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M Oppizzi
The perioperative management of patients with aortic stenosis is influenced by preoperative echocardiographic findings. This paper explains how to read and interpret key echocardiografic findings and suggests how to optimize monitoring and pharmacological treatment of patients with aortic stenosis undergoing cardiac or non-cardiac surgery.
2009: HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
Emanuele Cecchi, Serena Fatucchi, Elena Crudeli, Cristina Giglioli
Here we report the case of a 31-year-old man admitted to our hospital with echocardiografic and Cardiac Magnetic Resonance signs of myocarditis complicated by ventricular tachycardia, initially resolved with direct current shock. After the recurrence of ventricular tachycardia the patient was submitted to electrophysiological study revealing a re-entrant circuit at the level of the medium segment of interventricular septum, successfully treated with transcatheter ablation. This case highlights how the presence of recurrent ventricular arrhythmias at the onset of acute myocarditis, suspected or proven, could be associated with a pre-existing arrhythmogenic substrate, therefore these patients should be submitted to electrophysiological study in order to rule out the presence of arrhythmogenic focuses that can be treated with transcatheter ablation...
2012: Acta Medica (Hradec Králové)
Dejan Petrović, Vladimir Miloradović, Mileta Poskurica, Biljana Stojimirović
Cardiovascular diseases are the leading cause of death in patients on haemodialysis. Cardiovascular mortality rate in these patients is approximately 9% per year, with the highest prevalence of left ventricular hypertrophy, ischemic heart disease and congestive heart failure being the most frequent cardiovascular complications. Risk factors for cardiac failure include hypertension, disturbed lipid metabolism, oxidative stress, microinflammation, hypoalbuminemia, anaemia, hyperhomocysteinemia, and increased concentration of asymmetric dimethylarginine, increased shunt blood flow and secondary hyperparathyroidism...
March 2011: Srpski Arhiv za Celokupno Lekarstvo
Maria Amigoni, Cristina Giannattasio, Donatella Fraschini, Marianna Galbiati, Anna Clara Maria Capra, Fabiana Madotto, Francesca Cesana, Momcilo Jankovic, Giuseppe Masera, Giuseppe Mancia
BACKGROUND: High dosage anthracyclines in pediatric patients with acute lymphoblastic leukemia (ALL) is associated with cardiotoxicity. However, data on the cardiac effects of lower cumulative doses of these drugs are not conclusive. The aim of this study was to assess the cardiac effects of low cumulative anthracycline doses in long-term survivors of ALL. PROCEDURE: Echocardiograms were performed on 62 long-term ALL survivors, without any overt or sub-clinical signs or symptoms of heart failure...
December 15, 2010: Pediatric Blood & Cancer
Radomir Matunović, Zdravko Mijailović, Dragan Tavciovski, Zoran Cosić, Zoran Stajić
BACKGROUND/AIM: It is well known that patients with coronary artery disease and viable tissue as a guarantee of contractile recovery (CR), despite of decreasing ejection fraction (EF) and systolic dysfunction, could have benefit from surgical revascularization. Therefore, relationship between diastolic filling type and early postoperative recovery and complications need to be established. The aim of this study was to investigate the relation between different left ventricular (LV) diastolic filling types and CR in patients after surgical revascularization with differently preserved systolic function...
February 2008: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
E Bakos, M Bakos, M Dubaj, P Poliacik
The aim of our study is to show the clinical potential of laparoscopic treatment of pericardial effusions. In spite of the small number of the patients we want to bring to attention the benefit of this mininvasive procedure. The laparoscopic fenestration is indicated when the pericardial effusion persists after unsuccessful medical treatment and when clinical and echocardiografic signs of tamponade develop (Ref 13). Full Text (Free, PDF)
2007: Bratislavské Lekárske Listy
Mihaela Grecu, Ramona Oana Olteanu, St S Olteanu, Cătălina Arsenescu Georgescu
UNLABELLED: This study aimed to prove that angiotensin-converting enzyme inhibitor (ACEI) could improve sinus rhythm maintenance after conversion of atrial fibrillation (AF). METHODS AND RESULTS: A study of 36 patients with lone AF who undertook electrical conversion was conducted. Group 1 included 20 patients treated exclusively with a class I C antiarrhythmic (Propafenona, 450 mg daily) and group 2 included 16 patients treated with antiarrhythmic plus ACEI after cardioversion...
2007: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
V Novohradský, L Sakra, M Kozák
The case-history occupies of a case of acute cardiac insufficiency in a patient at early postoperative period, who underwent a small surgical operation. Apparently the banal operation became the starting mechanism of life threatening cardiopulmonary insufficiency. Transthoracic echocardiografic diagnostic process not gave us the unambiguous response about a cause of that distressed state. The primary clinical consideration of the pulmonary embolization was not ambiguously acknowledged, though nor excluded. The clinical had to decided, whether the heparinization or the thrombolysing treatment was justified...
February 2006: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Ruggero De Paulis, Enrico Cetrano, Marco Moscarelli, Giuseppe Andò, Fabio Bertoldo, Raffaele Scaffa, Fabrizio Tomai, Luigi Chiariello
OBJECTIVE: Because of an increase of aortic root wall stress, prosthetic replacement of the ascending aorta might be a risk factor for the progressive increase of the aortic root dimension. Aim of the present study was to evaluate the aortic root diameter change and the progression of aortic valve regurgitation late after ascending aorta replacement for different ethiology. METHODS: Sixty-three late survivors after supracoronary ascending aortic replacement were evaluated...
