Utility of Real Time 3D Echocardiography for the Assessment of Left Ventricular Mass in Patients with Hypertrophic Cardiomyopathy: Comparison with Cardiac Magnetic Resonance

Avegliano, Gustavo; Costabel, Juan Pablo; Asch, Federico M.; Sciancalepore, Agustina; Kuschnir, Paola; Huguet, Marina; Tobon-Gómez, Catalina; Frangi, Alejandro F.; Ronderos, Ricardo

doi:10.1111/echo.13096

Cited by 18 publications

(11 citation statements)

References 22 publications

(32 reference statements)

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“…3D echocardiography is also an accurate method for quantifying LV mass. It is in better agreement with the reference value for cardiac magnetic resonance imaging (cMRI), which is considered to be the gold standard for quantifying LV mass [14]. It also has advantages over cMRI due to its availability, rapid image acquisition and processing, and in cases where the patient has no access to the cMRI scanner.…”

Section: Discussionmentioning

confidence: 61%

Incremental Value of 3D and Contrast Echocardiography in Evaluation of Endocardial Fibroelastosis and Multiple Cardiovascular Thrombi

Sun¹,

Li²,

Qiao³

et al. 2020

Preprint

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Background: Endocardial fibroelastosis (EFE) is a rare heart disease characterized by the thickening of the endocardium caused by massive proliferation of collagenous and elastic tissue, usually leading to impaired cardiac function. Thrombosis is a complication of EFE that suggests poor prognosis.Case presentation: The present report describes an EFE patient with multiple cardiovascular thrombi. To the best of our knowledge, this is the first reported case of three-dimensional (3D) and contrast echocardiography use in EFE with multiple ventricular thrombi. The clinical features and outcomes of this rare condition between 1966 and 2019 are also reviewed.Conclusions: Through the combination of 3D and contrast echocardiography, the thrombus can be displayed more accurately and vividly, including its nature and density and the connection between the base of the thrombus and ventricular wall. EFE prognosis with left ventricular thrombus is generally poor.

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Section: Discussionmentioning

confidence: 61%

Incremental Value of 3D and Contrast Echocardiography in Evaluation of Endocardial Fibroelastosis and Multiple Cardiovascular Thrombi

Sun¹,

Li²,

Qiao³

et al. 2020

Preprint

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“…The 3D echocardiography is an accurate method for quantifying left ventricular mass. It is in better agreement with the reference value of cardiac magnetic resonance imaging (cMRI), which is considered to be the gold standard for quantifying left ventricular masses[ 9 ]. It also has advantages over cMRI in its availability, rapid image acquisition, and processing, and in cases where the patient cannot access a cMRI scanner.…”

Section: Discussionmentioning

confidence: 69%

Incremental value of three-dimensional and contrast echocardiography in the evaluation of endocardial fibroelastosis and multiple cardiovascular thrombi: A case report

Sun¹,

Li²,

Qiao³

et al. 2021

WJCC

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BACKGROUND Endocardial fibroelastosis (EFE) is a rare heart disease characterized by thickening of the endocardium caused by massive proliferation of collagenous and elastic tissue, usually leading to impaired cardiac function. Multimodality cardiovascular imaging for the evaluation of EFE with thrombi is even rarer. CASE SUMMARY We report a rare case of EFE associated with multiple cardiovascular thrombi. Three-dimensional (3D) and contrast echocardiography (CE) were used to assess ventricular thrombi. Anticoagulant therapy was administered to eliminate the thrombi. The peripheral contrast-enhanced thrombi with the highest risk were dissolved with anticoagulant therapy at the time of reexamination, which was consistent with the presumption of fresh loose thrombi. CONCLUSION This new echocardiography technique has a great advantage in the diagnosis and treatment of EFE. On the basis of conventional echocardiography, 3D echocardiography is used to display the position, shape, and narrow base of the thrombus. CE does not only help to confirm the diagnosis of thrombus, but also determines its risk.

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“…It may be hard to distinguish between trabeculae and LV cavity; delineation is easier among hypertrophied patients with increased EDV. Recognised difficulties in LVM-quantification amongst HCM are illustrated by relatively large LOAs’ when comparing 3DE to CMR 29 , 30 .…”

Section: Discussionmentioning

confidence: 99%

A new method to quantify left ventricular mass by 2D echocardiography

Kristensen

Myhr

Grund

et al. 2022

Sci Rep

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Increased left ventricular mass (LVM) is a strong independent predictor for adverse cardiovascular events, but conventional echocardiographic methods are limited by poor reproducibility and accuracy. We developed a novel method based on adding the mean wall thickness from the parasternal short axis view, to the left ventricular end-diastolic volume acquired using the biplane model of discs. The participants (n = 85) had various left ventricular geometries and were assessed using echocardiography followed immediately by cardiac magnetic resonance, as reference. We compared our novel two-dimensional (2D) method to various conventional one-dimensional (1D) and other 2D methods as well as the three-dimensional (3D) method. Our novel method had better reproducibility in intra-examiner [coefficients of variation (CV) 9% vs. 11–14%] and inter-examiner analysis (CV 9% vs. 10–20%). Accuracy was similar to the 3D method (mean difference ± 95% limits of agreement, CV): Novel: 2 ± 50 g, 15% vs. 3D: 2 ± 51 g, 16%; and better than the “linear” 1D method by Devereux (7 ± 76 g, 23%). Our novel method is simple, has considerable better reproducibility and accuracy than conventional “linear” 1D methods, and similar accuracy as the 3D-method. As the biplane model forms part of the standard echocardiographic protocol, it does not require specific training and provides a supplement to the modern echocardiographic report.

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Utility of Real Time 3D Echocardiography for the Assessment of Left Ventricular Mass in Patients with Hypertrophic Cardiomyopathy: Comparison with Cardiac Magnetic Resonance

Abstract: Three-dimensional echocardiography is an accurate method for the quantification of LVM in patients with different subtypes of HCM that is in better agreement with CMR reference values than M-mode measurements.

Cited by 18 publications

References 22 publications

Incremental Value of 3D and Contrast Echocardiography in Evaluation of Endocardial Fibroelastosis and Multiple Cardiovascular Thrombi

Incremental Value of 3D and Contrast Echocardiography in Evaluation of Endocardial Fibroelastosis and Multiple Cardiovascular Thrombi

Incremental value of three-dimensional and contrast echocardiography in the evaluation of endocardial fibroelastosis and multiple cardiovascular thrombi: A case report

A new method to quantify left ventricular mass by 2D echocardiography

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