Prosthetic heart valve (PHV) dysfunction is rare but potentially life-threatening. Although often challenging, establishing the exact cause of PHV dysfunction is essential to determine the appropriate treatment strategy. In clinical practice, a comprehensive approach that integrates several parameters of valve morphology and function assessed with 2D/3D transthoracic and transoesophageal echocardiography is a key to appropriately detect and quantitate PHV dysfunction. Cinefluoroscopy, multidetector computed tomography, cardiac magnetic resonance imaging, and to a lesser extent, nuclear imaging are complementary tools for the diagnosis and management of PHV complications. The present document provides recommendations for the use of multimodality imaging in the assessment of PHVs.
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http://dx.doi.org/10.1093/ehjci/jew025 | DOI Listing |
J Am Soc Echocardiogr
May 2024
Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom. Electronic address:
Background: The extent of structural cardiac remodeling in response to endurance training is maturity dependent. In adults, this structural adaptation is often associated with the adaptation of left ventricular (LV) twist mechanics. For example, an increase in LV twist often follows an expansion in end-diastolic volume, whereas a reduction in twist may follow a thickening of the LV walls.
View Article and Find Full Text PDFClin Pediatr (Phila)
October 2024
The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.
This study compared lower extremity (LE) muscular strength by 3 groups of female athletes using chronological age and consideration of age of peak height velocity (PHV). Isometric quadriceps, hamstrings, and hip abductors strength were assessed from physically active, pediatric females. The body mass normalized isometric strength (N m/kg) was compared by the 3 age groups.
View Article and Find Full Text PDFJ Cyst Fibros
May 2024
Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA 2) Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, Pittsburgh, PA.
Background: Pubertal delays in children with cystic fibrosis (CF) have historically been common. It is unclear to what degree puberty is affected in the new era of CF care or the role of early nutritional status. We hypothesized that more favorable early growth trajectories are associated with improved pubertal growth outcomes.
View Article and Find Full Text PDFJ Clin Endocrinol Metab
October 2023
Institute of Maternal and Child Research, Faculty of Medicine, University of Chile, 8360160 Santiago, Chile.
Context: Prepubertal adiposity is associated with earlier puberty. It is unclear when this association starts, if all adiposity markers are similarly associated, and whether all pubertal milestones are similarly affected.
Objective: To evaluate the association between different adiposity markers during childhood and the timing of different pubertal milestones in Latino girls.
Clin Imaging
August 2023
Department of Cardiology, Ariana Hospital, Tunisia.
Background: Prosthetic heart valve (PHV) dysfunction is a serious complication. Echocardiography remains the first-line imaging investigation to assess PHV dysfunction. However, the role of Computed Tomography (CT) scanning in this type of case has not been thoroughly studied yet.
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