Advanced Non-invasive Imaging Techniques in Chronic Heart Failure and Cardiomyopathies

Author(s):  
Gianluca Di Bella ◽  
Fausto Pizzino ◽  
Rocco Donato ◽  
Dalia Di Nunzio ◽  
Cesare de Gregorio
2018 ◽  
Vol 33 (2) ◽  
pp. 51-55
Author(s):  
V. V. Kirillova

Evaluating the effectiveness of diuretic therapy in the small circle of blood circulation is difficult for clinicians, as distinct from that in the large circle, where it can be assessed by dynamics of peripheral edema and liver size.The aimof the study is to develop non-invasive diagnostics of venous pulmonary hypertension in order to determine the effectiveness of diuretic therapy.In addition to the standard protocol of transthoracic echocardiography, we have investigated the minimum and the maximum pulmonary vein diameter in 30 chronic heart failure patients with III functional class (NYHA) before and after 4 months of standart treatment for chronic heart failure with individual selection of torasemid. All patients received  a written consent to participate in the study. After four months of therapy, a significant improvement of the following echocardiographic parameters was revealed (р<0.05): left atrium dimension (from 42±0.88 to 37.9±0.61 mm); left atrium area (from 28.9±0.91 to 24.2±0.83 sm2); maximum pulmonary vein diameter (from 22.4±0.39 to 17.9±0.62 mm); minimum pulmonary vein diameter (from 11.9±0.27 to 8.4±0.6 mm).Thus, the transthoracic echocardiography measurement of the pulmonary vein diameter is a non-invasive objective diagnostic of venous pulmonary hypertension for evaluation diuretic therapy effectiveness.


Author(s):  
Gaia Cattadori ◽  
Piergiuseppe Agostoni ◽  
Anna Apostolo ◽  
Giancarlo Marenzi

2004 ◽  
Vol 9 (5) ◽  
pp. 277-280 ◽  
Author(s):  
Stephen J. Leslie ◽  
Sin??ad McKee ◽  
David E. Newby ◽  
David J. Webb ◽  
Martin A. Denvir

Author(s):  
Laura Anoro Abenoza ◽  
Laura Anoro Abenoza ◽  
Buisán Esporrín Cristina

Non-invasive mechanical ventilation (NIMV) is a therapeutic procedure that aims to supplement or improve ventilatory function. In recent decades, its benefit and multiple indications, have been demonstrated in the treatment of patients with chronic heart failure (CHF) and its acute complications [1]. However, the use of this therapy, in patients with chronic heart failure is not exempt from risks and complications, so it must be carefully individualized and requires close monitoring when ischaemic heart disease and/or arterial hypotension also coexist. Special mention requires the revision of the indication of servo ventilation in patients with severe chronic heart failure, due to its possible adverse effects.


2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P5090-P5090 ◽  
Author(s):  
M. Shochat ◽  
A. Shotan ◽  
M. Kazatsker ◽  
A. Asif ◽  
I. Shochat ◽  
...  

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