scholarly journals Echocardiography as the first diagnostic clue to rapidly progressive systemic AL amyloidosis associated with multiple site thrombosis. A case report

2017 ◽  
Vol 19 (4) ◽  
pp. 451
Author(s):  
Bogdan Caloian ◽  
Dumitru Zdrenghea ◽  
Sorin Claudiu Man ◽  
Simona Costea ◽  
Mihnea Zdrenghea ◽  
...  
Keyword(s):  
Case Report ◽  
Speckle Tracking ◽  
Complex Disease ◽  
Cardiac Involvement ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Al Amyloidosis ◽  
Multiple Site ◽  
Prognostic Information ◽  
Diagnostic Clue

AL-amyloidosis is a rare, but complex disease, with a severe prognosis, cardiac involvement being found in half of the patients. The rapid increase of the LV wall thickness predicts an unfavorable evolution. We report the case of a 63-year-old man diagnosed with AL-amyloidosis, with cardiac involvement, associated with multiple site thrombosis.  Specific echocardiographic methods like tissue Doppler imaging and speckle tracking provided crucial diagnostic and prognostic information.

Multiple arterial and venous thromboembolic complications in AL amyloidosis and cardiac involvement: a case report and literature review

Amyloid ◽  
2012 ◽  
Vol 19 (3) ◽  
pp. 156-160 ◽  
Author(s):  
Benjamin Freeman ◽  
J. Mark Sloan ◽  
David C. Seldin ◽  
Andrew J. Cowan ◽  
Frederick L. Ruberg ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cardiac Involvement ◽  
Al Amyloidosis ◽  
Thromboembolic Complications ◽  
Venous Thromboembolic

scholarly journals Reduced myocardial reserve in cirrhotic patients: an evaluation by dobutamine stress speckle tracking and tissue Doppler imaging (TDI) echocardiography

2019 ◽  
Vol 11 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Mahmood Zamirian ◽  
Forough Afsharizadeh ◽  
Alireza Moaref ◽  
Firoozeh Abtahi ◽  
Fatemeh Amirmoezi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Strain Rate ◽  
Speckle Tracking ◽  
Systolic Function ◽  
Peak Stress ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Control Group ◽  
Basal Segment ◽  
Cirrhotic Patients

Introduction: Despite the normal systolic function at rest, cirrhotic patients often suffer from volume overload and symptoms of heart failure as they face stressful situations. This study investigated the myocardial reserve in cirrhotic patients at resting condition and peak stress by dobutamine speckle tracking echocardiography (STE) and tissue Doppler imaging (TDI). Methods: Twenty cirrhotic patients and 10 normal individuals aged 30-50 were selected randomly. For all of the participants, complete echocardiographic study of 2D, STE and TDI was done at rest and peak stress status with dobutamine. The following parameters were assessed: ejection fraction (EF), global longitudinal LV strain (GLS), strain rate in the septal basal segment and lateral wall and E’ in the septal basal segment by color-coded method. Results: At baseline, EF was higher than 55% in both groups. GLS was higher (-22.6±2.4%) in the case group than the control group (-19.2±1.9%) at resting condition. After stress, it showed a greater increase (-22.5±1.7%) in the controls compared to cirrhotic patients (-22.6±3.3%; mean difference = 2.6 ± 2.03, P = 0.02). In cirrhotic patients, the average strain rate in the basal septal segment decreased after stress (-1.2 ± 0.3/s to-1.1 ± 0.3/s), but it increased in the control group (-1.1 ± 0.2/s to -1.8 ± 0.2/s). Conclusion: Despite the presence of normal resting systolic function in cirrhotic patients, there was insufficient increase or even a decrease in myocardial function with stress; this may indicate the absence of sufficient myocardial reserve in cirrhotic patients. These findings would help to explain the reason for occurrence of heart failure or hemodynamic changes in cirrhotic patients.

scholarly journals Assessment of cardiac involvement of hepatitis C virus; tissue Doppler imaging and NTproBNP study

2011 ◽  
Vol 23 (4) ◽  
pp. 217-223 ◽  
Author(s):  
Ahmed Saleh ◽  
Akira Matsumori ◽  
Hany Negm ◽  
Hany Fouad ◽  
Ahmed Onsy ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Tissue Doppler Imaging ◽  
Cardiac Involvement ◽  
Tissue Doppler ◽  
Doppler Imaging

