Cardiovascular Ultrasound
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Baseline and follow-up assessment of regional left ventricular volume using 3-dimensional echocardiography: comparison with cardiac magnetic resonance
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The assessment of regional volumes is an option for analysis of the response of LV segments to interventions such as revascularization or cell therapy. We sought to compare regional volumes from 3D-echocardiography (3DE) with cardiac magnetic resonance (CMR) over follow-up.CMR regional volumes were assessed at baseline and after one year follow-up in 30 unselected patients (28men, 65+/-11years) presenting for evaluation of cardiac function with previous infarction. 3DE images were also gathered over 4 cardiac cycles and measurements were performed off-line. CMR images were obtained using a 1.5 Tesla scanner and measured of...
Source: Cardiovascular Ultrasound - November 19, 2009 Category: Radiology Authors: Carly JenkinsThomas Marwick Source Type: journals
Influence of involvement of anterior leaflet versus posterior leaflet on residual regurgitation as assessed by transesophageal echocardiography in patients undergoing valve repair for mitral regurgitation due to mitral valve prolapse
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Conclusions:
In our study population, patients with anterior leaflet prolapse had a higher proportion of residual MR 1+/2+ as compared to those with posterior leaflet prolapse after repair of mitral valve. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - November 17, 2009 Category: Radiology Authors: Laureta SulcajAntonio RizzaMattia GlauberGiuseppe TrianniCataldo PalmieriMarcello RavaniAlban DibraStefano MaffeiSergio Berti Source Type: journals
Functional measurements based on feature tracking of cine magnetic resonance images identify left ventricular segments with myocardial scar
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Conclusions:
Feature tracking analysis of cine-MR displays velocity, displacement and strain in the radial and longitudinal direction and may be used for the detection of transmural scar. The accuracy and repeatability of the radial functional measurements is satisfactory and global measures agree. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - November 16, 2009 Category: Radiology Authors: Eva MaretTim TodtLars BrudinEva NylanderEva SwahnJan OhlssonJan Engvall Source Type: journals
Predictors of right ventricular function as measured by
tricuspid annular plane systolic excursion in heart failure
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IntroductionTricuspid Annular Plane Systolic Excursion (TAPSE) has independent prognostic value in heart failure patients but may be influenced by left ventricular (LV) ejection fraction. The present study assessed the association of TAPSE and clinical factors, global and regional LV function in 634 patients admitted for symptomatic heart failure.Methods & ResultsTAPSE were correlated with global and regional measures of longitudinal LV function, segmental wall motion scores and measures of diastolic LV function as measured from transthoracic echocardiography.LV ejection fraction, wall motion index scores, atrio-ventricula...
Source: Cardiovascular Ultrasound - November 4, 2009 Category: Radiology Authors: Jesper KjaergaardKasper IversenDilek AkkanJacob Eifer MollerLars KoberChristian Torp-PedersenChristian Hassager Source Type: journals
The accessory papillary muscle with inferior J-waves - peculiarity or hidden danger?
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Originally described in 1953, today the so-called J-wave is the source of much controversy. As a marker of so-called "early repolarization", this variant has been regarded as a totally benign variant since the 1960's. However, since then a wealth of data have indicated that the J-wave may be a marker of a highly arrhythmogenic substrate with a resultant high risk of sudden cardiac death.In this case report a case of an accessory papillary muscle with a prominent J-wave is described. This may be the first of many possible cases where papillary muscle variants may be the cause of the J-wave. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - October 29, 2009 Category: Radiology Authors: James KerLorraine du Toit Source Type: journals
The accessory papillary muscle with inferior J-waves--peculiarity or hidden danger ?
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Originally described in 1953, today the so-called J-wave is the source of much controversy. As a marker of so-called "early repolarization", this variant has been regarded as a totally benign variant since the 1960`s. However, since then a wealth of data have indicated that the J-wave may be a marker of a highly arrhythmogenic substrate with a resultant high risk of sudden cardiac death.In this case report a case of an accessory papillary muscle with a prominent J-wave is described. This may be the first of many possible cases where papillary muscle variants may be the cause of the J-wave. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - October 29, 2009 Category: Radiology Authors: James KerLorraine du Toit Source Type: journals
Relationship between B-type natriuretic peptide levels and echocardiographic indices of left ventricular filling pressures in post-cardiac surgery patients
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Background:
B-type natriuretic peptide (BNP) is increased in post-cardiac surgery patients, however the mechanisms underlying BNP release are still unclear. In the current study, we aimed to assess the relationship between postoperative BNP levels and left ventricular filling pressures in post-cardiac surgery patients.
