Category Archives: Journal Summaries

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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

CLINICAL INVESTIGATIONS • Passive Leg Raise Stress Echocardiography in Severe Paradoxical Low-Flow, Low-Gradient Aortic Stenosis

Management of aortic stenosis (AS) – the most common valvular heart disease in Europe and North America – is done by catheter intervention or surgery; in severe symptomatic AS, valve replacement is the treatment of choice. Diagnosis of severe AS, which is defined as an aortic valve area (AVA) ...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

ORIGINAL ARTICLE • Exploratory Study to Assess Feasibility of Intracerebral Hemorrhage Detection by Point of Care Cranial Ultrasound.

Use of ultrasound for detection of intracerebral hemorrhage (ICH) using diagnostic high end transcranial color-coded duplex machines has been only limited studied. There is no published literature on imaging techniques and parenchymal topography for cranial B mode imaging. Studies assessing feasibil...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

ORIGINAL ARTICLE • Retrospective Analysis of the Diagnostic Accuracy of Lung Ultrasound for Pulmonary Embolism in Patients with and without Pleuritic Chest Pain

Pleuritic chest pain – sharp chest pain exacerbated by breathing or coughing – is a common presenting symptom in the emergency department (ED) and requires a careful differential diagnosis between benign conditions such as musculoskeletal pain, and more serious diseases like pulmonary embolism (...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

RESEARCH • Doppler Study of Portal Vein and Renal Venous Velocity Predict the Appropriate Fluid Response to Diuretic in ICU: A Prospective Observational Echocardiographic Evaluation.

There has been a growing interest in the diagnosis and treatment of fluid overload and venous congestion in recent years. Fluid overload implies peripheral edema but also could result in pulmonary edema and venous congestion, which can alter tissue perfusion.  Several studies have shown an associat...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

THE HEMODYNAMIC CORNER • Aortic Stenosis Severity: Rhythm Makes a Difference

The assessment of aortic valve stenosis (AS) severity based on Doppler velocity and pressure gradient is flow dependent. Both velocity and pressure gradient increase with elevated transaortic flows and decrease with reduction in flow rates for a given aortic valve orifice area. In this case repo...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

REVIEW • Cardiac Imaging for Diagnosis and Management of Infective Endocarditis

In-hospital mortality of infective endocarditis (IE) remains approximately 20%, and 1-year mortality approaches 40%. Decision-making in patients with IE is often complex, requiring collaboration among cardiologists, cardiac surgeons, and infectious disease specialists, among others. Although echocar...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

CASE REPORT • Notching into a Diagnosis—Incorporating Doppler Interrogation into Point-of-Care Ultrasonography to Diagnose a Submassive Pulmonary Embolism.

Often, patients with pulmonary embolism (PE) present with nonspecific symptoms. This, in turn, pose a diagnostic dilemma. The authors present in this case report a case of submassive PE diagnosed in a patient utilizing point-of-care ultrasonography (POCUS) in the emergency department (ED)....
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

CASE REPORT • A Simple Algorithm for Differential Diagnosis in Hemodynamic Shock Based on Left Ventricle Outflow Tract Velocity–Time Integral Measurement: A Case Series

Pericardial effusions represent a clinical spectrum of disease ranging from asymptomatic to obstructive shock and can be the etiology of nonspecific cardiopulmonary symptoms, unrecognized shock, and abrupt clinical deterioration. Therefore, identification of pericardial effusion remains challengin...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

CASE REPORT • A Simple Algorithm for Differential Diagnosis in Hemodynamic Shock Based on Left Ventricle Outflow Tract Velocity–Time Integral Measurement: A Case Series

Echocardiography has been used in the critical care setting for a long time. Several echocardiographic algorithms have been developed with the aim to guide in the assessment of hemodynamic shock in critically ill patients. These algorithms, however, focus mainly on the heart structural and do not of...
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Image of valve replacement strain echocardiography congenital cardiac abnormality cardiac damage bicuspid aortic valve AVR aortic valve replacement aortic stenosis    Online PoCUS Training

STRAIN ECHOCARDIOGRAPHY IN AORTIC STENOSIS • Multichamber Strain Characterization Is a Robust Prognosticator for Both Bicuspid and Tricuspid Aortic Stenosis

Bicuspid aortic valve (BAV) is the most common congenital cardiac abnormality. It is detected in up to 50% of patients requiring aortic valve replacement (AVR) because of significant aortic stenosis (AS). Patients with BAV-AS are two decades younger, have fewer comorbidities, and exhibit significan...
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