Abstract 3286: Prediction for Long-term Effect Of Cardiac Resynchronization Therapy: Comparison Between Tissue Doppler Imaging And Speckle Tracking Imaging

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Azusa Furugen ◽  
Naoki Matsuda ◽  
Kyomi Ashihara ◽  
Asako Mochida ◽  
Morio Shoda ◽  
...  
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Tissue Doppler Imaging ◽  
Speckle Tracking ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Cardiac Resynchronization ◽  
Speckle Tracking Imaging ◽  
Resynchronization Therapy ◽  
Time To Peak ◽  
Qrs Duration

Recent studies have demonstrated that the septal-to-posterior motion delay (SPWMD) assessed by M-mode echo and the longitudinal intra-LV dyssynchrony assessed by tissue Doppler imaging (TDI) can predict chronic effects of cardiac resynchronization therapy (CRT). A newly developed 2D speckle tracking imaging (STI) has enabled assessment of not only longitudinal but circumferential regional strain of LV. We investigated the usefulness of STI in selecting patients for CRT. Methods: Fifty-one patients with heart failure symptoms and QRS duration>120 ms underwent standard echocardiography, TDI and STI before CRT. Time to peak systolic velocity was measured in 12 basal and mid LV segments in apical views by TDI. The time difference between the basal septal and the basal lateral segments was calculated (TDI-SLPVD).The standard deviation of those among 12 segments was calculated (TDI-SD). Time to peak circumferential strain, radial strain and longitudinal strain were measured in basal segments in parasternal short axis and apical views by STI. The time difference between the septal and the lateral segments was calculated (CS-SL, RS-SL and LS-SL). A responder to CRT was defined as a patient whose NYHA class improved by >1 class and whose LVESV reduced by >10% at 6 months after CRT. Results: Thirty-six patients (71%) responded to CRT. CS-SL showed high sensitivity and specificity for predicting the responders at a cut-off point of 124 ms (Table ). The area under the ROC curve (AUC) of CS-SL was larger than that of QRS duration, SPWMD, TDI-SLPVD, TDI-SD, RS-SL and LS-SL. Conclusion: Assessment of circumferential dyssynchrony using STI seems useful in selecting patients for CRT.

Evaluation of diastolic LV function

2015 ◽  
pp. 323-335
Author(s):  
Johan De Sutter ◽  
Jean-Louis J. Vanoverschelde
Keyword(s):  
Diastolic Function ◽  
Daily Practice ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Lv Function ◽  
Prognostic Information ◽  
Heart Failure Patients ◽  
Lv Mass ◽  
Deformation Measurements

The evaluation of diastolic function in patients with reduced (HFREF) or preserved (HFPEF) left ventricular (LV) ejection fraction is important as it carries both diagnostic and prognostic information. In daily practice, this is most frequently done by standard echocardiographic techniques, including the evaluation of LV mass and LA volumes, as well as transmitral and pulmonary venous PW Doppler, CW Doppler for evaluation of the IVRT, and tissue Doppler imaging of the septal and lateral annular velocities. This permits grading the severity of diastolic dysfunction, which is related to outcome and may be used to estimate LV filling pressures. The latter needs further validation, especially in patients with HFPEF. Newer echocardiographic and cardiac magnetic resonance techniques, including myocardial deformation measurements during diastole, LV twist and untwisting, and parameters of left atrial function, are promising and will hopefully in the future help clinicians to make a more precise evaluation of diastolic function and filling pressures in heart failure patients.

Subtle cardiac dysfunction in nephropathic cystinosis: insight from tissue Doppler imaging and 2D speckle tracking echocardiography

2020 ◽  
Vol 35 (12) ◽  
pp. 2307-2317
Author(s):  
Mohamed H. Afify ◽  
Safaa M. Abdelrahman ◽  
Hossam I. Mohamed ◽  
Rasha Helmy ◽  
Gaser Abdelmohsen ◽  
...  
Keyword(s):  
Tissue Doppler Imaging ◽  
Cardiac Dysfunction ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Nephropathic Cystinosis ◽  
2D Speckle Tracking
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