Methods:
We prospectively enrolled 134 consecutive patients referred to our Center 8+/-5 days after cardiac surgery. BNP was sampled at hospital admission and related to the following echocardiographic parameters: left ventricular (LV) diastolic volume (DV), LV systolic volume (SV), LV ejection fraction (EF)...
Source: Cardiovascular Ultrasound - October 28, 2009 Category: Radiology Authors: Alessandro SalustriElena CerquetaniMara PiccoliGuglielmo PastenaAlfredo PosteraroElisabetta AmiciSalvatore La CarrubbaSherif BakirWael Al Mahmeed Source Type: journals
Tissue Doppler Imaging can be useful to distinguish pathological from physiological left ventricular hypertrophy: a study in master athletes and mild hypertensive subjects
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Background:
Transthoracic echocardiography left ventricular wall thickness is often increased in master athletes and it results by intense physical training. Left Ventricular Hypertrophy can also be due to a constant pressure overload. Conventional Pulsed Wave (PW) Doppler analysis of diastolic function sometimes fails to distinguish physiological from pathological LVH.The aim of this study is to evaluate the role of Pulsed Wave Tissue Doppler Imaging in differentiating pathological from physiological LVH in the middle-aged population.
Methods:
we selected a group of 80 master athletes, a group of 80 sedentary subjects wit...
Source: Cardiovascular Ultrasound - October 20, 2009 Category: Radiology Authors: Giorgio GalantiLoira ToncelliFrancesca Del FuriaLaura StefaniBrunello CappelliAlessio De LucaMaria Concetta Robertina Vono Source Type: journals
A modified echocardiographic protocol with intrinsic plausibility control to determine intraventricular asynchrony based on TDI and TSI
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Conclusion:
Our results suggest that combination of TDI and TSI with intrinsic plausibility control improves intra- and interobserver variability and allows easy and reliable assessment of cardiac asynchrony. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 24, 2009 Category: Radiology Authors: Henryk DregerAdrian BorgesBruno IsmerSebastian SchattkeBerthold StegemannGert BaumannChristoph Melzer Source Type: journals
Atypical atrial myxomas in two asymptomatic patients: a case report
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Conclusion:
We emphasize the leading role of transthoracic and transoesophageal echocardiography in the diagnosis of intracavitary cardiac tumours. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 7, 2009 Category: Radiology Authors: Nicholas CharokoposEfthymia RouskaChristodoulos PliakosEfstathios PagoureliasPanagiotis ArtemiouChristoforos ForoulisNikolaos Papadopoulos Source Type: journals
Nonsurgical management of a tricuspid valvular pedunculated papillary fibroelastoma
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A 25-year-old woman with a history of kidney transplantation for lupus nephritis was referred for the evaluation and management of a mass incidentally found on echocardiography. An oval and pedunculated mass attached to the tricuspid valve was managed with nonsurgical treatment. No symptoms and complications attributable to the mass developed. Three years later, the size of the mass decreased. Here we report the case of a probable cardiac papillary fibroelastoma (PFE), a mobile mass, with a stalk on the septal leaflet of the tricuspid valve that was managed for three years without surgical treatment. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 3, 2009 Category: Radiology Authors: Sang-Hoon SeolDong-Soo KimYang-Chun HanKi-Hun KimYoung-Bok KimDong-Kie KimUng KimTae-Hyun YangDae-Kyeong KimDoo-Il Kim Source Type: journals
Asymptomatic papillary fibroelastoma of the Aortic valve in a young woman - a case report
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Echocardiography represents an invaluable diagnostic tool for the detection of intracardiac masses while simultaneously provides information about their size, location, mobility and attachment site as well as the presence and extent of any consequent hemodynamic derangement.A 29-year-old asymptomatic young woman with incidental transthoracic echocardiographic (TTE) discovery of an aortic valve mass is presented. The 2-dimensional TTE showed a mobile, pedunculated mass, attached by a thin stalk to the aortic surface of the right coronary aortic cusp at the junction of its base with the anterior aortic wall. The importance o...
