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Cardiac Systolic Mechanics in Heart Failure with Preserved Ejection
Cardiac Systolic Mechanics in Heart Failure with Preserved Ejection

... highly-efficient manner is actually based on the architecture of LV myocardium.8,9 In view of individual myofibers, subendocardial myofibers except papillary muscles run counterclockwise in the direction from the mitral annulus (LV base) towards the LV apex, and then convert to a circumferential dir ...
Dynamic Left Ventricular Outflow Tract Obstruction with Cardiogenic
Dynamic Left Ventricular Outflow Tract Obstruction with Cardiogenic

... Chest radiography showed no sign of interstitial congestion. Echocardiography revealed extensive akinesia of the mid to apical portions of the LV, and hyperkinesis of basal segments of LV (Figure 2A). Also, velocity of the LVOT increased, along with an eccentric severe MR due to SAM of the anterior ...
Basic concepts of cardiac doppler and tissue doppler Dr - Al
Basic concepts of cardiac doppler and tissue doppler Dr - Al

... adjusted to ensure that most of the wall thickness is incorporated in the analysis, while avoiding the pericardium. When automated tracking does not fit with the visual impression of wall motion, manual adjustment should be used until optimal tracking is achieved. For the left ventricle, because end ...
A case of acute myocardial infarction and infective endocarditis
A case of acute myocardial infarction and infective endocarditis

... methylprednisone at the dose of 240mg per day. Methylprednisone dose was then tapered off gradually after 3 days of initiating dose and was discontinued on March. 21st. The patient was given a maintaining dose of methylprednisone again at 40mg per day later on March. 26th. His oxygen saturation sta ...
Royal Brompton and Harefield NHS Foundation Trust
Royal Brompton and Harefield NHS Foundation Trust

... heart and lung services. Our brand identity is strong and clear: delivering the best clinical care and the best research for patients with heart and lung disease. Heart and Lung diseases are the world’s biggest killers and our experts care for patients who come from across the UK and overseas, not o ...
Making Heart better
Making Heart better

... level for qualitative assessment of global and regional left ventricular function. MSCT image reconstructions showed previously unrecognised displacement of the posterior mitral valve leaflet into the left atrium during systole. An ...
Heart Murmur in Neonates
Heart Murmur in Neonates

... and children and mostly originate from normal flow patterns with no structural or anatomic abnormalities of the heart or vessels and are referred to as innocent, physiological or normal murmurs; conversely, murmur may be created by abnormal flow patterns in the heart and vessels resulting from conge ...
M-Mode Echocardiography
M-Mode Echocardiography

... 2D-directed M-mode, data is acquired at a rate up to 1000 frames per second, compared with 15 to 100 frames per second for 2D echocardiography, depending on sector width and heart rate.1,2 Thus M-mode echocardiography remains important in daily clinical use, for its ability to time events during the ...
Cardiogenic Shock Due to Dynamic Left Ventricular Outflow Tract
Cardiogenic Shock Due to Dynamic Left Ventricular Outflow Tract

... LVOT obstruction has two requisites: a) the existence of hypertrophy of the basal septum, and b) a hyperdynamic left ventricular situation. This tends to occur most frequently in older patients with a history of hypertension and left ventricular hypertrophy, although hypertension is not an indispens ...
PDF - Circulation
PDF - Circulation

... was nearly orthogonal to, rather than parallel to, the left atrium–left ventricle axis so that the atrioventricular valves were seen to cross each other, as viewed in the frontal plane (Figure 3 and Movies I and II). The ventricles appeared to have been twisted clockwise about their long axes when v ...
Clinical History and Imaging Procedures
Clinical History and Imaging Procedures

... of left atrium, heterogeneous, have low signal intensity on T1-weighted images, high signal intensity on T2-weighted sequences and show low to high enhancement after gadolinium [2]. Several other lesions can present as left atrium tumour mass: Lipomatous hypertrophy of septum, true cardiac lipomas, ...
Short left main coronary artery causing dynamic left ventricular
Short left main coronary artery causing dynamic left ventricular

... branches of the left coronary system and thus produce ischemia and fibrosis of the left bundle branch. Ischemia as a possible pathogenetic mechanism producing fibrosis, when it affects conducting system, has been found to be the histologic abnormalities in patients with LBBB [5]. This could explain ...
A case of acute myocardial infarction and infective endocarditis
A case of acute myocardial infarction and infective endocarditis

... Bronchoscopy on March. 20th showed large amount of dark red bloody crust in the trachea and bilateral bronchus, on March. 22th, bronchoscopy was done again and most of the bloody crust disappeared, so the patients was weaning the same day. The urinary volume was increasing at the same time and on M ...
Magnetic Resonance Imaging in Ischaemic Heart Disease (ASM 2011)
Magnetic Resonance Imaging in Ischaemic Heart Disease (ASM 2011)

