the most sensitive technique for detecting ascending aortic atheroma and calcification [1].
A prospective study evaluated this in hundred consecutive patients undergoing coronary bypass or valve surgery [2]. Ascending aorta was assessed by manual palpation by the operating surgeon, intraoperative transesophageal echocardiography and epiaortic ultrasound using linear and phased-array imaging. No difference was noted...
Source: Cardiophile MD - December 28, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Fujifilm Announces Asset Purchase Agreement with Inspirata, Inc. to Acquire the Company ’s Digital Pathology Business
Company to expand robust Enterprise Imaging offering with addition of Inspirata’s Digital Pathology technology and team
FUJIFILM Corporation (President and CEO, Representative Director: Teiichi Goto) today announced the company has entered into an asset purchase agreement to acquire the global digital pathology business of Tampa, Florida-based Inspirata, Inc. Upon completion of this agreement, Inspirata’s Dynamyx® digital pathology technology, employees and customers will become part of Fujifilm. The addition of digital pathology will expand Fujifilm’s robust Synapse® Enterprise Imaging offering to enable th...
Source: EMR and HIPAA - December 27, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Cardiology PACS digital pathology Dynamyx FUJIFILM FUJIFILM Corporation FUJIFILM Healthcare Americas Corporation FUJIFILM Healthcare Europe FUJIFILM Medical Systems Europe Fujifilm’s Robust Synapse® E Source Type: blogs
Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said " Nothing too exciting. "
This article fails to specify whether it was troponin I or T, but I contacted the institution and they used exclusively troponin I during that time period.Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. The impact of ST-segment elevation on the prognosis of patients with Takotsubo cardiomyopathy. J Electrocardiol [Internet] 2022;Available from: http://dx.doi.org/10.1016/j.jelectrocard.2022.09.009Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%)V Fib Cardiac arrestProlonged QTCNSTEMI (Smith comment: is it NSTEMI or is it Takotsubo? -- these are entirely different)Moderate sin...
Source: Dr. Smith's ECG Blog - November 30, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
A woman in her 20s with syncope
Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and GrauerA woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope.Her initial vital signs revealed a temp of 97.7F, HR 125, RR 20, BP 115/90, and an oxygen saturation of 95% on room air. Upon arrival, she did not appear in acute distress. She was noted to be tachycardic and her heart sounds were distant on physical exam. She had a normal respiratory effort, and her lungs were clear to...
Source: Dr. Smith's ECG Blog - November 28, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?
ConclusionsSTE-aVR with multilead ST depression was associated with acutely thrombotic coronary occlusion in only 10% of patients. Routine STEMI activation in STE-aVR for emergent revascularization is not warranted, although urgent, rather than emergent, catheterization appears to be important.===================================MY Comment, by KEN GRAUER, MD (11/5/2022):===================================Our thanks to Drs. El-Baba and McLaren — for their presentation in today’s post about an important topic worthy of our periodic reminders. We’ve presented many variations on this theme on...
Source: Dr. Smith's ECG Blog - November 4, 2022 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
What is myocardial contrast echocardiography?
Myocardial contrast echocardiography (MCE) is used for the assessment of myocardial microcirculation and endocardial demarcation. MCE uses gas-filled microbubbles that are inert and remain wholly within the vascular space. These microbubbles have an intravascular rheology similar to that of red blood cells [1]. A continuous intravenous infusion of microbubbles is given to achieve a steady state. These microbubbles are destroyed by high energy ultrasound. The rate of microbubble replenishment within the ultrasound beam is measured and represents the mean red blood cell velocity [2].
Normally, the ultrasound beam fills with...
Source: Cardiophile MD - November 1, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
30 yo woman with trapezius pain. HEART Pathway = 0. Computer " Normal " ECG. Reality: ECG is Diagnostic of LAD Occlusion.
This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story.A completely healthy 30-something year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat. It resolved after about 5 minutes, but then recurred and was sustained for over an hour. She called 911.EMS recorded these prehospital ECGs:Time 0:In V2-V4, there is ST elevation that does not meet STEMI " criteria, " of 1.5 mm at the J-point, relative to the PQ junction. But there are also u...