Source: Cardiovascular Ultrasound - September 1, 2009 Category: Radiology Authors: Fragiskos ParthenakisEvangelia NyktariAlexandros PatrianakosAntonis PitsisAnthoula AsimakiPanos Vardas Source Type: journals
Visually estimated ejection fraction by two dimensional and triplane echocardiography is closely correlated with quantitative ejection fraction by real-time three dimensional echocardiography
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Conclusion:
Visual estimation of LVEF both using 2D and TP by an experienced reader correlates well with quantitative EF determined by RT3DE. There is an apparent trend towards a smaller variability using TP in comparison to 2D, this was however not statistically significant. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - August 24, 2009 Category: Radiology Authors: Kambiz ShahgaldiPetri GudmundssonAristomenis ManourasLars-Ake BrodinReidar Winter Source Type: journals
Correction: Cerebrovascular mental stress reactivity is impaired in hypertension
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After publication of this work [1], we noted that Figure 2 Y axis is labeled incorrectly as CA IMT (mm). The correct label is "CA Diameter (cm)".The following statement should also be deleted from the text: "Twenty-three of 30 (76%) healthy subjects responded with vasodilation" under subheading "Normal Human Volunteers". (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - August 24, 2009 Category: Radiology Authors: Tasneem Naqvi Source Type: journals
Usefulness of NT-pro BNP monitoring to identify echocardiographic responders following cardiac resynchronization therapy
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Background:
Cardiac resynchronization therapy (CRT) improves left ventricular (LV) volumes, mitral regurgitation (MR) severity and symptoms of patients with heart failure (HF). However, [greater than or equal to] 30% of patients have no significant clinical or echocardiographic improvement following CRT. Reverse remodeling after CRT correlates with improved clinical outcomes. We hypothesized that in NT-pro BNP monitoring is accurate to identify responders following CRT.
Methods:
42 consecutive patients (mean age 66+/-12 years, male 68%) with HF undergoing CRT were prospectively enrolled. Responders at follow-up were define...
Source: Cardiovascular Ultrasound - August 19, 2009 Category: Radiology Authors: Julien MagneMichelle DuboisJean ChampagneJean DumesnilPhilippe PibarotFrancois PhilipponGilles O'HaraMario Senechal Source Type: journals
Cardiac magnetic resonance versus transthoracic echocardiography for the assessment of cardiac volumes and regional function after myocardial infarction: an intrasubject comparison using simultaneous intrasubject recordings
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Background:
Although echocardiography is commonly used to evaluate cardiac function after MI, CMR may provide more accurate functional assessment but has not been adequately compared with echo. The primary study objective was to compare metrics of left ventricular volumes and global and regional function determined by cardiac magnetic resonance (CMR) and echocardiography (echo) in patients (pts) with recent myocardial infarction (MI).
Methods:
To compare CMR with echo, 47 consecutive pts (70% male; mean age=66+/-11 years) with MI >6 wks previously and scheduled for imaging evaluation were studied by both echo and CMR withi...
Source: Cardiovascular Ultrasound - August 17, 2009 Category: Radiology Authors: Blake GardnerScott BinghamMarvin AllenDuane BlatterJeffrey Anderson Source Type: journals
Identification of high risk patients with hypertrophic cardiomyopathy in a northern Greek population
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Conclusions:
This study for the first time confirms that, although a 60% of patients with HCM coming from a regional Greek population are in low risk for SD, a substantial proportion (almost 20%) carries a high risk for SD justifying prophylactic therapy with amiodaron or ICD implantation. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - July 25, 2009 Category: Radiology Authors: Georgios EfthimiadisChristodoulos PliakosEfstathios PagoureliasDespina ParcharidouGeorgios GiannakoulasVasileios KamperidisStavros HadjimiltiadesCharalampos KarvounisStavros GavrielidesIoannis StyliadisGeorgios Parcharidis Source Type: journals
"Mushroom cloud": a giant left ventricular pseudoaneurysm after a myocardial infarction due to myocardial bridging -a case report
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In this report, an unusual case of a 61 year-old male with a giant apical LV pseudoaneurysm after an unnoticed MI is presented. On coronary angiogram myocardial bridging of the distal left anterior descending artery (LAD) was judged to be the infarct related lesion. The echocardiographic diagnosis allowed for a timely surgical intervention which resulted in the patient`s full recovery. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - July 19, 2009 Category: Radiology Authors: Renata GomesMaria Joao AndradeMiguel SantosSonia LimaRaquel GouveiaManuel FerreiraJose Aniceto Silva Source Type: journals
Benefit of warm water immersion on biventricular function in patients with chronic heart failure
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Background:
Regular physical activity and exercise are well-known cardiovascular protective factors. Many elderly patients with heart failure find it difficult to exercise on land, and hydrotherapy (training in warm water) could be a more appropriate form of exercise for such patients. However, concerns have been raised about its safety.The aim of this study was to investigate, with echocardiography and Doppler, the acute effect of warm water immersion (WWI) and effect of 8 weeks of hydrotherapy on biventricular function, volumes and systemic vascular resistance. A secondary aim was to observe the effect of hydrotherapy on...
