Two-dimensional echocardiography in the diagnosis of ischemic heart disease

Fagiry, Moram A.; Hassan, Ikhlas A.; Mahmoud, Mustafa Z.

doi:10.1080/16878507.2019.1594129

Cited by 11 publications

(9 citation statements)

References 30 publications

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“…Our results for the US measurements of aorta varied more than in the MRI. We believe that this is mainly due to the fact that the US measurements were performed by 2 cardiologists and is known to be more operator-dependent [15,16], which results in a greater variation between cardiologists' US experience, methodology and the results of the measurements. Statistically signi cant but much weaker correlation between US derived aortic root and ascending aorta measurements and measurements in "bright blood" sequences in BAV group we think could be explained by both the physiological pulsation of the aorta root (especially if ECG synchronization is not applicable) and a signi cant discrepancy between US and MRI measurements due to the asymmetry of the BAV sinus.…”

Section: Discussionmentioning

confidence: 99%

Routine Unenhanced 2D MRI for Maximal Segmental Diameters of Thoracic Aorta

Valevičienė

Palionis

Glaveckaitė

et al. 2021

Preprint

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Background: Increasing demand for aortic dilatation imaging and complicated use of multiplanar image reconstructions (MPR) from 3D images for less experienced users inspired research of unenhanced 2D-MRI in order to reduce need for aortic MPR.Purpose: To research robustness of unenhanced 2D-MRI with no need for MPR from 3D images by comparing maximal axial measurements of thoracic aorta in unenhanced “dark blood” (DB) and “bright blood” (BB) 2D-MRI images vs. contrast enhanced 3D-T1 MR angiography (ce3D-MRA) both in patients with tricuspid (TAV) and bicuspid (BAV) aortic valves. Material and Methods: Prospective study. 68 subjects underwent MRI and US examinations of aorta and were divided into 2 groups: 1) TAV patients: 26 patients, age: 53.3±8.1 years, 14 males and 12 females; 2) BAV patients: 42 patients, age: 30.8±9.8, 31 males and 11 females.Results: Strongest correlation between repeated MRI studies for TAV thoracic aorta segmental measurements was in BB (AS R=0.94, AA R=0.94) as well between BB and US (AS R=0.9, AA R=0.86). Unenhanced techniques in BAV patients revealed statistically significant correlation in all segments (p˂0.05) with strongest correlation in AA (R=0.96) and weakest correlation in AS (R=0.86, influenced by asymmetry of sinuses in BAV). Conclusion: BB correlated better with ce3D-MRA than measurements performed in DB both in TAV and BAV cohorts, especially in the AA. Comparing aortic measurements between US and MRI unenhanced sequences - BB had the strongest correlation in TAV. Our results suggest that there is no strict need for intravenous contrast administration and MPR for routine MRI evaluation of thoracic aorta’s maximal diameters, except for AS in BAV.

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Section: Discussionmentioning

confidence: 99%

Routine Unenhanced 2D MRI for Maximal Segmental Diameters of Thoracic Aorta

Valevičienė

Palionis

Glaveckaitė

et al. 2021

Preprint

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“…[14] Ischemic heart disease is considered when a patient presents with normal or abnormal left ventricular function with segmental hypo-or akinesis, which could be attributed to a specific coronary artery territory. [15] Congenital heart disease in adults is defined as any structural abnormality of the heart and/or great vessels that was present at birth and persisted in adult life. [16] Pericardial disease is defined by echocardiography when there is pericardial effusion, constrictive pericarditis, or pericardial mass, which cannot be explained by other structural heart diseases.…”

Section: Operational Definitionsmentioning

confidence: 99%

Pattern of cardiovascular diseases at a teaching hospital in Addis Ababa, Ethiopia: An echocardiographic study of 1500 patients

