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https://read.qxmd.com/read/33073615/contemporary-diagnosis-and-management-of-rheumatic-heart-disease-implications-for-closing-the-gap-a-scientific-statement-from-the-american-heart-association
#1
Raman Krishna Kumar, Manuel J Antunes, Andrea Beaton, Mariana Mirabel, Vuyisile T Nkomo, Emmy Okello, Prakash Raj Regmi, Boglarka Reményi, Karen Sliwa-Hähnle, Liesl Joanna Zühlke, Craig Sable
The global burden of rheumatic heart disease continues to be significant although it is largely limited to poor and marginalized populations. In most endemic regions, affected patients present with heart failure. This statement will seek to examine the current state-of-the-art recommendations and to identify gaps in diagnosis and treatment globally that can inform strategies for reducing disease burden. Echocardiography screening based on World Heart Federation echocardiographic criteria holds promise to identify patients earlier, when prophylaxis is more likely to be effective; however, several important questions need to be answered before this can translate into public policy...
October 19, 2020: Circulation
https://read.qxmd.com/read/33073560/contrast-transesophageal-three-dimensional-echocardiographic-imaging-for-patent-foramen-ovale-a-needful-role
#2
Reem Al Sergani, Sara Di Michele, Abdulhalim J Kinsara, Domenico Galzerano, Olga Vriz, Isra Elmahi, Antonio Cittadini, Paolo Colonna, Khaled M AlKattan
We report a case of a 55-year-old male admitted for cardiogenic embolic ischemic stroke work up. A transesophageal (TE) echocardiography (E) with contrast study to rule out patent foramen ovale (PFO) was performed; two-dimensional (2D) analysis did not detect any bubbles passage during Valsalva manoeuvre in the standard 2D cross sectional planes; further real time three-dimensional (3D) TEE imaging revealed passage of bubbles in the left atrium (LA) by both real-time 3DTEE imaging and by the 2D unconventional cross-sectional planes allowed by 3DTEE imaging...
October 19, 2020: Monaldi Archives for Chest Disease
https://read.qxmd.com/read/33073484/preoperative-echocardiographic-parameters-predict-primary-graft-dysfunction-following-pediatric-lung-transplantation
#3
Adam S Himebauch, Wai Wong, Yan Wang, Francis X McGowan, Robert A Berg, Christopher E Mascio, Todd J Kilbaugh, Kimberly Y Lin, Samuel B Goldfarb, Steven M Kawut, Laura Mercer-Rosa, Nadir Yehya
The importance of preoperative cardiac function in pediatric lung transplantation is unknown. We hypothesized that worse preoperative right ventricular (RV) systolic and worse left ventricular (LV) diastolic function would be associated with a higher risk of primary graft dysfunction grade 3 (PGD 3) between 48 and 72 hours. We performed a single center, retrospective pilot study of children (<18 years) who had echocardiograms <1 year prior to lung transplantation between 2006 and 2019. Conventional and strain echocardiography parameters were measured, and PGD was graded...
October 19, 2020: Pediatric Transplantation
https://read.qxmd.com/read/33073294/echocardiographic-screening-of-pregnant-women-by-non-physicians-with-remote-interpretation-in-primary-care
#4
Bruno R Nascimento, Craig Sable, Maria Carmo P Nunes, Kaciane K B Oliveira, Juliane Franco, Marcia M Barbosa, Alison T Reese, Adriana C Diamantino, Domingos Sávio G Ferreira Filho, Frederico V B Macedo, Leonardo A M Raso, Sarcha M W Paiva, Antonio L P Ribeiro, Andrea Z Beaton
BACKGROUND: Impact of heart disease (HD) on pregnancy is significant. OBJECTIVE: We aimed to evaluate the feasibility of integrating screening echocardiography (echo) into the Brazilian prenatal primary care to assess HD prevalence. METHODS: Over 13 months, 20 healthcare workers acquired simplified echo protocols, utilizing hand-held machines (GE-VSCAN), in 22 primary care centres. Consecutive pregnant women unaware of HD underwent focused echo, remotely interpreted in USA and Brazil...