Source: Cardiovascular Ultrasound - July 5, 2009 Category: Radiology Authors: Bente Gruner SvealvAsa CiderMargareta Scharin TangEva AngwaldDimitris KardassisBert Andersson Source Type: journals
Ascending aortic aneurysm in a patient with bicuspid aortic valve, positive history of systemic autoimmune diseases and common genetic factors: a case report
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We reported a case of 64 year-old patient with BAV and a history of ankylosing spondylitis (AS) and systemic lupus erythematosus (SLE), and who developed ascending thoracic aortic aneurysm. The patient presented also the homozygosity for genetic variants of MMP9, ACE, MTHFR and PAI-1 genes. Gene-environmental interactions may represent an additional pathogenetic dimension in the still challenging management of the abnormalities of the aortic wall, including dilatation, aneurysm and dissection. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - July 5, 2009 Category: Radiology Authors: Ilenia FoffaPier Luigi FestaLamia Ait-AliAnnamaria MazzoneStefano BevilacquaMaria Grazia Andreassi Source Type: journals
The limited usefulness of real-time 3-dimensional echocardiography in obtaining normal reference ranges for right ventricular volumes
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Conclusions:
Although the normal ranges for RVVIs and RVAIs presented in this study reflect RV inflow tract dimensions only, the data presented may still be regarded as a useful tool in clinical practice, especially for RVEF and RVAF. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - July 5, 2009 Category: Radiology Authors: Erlend AuneMorten BaekkevarOlaf RodevandJan Erik Otterstad Source Type: journals
The subaortic tendon as a mimic of hypertrophic cardiomyopathy
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Originally described by Brock and Teare, today hypertrophic cardiomyopathy is clinically defined as left (or right) ventricular hypertrophy without a known cardiac or systemic cause, such as systemic hypertension, Fabry`s disease or aortic stenosis.Also appreciated today is the enormous genotypic and phenotypic heterogeneity of this disease with more than 300 mutations over more than 24 genes, encoding various sarcomeric, mitochondrial and calcium-handling proteins, all as genetic causes for hypertrophic cardiomyopathy.Phenotypically, the disease can vary from negligible to extreme hypertrophy, affecting either the left an...
Source: Cardiovascular Ultrasound - July 2, 2009 Category: Radiology Authors: James Ker Source Type: journals
Cerebrovascular mental stress reactivity is impaired in hypertension
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Background:
Brachial artery reactivity in response to shear stress is altered in subjects with hypertension. Since endothelial dysfunction is generalized, we hypothesized that carotid artery (CA) reactivity would also be altered in hypertension. Purpose: To compare (CA endothelium-dependent vasodilation in response to mental stress in normal and hypertensive subjects. Methods: We evaluated CA reactivity to mental stress in 10 young healthy human volunteers (aged 23+/-4 years), 20 older healthy volunteers (aged 49+/-11 years) and in 28 patients with essential hypertension (aged 51+/-13 years). In 10 healthy volunteers and 1...
Source: Cardiovascular Ultrasound - July 2, 2009 Category: Radiology Authors: Tasneem NaqviHahn Hyuhn Source Type: journals
Ozone and cardiovascular injury
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Air pollution is increasingly recognized as an important and modifiable determinant of cardiovascular diseases in urban communities. The potential detrimental effects are both acute and chronic having a strong impact on morbidity and mortality. The acute exposure to pollutants has been linked to adverse cardiovascular events such as myocardial infarction, heart failure and life-threatening arrhythmias. The long-terms effects are related to the lifetime risk of death from cardiac causes. The WHO estimates that air pollution is responsible for 3 million premature deaths each year. The evidence supporting these data is very s...
Source: Cardiovascular Ultrasound - June 23, 2009 Category: Radiology Authors: Vera SrebotEmilio GianicoloGiuseppe RainaldiMaria Giovanna TrivellaRosa Sicari Source Type: journals
Are measurements of systolic myocardial velocities and displacement with colour and spectral Tissue Doppler compatible?