Adem,

Bacha,

Argaw

2023

Medicine

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Cardiovascular diseases (CVD) represent a significant global health problem. They account for nearly one third of deaths worldwide. With improvements in diagnostic modalities, their prevalence in sub-Saharan Africa (SSA) is rising. Disease pattens vary in different regions and communities and the pattern in our setting is not known. Echocardiography is a noninvasive diagnostic tool that essential for structural and hemodynamic assessment of the heart. It stands at the far front for comprehensive evaluation of the heart because of its relative low cost and wide availability. The aim of this study was to assess pattern of CVDs among patients who had echocardiography done at a teaching Hospital in Addis Ababa, Ethiopia. A retrospective review of 1500 echocardiograms of patients referred to the echocardiography laboratory of St. Paul Hospital Millennium Medical College (SPHMMC) for cardiac evaluation from January 1, 2018 to June 30, 2019 was performed. All subjects had standard transthoracic echocardiography performed by cardiologists using General Electric Vivid E9 and E95 machines. Demographic parameters and echocardiographic findings were collected using a structured checklist from the echocardiography register. Descriptive statistics were used to assess the echocardiographic findings. The mean age of subjects was 48.2 (SD of 18.2) and ranged between 14 and 100 years of age. Both males and females were nearly equally distributed with males accounting for 48.3%. Most (77.9%) of the subjects had an abnormal echocardiographic report; only 332 (22.1%) had a normal study. Diastolic dysfunction (DD) (33.4%), valvular heart disease (18.4%), and left ventricular hypertrophy (LVH) (13.7%) were the most common findings in our hospital. Among patients with DD, Grade 1 dysfunction accounted for the majority (79.8%), of which 41% had associated LVH. Pulmonary hypertension (PH), cardiomyopathy and ischemic heart disease were also not uncommon. Abnormal echocardiographic findings are common in patients referred to our hospital for transthoracic echo. The commonest echocardiographic abnormalities were DD, Valvular heart disease (both rheumatic and calcific valves) and LVH.

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“…Echocardiography is a non‐invasive, available, and cheap method in the evaluation of cardiac function and volumes 9 . The main drawbacks of echocardiography in IHD patients include being operator dependent and the variability in cardiac echogenicity 10 . One of the indices in the Doppler assessment of the left ventricular outflow tract is the presystolic wave (PSW) 11 .…”

Section: Introductionmentioning

confidence: 99%

“…9 The main drawbacks of echocardiography in IHD patients include being operator dependent and the variability in cardiac echogenicity. 10 One of the indices in the Doppler assessment of the left ventricular outflow tract is the presystolic wave (PSW). 11 The exact mechanism of the PSW is not yet known, but it is hypothesized that the PSW is mainly due to the left ventricular stiffness and also, is a marker of impaired LV compliance.…”

mentioning

confidence: 99%

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

et al. 2021

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Introduction Since mortality and morbidity of coronary artery disease are high, there is a need for non‐invasive diagnostic methods for early diagnosis and prediction of ischemic heart disease (IHD) outcome. This study aimed to assess the relationship between angiographic findings, the Presystolic wave (PSW) and some of the ischemic related parameters in echocardiography of the patients with chronic stable angina. Materials and methods This cross‐sectional study was conducted on the patients with chronic angina pectoris who referred to a tertiary hospital for coronary angiography in Mashhad, Iran. Demographic and medical history of the patients, as well as echocardiography findings, including ejection fraction (EF), regional wall motion abnormalities (RWMA), PSW and diastolic function were recorded. Angiographic findings, including SYNTAX score were also assessed. Results A total of 220 patients (132 males and 88 females) with the mean age of 62.43 ± 11.40 years old participated in this study. The prevalence of PSW was 49.1%. The absence of the PSW was related to more RWMA (P =.002), and higher stages of left ventricular diastolic dysfunction (LVDD) (P =.029) and higher SYNTAX score (P =.001). There was a significant association between the absence of the PSW and EF categories, especially in severe LV systolic dysfunction (LVEF < 30%) (P =.001). Conclusions The findings of this study revealed that PSW is strongly associated with the SYNTAX score. The absence of the PSW may indicate patients at high‐risk clinical status (higher SYNTAX score, severe systolic dysfunction, more RWMA, and higher stages of LVDD).

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Two-dimensional echocardiography in the diagnosis of ischemic heart disease

Cited by 11 publications

References 30 publications

Routine Unenhanced 2D MRI for Maximal Segmental Diameters of Thoracic Aorta

Routine Unenhanced 2D MRI for Maximal Segmental Diameters of Thoracic Aorta

Pattern of cardiovascular diseases at a teaching hospital in Addis Ababa, Ethiopia: An echocardiographic study of 1500 patients

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

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