Echocardiogram and Laboratory - Cardiovascular Update

Young man with chest pain and an abnormal echocardiogram

Heart BMJ

APRIL 15, 2024

Physical examination, an ECG, basic laboratories and a chest X-ray were unremarkable. A transthoracic echocardiogram was performed ( figure 1 ). Figure 1 Transthoracic echocardiogram ((A) apical four-chamber view; (B) parasternal short-axis view). Myocardial scintigraphic perfusion images at stress and rest were normal.

Chest Pain

Chest Pain Echocardiogram Angina Laboratory

Interplay between mitochondrial dysfunction and lysosomal storage: challenges in genetic metabolic muscle diseases with a focus on infantile onset Pompe disease

Frontiers in Cardiovascular Medicine

FEBRUARY 19, 2024

This comprehensive evaluation included the use of ultrasound echocardiograms, computed tomography (CT) scans, electrocardiograms, mutagenesis analysis, and structural analysis to gain insights into the patient's condition and the underlying mechanisms of PD.

Cardiogenic Shock

Cardiogenic Shock Quality of Life Heart Failure Laboratory

Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

Frontiers in Cardiovascular Medicine

MARCH 14, 2024

The routine laboratory results, imaging study, coronary angiogram, and echocardiogram (ECG) were normal. Case We report the case of a 20-year-old man with variants in SCN5A and RyR2 genes who was resuscitated from sudden cardiac death during sleep due to a ventricular fibrillation. The patient did not have underlying diseases.

Sudden Cardiac Death

Sudden Cardiac Death Coronary Angiogram Laboratory Echocardiogram

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

Frontiers in Cardiovascular Medicine

JUNE 3, 2024

Workup including routine laboratory results, 12-lead electrocardiogram (ECG), echocardiogram, and coronary angiogram was non-specific. During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation.

Sudden Cardiac Death

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory

Abstract 4148010: Evaluation of Echocardiography and Biomarkers for Prognostication of RV Failure in COVID-19 Patients Undergoing Extracorporeal Membrane Oxygenation (ECMO)

Circulation

NOVEMBER 11, 2024

In this study, we report associations between echocardiographic findings and laboratory markers that portend RV failure in patients with ARDS secondary to COVID-19 infection on ECMO.Methods:A single-center study was conducted in the cardiovascular ICU of our institute. 0.4cm vs 1.3±0.6 cm, P< 0.05).

COVID-19

COVID-19 Laboratory Biomarkers Echocardiogram

Dyspnoea, dizziness and dysrhythmia in a middle-aged patient

Heart BMJ

MARCH 22, 2024

Laboratory evaluation revealed electrolytes, haematological profile, renal and liver panel to be within normal limits. The two-dimensional (2D) transthoracic echocardiogram revealed left ventricular ejection fraction of 40%. N-terminal pro Brain Natiuretic Peptide(NT-proBNP)(ECLIA, Roche) was elevated at 1360 pg/mL.

Dysrhythmia

Dysrhythmia Blood Pressure Tachycardia Laboratory

Is This a Simple Right Bundle Branch Block?

Dr. Smith's ECG Blog

APRIL 19, 2012

So don't wait for the laboratory K or you might be resuscitating a cardiac arrest ( see the case with ECGs #3 and #4 of this post ). In this study of consecutive patients with LBBB who were hospitalized and had an echocardiogram , 13% had a QRS duration greater than 170 ms, and only 1% had a duration greater than 190 ms.

Cardiac Arrest

Cardiac Arrest Laboratory Echocardiogram Hospital

Abstract 4145609: The Cardiac Conundrum of Cannabis: A Case of Junctional Bradycardia Triggered by Cannabis Use

Circulation

NOVEMBER 11, 2024

Initial laboratory analysis was unremarkable. Echocardiogram was unchanged from baseline. He was admitted for further workup of bradycardia. His home medications included metoprolol succinate 25mg daily which was held given bradycardia. Urine drug screen was positive for cannabis.

Bradycardia

Bradycardia Coronary Artery Disease Kidney Disease Outpatient

Abstract 4141052: Rare Combo: An Unusual Case of a 54-year-old Filipino with Coronary Artery Fistula from Left Anterior Descending Artery to Main Pulmonary Artery and Acute Cerebellar Infarct: A Cardio – Cerebral Infarction Syndrome - Case Report

Circulation

NOVEMBER 11, 2024

Laboratory tests showed markedly elevated troponin I levels (>50 ng/ml) and atrial fibrillation, along with inferior wall ST elevation on the electrocardiogram. A 2D echocardiogram revealed an ejection fraction of 43%, hypokinesia of the anterior and intraventricular septum from base to apex, and severe mitral stenosis.

Pulmonary

Pulmonary Open-Heart Surgery Atrial Fibrillation Myocardial Infarction

Basics of Echocardiography

All About Cardiovascular System and Disorders

APRIL 4, 2024

Transcript of the video: Echocardiography is now not restricted to the echocardiographic laboratory. The image shown here is an animated 2 dimensional echocardiogram. This one is an older mode known as time-motion mode or M-Mode echocardiogram. Hence a basic knowledge is needed for all physicians and paramedics.