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In this study, the concordance between the myocardial velocity and displacement measurements using colour TD and different spectral TD procedures was evaluated.
Methods:
Left ventricular (LV) longitudinal systolic myocardial velocities and displacement during ejection period were quantified at the basal septal and lateral wall in 24 healthy individuals (4 women and 20 men, 34+/-12 years) using spectral TD, colour TD and M-mode recordings. Mean, maximal and minimal spectral TD systolic velocities and the corresponding displacement values were obtained by measurements at the outer and inner borders of the spectral velocity s...
Source: Cardiovascular Ultrasound - June 22, 2009 Category: Radiology Authors: Aristomenis ManourasArben ShalaEvangelia NyktariKambiz ShahgaldiReidar WinterPanos VardasLars Ake BrodinJacek Nowak Source Type: journals
Quantitative detection of myocardial ischaemia by stress echocardiography; A comparison with SPECT.
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AimsReal-time perfusion (RTP) adenosine stress echocardiography (ASE) can be used to visually evaluate myocardial ischaemia. The RTP power modulation technique angio-mode (AM), provides images for off-line perfusion quantification using Qontrast(R) software, generating values of peak signal intensity (A), myocardial blood flow velocity (beta) and myocardial blood flow (Axbeta). By comparing rest and stress values, their respective reserve values (A-r, beta-r, Axbeta-r) are generated. We evaluated myocardial ischaemia by RTP-ASE Qontrast(R) quantification, compared to visual perfusion evaluation with 99mTc-tetrofosmin singl...
Source: Cardiovascular Ultrasound - June 17, 2009 Category: Radiology Authors: Petri GudmundssonKambiz ShahgaldiReidar WinterMagnus DenckerMariusz KitlinskiOla ThorssonRonnie WillenheimerLennart Ljunggren Source Type: journals
Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm formation in a single family: case report
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Conclusion:
The detection of apical aneurysm by echocardiography in HCM patients may be complicated. Ventricular tachycardia arising from the scarred aneurysm wall may often occur, predisposing to sudden death. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - June 16, 2009 Category: Radiology Authors: Georgios EfthimiadisChristodoulos PliakosEfstathios PagoureliasDespoina ParcharidouGeorgios SpanosStylianos ParaskevaidisIoannis StyliadisGeorgios Parcharidis Source Type: journals
The relation between endothelial dependent flow mediated dilation of the brachial artery and coronary collateral development - a cross sectional study
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Conclusions:
No significant association was found between the extent of angiographically visible coronary collaterals and systemic endothelial function assessed by FMD of the brachial artery. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - June 15, 2009 Category: Radiology Authors: Aydan Ongun OzdemirSadi GulecNihal UsluCansin Tulunay KayaCagdas OzdolSibel TurhanYusuf AtmacaTimucin AltinCetin Erol Source Type: journals
Prognostic value of exercise echocardiography in diabetic patients
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Conclusion:
EE is a useful method to predict cardiac events in diabetic patients with suspected or known CAD. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - May 29, 2009 Category: Radiology Authors: Joselina OliveiraJose Barreto-FilhoAntonio SousaCarla OliveiraThaiana SantanaFernando Anjos-AndradeErica AlvesAdao Nascimento-JuniorThiago GoesNathalie SantanaFrancis VasconcelosMartha BarretoArgemiro D'OliveiraRoberto SalvatoriManuel Aguiar-Oliveira Source Type: journals
State diagrams of the heart - a new approach to
describing cardiac mechanics
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Conclusion:
The test results clearly indicate that the state diagram has potential to be an efficient tool for visualization of cardiac dysfunction and for detection of NSTEMI. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - May 27, 2009 Category: Radiology Authors: Matilda LarssonAnna BjallmarkJonas JohnsonReidar WinterLars-Ake BrodinStig Lundback Source Type: journals
Doppler ultrasonography and exercise testing in diagnosing a popliteal artery adventitial cyst
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We describe popliteal arterial adventitial cystic disease which causes intermittent claudication in a young athletic man, with atypical manifestation, without loss of foot pulses on knee flexion nor murmur in the popliteal fossa. The findings obtained from Magnetic Resonance Imaging were non-diagnostic. The diagnosis resulted from Echo-Doppler ultrasonography along with peak exercise testing. Ultrasonography also provided useful physiopathological informations suggesting that a popliteal artery adventitial cyst can become symptomatic if muscle exertion increases fluid pressure within the cyst, enough to cause hemodynamical...
