A clinical audit of in-hospital echocardiography in heart failure

Dugo, Clementina; Alsamarrai, A.; Rigolli, Marzia; Deo, Arun; Dyer, Janet; Christiansen, J.; Whalley, Gillian A.

doi:10.1016/j.hlc.2015.04.089

Cited by 2 publications

(2 citation statements)

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“…(20,21) Echocardiography with Doppler is a well-validated tool to interrogate diastolic function. (22) Speckle tracking echocardiography (STE) and CMR feature tracking are modalities that may be used to analyse myocardial deformation. (23) STE, however, has the distinct advantage of almost 2 decades of research and its clinical use is supported by treatment guidelines.…”

Section: Remodelling In Hiv-infectionmentioning

confidence: 99%

Subclinical cardiovascular remodelling in HIV-infection: a multimodal descriptive study of two serodiscordant, monozygotic twins

Robbertse,

Steyn,

Rajah

et al. 2024

SAHJ

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Cardiovascular abnormalities have been demonstrated in people living with HIV at the time of HIV diagnosis, but pathology may be challenging to diagnose in the individual. To describe subtle cardiovascular remodelling and dysfunction in two identical twins, one without HIV and the other with a new diagnosis of HIV (serodiscordant). We hypothesise that a difference in cardiovascular parameters would not be demonstrable between the twins, unless non-genetic (environmental) factors were influencing the cardiovascular system. Significant cardiovascular differences likely represent occult pathology secondary to the effects of early HIV-infection, before the initiation of antiretroviral therapy. A 25-year-old female, incidentally diagnosed with HIV (CD4 count 513 cells/ml; estimated time of HIV infection 7-months), underwent cardiovascular magnetic resonance imaging, cardiac biomarker evaluation, and echocardiographic strain assessment. Her healthy, HIV-uninfected identical twin, living together since birth, underwent an identical assessment for comparison. Blinded measurements were performed.

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Section: Remodelling In Hiv-infectionmentioning

confidence: 99%

Subclinical cardiovascular remodelling in HIV-infection: a multimodal descriptive study of two serodiscordant, monozygotic twins

Robbertse,

Steyn,

Rajah

et al. 2024

SAHJ

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“…In addition, compared to other PH evaluation methods, only RHC can differentiate between precapillary and postcapillary PH (10). TTE, on the other hand, is the gold standard in diastolic function assessment (11,12).…”

Section: Introductionmentioning

confidence: 99%

Comparison of pulmonary circulation parameters acquired by cardiovascular magnetic resonance with right heart catheterization and transthoracic echocardiography in patients with recent-onset dilated cardiomyopathy

Opatřil,

Panovský,

Mojica-Pisciotti

et al. 2024

Preprint

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Evaluating pulmonary circulation parameters (PCP) with cardiovascular magnetic resonance (CMR) is a relatively new approach with the potential for complex evaluation of the cardio-pulmonary system. Its impact might complement clinical assessment through right heart catheterization (RHC), the gold standard in evaluating pulmonary hypertension (PH) and hemodynamics, and transthoracic echocardiography (TTE). The study aims to examine the correlation of PCP with diastolic and systolic function and PH in patients with recent-onset dilated cardiomyopathy (RODCM). Eighty-four patients with recent-onset dilated cardiomyopathy (RODCM) were retrospectively included. All patients had a CMR examination, RHC (including pulmonary capillary wedge pressure (PCWP) and pulmonary vascular resistance (PVR)), and TTE. The pulmonary transit time (PTT), corrected pulmonary transit time (PTTc), systolic and diastolic function, and PH were assessed. Patients were divided into groups according to the PH and the diastolic function. PTT and PTTc correlated with PCWP, cardiac index, PVR, and E/e’. Patients with restrictive filling pattern showed significantly longer PTT. The receiver operating characteristic curve for PTT, PTTc, and PH was assessed with an area under the curve of 72.7% for PTT and 75.3% for PTTc, with cut-off values of 8.62 s (PTT) and 8.52 s (PTTc). To our knowledge, this is the first study focused on CMR-derived PCP in a RODCM group. Our findings show that PTT and PTTc are prolonged with impaired systolic and diastolic function, and with PH. Therefore, PCP might offer critical information to evaluate the cardio-pulmonary system comprehensively.

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A clinical audit of in-hospital echocardiography in heart failure

Cited by 2 publications

References 0 publications

Subclinical cardiovascular remodelling in HIV-infection: a multimodal descriptive study of two serodiscordant, monozygotic twins

Subclinical cardiovascular remodelling in HIV-infection: a multimodal descriptive study of two serodiscordant, monozygotic twins

Comparison of pulmonary circulation parameters acquired by cardiovascular magnetic resonance with right heart catheterization and transthoracic echocardiography in patients with recent-onset dilated cardiomyopathy

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