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Echocardiographic findings of patients with transthyretin amyloid cardiomyopathy.
J Echocardiogr
December 2024
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Transthyretin amyloid cardiomyopathy (ATTR-CM) is becoming increasingly recognized with the aging population, advancements in understanding of disease pathobiology and the potential benefits of emerging therapies. Bone scintigraphy, including Tc-labeled pyrophosphate scintigraphy, is currently considered the first-line modality for identifying ATTR-CM. Therefore, it is important to increase the preset probability using inexpensive and simple tests including echocardiography.
View Article and Find Full Text PDFEchocardiographic clues of the "atrial pump mechanism" during cardiopulmonary resuscitation: comment.
Intern Emerg Med
November 2024
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Impact of Bedside Echocardiography in the Management of Critically Ill Pediatric Patients in the Pediatric Intensive Care Unit: A Cross-Sectional Study.
Cureus
September 2024
Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Background Managing critically ill pediatric patients is a challenging responsibility that necessitates effective prioritization and time management. It is important not only to assess the condition of the patient on a continuous and real-time basis but also to assess in a way that will provide vital clues that may help in diagnosis and treatment. Our study aims to investigate the association between echocardiography and clinical systemic examination, to find the association between cardiac dysfunction and pediatric outcomes, and to identify the indications and necessity of echocardiography assessments and therapeutic interventions for patients in the pediatric intensive care unit.
View Article and Find Full Text PDFEchocardiographic clues of the "atrial pump mechanism" during cardiopulmonary resuscitation.
Intern Emerg Med
September 2024
Division of Anesthesiology and Intensive Care, ASST Fatebenefratelli Sacco, "Luigi Sacco" Hospital - Polo Universitario, University of Milan, Via G.B. Grassi 74, 20157, Milan, Italy.
Article Synopsis
- This study investigates how atrial compression plays a role in CPR rather than focusing solely on the ventricles, specifically looking at the "atrial pump mechanism."
- A cohort of 40 patients who experienced cardiac arrest was analyzed with techniques like transesophageal echocardiography to measure the mechanical characteristics of atrial compression and its effects on blood flow.
- Results showed that 12.5% of patients had significant atrial compression, which correlated with better outcomes in terms of successful CPR, suggesting that this mechanism is important for maintaining blood flow and brain perfusion during resuscitation efforts.
Let's put the clues together and find the aetiology in this patient with dilated right heart!
Echocardiography
September 2024
Department of Cardiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
A 39-year-old woman with intermittent palpitations, psoriasis, and a family history of sudden death presented with dilated right heart chambers and an enlarged coronary sinus. Despite a normal bubble study, further evaluation with transesophageal echocardiography revealed an abnormal pulmonary venous return: the left pulmonary veins drained into the coronary sinus. Cardiac computed tomography confirmed this finding, suggesting a partial abnormal pulmonary venous return as the underlying issue.
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