Source: Dr. Smith's ECG Blog - October 23, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
What is high altitude pulmonary edema (HAPE)? Cardiology Basics
High altitude pulmonary edema is pulmonary edema which occurs on rapid ascent to high altitudes. It is a potentially life threatening condition and is a severe form of mountain sickness. Severe breathlessness with fall of oxygen level in the blood occurs in this condition. Cyanosis may be noted. The best way to prevent it is to ascend gradually, taking a few days to climb to 3000 meters. After that climb only very slowly, only about 300 to 500 meters a day. The risk is more if your usual residence is near sea level so that you are not acclimatized to high altitude at all. Previous episode increases your risk of a recurren...
Source: Cardiophile MD - October 19, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
How can exercise prevent cardiovascular disease? Cardiology Basics
Dr. Paul Dudley White, the famous physician who has taught many a luminary in the field of cardiology once wrote that heart disease before eighty is our fault and not God’s will or nature’s will.
This means that he recognized long back, the role of life-style modification in preventing heart disease. Exercise in a regular pattern is one of the important life style modifications which everyone can adopt to prevent or delay cardiovascular disease. Exercise helps in various ways for prevention of cardiovascular disease. In those with established cardiovascular disease, graded exercise programs can promote the formation o...
Source: Cardiophile MD - October 15, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What is colour Doppler echocardiography? Cardiology Basics
Usual colour Doppler echocardiogram is superimposition of colour Doppler images on a two dimensional echocardiogram. Colour M-Mode is superimposition of colour Doppler images on an M-Mode echocardiogram. The principle of Doppler is that the frequency of sound wave coming from an object which is moving towards the ultrasound probe increases while that from an object moving away from the probe decreases. It is similar to the difference in the sound of a train whistle, which is different when the train is moving towards you than when it is moving away from you. In Doppler echocardiography, the target is moving red blood cell...
Source: Cardiophile MD - October 14, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What is the significance of a PFO? Cardiology Basics
PFO is short form for patent foramen ovale. Usually foramen ovale closes soon after birth so that there is no communication between the two atria in most persons. But occasionally, a small opening may persist and then it is called PFO. PFO is a valvular opening through the interatrial septum.
When the pressure in the left atrium rises after birth as the lungs become functional and increases pulmonary venous return, it presses on the left side of the foramen ovale and closes it. Even if there is a residual opening, most of the time there is no shunting of blood across the PFO because left atrial pressure is higher than tha...
Source: Cardiophile MD - October 12, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
How to interpret an echo report? Cardiology Basics
Echocardiogram, often called just echo in short is ultrasound imaging of the heart. Though the actual types of details mentioned in echo report may vary between institutions and even persons reporting it, in general there are several common aspects. Reports of children with congenital heart disease will have a different pattern. This discussion is mainly on an echo report from a general cardiology setup.
In addition to details of identification and date of procedure, indication for the study and the quality of images are usually mentioned in the beginning of the report. Quality of images may be poor in those with emphysem...
Source: Cardiophile MD - October 12, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What is Transesophageal echocardiogram (TEE)? Cardiology Basics
Echocardiogram is an image of the heart using ultrasound. An ultrasound beam is transmitted into the body using a device known as transducer. The echo received from the body is processed by the computer in the machine to give a moving image of the heart.
Transesophageal echocardiogram or TEE, is obtained by introducing a special type of transducer, also called a TEE probe, into the esophagus and stomach. Usual echocardiogram is obtained by placing the transducer or probe on the chest.
Lungs may overlap the heart intermittently while imaging the heart from the chest wall. This is because the lungs cover part of the heart d...
Source: Cardiophile MD - October 11, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Ultrasound lung comets or B lines in pulmonary edema – Cardiology Basics
Ultrasound lung comets or B lines in pulmonary edema – Cardiology Basics
Usually air in the lungs does not permit transmission of ultrasound and that is the reason for poor echo window in those with chronic obstructive airways disease. But when the lung is waterlogged in pulmonary edema, certain broad lines extending from the transducer location to the end of the imaging field appear on lung ultrasound. These have been called as B lines or ultrasound lung comets. They move with the lung movement in respiration. B lines are easy to detect with any ultrasound device including pocket devices and conventional echocardiog...
Source: Cardiophile MD - October 11, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
