AI Article Synopsis
Article Abstract
Background: To quantify valvular morphological assessment, some two-dimensional (2D) and three-dimensional (3D) scoring systems have been developed to target the patients for balloon mitral valvuloplasty; however, each scoring system has some potential limitations. To achieve the best scoring system with the most features and the least restrictions, it is necessary to check the degree of overlap of these systems. Also the factors related to the accuracy of these systems should be studied. We aimed to determine the correlation between the 2D Wilkins and real-time transesophageal three-dimensional (RT3D-TEE) scoring systems.
Methods: This cross-sectional study was performed on 156 patients with moderate to severe mitral stenosis who were candidates for percutaneous balloon valvuloplasty. To morphologic assessment of mitral valve, patients were examined by 2D-transthoracic echocardiography and RT3D-TEE techniques on the same day.
Results: A strong association was found between total Wilkins and total RT3D-TEE scores (r = 0.809, p < 0.001). The mean mitral valve area assessed by the 2D and 3D was 1.07 ± 0.25 and 1.03 ± 0.26, respectively, indicating a mean difference of 0.037 cm (p = 0.001). We found a strong correlation between the values of mitral valve area assessed by 2D and 3D techniques (r = 0.846, p < 0.001).
Conclusion: There is a high correlation between the two scoring systems in terms of evaluating dominant morphological features. Partially, mitral valve area overestimation in the 2D-transthoracic echocardiography and its inability to assess commissural involvement as well as its dependence on patient age were exceptions in this study.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/02184923211030424 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anatomical Significance of the Patent Foramen Ovale by Real-Time 3D TEE in Cryptogenic Stroke and Migraine.
Echocardiography
November 2024
Department of Cardiovascular Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Background: The transesophageal echocardiogram (TEE) is the standard imaging modality for confirming the presence or absence of patent foramen ovale. PFO is a flap valve depending on the pressure change between the left and right atrium, which can help determine whether to open. 3D-TEE was shown to optimize the visualization of PFO.
View Article and Find Full Text PDFApplication of Echocardiography in Anaesthesia: From Preoperative Risk Assessment to Postoperative Care.
Cureus
September 2024
Department of Anaesthesiology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Echocardiography has carved out a fundamental niche in anaesthesiology, revolutionizing the monitoring and management of cardiac function during surgery. Clinical practice has changed from simple 2D and 3D echocardiography to more sophisticated applications such as incorporating artificial intelligence. Echocardiography provides detailed real-time information about cardiac anatomy and function, helping anaesthesiologists make better decisions regarding tailoring anesthetic interventions and optimizing patient outcomes.
View Article and Find Full Text PDFIntraoperative 'pressure field' haemodynamic monitoring in a patient with severe aortic regurgitation having laparoscopic robot-assisted colorectal surgery.
Anaesth Intensive Care
November 2024
Peter MacCallum Cancer Centre, Melbourne, Australia.
Article Synopsis
- - Laparoscopic robot-assisted colorectal surgery can be risky for patients with severe aortic regurgitation due to complications like increased pressure and blood flow issues that can lead to heart problems.
- - Transoesophageal echocardiography (TOE) helps manage these challenges during surgery but requires specialized skills and isn’t perfect for understanding how afterload affects the heart.
- - The article discusses a case where both innovative pressure field haemodynamic monitoring and TOE were successfully used together during a surgery, providing better real-time insights into the patient's heart function.
Impact of Non-Valvular Atrial Fibrillation on Mitral Valve Anatomic Features: A Study of Three-Dimensional Mitral Valve by Transesophageal Echocardiography and Automatic Analysis Software.
Echocardiography
October 2024
Department of Ultrasonic Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Article Synopsis
- Mitral regurgitation (MR) is commonly found in patients with non-valvular atrial fibrillation (NVAF) and can worsen the condition; this study examines the 3D anatomy of the mitral valve (MV) in different NVAF types to understand MR's mechanisms.
- The study analyzed 82 patients with paroxysmal AF and 66 with persistent AF via real-time 3D echocardiography, comparing them to a control group of 30 patients, measuring various heart structures and functions.
- Results showed that persistent AF patients had larger left atrial volumes and higher MR rates, with notable changes in mitral annular shape and size compared to the control group, indicating structural changes are
Retrospective Review of the Image Quality of Monoplane Transesophageal Echocardiography in Prehospital Out-of-Hospital Cardiac Arrest: A Single Center Pilot Study.
Prehosp Emerg Care
November 2024
Department of Emergency Medicine, Newark Beth Israel Medical Center, Newark, New Jersey.
Objectives: Out of Hospital Cardiac Arrest (OHCA) is a frequently encountered pathology with resultant poor outcomes in the majority of patients. Echocardiography has been utilized to help guide clinical decision making and monitor effectiveness of resuscitative efforts. Transthoracic echocardiography (TTE) the mainstay of point-of-care ultrasound (POCUS) real time resuscitative imaging has limitations, most notably is the disruption of closed chest compressions.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!