January 2005: European Journal of Cardio-thoracic Surgery
Pietro Dattolo, Ezio Maria Ferdeghini, Maria-Aurora Morales, Marcello Piacenti, Quirino Maggiore, Francesco Pizzarelli
Many studies have demonstrated that left ventricular hypertrophy is the most frequent cardiac alteration in patients on chronic hemodialysis. Autopsy studies have shown that hypertrophic hearts of uremic patients have peculiar characteristics, namely deposition of calcium salts, intermyocytic fibrosis, sometimes amyloid. None of the parameters obtainable from conventional echocardiografic images provides information on myocardial tissue structure. Analysis of "texture" originated as analysis of images sent by satellites for military or agricultural purposes and subsequently was applied to medicine for studying various organs like mainly and widely heart...
September 2003: Journal of Nephrology
J M Lopes, M de Carvalho, M E Moreira, J O Cabral
This study describes the effects of nitric oxide in newborns with persistent pulmonary hypertension. We studied 9 infants with severe respiratory failure characterized by hypoxemia and pulmonary hypertension. All infants met ECMO criteria and the oxygenation index (OI) was greater than 25. Mean birth weight was 2698 -/+ 661 g and gestational age was 36.4 -/+ 2.6 weeks. Nitric oxide was administered in a Y circuit in the inspiratory line of the mechanical ventilator. Nitric oxide and NO2 concentrations were monitored with electrochemical analyzers (PACI and PACII-Draeger)...
May 1996: Jornal de Pediatria
Jerzy Dropiński, Wojciech Szczeklik, Paweł Rubiś
Systemic autoimmune diseases form a diverse group which includes: systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), scleroderma, dermato-polymyositis, Wegener's granulomatosis, Sjögren syndrome. Although multisystem involvement is the hallmark of these diseases, the heart seems to be less affected than other organ systems. The aim of the study was to study possible cardiac abnormalities in patients with documented systemic autoimmune diseases and to assess whether there was any relation between antiphospholipid, anti-dsDNA antibodies and myocardial dysfunction findings...
April 2003: Polskie Archiwum Medycyny Wewnętrznej
E Mrozowska, M Krzemińska-Pakuła, W Rogowski, W J Musiał, J Zasłonka
UNLABELLED: Atrial fibrillation is frequently found in association with rheumatic mitral valve disease. However, the risk factors of atrial fibrillation have not been well established. The aim of this study was to assess risk factors of atrial fibrillation in patients with mitral valve disease. METHODS: The study group consisted of 141 patients (pts) with isolated mitral valve disease. Pts were divided into 3 groups (45 pts--mitral stenosis, 29 pts--mitral regurgitation, 67 pts--combined mitral valve disease)...
January 1999: Polskie Archiwum Medycyny Wewnętrznej
J M Rivera, E Meaney, M Briseño, J Fragoso, E Ban Hayashi, E Suárez
Ten patients with mitral stenosis underwent right and left heart catheterization. In order to assess the diastolic properties of these ventricles an hemodynamic-echocardiografic techniques was employed. Left ventricular pressure and an echocardiogram of the body of the left ventricle were simultaneously registered. Ventricular volume was determined using the minor axis (T) of the left ventricle measured form the echogram and assuming the long axis (L) from the L to T relationship observed in the left cineventriculography...
May 1981: Archivos del Instituto de Cardiología de México
A Purcaro, N Ciampani, A Blandini, G Breccia Fratadocchi, C Massacci, R Piva, R Brugnami
The preoperative diagnosis of an aneurysm of the posterior sinus of Valsalva with rupture into the right atrium was made by echocardiography in a 21-year-old patient. The M-mode echocardiography revealed the following findings: 1) a vibrating anomalous structure, continuous with the aortic wall, was present in the right atrium. The echo-producing mass was the wall of the aneurysm, which adhered to the septal leaflet of the tricuspid valve during early-to-mid systole and had an abrupt posterior motion in late systole...
1982: Giornale Italiano di Cardiologia
W Urbaszek
The definition of the syndrome of heart failure is dependent upon clinical, pathophysiological and biochemical criteria. The interrelationship of the contributing factors in a given hemodynamic situation must be clarified by simple examination. "Heart failure" implies a condition with insufficient peripheral perfusion, despite a normal blood volume, a sufficient or increased filling pressure, and intact intrinsic and extrinsic compensatory mechanisms. The cardiac output varies with basic illness. The worsening vicious cycle between cardiac dysfunction and neuroendocrinal dysregulation in chronic heart failure has to be taken into consideration, especially while planning therapeutic strategy...
1991: Zeitschrift Für Kardiologie
A Vitarelli, V Colloridi, M Cirelli
Echocardiographic studies were performed in 15 patients, aged 8 months to 20 years, with congenital valvular aortic stenosis confirmed by hemodynamic findings. Seven patients showed an anomalous pattern of the valvular echo in diastole (multiple valve echoes), seven exhibited an eccentric closure, and only in two patients the area was significantly reduced in systole. Therefore aortic valve diastolic pattern was more important than systolic appearance in the echocardiografic diagnosis of congenital valvular aortic stenosis...
1978: Giornale Italiano di Cardiologia
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