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Applications of Strain And Strain Rate in the Evaluation of Left Ventricular Diastolic Function 应变和应变率在左室舒张功能评价中的应用
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190023
J. M. Castillo, C. Mazzarollo, W. Carvalho, Jonny Vitor Diniz, Katarina Barros de Oliveira, Deborah Costa Lima Araujo, E. Albuquerque
The analysis of diastolic function using conventional echocardiography (two-dimensional method, spectral Doppler and tissue Doppler) may not determine some cases of diastolic dysfunction or high left atrial pressure. The parameters that study myocardial strain (left atrial strain rate and longitudinal strain) may help diagnosis. This study describes the diastolic strain rate methods during isovolumetric relaxation time and at peak filling, apical twisting rate and maximal longitudinal left atrial strain, analyzing their applications and advantages.
使用常规超声心动图(二维方法、频谱多普勒和组织多普勒)分析舒张功能可能不能确定某些舒张功能不全或左房压高的病例。研究心肌应变的参数(左心房应变率和纵应变)有助于诊断。本文介绍了等容松弛时间舒张应变率法、填充峰值应变率法、心尖扭转率法和最大左心房纵向应变率法,分析了它们的应用和优点。
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引用次数: 0
Trivalvular Endocarditis: A Rare Multivalvular Condition 三瓣心内膜炎:一种罕见的多瓣疾病
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190016
R. D. Giustina, M. Marchi, Marcelo Moser Fiamoncini, E. Mazon, Maurício Pais Bussoletto, Altair Fiamoncini
{"title":"Trivalvular Endocarditis: A Rare Multivalvular Condition","authors":"R. D. Giustina, M. Marchi, Marcelo Moser Fiamoncini, E. Mazon, Maurício Pais Bussoletto, Altair Fiamoncini","doi":"10.5935/2318-8219.20190016","DOIUrl":"https://doi.org/10.5935/2318-8219.20190016","url":null,"abstract":"","PeriodicalId":211175,"journal":{"name":"ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114139321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk of Infection Associated with Transesophageal Echocardiography and Prevention Measures: Literature Review 经食管超声心动图相关的感染风险及预防措施:文献综述
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190022
J. Becker, F. Parreira, C. Fischer, V. Moisés
Background: Transesophageal echocardiography is an exam widely used in clinical practice for investigation and diagnosis of cardiac and noncardiac diseases. Although safe, it is a semi-invasive and non-risk-free examination. Cases of infection associated with transesophageal echocardiography were described and, due to the potential risk of transmission of infection during its implementation, the objective of this work was to review literature data regarding the transmission of infection during the examination, as well as prevention methods. Methods: Review of literature on the subject between December 2017 and January 2018, through research in public domain scientific portals, in the different health science databases, including original articles, guidelines, simple and systematic reviews, case reports, published in periodicals indexed in the last 20 years. Results: Thirteen articles fulfilled the established criteria: a systematic review of transesophageal echocardiography-related complications, six articles describing transesophageal echocardiography-related bacterial outbreaks, the British guideline on cleaning and disinfection for transesophageal echocardiography probes, four articles on adverse reactions to orthophthaldehyde residues in transesophageal echocardiography probes and an article regarding the use of protective covers for the probes. Conclusion: The risk of infection associated with transesophageal echocardiography exists, although poorly described in the literature. It is recommended to establish specific protocols for disinfection of transesophageal echocardiography probes and routine inspection of probes. The strengthening of infection control teams is also essential for the detection and resolution of transesophageal echocardiography-related outbreaks.
