Echo Research and Practice最新文献_第8页

Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony. 被诊断困住了:假体二尖瓣血栓vs非同步化。

IF 6.3

Echo Research and Practice Pub Date : 2020-09-01 DOI: 10.1530/ERP-20-0012

Patrick Savage, Michael Connolly

引用次数: 0

Left ventricular speckle tracking echocardiographic evaluation before and after TAVI. TAVI前后左心室斑点跟踪超声心动图评价。

IF 6.3

Echo Research and Practice Pub Date : 2020-09-01 DOI: 10.1530/ERP-20-0009

Vasiliki Tsampasian, Vasileios Panoulas, Richard J Jabbour, Neil Ruparelia, Iqbal S Malik, Nearchos Hadjiloizou, Angela Frame, Sayan Sen, Nilesh Sutaria, Ghada W Mikhail, Petros Nihoyannopoulos

{"title":"Left ventricular speckle tracking echocardiographic evaluation before and after TAVI.","authors":"Vasiliki Tsampasian, Vasileios Panoulas, Richard J Jabbour, Neil Ruparelia, Iqbal S Malik, Nearchos Hadjiloizou, Angela Frame, Sayan Sen, Nilesh Sutaria, Ghada W Mikhail, Petros Nihoyannopoulos","doi":"10.1530/ERP-20-0009","DOIUrl":"https://doi.org/10.1530/ERP-20-0009","url":null,"abstract":"Aims: To assess left ventricular (LV) function before and after transcatheter aortic valve implantation (TAVI) using conventional echocardiographic parameters and global longitudinal LV strain (GLS) and compare outcomes between Edwards S3 and Evolut R valves.Methods and results: Data were collected for consecutive patients undergoing TAVI at Hammersmith hospital between 2015 and 2018. Of the 303 patients, those with coronary artery disease and atrial fibrillation were excluded leading to a total of 85 patients, which constituted our study group. The mean follow-up was 49 ± 39 days. In total, 60% of patients were treated with Edwards S3 and 40% Evolut R. TAVI resulted in an early improvement of GLS (-13.96 to -15.25%, P = 0.01) but not ejection fraction (EF) (47.6 to 50.1%, P = 0.09). LV mass also improved, especially in patients with marked baseline LV hypertrophy (P < 0.001). There were no appreciable differences of LV function improvement and overall LV remodelling after TAVI between the two types of valves used (P = 0.14).Conclusions: TAVI results in reverse remodelling and improvement of GLS, especially in patients with impaired baseline LV function. There were no differences in the extent of LV function improvement between Edwards S3 and Evolut R valves but there was a greater incidence of aortic regurgitation with Evolut R.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 3","pages":"29-38"},"PeriodicalIF":6.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/b8/ERP-20-0009.PMC7487179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10329025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Global longitudinal strain in chronic asymptomatic aortic regurgitation: systematic review. 慢性无症状主动脉反流的整体纵向应变:系统综述。

IF 6.3

Echo Research and Practice Pub Date : 2020-09-01 DOI: 10.1530/ERP-20-0024

Diana deCampos, Rogério Teixeira, Carolina Saleiro, Ana Botelho, Lino Gonçalve

{"title":"Global longitudinal strain in chronic asymptomatic aortic regurgitation: systematic review.","authors":"Diana deCampos, Rogério Teixeira, Carolina Saleiro, Ana Botelho, Lino Gonçalve","doi":"10.1530/ERP-20-0024","DOIUrl":"https://doi.org/10.1530/ERP-20-0024","url":null,"abstract":"Chronic aortic regurgitation (AR) patients typically remain asymptomatic for a long time. Left ventricular mechanics, namely global longitudinal strain (GLS), has been associated with outcomes in AR patients. The authors conducted a systematic review to summarize and appraise GLS impact on mortality, the need for aortic valve replacement (AVR) and disease progression in AR patients. A literature search was performed using these key terms 'aortic regurgitation' and 'longitudinal strain' looking at all randomized and nonrandomized studies conducted on chronic aortic regurgitation. The search yielded six observational studies published from 2011 and 2018 with a total of 1571 patients with moderate to severe chronic AR. Only two studies included all-cause mortality as their endpoint. The other studies looked at the association between GLS with AVR and disease progression. The mean follow-up period was 4.2 years. We noted a great variability of clinical, methodological and/or statistical origin. Thus, meta-analytic portion of our study was limited. Despite a relevant heterogeneity, an impaired GLS was associated with adverse cardiac outcomes. Left ventricular GLS may offer incremental value in risk stratification and decision-making.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 3","pages":"39-48"},"PeriodicalIF":6.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/de/6f/ERP-20-0024.PMC7576640.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10333665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography. 1级超声心动图的最小数据集:英国超声心动图学会的指导方案。

