Asymptomatic apical aneurysm of the left ventricle with intracavitary thrombus: a diagnosis missed by echocardiography

Albuquerque, Kamila Seidel; Indiani, João Maurício Canavezi; Martin, Marcelo Fontalvo; Cunha, Beatriz Morais E Rodrigues; Nacif, Marcelo Souto

doi:10.1590/0100-3984.2016.0199

Cited by 8 publications

(5 citation statements)

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“…Recent studies have highlighted the importance of imaging methods in the evaluation of cardiac diseases (16)(17)(18)(19)(20)(21) . The present study compared the RVEF and RA area, as assessed by cardiac MRI, with other known prognostic markers in PAH.…”

Section: Discussionmentioning

confidence: 99%

Relationship between right atrium area and right ventricular ejection fraction on magnetic resonance imaging: comparison with other prognostic markers in patients with pulmonary arterial hypertension

et al. 2019

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Objective: To compare the right atrium (RA) area and right ventricular ejection fraction (RVEF) with other known prognostic markers in patients with pulmonary arterial hypertension (PAH). Materials and Methods: This was a retrospective study of 74 patients diagnosed with PAH by right heart catheterization at a referral center between January 2018 and May 2018. All of the patients underwent cardiac magnetic resonance imaging (MRI) within 3 months of the right heart catheterization (RHC), as well as undergoing echocardiography, a 6-minute walk test, and determination of the level of N-terminal pro-brain natriuretic peptide (NT-proBNP) within a month of the RHC. We attempted to determine whether the cardiac MRI-derived RA area correlated with ions between RVEF and RA area measured by that determined by echocardiography, as well as whether the cardiac MRI-derived RA area and RVEF correlated with the 6-minute walk distance and NT-proBNP level. Results: The MRI-derived RA area demonstrated a weak correlation with the pulmonary vascular resistance measured by RHC (r = 0.268; p = 0.055) and a moderate correlation with the NT-proBNP (r = 0.429; p = 0.003). All correlations between clinical characteristics and the RVEF were statistically significant. In the univariate linear analysis, the RVEF showed stronger correlations with the clinical characteristics than did the RA area. Conclusion: In patients with PAH, cardiac MRI-derived RVEF appears to correlate more strongly with other prognostic factors than does RA area.

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Section: Discussionmentioning

confidence: 99%

Relationship between right atrium area and right ventricular ejection fraction on magnetic resonance imaging: comparison with other prognostic markers in patients with pulmonary arterial hypertension

et al. 2019

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“…Аневризма ЛЖ является серьезным осложнением трансмурального ИМ и, по данным разных авторов, встречается в 5-38% случаях [4][5][6][7]. Значительная вариабельность в частоте образования аневризмы связана с применением в последнее время реперфузионного лечения.…”

Section: результатыunclassified

True left ventricular aneurysm in acute myocardial infarction: immediate and long-term outcomes, prognostic factors, and treatment

Afonina

Kuzmina

Zagrebelnyy

et al. 2022

Cardiovasc Ther Prev

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An important place in the structure of cardiovascular morbidity is occupied by myocardial infarction (MI), especially complicated MI, including complicated by the formation of left ventricular (LV) aneurysm. The latter is a very formidable complication and leads to such life-threatening conditions as ventricular arrhythmias, heart failure, thromboembolism. The purpose of the review is to analyze the publications of foreign and Russian authors on risk factors, outcomes and treatment of patients with postinfarction LV aneurysm. Attention is paid to the role of registers in the study of this problem, as well as the analysis of literature data on the prevalence of such a complication as MI during the COVID-19 pandemic (COrona VIrus Disease 2019). It is shown that the registers of acute coronary syndrome, as a rule, do not contain separate data on patients with a formed LV aneurysm, risk factors for its development and outcomes in this group of patients. Postinfarction LV aneurysm can form only after transmural MI; therefore, it is important to keep records of patients diagnosed with transmural MI, primarily in the form of a register.

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“…En los pacientes isquémicos asintomáticos, los aneurismas ventriculares postinfarto son generalmente de pequeño tamaño; los de proporciones significativas se asocian a síntomas y, con mayor frecuencia, a complicaciones derivadas de la presencia de trombos y arritmias originadas en la zona límite entre aneurisma y tejido sano 21 . En nuestra serie de CChC se detectaron aneurismas extensos en pacientes asintomáticos (Fig.…”

Section: Aneurismas Ventriculares En La Cardiopatía Isquémica Y La Ca...unclassified

Aneurismas ventriculares en una población de pacientes con cardiomiopatía chagásica

Sirena¹,

Garillo²,

Villarroel-Ábrego³

et al. 2022

RCCAR

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Antecedentes: Los pacientes con enfermedad de Chagas pueden desarrollar cardiomiopatía crónica (CChC); los aneurismas ventriculares son característicos de esta condición. Objetivo: Analizar una población de pacientes con CChC con aneurismas ventriculares, buscando asociaciones entre las variables sexo, edad, síntomas, fracción de eyección del ventrículo izquierdo (FEVI), tamaño de los aneurismas y presencia de arritmias ventriculares. Método: Los pacientes fueron valorados con historia clínica, electrocardiografía (ECG), radiología, ecocardiografía y Holter. Resultados: De 627 pacientes con CChC, 60 (9.6%) presentaron aneurismas (60%). Había una relación significativa entre edad mayor de 50 años y FEVI normal. El valor predictivo negativo de clase funcional I y ECG sin anomalías del QRS para detectar FEVI < 50% o taquicardia ventricular fue del 47.4%. No hubo relación significativa entre anomalías del QRS con FEVI < 50% ni taquicardia ventricular. Los aneurismas grandes estaban asociados a FEVI < 50%, pero no fueron predictores de taquicardia ventricular. No hubo asociación significativa entre volúmenes de fin de diástole del ventrículo izquierdo y FEVI o taquicardia ventricular; los pacientes en fase B1-2 no presentaron mayor riesgo de taquicardia ventricular que los de fase C-D. Conclusiones: En los pacientes con CChC se recomienda un estudio integral con ecocardiografía y Holter; el valor predictivo negativo de la clínica y del electrocardiograma es muy reducido.

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Asymptomatic apical aneurysm of the left ventricle with intracavitary thrombus: a diagnosis missed by echocardiography

Cited by 8 publications

References 9 publications

Relationship between right atrium area and right ventricular ejection fraction on magnetic resonance imaging: comparison with other prognostic markers in patients with pulmonary arterial hypertension

Relationship between right atrium area and right ventricular ejection fraction on magnetic resonance imaging: comparison with other prognostic markers in patients with pulmonary arterial hypertension

True left ventricular aneurysm in acute myocardial infarction: immediate and long-term outcomes, prognostic factors, and treatment

Aneurismas ventriculares en una población de pacientes con cardiomiopatía chagásica

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