Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging最新文献

{"title":"Spectrum of Echocardiographic Findings in Coronavirus Disease-2019 Patients","authors":"Soumya kanti Dutta, B. Roy, R. Das, S. Mandal, Sulagna Sahu, Manimoy Bandopadhyay, K. Paul, Sandipan Ghosh","doi":"10.4103/jiae.jiae_18_21","DOIUrl":"https://doi.org/10.4103/jiae.jiae_18_21","url":null,"abstract":"Background: Although coronavirus disease-2019 (COVID-19) is predominantly a respiratory disease, cardiac involvement occurs commonly, especially in those with more severe illness. Echocardiography is the preferred imaging modality for diagnosing cardiac involvement in COVID-19. However, there are currently no data to describe echocardiographic abnormalities in Indian patients with COVID-19. Methodology: A cross-sectional observational analysis was performed among adult patients admitted to a tertiary care center between May 2020 and August 2020. Patients were included if they underwent transthoracic echocardiography during the hospitalization after a positive reverse transcriptase–polymerase chain reaction diagnosis for COVID-19 pneumonia. Demographic and clinical data were obtained and analyzed along with echocardiographic data. Results: During the study period, consecutive 245 patients were evaluated with echocardiography, of whom 11 were excluded due to nondiagnostic images. The remaining 234 (mean age 57 ± 16 years, 71.7% of men) were included in this analysis. All patients were admitted to intensive care unit or high-dependency unit. Right ventricular (RV) dilatation and/or dysfunction (37%) was the most common finding, followed by left ventricular (LV) systolic and diastolic dysfunction (27.7% and 23.1%, respectively). Pericardial effusion was present in 12% of cases. A total of 49 (20.9%) patients had preexisting LV systolic dysfunction (LVSD). After excluding them, the LVSD and LV diastolic dysfunction were observed in 8.6% and 2.7% of patients, respectively. Conclusions: This study demonstrates that RV dilatation/dysfunction is the most common echocardiographic abnormality in hospitalized patients with severe COVID-19. Further, larger, multicentric studies with systematic data collection and comparison with non-COVID patients are needed to determine the true incidence of echocardiographic abnormalities in COVID-19.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121476080","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}

{"title":"Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery","authors":"K. Jadhav, P. Jariwala, K. Mishra, H. Boorugu","doi":"10.4103/jiae.jiae_68_20","DOIUrl":"https://doi.org/10.4103/jiae.jiae_68_20","url":null,"abstract":"One of the major causes of reversible left ventricular (LV) systolic dysfunction is takotsubo cardiomyopathy. It is characterized by angina, dyspnea, electrocardiogram changes (ST segment elevation and T wave changes on chest leads of electrocardiogram), echocardiographic changes (LV dysfunction with predominant apical involvement), elevation of troponin and brain natriuretic peptide, usually mimicking acute coronary syndrome. Coronary angiogram in such cases is either normal or shows only insignificant coronary disease. Although LV apical involvement is the commonest manifestation, about one-fifth of cases of takotsubo cardiomyopathy have normal apical contractility but severe systolic dysfunction of the basal segments of the left ventricle. We report a case of reverse takotsubo cardiomyopathy developed in a relatively young patient following hip surgery and how three-dimensional and strain echocardiography clearly demonstrated the abnormality and aided the recovery of the patient.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"430 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126092527","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}

{"title":"Left Ventricular Thrombosis in a Case of Acute Inferior Wall Myocardial Infarction","authors":"A. Singhi, Sandip Sardar, Dilip Kumar","doi":"10.4103/JIAE.JIAE_72_20","DOIUrl":"https://doi.org/10.4103/JIAE.JIAE_72_20","url":null,"abstract":"Left ventricular (LV) thrombosis is caused by multiple etiological factors. Acute anterior wall myocardial infarction tops the list. Acute inferior wall infarction is not commonly associated with LV thrombus formation. A rare case of LV thrombus formation at LV apex due to acute inferior wall myocardial infarction is described in a young adult with successful resolution on medical therapy. Appropriate cardiac imaging is the key in correct diagnosis and treatment.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121843622","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}

{"title":"Angiocardiographic Demonstration of Right Atrial Myxoma","authors":"P. Panda, Krishna Prasad, Vivek Jaswal, K. Gupta, C. Pruthvi, K. Santosh, D. Bootla, Y. Sharma","doi":"10.4103/JIAE.JIAE_79_20","DOIUrl":"https://doi.org/10.4103/JIAE.JIAE_79_20","url":null,"abstract":"","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126315386","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}

{"title":"Vitamin D Correlation with Echocardiographic Function in Patients of Congestive Heart Failure","authors":"Vivek Mohanty, Monika Pathania, Ankith Bhasi","doi":"10.4103/JIAE.JIAE_55_20","DOIUrl":"https://doi.org/10.4103/JIAE.JIAE_55_20","url":null,"abstract":"Background: The association between vitamin D and heart failure, especially left ventricular (LV) function, is still not clear. Objectives: We aimed to study the correlation between 25-hydroxy vitamin D levels and parameters of cardiac systolic and diastolic functions in patients with LV systolic heart failure. Materials and Methods: Ninety patients of heart failure coming to our hospital with systolic heart failure (LV ejection fraction <40%) were included. Venous sample were taken for measurement of 25-hyrdoxy vitamin D levels. Transthoracic echocardiography was done for all patients, and parameters of LV systolic and diastolic functions were taken. Results: Compared to patients having vitamin D <20 ng/ml, patients having vitamin D levels ≥20 ng/ml had higher early diastolic mitral annular velocity (e'), significantly lower ratio of early diastolic mitral inflow velocity (E) to e' (E/e'), significantly shorter isovolumetric relaxation time (IVRT) suggestive of better diastolic function. Furthermore, patients having vitamin D <20 ng/ml had higher LV end-systolic volume, LV end-systolic diameter, larger LV end-diastolic diameter, higher interventricular septum thickness, higher LV wall thickness, and higher LV mass. Conclusion: Reduced vitamin D (<20 ng/ml) was associated with worse systolic function in terms of systolic volume and diameter, diastolic function in terms of lower e′, higher E/e′, and longer IVRT.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130043289","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}