Source: Cardiovascular Ultrasound - May 27, 2009 Category: Radiology Authors: Maurizio TaurinoLuigi RizzoNazzareno StellaMassimo MastroddiFabio ConteducaClaudia MaggioreVittorio Faraglia Source Type: journals
Post-exercise contractility, diastolic function, and pressure: Operator-independent sensor-based intelligent monitoring for heart failure telemedicine
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Conclusion:
Post-exercise contractility, diastolic time and pressure changes can be continuously measured by a cutaneous sensor. Heart disease affects not only exercise systolic performance, but also post-exercise recovery, diastolic time intervals and blood pressure changes - in our study, all of these were monitored by a non-invasive wearable sensor.
Key words:
contractility, diastolic function, pressure, heart failure, heart sensor, telemedicine (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - May 14, 2009 Category: Radiology Authors: Tonino Bombardini, Vincenzo Gemignani, Elisabetta Bianchini, Emilio Pasanisi, Lorenza Pratali, Mascia Pianelli, Francesco Faita, Massimo Giannoni, Giorgio Arpesella, Rosa Sicari and Eugenio Picano Source Type: journals
Right ventricular metastasis of leiomyosarcoma
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We present transthoracic echocardiography and combined PET/CT images of a case with a large right ventricular metastasis of leiomyosarcoma. The patient was placed on cytostatic drugs for palliative purposes, but passed away one month later because of an untreatable ventricular tackycardia. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - May 5, 2009 Category: Radiology Authors: Magnus Dencker, Sven Valind and Martin Stagmo Source Type: journals
Left Atrial Volume Measurement with Automated Border Detection by 3-Dimensional Echocardiography: Comparison with Magnetic Resonance Imaging
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Conclusion:
Three-dimensional echocardiography with semiautomatic border detection is a practical alternative for obtaining the left atrial volume in a time-efficient manner compared to the current standard. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - March 31, 2009 Category: Radiology Authors: Ramin Artang, Raymond Q Migrino, Leanne Harmann, Mark Bowers and Timothy D Woods Source Type: journals
Transesophageal echocardiography in patients with cryptogenic cerebral ischemia
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Conclusion:
A TEE examination in cryptogenic stroke reveals contributing cardiogenic factors in about half of all patients. Younger patients had a higher prevalence of PFO, whereas older patients had more frequently atherosclerotic findings. Therefore, TEE examinations seem indicated in all patients with cryptogenic stroke – irrespective of age – because of specific therapeutic consequences. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - March 28, 2009 Category: Radiology Authors: Fabian Knebel, Florian Masuhr, Wolfram von Hausen, Torsten Walde, Henryk Dreger, Vanessa Raab, Mahsun Yuerek, Gert Baumann and Adrian C Borges Source Type: journals
Ultrasound in evaluation of post-interventional femoral vein obstruction: a case report
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This report refers to such a case where post-catheterization haematoma was suspected to cause an obstruction of the femoral vein. Spectral Doppler recordings of blood flow in the common femoral vein, up-stream, distal to the hemorrhagic area, confirmed the diagnosis of obstruction by demonstrating changes in the venous flow pattern in the common femoral vein, consistent with venous hypertension. Due to the poor quality of the ultrasound images, the exact cause of the obstruction had to be established by another imaging modality, not affected by haemorrhages. CT showed that the common femoral vein was compressed at the punc...
Source: Cardiovascular Ultrasound - March 26, 2009 Category: Radiology Authors: Mai Tone Lonnebakken, Eva Gerdts, Jan Wirsching and Ole Martin Pedersen Source Type: journals
Sub-aortic tendon induced ST-segment elevation - a new echo-electrocardiographic phenomenon?
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The causes for ST-segment elevation other than myocardial infarction are numerous.
The existence of left ventricular false tendons has been known for more than a century. Currently, the clinical entities associated with these left ventricular false tendons include innocent murmurs and premature ventricular contractions.
A case report is presented where such a false tendon, attached to the interventricular septum, is responsible for striking ST-segment elevation in the anterior precordial leads.
It is proposed that this is a newly observed entity--that of subaortic tendon-induced ST-segment elevation. This is proposed as a ...