IF 6.3

Echo Research and Practice Pub Date : 2020-06-01 DOI: 10.1530/ERP-19-0060

Rakhee Hindocha, David Garry, Nadia Short, Tom E Ingram, Richard P Steeds, Claire L Colebourn, Keith Pearce, Vishal Sharma

{"title":"A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography.","authors":"Rakhee Hindocha, David Garry, Nadia Short, Tom E Ingram, Richard P Steeds, Claire L Colebourn, Keith Pearce, Vishal Sharma","doi":"10.1530/ERP-19-0060","DOIUrl":"https://doi.org/10.1530/ERP-19-0060","url":null,"abstract":"The British Society of Echocardiography has previously outlined a minimum dataset for a standard transthoracic echocardiogram, and this remains the basis on which an echocardiographic study should be performed. The importance of ultrasound in excluding critical conditions that may require urgent treatment is well known. Several point-of-care echo protocols have been developed for use by non-echocardiography specialists. However, these protocols are often only used in specific circumstances and are usually limited to 2D echocardiography. Furthermore, although the uptake in training for these protocols has been reasonable, there is little in the way of structured support available from accredited sonographers in the ongoing training and re-accreditation of those undertaking these point-of-care scans. In addition, it is well recognised that the provision of echocardiography on a 24/7 basis is extremely challenging, particularly outside of tertiary cardiac centres. Consequently, following discussions with NHS England, the British Society of Echocardiography has developed the Level 1 echocardiogram in order to support the rapid identification of critical cardiac pathology that may require emergency treatment. It is intended that these scans will be performed by non-specialists in echocardiography and crucially are not designed to replace a full standard transthoracic echocardiogram. Indeed, it is expected that a significant number of patients, in whom a Level 1 echocardiogram is required, will need to have a full echocardiogram performed as soon as is practically possible. This document outlines the minimum dataset for a Level 1 echocardiogram. The accreditation process for Level 1 echo is described separately.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 2","pages":"G51-G58"},"PeriodicalIF":6.3,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/52/ERP-19-0060.PMC7354713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10329026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography. 超声心动图实践中心脏尺寸和功能的正常参考区间:英国超声心动图学会指南。

IF 6.3

Echo Research and Practice Pub Date : 2020-03-20 DOI: 10.1530/ERP-19-0050

Allan Harkness, Liam Ring, Daniel X Augustine, David Oxborough, Shaun Robinson, Vishal Sharma

引用次数: 81

Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography 超声心动图实践中使用的心脏尺寸和功能的正常参考间隔：英国超声心动图学会的指南

IF 6.3

Echo Research and Practice Pub Date : 2020-03-01 DOI: 10.1530/ERP-19-0050e

A. Harkness, L. Ring, D. Augustine, D. Oxborough, Shaun Robinson, V. Sharma

引用次数: 11

Echocardiographic assessment of the right heart in adults: a practical guideline from the British Society of Echocardiography 成人右心超声心动图评估:英国超声心动图学会实用指南

IF 6.3

Echo Research and Practice Pub Date : 2020-02-27

Abbas Zaidi, Daniel S Knight, Daniel X Augustine, Allan Harkness, David Oxborough, Keith Pearce, Liam Ring, Shaun Robinson, Martin Stout, James Willis, Vishal Sharma