... Computed tomography (CT) Coronary angiography Magnetic resonance imaging (MRI) ...
Cardiac computed tomography core syllabus of the European
Cardiac computed tomography core syllabus of the European

... with an interest in Cardiac CT. The syllabus can serve as a guide for developing educational material and educational course content. Trainees may use the Cardiac CT Core Syllabus to guide their preparation for knowledge-based assessments. Harmonized imaging education and assessment facilitate the d ...
Congenitally corrected transposition of the great arteries: clues for
Congenitally corrected transposition of the great arteries: clues for

... and transposed great arteries. Parallel vessels are evident in corrected TGA, but as this sign is also present in complete TGA, a heart anomaly requiring major cardiac surgery in the postnatal period, it is important to differentiate between the entities prenatally. Most cases of ccTGA have associat ...
ST-elevation acute myocardial infarction due to
ST-elevation acute myocardial infarction due to

... chest pain while sleeping. Anterior wall ST-elevation AMI was diagnosed based on clinical presentation, electrocardiographic findings, and elevated cardiac biomarkers. Coronary angiography revealed a totally occluded proximal left anterior descending artery. The obstructing lesion, thrombus, was rem ...
Left Atrial Volume - A New Index in Echocardiography
Left Atrial Volume - A New Index in Echocardiography

... Increased LA volume is also a predictor of stroke and death. An indexed LA volume of ≥32 ml/m2 is associated with an increased risk of stroke independent of age and other clinical risk factors for cerebrovascular disease.13 An increased LA volume is also the predictor of first stroke in elderly who ...
Echocardiological Assessment of Diastolic Dysfunction using the Vevo
Echocardiological Assessment of Diastolic Dysfunction using the Vevo

... Tissue Doppler imaging, as with Pulsed Wave Doppler is used to assess diastolic dysfunction at the mitral valve. The sample volume is typically placed at the annulus of this valve to quantify the movement of the tissue in this area. Again this image is acquired from a modified apical four chamber vi ...
Cardiac Conditions in Athletes - American College of Emergency
Cardiac Conditions in Athletes - American College of Emergency

... Federal district court required NW to allow to return to play and make accommodations with standby defibrillator Appeals court overturned, upheld that team physicians have the right to bar athlete from competition for medical reasons ...
An Unusual Presentation of Acute Rheumatic Fever
An Unusual Presentation of Acute Rheumatic Fever

... the presence of significant apical systolic and/or basal diastolic murmurs, clinical presence of pericarditis and/ or unexplained congestive heart failure. However, silent carditis was reported with an incidence which varied between 7% and 47%, depending on the phase which the disease has reached wh ...
Primary Care Follow Up Post Mitral Valve Surgery at Ambulatory Clinic
Primary Care Follow Up Post Mitral Valve Surgery at Ambulatory Clinic

... The patient also had an appointment with his cardiologist for evaluation of his symptoms. After the evaluation he was admitted directly to hospital for further evaluation of his new symptoms of congestive heart failure. His admission labs were unremarkable with the exception of B-type natriuretic pe ...
Cardiovascular Emergencies
Cardiovascular Emergencies

... Describe the processes of depolarization and repolarization, and relate the waves and intervals of a normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contract ...
Chapter 17
Chapter 17

... Describe the processes of depolarization and repolarization, and relate the waves and intervals of a normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contract ...
Chapter 17
Chapter 17

... Describe the processes of depolarization and repolarization, and relate the waves and intervals of a normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contract ...
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Echocardiography



Echocardiogram, often referred to as a cardiac echo or simply an echo, is a sonogram of the heart. (It is not abbreviated as ECG, an abbreviation for an electrocardiogram.) Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An echocardiogram can also give physicians other estimates of heart function such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes).Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of Stress Echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is noninvasive (doesn't involve breaking the skin or entering body cavities) and has no known risks or side effects.Not only can an echocardiogram create ultrasound images of heart structures, but it can also produce accurate assessment of the blood flowing through the heart by Doppler echocardiography, using pulsed or continuous wave Doppler ultrasound. This allows assessment of both normal and abnormal blood flow through the heart. Color Doppler as well as spectral Doppler is used to visualize any abnormal communications between the left and right side of the heart, any leaking of blood through the valves (valvular regurgitation), and to estimate how well the valves open (or do not open in the case of valvular stenosis). The Doppler technique can also be used for tissue motion and velocity measurement, by Tissue Doppler echocardiography.Echocardiography was also the first ultrasound subspecialty to use intravenous contrast. (See Contrast Echocardiography)Echocardiography is performed by cardiac sonographers, cardiac physiologists (UK) or doctors trained in echocardiography.
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