背景:经食管超声心动图是一种在临床上广泛应用于心脏和非心脏疾病的检查和诊断。虽然安全,但它是一种半侵入性和无风险的检查。本文描述了与经食管超声心动图相关的感染病例,由于其在实施过程中存在感染传播的潜在风险,因此本工作的目的是回顾有关检查过程中感染传播的文献资料,以及预防方法。方法:通过公共领域科学门户网站的研究,在不同的卫生科学数据库中检索2017年12月至2018年1月期间有关该主题的文献,包括近20年被索引期刊上发表的原始文章、指南、简单和系统综述、病例报告。结果:13篇文章符合标准;一篇关于经食管超声心动图相关并发症的系统综述,六篇描述经食管超声心动图相关细菌爆发的文章,英国关于经食管超声心动图探头清洁和消毒的指南,四篇关于经食管超声心动图探头中苯二醛残留的不良反应的文章,以及一篇关于探头使用保护罩的文章。结论:经食管超声心动图相关的感染风险存在,尽管在文献中描述较少。建议建立经食管超声心动图探头消毒和常规检查的具体方案。加强感染控制小组对于发现和解决经食管超声心动图相关暴发也是必不可少的。
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引用次数: 2
Papel do PET/CT no diagnóstico da Endocardite Infecciosa
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190037
G. Grossman, Lara Carreira
{"title":"Papel do PET/CT no diagnóstico da Endocardite Infecciosa","authors":"G. Grossman, Lara Carreira","doi":"10.5935/2318-8219.20190037","DOIUrl":"https://doi.org/10.5935/2318-8219.20190037","url":null,"abstract":"","PeriodicalId":211175,"journal":{"name":"ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130738530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Miocárdio não Compactado – um Novo “Prolapso”? Um Estigma Precoce de uma Cardiomiopatia 未压实的心肌——一种新的“脱垂”?心肌病的早期耻辱
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20200019
Marcelo Soares Tavares de Melo, Vera Maria Cury Salemi
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引用次数: 0
ST-Segment Elevation Located as Atypical Presentation of Acute Perimiocarditis st段抬高是急性心包炎的不典型表现
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190038
Paulo Vinicius Prates Silva, M. Antunes, Marcel de Paula Pereira, A. Soeiro, M. T. O. Junior, A. Torres
{"title":"ST-Segment Elevation Located as Atypical Presentation of Acute\u0000 Perimiocarditis","authors":"Paulo Vinicius Prates Silva, M. Antunes, Marcel de Paula Pereira, A. Soeiro, M. T. O. Junior, A. Torres","doi":"10.5935/2318-8219.20190038","DOIUrl":"https://doi.org/10.5935/2318-8219.20190038","url":null,"abstract":"","PeriodicalId":211175,"journal":{"name":"ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132510556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Importância do Ecocardiograma para o Cardiologista na Prática Clínica 超声心动图在临床实践中的重要性
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190043
P. Lavítola
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引用次数: 0
Message from the Editor 编辑留言
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190001
V. T. Hotta
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引用次数: 0
Transitory Apical Hypokinesia in Hyperthyroidism 甲状腺机能亢进的短暂性尖顶运动减退
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190025
Luis Eduardo da Rocha Silveira
Cardiovascular symptoms are a frequent and, sometimes, predominant clinical manifestation in patients with hyperthyroidism. Reports of palpitations is present in most cases. Increased heart rate results both from increased sympathetic tone and reduced parasympathetic tone. It is common to observe frequency above 90 bpm at rest, dull diurnal variation and exaggerated elevation on exertion. A subgroup of patients may develop precordial pain similar to angina. In rare patients, generally young women, resting chest pain syndrome is associated with ischemic abnormalities on electrocardiogram. Cardiac catheterization demonstrates that most have angiographically normal coronary arteries. However, coronary vasospasms similar to those found in Prinzmetal angina are reported. Myocardial infarction rarely develops, and these patients seem to respond to calcium channel blockers or nitroglycerin.
心血管症状是甲亢患者常见的,有时是主要的临床表现。多数病例有心悸的报告。心率增加是交感神经张力增加和副交感神经张力降低的结果。通常观察到休息时频率高于90 bpm,每日变化沉闷,运动时抬高幅度过大。一个亚组的患者可能出现心前疼痛类似心绞痛。在罕见的患者中,通常是年轻女性,静息性胸痛综合征与心电图的缺血性异常有关。心导管检查显示大多数冠状动脉血管造影正常。然而,冠状血管痉挛与Prinzmetal心绞痛相似也有报道。心肌梗死很少发生,这些患者似乎对钙通道阻滞剂或硝酸甘油有反应。
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引用次数: 0
Ecocardiographic Findings in Patients with Mucopolissacaridose II And VI: Report of Two Cases 黏液糖多糖II型和VI型患者的心电图表现:附2例报告
Pub Date : 1900-01-01 DOI: 10.5935/2318-8219.20190024
Stella de Souza Carneiro, Elisa Vescovi, P. Costa
Mucopolysaccharidoses (MPS) are disorders of lysosomal storage characterized by functional deficiency caused by the genetic mutation of one of the lysosomal enzymes that act in the catabolism of Glycosaminoglycans (GAG), previously known as mucopolysaccharides.1 It is a hereditary disease of an autosomal recessive form, or X-linked recessive, and with different phenotypes.2 Cardiovascular involvement is common, occurring more frequently in types I, II and VI.1,3,4 Two-dimensional transthoracic echocardiography is the method of choice for diagnosis and follow-up when there is cardiac involvement. It is extremely relevant for the echocardiographers to be familiar with this entity. We report the case of two patients diagnosed with MPS (types II and VI), with valvular heart impairment.
粘多糖病(MPS)是溶酶体储存障碍,其特征是由参与糖胺聚糖(GAG)分解代谢的溶酶体酶之一的基因突变引起的功能缺陷它是一种常染色体隐性遗传或x连锁隐性遗传的遗传病,具有不同的表型心血管受累是常见的,在I型、II型和vi型中更常见。1,3,4当有心脏受累时,二维经胸超声心动图是诊断和随访的首选方法。对于超声心动图医师来说,熟悉这个实体是非常重要的。我们报告了两例被诊断为MPS (II型和VI型)的患者,并伴有瓣膜性心脏损伤。
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引用次数: 0
期刊
ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR
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