{"title":"Echocardiographic assessment of the right heart in adults: a practical guideline from the British Society of Echocardiography","authors":"Abbas Zaidi, Daniel S Knight, Daniel X Augustine, Allan Harkness, David Oxborough, Keith Pearce, Liam Ring, Shaun Robinson, Martin Stout, James Willis, Vishal Sharma","doi":"","DOIUrl":"","url":null,"abstract":"The structure and function of the right side of the heart is influenced by a wide range of physiological and pathological conditions. Quantification of right heart parameters is important in a variety of clinical scenarios including diagnosis, prognostication, and monitoring response to therapy. Although echocardiography remains the first-line imaging investigation for right heart assessment, published guidance is relatively sparse in comparison to that for the left ventricle. This guideline document from the British Society of Echocardiography describes the principles and practical aspects of right heart assessment by echocardiography, including quantification of chamber dimensions and function, as well as assessment of valvular function. While cut-off values for normality are included, a disease-oriented approach is advocated due to the considerable heterogeneity of structural and functional changes seen across the spectrum of diseases affecting the right heart. The complex anatomy of the right ventricle requires special considerations and echocardiographic techniques, which are set out in this document. The clinical relevance of right ventricular diastolic function is introduced, with practical guidance for its assessment. Finally, the relatively novel techniques of three-dimensional right ventricular echocardiography and right ventricular speckle tracking imaging are described. Despite these techniques holding considerable promise, issues relating to reproducibility and inter-vendor variation have limited their clinical utility to date.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 1","pages":"G19-G41"},"PeriodicalIF":6.3,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/2b/ERP-19-0051.PMC7077526.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37683232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography. 用于超声心动图检查的心脏尺寸和功能正常参考区间：英国超声心动图学会指南。

IF 3.2

Echo Research and Practice Pub Date : 2020-02-24

Allan Harkness, Liam Ring, Daniel X Augustine, David Oxborough, Shaun Robinson, Vishal Sharma

{"title":"Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography.","authors":"Allan Harkness, Liam Ring, Daniel X Augustine, David Oxborough, Shaun Robinson, Vishal Sharma","doi":"","DOIUrl":"","url":null,"abstract":"This guideline presents reference limits for use in echocardiographic practice, updating previous guidance from the British Society of Echocardiography. The rationale for change is discussed, in addition to how the reference intervals were defined and the current limitations to their use. The importance of interpretation of echocardiographic parameters within the clinical context is explored, as is grading of abnormality. Each of the following echo parameters are discussed and updated in turn: left ventricular linear dimensions and LV mass; left ventricular volumes; left ventricular ejection fraction; left atrial size; right heart parameters; aortic dimensions; and tissue Doppler imaging. There are several important conceptual changes to the assessment of the heart’s structure and function within this guideline. New terminology for left ventricular function and left atrial size are introduced. The British Society of Echocardiography has advocated a new approach to the assessment of the aortic root, the right heart, and clarified the optimal methodology for assessment of LA size. The British Society of Echocardiography has emphasized a preference to use, where feasible, indexed measures over absolute values for any chamber size.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 1","pages":"G1-G18"},"PeriodicalIF":3.2,"publicationDate":"2020-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cb/bd/ERP-19-0050.PMC7040881.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37683230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is this a satellite orbiting unchartered territory? 这是一颗绕未知区域运行的卫星吗?

IF 6.3

Echo Research and Practice Pub Date : 2020-02-17 eCollection Date: 2020-03-01 DOI: 10.1530/ERP-19-0061