{"title":"Unusual Mechanism and Unusual Combination of Two Common Diseases: Mystery of the Missed Diagnosis","authors":"S. Parashar, Samanjoy Mukherjee","doi":"10.4103/jiae.jiae_28_20","DOIUrl":"https://doi.org/10.4103/jiae.jiae_28_20","url":null,"abstract":"Balloon mitral valvuloplasty (BMV) is an accepted treatment for certain subsets of patients of mitral stenosis. Prior to BMV, a full clinical and echocardiographic evaluation is done. This 36-years old lady of severe mitral stenosis had two BMV's including a three-dimensional transesophageal echocardiography at leading cardiac centers. However, an important echocardiographic finding was missed which would have altered the course of management. These details are discussed.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129539799","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}

{"title":"Imaging Insights into Eisenmenger Syndrome: From Basics to Sophistication","authors":"S. Adhyapak, P. Anand, T. Rao, Jabraan Shaikh, K. Varghese","doi":"10.4103/JIAE.JIAE_33_20","DOIUrl":"https://doi.org/10.4103/JIAE.JIAE_33_20","url":null,"abstract":"We describe an unusual case of a large aortopulmonary window which was not very symptomatic and presented as Eisenmenger syndrome at the age of 20 years in a male patient. We take this opportunity to highlight some of the basic investigations like chest X-ray and contrast echocardiography which can delineate the level of the shunt. Attention should be given to the subtle bedside clinical signs which can give clues to the diagnosis. We did a cardiac computed tomography scan for confirmation of the diagnosis.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129660635","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}

{"title":"Cardiovascular Complications in Coronavirus Disease-2019: The Understanding Continues to Evolve","authors":"M. Bansal, Rakesh Gupta","doi":"10.4103/jiae.jiae_42_21","DOIUrl":"https://doi.org/10.4103/jiae.jiae_42_21","url":null,"abstract":"","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125447875","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}

{"title":"Giant Right Coronary Artery Aneurysm Following Percutaneous Transluminal Coronary Angioplasty","authors":"S. Mukherjee, Soumyakanti Datta, Saumyajit Ghosh, S. Mandal","doi":"10.4103/JIAE.JIAE_46_20","DOIUrl":"https://doi.org/10.4103/JIAE.JIAE_46_20","url":null,"abstract":"Coronary artery aneurysm following percutaneous coronary angioplasty (PTCA) is rare in interventional cardiology. Several factors may contribute to the development of such complication following PTCA that include stent size, improper apposition, nature of vascular disease, and operative technique. Here, we report a case of giant right coronary artery in-stent restenosis and aneurysm following PTCA stenting within 1-month duration. The operative technique, underlying diseased segment of coronary artery, and associated comorbidities are contributing factors for such complications. Bedside echocardiography may detect aneurysm and expedite the process of treatment.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122291593","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}

{"title":"Role of Cardiac Magnetic Resonance Imaging in Assessment of Cardiovascular Abnormalities in Patients with Coronavirus Disease 2019: Our Experience and Review of Literature","authors":"P. Chudgar, N. Burkule, Srinivas Lakshmivenkateshiah, N. Kamat","doi":"10.4103/jiae.jiae_28_21","DOIUrl":"https://doi.org/10.4103/jiae.jiae_28_21","url":null,"abstract":"Background: Long-term effects of coronavirus disease-2019 (COVID-19) causing pulmonary fibrosis are a well-established fact. Whether similar changes persist in myocardium remains a cause of concern. Cardiac magnetic resonance imaging (MRI), although logistically limited during the acute phase of illness, is an excellent modality for evaluating persisting myocardial involvement in patients recovering from COVID-19. No previous study has described cardiac MRI in Indian patients with COVID-19. Materials and Methods: We summarize cardiac MRI findings in 43 patients (29 males) who underwent cardiac MRI at our center for various clinical indications after recovering from their COVID-19 episodes. All cardiac MRI examinations were performed on Siemens Verio 3 Tesla Scanner System with 70 cm bore. Necessary precautions and safety measures were taken as per the Society for Cardiovascular Magnetic Resonance recommendations and standard imaging protocols were followed. Results: Half of all patients (22, 51.2%) had presented after 6 weeks of their initial COVID-19, whereas most of the remaining patients (19, 44.2%) underwent MRI during 3–6 weeks after recovering from COVID-19. Exercise intolerance was the most common clinical presentation observed in 22 (51.2%) patients, followed by fatigue or generalized weakness (15 patients), fast heart rate (12 patients), and breathlessness (12 patients). The most common cardiac MRI finding was elevated T1 and T2 mapping values (14 patients, 32.6%). The other common findings were late gadolinium enhancement in 12 (27.9%) patients, pericardial effusion ± enhancement in 12 (27.9%) patients, and impaired left ventricular systolic function in 9 (20.9%) patients. Eleven (25.6%) patients had normal cardiac MRI. Conclusions: Our findings summarize common cardiac abnormalities detected by cardiac MRI in patients with recent COVID-19. Although these results cannot be postulated to estimate the overall burden of cardiac involvement in COVID-19, they provide valuable insight into clinical spectrum of these patients in Indian scenario.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126311356","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}