October 19, 2020: Family Practice
https://read.qxmd.com/read/33072449/a-rare-case-of-bronchomediastinal-pulmonary-vein-fistula-due-to-fibrosing-mediastinitis
#5
Harsh Rawal, Sugandhi Mahajan, Andrea Brasch, Vishesh Paul
Fibrosing mediastinitis (FM) is a rare condition with extensive proliferation of fibrous tissue in the mediastinum usually happens few years after Histoplasma infection. FM usually occurs years later after presentation of Histoplasma infection, and usually what makes patients seek medical attention are symptoms from compression and occlusion of vital mediastinal structures, such as the central airways, superior vena cava, pulmonary arteries, and veins. Rarely, heart, pericardium, coronaries, and aorta are involved...
September 14, 2020: Curēus
https://read.qxmd.com/read/33072442/utility-of-minimally-invasive-cardiovascular-monitoring-in-the-high-risk-patient-undergoing-radical-cystoprostatectomy-a-case-report
#6
Nasrin N Aldawoodi, Jamie P Hoffman, Allan R Escher
Non-cardiac surgery in a high-risk patient with severe mitral stenosis (MS) and severe pulmonary hypertension (PH) presents a significant anesthetic challenge. Guidelines recommend using advanced hemodynamic monitors for specific cardiovascular goals. The gold standard for intraoperative monitoring in these cases is the pulmonary artery catheter (PAC) and transesophageal echocardiography (TEE). This case discusses the successful management of a severe MS patient undergoing cystoprostatectomy using a minimally invasive cardiovascular monitor (MICM) incorporating several hemodynamic parameters...
October 14, 2020: Curēus
https://read.qxmd.com/read/33071927/case-series-evidence-of-borderzone-ischemia-in-critically-ill-covid-19-patients-who-do-not-wake-up
#7
Letitia Pirau, Lauren Ottenhoff, Craig A Williamson, Shahid N Ahmad, Rafael Wabl, Andrew Nguyen, Laura Faiver, Venkatakrishna Rajajee
This article describes the clinical course, radiological findings, and outcome of two patients with the novel 2019 coronavirus disease (COVID-19) who remained comatose for a prolonged duration following discontinuation of all sedation. These two male patients, one aged 59-years and another aged 53-years, both with a history of hypertension and neurologically intact on admission, developed worsening COVID-19 associated acute respiratory distress syndrome (ARDS). Both required benzodiazepine, opioid, neuromuscular blockade, therapeutic anticoagulation, and vasopressor infusions in addition to renal replacement therapy...
2020: Frontiers in Neurology
https://read.qxmd.com/read/33071833/alterations-in-cardiac-function-following-endurance-exercise-are-not-duration-dependent
#8
Alexandra M Coates, Trevor J King, Katharine D Currie, Joshua C Tremblay, Heather L Petrick, Joshua T Slysz, Christopher Pignanelli, Jordan A Berard, Philip J Millar, Jamie F Burr
Cardiac function has been shown to transiently decrease following prolonged exercise, with greater durations related to increased impairment. However, the prospective assessment of exercise duration on cardiac performance is rare, and the influence of relative exercise intensity is typically not assessed in relation to these changes. The aim of this study was to determine whether progressively longer running distances over the same course would elicit greater cardiac impairment. The present investigation examined cardiac alterations in 49 athletes, following trail-running races of 25, 50, 80, and 160 km, performed on the same course on the same day...
2020: Frontiers in Physiology
https://read.qxmd.com/read/33071428/-cardiac-involvement-in-covid-19-does-echocardiography-matter
#9
Pablo Jorge-Pérez, Albert Durán-Cambra
No abstract text is available yet for this article.
October 12, 2020: Revista Española de Cardiología
https://read.qxmd.com/read/33071243/features-of-lead-induced-tricuspid-regurgitation-in-patients-with-heart-failure-events-after-cardiac-implantation-of-electronic-devices-a-three-dimensional-echocardiographic-study
#10
Hideki Nakajima, Yoshihiro Seo, Tomoko Ishizu, Noriko Iida, Kimi Sato, Masayoshi Yamamoto, Tomoko Machino-Ohtsuka, Akihiko Nogami, Nobuyuki Ohte, Masaki Ieda
BACKGROUND: Lead-induced tricuspid regurgitation (TR) after cardiac implantable electronic device (CIED) implantation is not fully understood. This study aimed to reveal the features of lead-induced TR by 3-dimensional echocardiography (3DE) in patients with heart failure (HF) events after CIED implantation.Methods and Results:In 143 patients, 3DE assessments for the tricuspid valve (TV) and right ventricular morphologies were sequentially performed within 3 days after CIED implantations, during TR exacerbations, and at ≥6 months after TR exacerbations...
