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When thyroid function is increased, heart rate increases and the work load of the heart increases. In severe cases heartfailure may occur. While in low output heartfailure the extremities are cold, in high output failure due to increased thyroid function, the extremities of the limbs are warm.
Plaque regression can be demonstrated by ultrasound evaluation of the carotids which are easily accessible. Lower blood pressures mean lower workload for the heart and lower risk of left ventricular hypertrophy and heartfailure. Regular exercise can bring down the blood pressure in the long run.
One situation is decompensated advanced systolic heartfailure with large left ventricle. J Cardiovasc Ultrasound. J Cardiovasc Ultrasound. Measurement of E’ is useful in differentiation of pseudo normalization in the mitral inflow from the normal pattern. Ha J et al. 2009 Sep;17(3):86-95. Park JH et al. Møller JE et al.
Lower energy side beams of ultrasound known as sidelobes can reflect off lateral structures and get mapped to the central image, causing sidelobe artefacts. Multiple reflections from strong reflectors of ultrasound like pericardium and pleura can cause mirror images of structures being imaged.
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