SMJ articles in the category "echocardiography"

Original Article

Differential Phenotype Profile between Main Right Ventricular Chamber and Outflow Tract in Chronic Pulmonary Hypertension: Echocardiographic Observation

Objectives: Right ventricular (RV) dilatation and systolic dysfunction are known remodeling changes occurring in chronic pulmonary hypertension and are likely the result of increases in pulmonary vascular resistance (PVR). It remains unclear whether PVR affects primarily the main RV chamber (mRVc) or the RV outflow tract (RVOT). Methods: Standard echocardiography…

Posted in: echocardiography 11 pulmonary hypertension 12 right ventricle 3

Original Article

Risk Stratification in Acute Pulmonary Embolism: Frequency and Impact on Treatment Decisions and Outcomes

Objectives: Guidelines have recommended that risk stratification be performed in patients diagnosed with an acute pulmonary embolism (PE). No study has described the use of risk stratification in routine clinical practice. The purpose of this study was to measure the frequency and impact of risk stratification on treatment decisions and…

Posted in: echocardiography 11 mortality 38 pulmonary embolism 17 troponin 8 venous thromboembolism 5

Original Article

Misclassification of Pulmonary Hypertension in Adults with Sickle Hemoglobinopathies Using Doppler Echocardiography

Objective: To compare the diagnostic utility of Doppler echocardiography–derived tricuspid regurgitant jet velocity (TRV) ≥2.5 m/s to right heart catheterization (RHC) in defining pulmonary hypertension (PH) in adult patients with sickle cell disease (SCD). Methods: This is a retrospective chart review of adults with SCD who had a TRV ≥2.5…

Posted in: echocardiography 11 pulmonary hypertension 12 sickle cell disease 28

Original Article

CA-125 Level Is Associated with Right Ventricular Echocardiographic Parameters in Patients with COPD

Objective: A few studies have shown that elevated CA-125 levels are associated with chronic obstructive pulmonary disease (COPD). However, there are no data concerning the associaton between serum CA-125 levels and right ventricular (RV) function in COPD patients. This study aimed to evaluate the relationship between CA-125 level and RV…

Posted in: chronic obstructive pulmonary disease 10 echocardiography 11

Case Report

Constrictive-Like Physiology in Severe Pulmonary Hypertension: The Effect of the Valsalva Maneuver

We describe the case of a 37-year-old female with severe pulmonary hypertension on intravenous Remodulin® and Tracleer® who experienced presyncope following a six-minute walk. A transthoracic echocardiogram, in addition to showing the usual findings of chronic pulmonary hypertension, also demonstrated a noticeable increase in both mitral annular systolic and early…

Posted in: echocardiography 11 pulmonary hypertension 12

Case Report

Pulmonary Edema of an Unexpected Cause

Atrial myxoma is rarely seen in practice. We report a 67-year-old female who presented with acute cardiac insufficiency and pulmonary edema. Cardiac murmur was not detected on precordial examination. Urgent echocardiography, however, revealed atrial myxoma causing mitral valve obstruction. We point out that a normal cardiac examination does not exclude…

Posted in: echocardiography 11 pulmonary edema 3

Case Report

Dobutamine-Induced Complete Heart Block

Dobutamine is commonly administered as a pharmacologic stressor in patients with limitations precluding exercise testing. The case report presented is one of transient complete heart block resulting from dobutamine sestamibi stress testing. Shortly after initiating the dobutamine infusion, the patient became pale and presyncopal, with hypotension and a heart rate…

Posted in: dobutamine 2 echocardiography 11 heart block 4

Case Report

Peripartum Cardiomyopathy Presenting with Pulmonary Embolism: An Unusual Case

A 35-year-old woman was admitted to the intensive care unit with heart failure and chest pain. Echocardiography had shown dilated cardiomyopathy, with a preponderance of right heart findings and pulmonary hypertension. In a woman with multiple prior uncomplicated pregnancies and deliveries, and no other known risk factors of developing pulmonary…

Posted in: cardiomyopathy 10 echocardiography 11 heart failure 20 pregnancy 48 pulmonary embolism 17

Case Report

New Onset Heart Failure in a 29-year-old: A Case Report of Isolated Left Ventricular Noncompaction

Abstract:A previously healthy 29-year-old patient presented with new onset congestive heart failure. Based on findings on transthoracic echocardiogram (TTE) and cardiac magnetic resonance imaging (MRI) at an outside center, the patient was diagnosed as having a dilated cardiomyopathy with structural abnormalities in the ventricular septum and left ventricular (LV) apex…

Posted in: cardiac MRI 2 cardiomyopathy 10 echocardiography 11 heart failure 20

Case Report

Left Ventricular Endocardial Calcification in a Patient with Myeloproliferative Disease

The case of a 57-year-old male with a history significant for myeloproliferative disease, chronic renal failure, hypertension, and prostate cancer is described. His complete blood count was remarkable for neutrophilia and, notably, eosinophilia. Subsequent to two syncopal episodes, a transthoracic echocardiogram was performed as part of the workup, which showed…

Posted in: echocardiography 11

Case Report

An Unusual Cause of New-onset Atrial Flutter: Primary Cardiac Lymphoma

Primary cardiac lymphoma is a rare disease with a high mortality rate due to the advanced stage of myocardial involvement at presentation. The diagnosis is extremely difficult to make because of the rarity of the disease, variability of clinical manifestations, limited noninvasive diagnostic techniques available, and difficulties and/or delays in…

Posted in: atrial flutter 3 echocardiography 11 lymphoma 14
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