October 17, 2020: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/33071045/characteristics-and-significance-of-tricuspid-valve-prolapse-in-a-large-multidecade-echocardiographic-study
#11
Michael K Lorinsky, Matthew J Belanger, Changyu Shen, Lawrence J Markson, Francesca N Delling, Warren J Manning, Jordan B Strom
BACKGROUND: Characteristics of tricuspid valve prolapse (TVP) on transthoracic echocardiography are not well defined. As tricuspid valve interventions are increasingly considered, information on the definition and clinical significance of TVP is needed. METHODS: At the authors' institution, between January 26, 2000, and September 20, 2018, 410 patients (0.3%) were determined to have suspected TVP. These transthoracic echocardiograms and those of 97 age- and sex-matched normal control subjects were reviewed...
October 15, 2020: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/33070921/plasma-brain-natriuretic-peptide-level-on-admission-predicts-long-term-outcome-in-patients-with-non-traumatic-subarachnoid-hemorrhage
#12
Hideyuki Kishima, Takanao Mine, Tomotaka Ando, Yoshitaka Yamada, Masao Tsuji, Takehisa Ohmura, Hiroji Miyake, Masaharu Ishihara
INTRODUCTION: Non-traumatic subarachnoid hemorrhage (SAH) is a type of stroke that still has a high mortality rate. Some patients with SAH have electrocardiography (ECG) abnormalities or asymptomatic left ventricular apical ballooning, and requires intervention by cardiologists. However, the impact of cardiac abnormalities after SAH onset remains unclear. We investigated whether ECG abnormalities, myocardial damage, sympathetic nervous activity or echocardiographic left ventricular wall motion abnormalities (WMA) could provide additional risk stratification in patients with SAH...
September 2020: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/33070806/aorto-left-ventricular-tunnel-case-series-of-a-rare-disease
#13
Obayda M Diraneyya, Fahad Alhabshan, Abdullah Alghamdi, Hussein Moafa, Mohammed Alnasef, Mohamed S Kabbani
INTRODUCTION: Aorto-left ventricular tunnel is a rare disease that can cause significant morbidity early in life due to volume overload and left ventricular failure. Surgical intervention is usually curative with minimal early complications. However, long-term effects and outcome are not fully determined. OBJECTIVE: We are reporting a case series of this rare CHD with its long-term outcome. METHODS: We conducted a retrospective analysis of all children from birth to 14 years of age who were admitted between 2001 and 2020 with the diagnosis of aorto-left ventricular tunnel...
October 19, 2020: Cardiology in the Young
https://read.qxmd.com/read/33070645/right-ventricular-dysfunction-in-patients-with-non-severe-idiopathic-pulmonary-fibrosis-a-cross-sectional-prospective-single-center-study
#14
Sandra de Barros Cobra, Marcelo Palmeira Rodrigues, Felipe Xavier de Melo, Nathali Mireise Costa Ferreira, Viviane Vieira Passini, Verônica Moreira Amado, César Augusto Melo-Silva
BACKGROUND: Little is known about right ventricular dysfunction in non-advanced idiopathic pulmonary fibrosis (IPF) patients without hypoxemia at rest. We evaluated it at rest and during exercise. RESEARCH DESIGN AND METHODS: 123 IPF patients were evaluated, and 27 met all the following criteria: Gender-Age-Physiology Index score ≤5, modified Medical Research Council dyspnea score ≤3, peripheral oxygen saturation ≥92% at rest, and no history of oxygen therapy...
October 18, 2020: Expert Review of Respiratory Medicine
https://read.qxmd.com/read/33070402/echocardiographic-diagnosis-of-shone-s-syndrome
#15
Xin Zhang, Guiqin Ma, Lin Zheng, Hongju Zhang, Yan Sun, Jingya Li, Ning Ma
Shone's syndrome is a rare congenital heart disease that includes 4 cardiovascular anomalies: supravalvular mitral ring, parachute mitral valve, subaortic stenosis, and coarctation of the aorta. Early diagnosis and treatment result in better outcomes. Echocardiography plays an important role in the diagnosis and is the optimal examination for detecting this disease. Pressure gradients are often unreliable and inaccurate; thus, careful anatomical observation of the left ventricular inflow and outflow tracts, particularly the mitral valve, is vital for accurate diagnosis and planning appropriate management...
