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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

July 14, 2017 Comments Off on 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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Cardiology, Case Studies, Diagnostic Images
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electrocardiogram print out with stethoscope

Silent Atrial Fibrillation and Cryptogenic Strokes

April 3, 2017 Comments Off on 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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Alpert's Editorials, Anticoagulation, Atrial Fibrillation, Commentary, James Dalen, stroke
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stethoscope_replacement

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

July 13, 2016 Comments Off on 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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Cardiology, mobile app, technology
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