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Stavros Zanos is the senior author on the new bioelectronic medicine ultrasound paper. Credit: Feinstein Institutes) milla1cf Wed, 05/08/2024 - 10:57 May 8, 2024 — Ultrasound could one day complement or even replace drugs to treat diseases.
Objectives Prognostic impact of lung ultrasound-derived B-lines (LUS-BL) in heartfailure with mildly reduced left ventricular ejection fraction (HFmrEF) patients remains elusive. We evaluated the correlation between LUS-BL and prognosis in HFmrEF patients.
This study assess the safety and efficacy of a novel, leadless, left ventricular endocardial pacing system for patients at high risk for a cardiac resynchronization therapy upgrade or whose coronary sinus lead placement/pacing with a conventional cardiac resynchronization therapy system has failed.
Image courtesy: Philips christine.book Wed, 06/12/2024 - 14:07 June 12, 2024 — Royal Philips has announced its next-generation AI-enabled cardiovascular ultrasound platform to help speed up cardiac ultrasound analysis with proven AI technology and reduce the burden on echocardiography labs.
IntroductionThe pathogenesis of human heartfailure is diverse, and a large number of animal models have emerged to better understand the development of heartfailure in humans. Among them, there are several methods of induction in mouse heartfailure models, each with its advantages and disadvantages.
Introduction There have been few studies on predictors of weaning failure from MV in patients with heartfailure (HF). We sought to investigate the predictive value of B-lines measured by lung ultrasound (LUS) on the risk of weaning failure from mechanical ventilation (MV) and in-hospital outcomes.
Heartfailure with preserved ejection fraction (HFpEF) represents a significant proportion of heartfailure cases. Accurate diagnosis is challenging due to the heterogeneous nature of the disease and limitatio.
Reversible cardiomyopathy with severe heartfailure is a rare complication of adrenal crisis. Cardiac ultrasound showed significantly reduced left ventricular ejection fraction (LVEF; 10%). The patient has not shown any signs of heartfailure during follow up for more than half a year.
Background Between 25% and 30% of patients hospitalised for acute heartfailure (AHF) are readmitted within 90 days after discharge, mostly due to persistent congestion on discharge.
Circulation: HeartFailure, Ahead of Print. BACKGROUND:Clinical evaluation of central venous pressure is difficult, depends on experience, and is often inaccurate in patients with chronic advanced heartfailure. 0.84]) and confirmed in the validation cohort (receiver operating characteristic, 0.82 [95% CI, 0.73–0.92]).
Green: Micra leadless pacemaker; blue: WiSE-CRT system LV endocardial electrode; and red: WiSE-CRT system subcutaneous battery and ultrasound generator. However, advanced heartfailure therapy never means it can be achieved only by state-of-the-art technology. A patient chest X-ray showing both Micra and WiSE-CRT systems.
In patients with heartfailure (HF) unable to receive conventional cardiac resynchronization therapy (CRT), is a leadless left ventricular (LV) endocardial pacing system (WiSE CRT System) for CRT safe and effective?
The algorithm uses deep learning to analyse routine ultrasound scans of the heart ( echocardiograms ) to detect disease that often goes undetected during standard assessments. Cardiac amyloidosis is a heterogeneous disease that results from the accumulation of abnormal proteins within the heart, impairing its ability to pump blood.
Left atrial (LA) and ventricular (LV) functional impairment often co-exist in patients with heartfailure (HF). However, some patients with HF have a disproportionate LA or LV dysfunction. We aimed to characte.
Zane was diagnosed during a routine ultrasound at 20 weeks’ gestation and his mom, Kayla, was immediately referred to the Colorado Fetal Care Center (CFCC) at Childrens Hospital Colorado. The Heart Institute collaborates with the CFCC through the Fetal Cardiology Program.
BackgroundIschemic cardiomyopathy (ICM) is the end stage of ischemic heart disease, in which ventricular remodeling contributes to a fatal ventricular arrhythmia, worsens heart function and unfavorable outcomes, and is related to persistent chronic inflammation.
Aim The aim of this study was to determine the best clinical predictors of acute heartfailure needing mechanical ventilation (MV) in the first 48 h of evolution of patients admitted because of acute coronary syndrome (ACS). Methods We analyzed a cohort of patients admitted for ACS between February 2017 and February 2018.
Bedside cardiac ultrasound showed moderately decreased LV function. Permanent pacer placement Later, a biventricular pacer was placed for " Cardiac Resynchronization Therapy (CRT) " (This is indicated for patients with LBBB and QRS duration > 130 ms and heartfailure and vastly improves heartfailure).
Food and Drug Administration (FDA) has granted 510(k) clearance for its first-of-a-kind, AI-powered AISAP CARDIO point-of-care ultrasound (POCUS) software platform. We know that structural heart disease and heartfailure are the leading causes of hospitalization and morbidity in the U.S.