October 18, 2020: Echocardiography
https://read.qxmd.com/read/33070395/myocardial-performance-index-is-associated-with-cardiac-computed-tomography-findings-in-patients-with-suspected-coronary-artery-disease
#16
Flemming Javier Olsen, Mats Christian Højbjerg Lassen, Philip Brainin, Jan Bech, Alia Saed Alhakak, Sune Pedersen, Brian Claggett, Thomas Fritz-Hansen, Fredrik Folke, Gunnar H Gislason, Tor Biering-Sørensen
BACKGROUND: Studies suggest cardiac time intervals to be associated with cardiac ischemia. A novel method to assess cardiac time intervals by tissue Doppler echocardiography has been proposed. Cardiac time intervals can assess the myocardial performance index (MPI), which quantifies the proportion of time spent contributing effective myocardial work. We hypothesized that MPI associates with coronary artery lesions detected by cardiac computed tomography (CT) in patients suspected of coronary artery disease (CAD)...
October 18, 2020: Echocardiography
https://read.qxmd.com/read/33070385/the-beneficial-effect-of-low-intensity-exercise-on-cardiac-performance-assessed-by-two-dimensional-speckle-tracking-echocardiography
#17
Belma Yaman, Onur Akpınar, Hatice S Kemal, Levent Cerit, Burak Sezenöz, Eser Açıkgöz, Hamza Duygu
BACKGROUND: Regular physical activity is associated with cardiovascular health; however, intensive exercise can have harmful effects on the heart. Two-dimensional (2D) speckle tracking echocardiography (STE) is a well-established diagnostic tool to evaluate subclinical myocardial dysfunction and has been widely used in athletes in recent years. This study is designed to evaluate whether low-intensity exercise has beneficial effects on myocardial performance. We aimed to evaluate systolic and diastolic functions of myocardium derived from STE in sports practitioners in a low-intensity exercise training program...
October 18, 2020: Echocardiography
https://read.qxmd.com/read/33070162/cardiovascular-management-following-hypoxic-ischemic-encephalopathy-in-north-america-need-for-physiologic-consideration
#18
Regan E Giesinger, Phil T Levy, J Lauren Ruoss, Mohamed El Dib, Khorshid Mohammad, Pia Wintermark, Patrick J McNamara
BACKGROUND: Hypotension and hypoxemic respiratory failure are common among neonates with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH). Right ventricular (RV) dysfunction is associated with adverse neurodevelopment. Individualized management utilizing targeted neonatal echocardiography (TnECHO) may enhance care. METHODS: We evaluated the influence of TnECHO programs on cardiovascular practices in HIE/TH patients utilizing a 77-item REDCap survey...
October 18, 2020: Pediatric Research
https://read.qxmd.com/read/33070143/carcinoid-heart-disease-pathophysiology-pathology-clinical-manifestations-and-management
#19
REVIEW
Chengyue Jin, Ajay Nair Sharma, Balasingam Thevakumar, Muhammad Majid, Shahad Al Chalaby, Nene Takahashi, Ashraf Tanious, Aro Daniela Arockiam, Neil Beri, Ezra A Amsterdam
Carcinoid heart disease (CHD) is a rare and potentially lethal manifestation of an advanced carcinoid (neuroendocrine) tumor. The pathophysiology of CHD is related to vasoactive substances secreted by the tumor, of which serotonin is most prominent in the pathophysiology of CHD. Serotonin stimulates fibroblast growth and fibrogenesis, which can lead to cardiac valvular fibrosis. CHD primarily affects right heart valves, causing tricuspid and pulmonic regurgitation and less frequently stenosis of these valves...
October 16, 2020: Cardiology
https://read.qxmd.com/read/33069643/early-experience-with-a-novel-transfemoral-mitral-valve-implantation-system-in-complex-degenerative-mitral-regurgitation
#20
Alberto Alperi, François Dagenais, David Del Val, Mathieu Bernier, Torsten P Vahl, Omar K Khalique, Thomas Modine, Juan F Granada, Josep Rodés-Cabau
OBJECTIVES: The aim of this study was to evaluate the feasibility, procedural results, and 6-month outcomes of a novel transfemoral transcatheter mitral valve implantation (TMVI) system (Cephea) in patients with complex primary mitral regurgitation (MR). BACKGROUND: TMVI is emerging as an alternative to surgery in patients with severe MR. To date, the great majority of TMVI systems use the transapical surgical approach. METHODS: This study included consecutive patients undergoing transfemoral TMVI with the Cephea valve system...
October 11, 2020: JACC. Cardiovascular Interventions
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