Tag Archives: Echocardiograph

A Tale of Two Valves

To the Editor: Radiation heart disease is associated with a high level of morbidity and mortality. Its natural history is not well understood. Its management is difficult. We report a case of radiation heart disease with dramatic disease progression over 11 years, captured on echocardiography. Case Report A 66-year-old woman presented with increasing dyspnea on […]

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What’s in a Mass?: Large Native Mitral Valve Mass

After an elective cystectomy, a 77-year-old man developed postoperative atrial fibrillation, resulting in a surprising new finding and a challenging diagnosis. He had no cardiovascular symptoms or cardiac history. The preoperative electrocardiogram was normal. Transthoracic echocardiogram identified a mass on the mitral valve (Figure 1A), new 3+ aortic valve regurgitation, and 2+ mitral valve regurgitation. Left ventricular […]

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electrocardiogram print out with stethoscope

Silent Atrial Fibrillation and Cryptogenic Strokes

A new suspected cause of cryptic strokes is “silent atrial fibrillation.” Pacemakers and other implanted devices allow continuous recording of cardiac rhythm for months or years. They have discovered that short periods of atrial fibrillation lasting minutes or hours are frequent and usually are asymptomatic. A meta-analysis of 50 studies involving more than 10,000 patients […]

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Cardiac Examination: Stethoscope or Pocket Echo—Why Not Both?

Portable echocardiographic devices were first introduced in 1978.1 As technology has evolved, they have become smaller and more comprehensive. At present, pocket echos (pocket-sized, hand-held cardiac ultrasounds), which cost less than $1000 can, in 5 to 10 minutes, produce data very similar to that obtained by a standard echo examination of the heart. At present (United […]

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