Methods and results SUGAR-DM-HF enrolled 105 patients with heartfailure with reduced ejection fraction (HFrEF) and pre-diabetes or type 2 diabetes who were randomly assigned to empagliflozin 10mg or placebo once daily for 36weeks. Mean CMR-PCWP decreased from baseline to 36weeks by 0.37 (95% confidence interval 0.78 to 0.23, p =0.20).
Background:Bilateral breast swelling is a rare and often overlooked presentation of congestive heartfailure (CHF) exacerbation. Circulation, Volume 150, Issue Suppl_1 , Page A4139810-A4139810, November 12, 2024. It can mimic other conditions like cellulitis or malignancy, posing a diagnostic challenge.
Background and objectives Echocardiography is the cornerstone of heartfailure (HF) diagnosis, but expertise is limited. Non-experts using handheld ultrasound devices (HUDs) challenge the clinical yield. Left ventricular (LV) ejection fraction (EF) is used for assessment and grading of HF.
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.
Aims:The significance of cardio-renal interactions in heartfailure (HF) prognosis has become increasingly evident, yet there are no established methods to assess them. Circulation, Volume 150, Issue Suppl_1 , Page A4130072-A4130072, November 12, 2024.
Publication date: Available online 15 December 2023 Source: The American Journal of Cardiology Author(s): Alberto Palazzuoli, Alessandra Cartocci, Filippo Pirrotta, Maria Cristina Tavera, Francesco Morrone, Francesca Vannuccini, Alessandro Campora, Gaetano Ruocco
Background Pompe disease (PD) is a rare, progressive autosomal recessive lysosomal storage disorder that directly impacts mitochondrial function, leading to structural abnormalities and potentially culminating in heartfailure or cardiogenic shock.
Circulation: HeartFailure, Ahead of Print. BACKGROUND:Cardiac allograft vasculopathy (CAV) is the leading cause of late graft dysfunction in heart transplantation.
Left untreated, tricuspid regurgitation can lead to atrial fibrillation , heartfailure , kidney disease and even death. With the patient under general anesthesia, the device is delivered to the heart through a catheter, starting in the groin and guided by X-ray and ultrasound.
To reach their findings, the researchers focused on immune cells known as cardiac macrophages, which normally perform a critical role in keeping the tissue healthy but can turn inflammatory in response to injury such as heart attack or heartfailure.
ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with HeartFailure With Preserved Ejection Fraction, (..)
Compared to their peers without the condition, people with atrial fibrillation are twice as likely to be admitted to hospital, five times more likely to have a stroke, three times more likely to develop heartfailure, and twice as likely to die prematurely.4
Bedside ED ultrasound showed exceedingly poor global LV function, and no B lines. Most patients with heartfailure with reduced ejection fraction and left bundle branch block with a QRS over 130 ms should get one. Here is the initial ED ECG. What do you think? Rhythm : Residents asked me why it is not VT.
Impaired functional capacity is a common symptom in patients with heartfailure. Standard measures of left ventricular (LV) function, such as ejection fraction (EF) and LV diastolic parameters, do not correlat.
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.
Which patients with acute heart are safe to send home in general? How useful is the Ottawa HeartFailure Risk Score in aiding in disposition decisions? What is the evidence for intra-aortic balloon pumps, percutaneous ventricular assist devices and ECMO in the patient with cardiogenic shock?
What I had not told him before he made that judgement is that the patient also had ultrasound B-lines of pulmonary edema. Patients with anterior LV aneurysm usually have poor LV function and heartfailure. What do you think? Ken (below) is appropriately worried about pulmonary embolism from the ECG.
Smith comment 2: I frequently see failure to control BP in patients with acute chest pain or acute heartfailure. And angiographers tell me that it is sometimes difficult to say for certain based on angiogram alone, without intravascular ultrasound or, better yet, optical coherence tomography.
Carcinoid heart disease (CHD) caused by neuroendocrine tumours (NET) is associated with an increased morbidity and mortality due to valvular dysfunction and right sided heartfailure. The present study aimed t.
A formal ultrasound later showed reasonably good LV function, and so he later received carvedilol and diltiazem, Unfortunately, those led to hypotension at 80/40 with a HR 40. At the time, it seemed that virtually all cardiac patients with chronic AFib or heartfailure were on this medication.
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.
LVH is a common etiology of heartfailure with preserved ejection fraction, as it may results in a stiff ventricle with poor diastolic relaxation. The heart rate is too fast for this poor filling. Preload must be increased and the heart rate slowed in order to allow more LV filling.
The patient has heartfailure as a result of this event. A bedside ultrasound was done, with dozens of clips, and was even done with Speckle Tracking. How could an occlusion (Occlusion MI, OMI) that results in the loss of a massive amount of myocardium and results in HeartFailure be missed? Here are a few clips.
Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.
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