Bicuspid/Mitral

Bicuspid/Mitral Echocardiogram Tricuspid Aortic

Chest Pain and Inferior ST Elevation.

Dr. Smith's ECG Blog

JUNE 17, 2018

The patient underwent an emergent formal echocardiogram to look for wall motion abnormality: The estimated left ventricular ejection fraction is 63 %. Department of Laboratory Medicine, Hennepin County Medical Center; Professor, University of Minnesota School of Medicine Stephen W. No wall motion abnormality. Apple, Ph.D.

Chest Pain

Chest Pain Pericarditis Tachycardia Myocardial Infarction

7 Trends for 2023 Cardiology EHR Software

GEMMS

JULY 25, 2023

This integration enables cardiologists to access and review imaging studies directly within the EHR platform, such as echocardiograms, stress tests, and angiograms. This interoperability allows cardiologists to access comprehensive patient records from multiple sources, including referring physicians, laboratories, and hospitals.

Cardiovascular Imaging

Cardiovascular Imaging Technology Innovation Patient Care

Critical Left Main

EMS 12-Lead

JULY 24, 2023

Echocardiogram findings (pre-procedure) 1. Mitral valve calcification with mild regurgitation Laboratory data (pre-procedure) 1. LCx and RCA with luminal irregularities, but free of stenosis She was referred to cardiothoracic surgery, and underwent CABG x3 the following day. Normal LV/RV systolic function, EF 60-65 2. Troponin I 2.

Angina

Angina Ischemia Coronary Angiogram Stenosis

The latest CDC paper on vaccine myocarditis is NOT reassuring

Dr. Anish Koka

SEPTEMBER 24, 2022

The final bit of bad news relates to the common laboratory and imaging tests cardiologists typically use to assess for heart dysfunction. Unfortunately, the objective data tracks these symptoms.

COVID-19

COVID-19 Hospital Chest Pain Quality of Life

LVH with anterior ST Elevation. When is it anterior STEMI?

Dr. Smith's ECG Blog

DECEMBER 29, 2015

No prior echocardiogram was available for comparison. Electrocardiograhic findings resulting in inappropriate cardiac catheterization laboratory activation for ST-segment elevation myocardial infarction. In spite of those worries, she activated the cath lab. The ECG was repeated when the patient reported her pain had decreased.

STEMI

STEMI Myocardial Infarction Chest Pain Aneurysm

Diastolic dysfunction in people with HIV without known cardiovascular risk factors in Western Kenya

Open Heart

JANUARY 21, 2022

Study participants underwent a comprehensive two-dimensional echocardiogram and laboratory testing. Methods In this cross-sectional study in western Kenya, 110 PLWH on ART and without known diabetes or hypertension were matched for age ±5 years and sex to HIV-uninfected controls. years compared with 42.1

Risk Factors

Risk Factors Blood Pressure Hypertension Diabetes

New Study Finds Early Coronary Disease, Impaired Heart Function in Asymptomatic People with HIV

DAIC

APRIL 4, 2024

All underwent MRI to measure coronary vessel wall thickness and an echocardiogram to assess left ventricular function. Controls were negative for HIV and were required to be healthy with no known significant medical conditions, including coronary disease. Gharib, M.D.

Coronary Artery Disease

Coronary Artery Disease Cardiovascular Disease Cardiothoracic Sudden Cardiac Death

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac enzymes, CTs, echocardiograms, carotid ultrasounds, and electroencephalography all affected diagnosis or management in Postural blood pressure , performed in only 38% of episodes, had the highest yield with respect to affecting diagnosis (18-26%) or management (25-30%) and determining etiology of the syncopal episode (15-21%).

Arrhythmia

Arrhythmia Outcomes Risk Factors Chest Pain

Young man with chest pain and an abnormal echocardiogram

Interplay between mitochondrial dysfunction and lysosomal storage: challenges in genetic metabolic muscle diseases with a focus on infantile onset Pompe disease

Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

Abstract 4148010: Evaluation of Echocardiography and Biomarkers for Prognostication of RV Failure in COVID-19 Patients Undergoing Extracorporeal Membrane Oxygenation (ECMO)

Dyspnoea, dizziness and dysrhythmia in a middle-aged patient

Is This a Simple Right Bundle Branch Block?

Abstract 4145609: The Cardiac Conundrum of Cannabis: A Case of Junctional Bradycardia Triggered by Cannabis Use

Abstract 4141052: Rare Combo: An Unusual Case of a 54-year-old Filipino with Coronary Artery Fistula from Left Anterior Descending Artery to Main Pulmonary Artery and Acute Cerebellar Infarct: A Cardio – Cerebral Infarction Syndrome - Case Report

Basics of Echocardiography

Chest Pain and Inferior ST Elevation.

7 Trends for 2023 Cardiology EHR Software

Critical Left Main

The latest CDC paper on vaccine myocarditis is NOT reassuring

LVH with anterior ST Elevation. When is it anterior STEMI?

Diastolic dysfunction in people with HIV without known cardiovascular risk factors in Western Kenya

New Study Finds Early Coronary Disease, Impaired Heart Function in Asymptomatic People with HIV

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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