Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

Category Archives: Journal Summaries

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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    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 Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    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 Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    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 Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    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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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

Unexpected Vascular Ultrasound Findings Prompting Hemodynamic Management in an Infant in Respiratory Failure

Often, use of point-of-care ultrasound modalities at the patient bedside is dichotomized into diagnostic versus procedural ultrasound. However, as described in this case, it is important to recognize the crossover that can occur in procedural ultrasound and the potential for making diagnostic discov...
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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

Effect of an Ultrasound-First Clinical Decision (CD) Tool in Emergency Department Patients with Suspected Nephrolithiasis: A Randomized Trial

The author concluded that implementation of the US-first CDS tool resulted in lower CT use for ED patients with suspected nephrolithiasis, and promoted US use without increasing costs, ED revisits, or additional CT scans performed during ED revisits......
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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

CLINICAL INVESTIGATIONS • Left Ventricular Global Longitudinal Strain in Patients with Moderate Aortic Stenosis

Recent data shows poor long-term survival in patients with moderate aortic stenosis, challenging traditional definitions of AS severity and timing of intervention in these patients. The presence of moderate AS in patients with reduced left ventricular ejection fraction (LVEF; ...
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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

CLINICAL INVESTIGATIONS • Comparison of Mitral Regurgitant Volume Assessment between Proximal Flow Convergence and Volumetric Methods in Patients with Significant Primary Mitral Regurgitation: An Echocardiographic and Cardiac Magnetic Resonance Imaging Study

Assessment of primary mitral regurgitation (MR) severity is of paramount importance for clinical decision-making to determine the optimal timing of surgical intervention in these patients. Current guidelines recommend determination of mitral regurgitant volume (RVol) as part of the thorough assessme...
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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

RESEARCH • Feasibility and Discriminatory Value of Tissue Motion Annular Displacement in Sepsis-Induced Cardiomyopathy: A Single-Center Retrospective Observational Study

There is no formalized or consensus definition of SICM, yet frequently left ventricular ejection fraction (LVEF) of less than 50% in septic patients is often considered as indicative of SICM. The mortality among septic patients with SICM is 2 ~ 3 times higher than those without SICM. Echocardiograph...
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Image of Transthoracic Echocardiography pulmonary hypertension heart catheterization chronic thromboembolic pulmonary hypertension cardiac ultrasound    Online PoCUS Training

Right Ventricular Postsystolic Strain Curve Morphology before and after Vasodilator Treatment in Idiopathic Pulmonary Arterial Hypertension

The authors discussed the current guidelines for diagnostic workup of pulmonary hypertension, which include right heart catheterization to establish diagnosis, a transthoracic echocardiography to rule out left heart disease, a ventilation/perfusion lung scan to exclude chronic thromboembolic pulmona...
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