Handi Salim, Martin Been, David Hildick-Smith, Jamal Nasir Khan

{"title":"Is this a satellite orbiting unchartered territory?","authors":"Handi Salim, Martin Been, David Hildick-Smith, Jamal Nasir Khan","doi":"10.1530/ERP-19-0061","DOIUrl":"https://doi.org/10.1530/ERP-19-0061","url":null,"abstract":"A 27-year old female i.v. drug user presented to our institution with chest pain. She had a history of bicuspid aortic valve endocarditis with aortic root abscess repaired with bioprosthetic aortic valve replacement and pericardial patch reconstruction of the left ventricular outflow tract and non-coronary sinus 6 weeks previously. Echocardiographic and cardiac CT imaging confirmed three foci of breakdown of the pericardial patch repair with active bleeding into a large posterior pseudoaneurysm (92 mm diameter) compressing the left atrium and pulmonary artery. Following multidisciplinary discussion, the consensus was to attempt urgent percutaneous closure of the defect, given the prohibitive surgical risks. The procedure was performed under fluoroscopic and 3D-transoesophageal guidance. TOE demonstrated the pericardial patch breaches and active bleeding into the large pseudoaneurysm (Figs 1 and 2). Initial deployment of an Amplatzer atrial septal defect occluder resulted in significant flow reduction, but there remained two small peri-device leaks (Fig. 3). During an attempt to implant an additional smaller Amplatzer vascular plug (AVP-2) to rectify this, the initial device dislodged and embolised into the pseudoaneurysm. This was felt irretrievable and unlikely to be clinically significant given its containment. The embolised device freely floated within the pseudoaneurysm, uniquely akin to a satellite orbiting in space (Video 1). The secondary device was removed and initial breach was satisfactorily closed with a 15-mm-sized Amplatzer atrial septal defect occluder (third device). This was confirmed to be wellseated on real-time 3D imaging (Video 2), with negligible residual leak on TOE (Fig. 4). This is the first published case of percutaneous cardiac device embolization into a pseudoaneurysm cavity that we are aware of. ID: XX-XXXX;","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 1","pages":"I1-I3"},"PeriodicalIF":6.3,"publicationDate":"2020-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/2f/ERP-19-0061.PMC7077522.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37752541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

British Society of Echocardiography Departmental Accreditation Standards 2019 with input from the Intensive Care Society. 2019年英国超声心动图部门认证标准协会，并得到重症监护协会的投入。

IF 6.3

Echo Research and Practice Pub Date : 2020-02-17 eCollection Date: 2020-03-01 DOI: 10.1530/ERP-19-0045

Sarah Ritzmann, Stephanie Baker, Marcus Peck, Tom E Ingram, Jane Allen, Laura Duffy, Richard P Steeds, Andrew Houghton, Andrew Elkington, Nina Bual, Robert Huggett, Keith Pearce, Stavros Apostolakis, Khalatabari Afshin

{"title":"British Society of Echocardiography Departmental Accreditation Standards 2019 with input from the Intensive Care Society.","authors":"Sarah Ritzmann, Stephanie Baker, Marcus Peck, Tom E Ingram, Jane Allen, Laura Duffy, Richard P Steeds, Andrew Houghton, Andrew Elkington, Nina Bual, Robert Huggett, Keith Pearce, Stavros Apostolakis, Khalatabari Afshin","doi":"10.1530/ERP-19-0045","DOIUrl":"https://doi.org/10.1530/ERP-19-0045","url":null,"abstract":"This article sets out a summary of standards for departmental accreditation set by the British Society of Echocardiography (BSE) Departmental Accreditation Committee. Full accreditation standards are available at www.bsecho.org. The BSE were the first national organisation to establish a quality standards framework for departments that support the practice of individual echocardiographers. This is an updated version which recognises that, not only should all echocardiographers be individually accredited as competent to practice, but that departments also need to be well organised and have the facilities, equipment and processes to ensure the services they deliver are of an appropriate clinical standard. In combination with individual accreditation, departmental accreditation lays down standards to help ensure safe and effective patient care. These standards supersede the 2012 BSE Departmental Accreditation Standards. Standards are set to cover all potential areas of practice, including transthoracic (level 2) echocardiography, transoesophageal echocardiography, stress echocardiography, training, and emergency (level 1) echocardiography. The emergency echocardiography standard is a new addition to departmental accreditation and has been developed with input from the Intensive Care Society.","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"7 1","pages":"G43-G49"},"PeriodicalIF":6.3,"publicationDate":"2020-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/13/ERP-19-0045.PMC7077600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37752540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5