Source: Cardiovascular Ultrasound - March 24, 2009 Category: Radiology Authors: James Ker Source Type: journals
A combination of left ventricular noncompaction and double orifice mitral valve
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A 24-year-old woman admitted with mild chest distress associated with activity without chest complaint for twenty days. Two orifices were visible at the level of the mitral valve with a transthoracic short-axis view of the two-dimensional and three-dimensional echocardiography. The left ventricle was mildly dilatated and the left ventricular wall was thickened, especially at the apex and anterolateral wall, and appeared sponge-like. There were numerous, excessively prominent trabeculations associated with intertrabecular recesses. Although the coexistence of NVM and DOMV could be a coincidence, we believe that both defects...
Source: Cardiovascular Ultrasound - March 9, 2009 Category: Radiology Authors: Xing-Xiang Wang and Ze-Zhou Song Source Type: journals
Improvement in right ventricular function during reversibility testing in pulmonary arterial hypertension: a case report
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A right heart catheterization with reversibility testing is recommended for the diagnosis and treatment of pulmonary arterial hypertension. In this 24 years-old woman, the inhalation of 5 ug iloprost transiently decreased mean pulmonary artery pressure from 62 to 36 mmHg and pulmonary vascular resistance from 11.0 to 4.9 Wood units, meeting the criteria of a "positive response". The echocardiographic examination showed normalization of right heart chamber dimensions and of the right ventricular performance (Tei) index. Pulsed tissue Doppler imaging of the right ventricle showed a decrease in the isovolumic relaxation time ...
Source: Cardiovascular Ultrasound - February 19, 2009 Category: Radiology Authors: Sandrine Huez, Jean-Luc Vachiery and Robert Naeije Source Type: journals
Comparison of normal values of Duplex indices of vertebral arteries in young and elderly adults
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Conclusion:
Duplex indices of vertebral arteries are age independent in adults. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - January 13, 2009 Category: Radiology Authors: Masoud Nemati, Abolhassan Shakeri Bavil and Naser Taheri Source Type: journals
Prevalence and inter-relationship of different Doppler measures of dyssynchrony in patients with heart failure and prolonged QRS:
a report from CARE-HF
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Background:
Cardiac resynchronisation therapy (CRT) improves mortality and morbidity in heart failure patients with wide QRS. Observational studies suggest that patients having more left ventricular dyssynchrony pre-implantation obtain greater benefit on ventricular function and symptoms with CRT.
Aim: To provide an analysis of the prevalence and type of dyssynchrony in patients included in the CARE-HF trial.
Methods:
100 patients 67 (58 to 71) years were examined with echocardiography including tissue doppler imaging before receiving a CRT-pacemaker. Atrio-ventricular dyssynchrony (LVFT/RR) was defined as left ventricula...
Source: Cardiovascular Ultrasound - January 7, 2009 Category: Radiology Authors: Magnus Edner, Yong Kim, Knud Norregard Hansen, Henrik Nissen, Geert Espersen, Karl LaRosee, Fikru Maru, Nick Freemantle, John Cleland and Peter Sorgaard Source Type: journals
Impact of contractile reserve on acute response to cardiac resynchronization therapy
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This study sought to investigate the potential impact of myocardial contractile reserve as assessed during exercise echocardiography on acute response following CRT implantation.
Methods:
Fifty-one consecutive patients with heart failure (LV ejection fraction 27% +/- 5%, 67% ischemic cardiomyopathy) underwent exercise Doppler echocardiography before CRT implantation to assess global contractile reserve (improvement in LV ejection fraction) and local contractile reserve in the region of the LV pacing lead (assessed by radial strain using speckle tracking analysis). Responders were defined by an increase in stroke volume [gr...
Source: Cardiovascular Ultrasound - December 31, 2008 Category: Radiology Authors: Marie Moonen, Mario Senechal, Bernard Cosyns, Pierre Melon, Eric Nellessen, Luc Pierard and Patrizio Lancellotti Source Type: journals
Implementation of seven echocardiographic parameters of myocardial asynchrony to improve the long-term response rate of cardiac resynchronization therapy (CRT)
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Conclusion:
The implementation of different markers of asynchrony in the selection process for CRT improves the hemodynamic response rate to CRT. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - November 25, 2008 Category: Radiology Authors: Fabian Knebel, Sebastian Schattke, Hansjurgen Bondke, Christoph Richter, Christoph Melzer, Henryk Dreger, Andrea Grohmann, Gert Baumann and Adrian C Borges Source Type: journals
Computer-assisted determination of left ventricular endocardial borders reduces variability in the echocardiographic assessment of ejection fraction
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Background:
Left ventricular size and function are important prognostic factors in heart disease. Their measurement is the most frequent reason for sending patients to the echo lab. These measurements have important implications for therapy but are sensitive to the skill of the operator. Earlier automated echo-based methods have not become widely used. The aim of our study was to evaluate an automatic echocardiographic method (with manual correction if needed) for determining left ventricular ejection fraction (LVEF) based on an active appearance model of the left ventricle (syngo(R)AutoEF, Siemens Medical Solutions). Comp...
