Tag Archives: Echocardiograph

Accuracy and Efficacy of Hand-Held Echocardiography in Diagnosing Valve Disease: A Systematic Review

In recent years, advances in technology have enabled hand-held echocardiography (HHE) to generate high-quality 2-dimensional and color Doppler images. As these devices become smaller, simpler, and more affordable, the question of whether HHE can augment or replace auscultation as the primary mode of cardiovascular diagnosis has become increasingly more relevant. If widely implemented, HHE has […]

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A bubble study was performed with transesophageal echocardiography. (A) This image was obtained before the bubble study. (B) In the early phase of the bubble study, bubbles (arrow) moved from the right atrium (RA) to the left atrium (LA) through the interatrial septum (IAS). (C) In the late phase of the bubble study, bubbles (arrows) were located in the right atrium. (D) This image was captured after percutaneous closure of the interatrial septum (star).

Falls and Delirium: Platypnea-Orthodeoxia Syndrome

An 85-year-old woman’s inability to remain standing was ultimately connected to an undiagnosed congenital defect. The patient was admitted to the geriatric unit of a university hospital for new frequent falls and subacute delirium, both of which began 1 month before presentation. Her medical history included ischemic stroke 10 years earlier, mild neurocognitive impairment, and […]

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(A) Twelve-lead electrocardiogram with first-degree heart block. (B) Transthoracic echocardiogram stills depicting moderate mitral and tricuspid regurgitation. (C) T1-weighted, gadolinium-enhanced brain magnetic resonance imaging with abnormal enhancement of the right facial nerve (arrow). LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.

Hints of Lyme: Disseminated Borreliosis Involving the Mitral and Tricuspid Valves

A 33-year-old man with cystic fibrosis 220 days removed from bilateral lung transplantation presented with 1 week of intermittent fevers (maximum 102°F), malaise, bilateral lower extremity edema, unintentional weight gain (8 pounds), and 2 days of dyspnea on exertion. His posttransplant course was complicated by persistent leukopenia with intermittent neutropenia attributed to his antirejection regimen of […]

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Transthoracic echocardiogram demonstrating mild mitral valve and aortomitral curtain thickening (arrow; Panel A), with satisfactory mitral valve opening during diastole (Panel C) in 2004; by 2016, there has been dramatic progression in mitral valve disease with severe aortomitral curtain calcification (arrow; Panel B) and severe mitral stenosis (Panels D, F), associated with significant pulmonary hypertension (Panel E).

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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(A) Transthoracic echocardiogram, parasternal long-axis view, demonstrates suggestion of a mass (arrow) adjacent to the anterior leaflet of the mitral valve. (B) Transesophageal echocardiogram, midesophageal 2-chamber view in diastole and (C) systole, clearly shows the mitral valve mass. The mass is attached to the anterior mitral leaflet, measuring 2.2 × 1.5 cm. AO = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle.

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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