Source: Cardiovascular Ultrasound - November 11, 2008 Category: Radiology Authors: Eva Maret, Lars Brudin, Lena Lindstrom, Eva Nylander, Jan L Ohlsson and Jan E Engvall Source Type: journals
The usefulness of contrast during exercise echocardiography for the assessment of systolic pulmonary pressure
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Conclusion:
1. The method is applicable in a large number of patients. 2. RV/RA gradients obtained at peak exercise are higher with the use of contrast, and the clinical meaning of this difference should be evaluated in a larger number of pts submitted to right heart cathetherism. The high number of false positives should lead to a higher diagnostic threshold. 3. This method seems to have relevant clinical value in the diagnosis of pulmonary arterial hypertension. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - October 13, 2008 Category: Radiology Authors: Luis R Lopes, Maria J Loureiro, Rita Miranda, Sofia Almeida, Ana R Almeida, Ana Cordeiro, Carlos Cotrim and Manuel Carrageta Source Type: journals
Effort angina in a patient with advanced coronary artery disease. role played by coronary angiography, IVUS and cardiac CT: case report
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In this report, we describe the case of a 62-year-old man whose effort angina was first evaluated with coronary angiography, but whose severe stenosis of the right coronary artery was only observed on cardiac CT and IVUS. This additional diagnosis promptly resulted in a therapeutic approach with percutaneous transluminal coronary angioplasty (PTCA). (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 24, 2008 Category: Radiology Authors: Domenico M Zardi, Enrico M Zardi, Andrea Berni, Cristiana Nannini, Biagio Andrea Pace, Stefano Santucci and Massimo Volpe Source Type: journals
Correlation between Progetto Cuore risk score and early cardiovascular damage in never treated subjects
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Conclusions:
Our paper confirms previous studies about the association between a comprehensive risk score and signs of early cardiovascular damage. A temporally limited exposure to cardiovascular risk factors, in particular to blood pressure, is already able to induce significant changes in both the heart structure and the vascular wall. Also in a european low-risk population the use of a cardiovascular risk score program, such as the Progetto Cuore in Italy, allows a quite precise estimation of the possible cardiovascular damage. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 22, 2008 Category: Radiology Authors: Aldo Pende, Caterina Grondona and Stefano Bertolini Source Type: journals
Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: Case report
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Conclusion:
Hiatus hernia can present as acute chest pain, while its echocardiographic manifestation may resemble a left atrial space-occupying structure. Physicians should be aware of the clinical and sonographic findings to facilitate the differential diagnosis from similarly presenting cardiac entities. (Source: Cardiovascular Ultrasound)
Source: Cardiovascular Ultrasound - September 15, 2008 Category: Radiology Authors: Konstantinos C Koskinas, Kostas Oikonomou, Eleni Karapatsoudi and Pantelis Makridis Source Type: journals
Endothelial function and urine albumin levels among asymptomatic Mexican- Americans and non-Hispanic whites
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Background:
Mexican-Americans (MA) exhibit increases in various cardiovascular disease (CVD) risk factors compared to non-Hispanic Whites (NHW), yet are reported to have lower CVD mortality rates. Our aim was to help explain this apparent paradox by evaluating endothelial function and urine albumin levels in MA and NHW.
Methods:
One hundred-five MA and 100 NHW adults were studied by brachial artery flow-mediated dilatation (FMD), blood and urine tests. Participants were studied by ultrasound-determined brachial artery flow-mediated dilatation (FMD), blood and urine tests, at a single visit.
Results:
Despite higher BMI an...
Source: Cardiovascular Ultrasound - August 27, 2008 Category: Radiology Authors: Julius M Gardin, Zuhair Allebban, Nathan D Wong, Sharon K Sklar, Renee L Bess, Ann M Spence and Harrihar A Pershadsingh Source Type: journals
