New Ultrasound Technologies for Ischemic Heart Disease Assessment and Monitoring in Cardiac Rehabilitation

D’Andrea, Antonello; Sperlongano, Simona; Pacileo, Mario; Venturini, Elio; Iannuzzo, Gabriella; Gentile, Marco; Sperlongano, Rossella; Vitale, Giuseppe; Maglione, Marco; Cice, Gennaro; Sarullo, Filippo M.; Lorenzo, Anna Di; Vigorito, Carlo; Giallauria, Francesco

doi:10.3390/jcm9103131

Cited by 22 publications

(16 citation statements)

References 73 publications

(71 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Central stiffness of the aorta is usually measured using pulse wave velocity (PWV). Localized carotid stiffness can be measured with US or with echo-tracking [ 87 ]. Ultrasound enables us to measure many parameters of arterial elasticity ( Table 3 ).…”

Section: Carotid Stiffness Ultrasoundmentioning

confidence: 99%

Carotid Atherosclerosis, Ultrasound and Lipoproteins

et al. 2021

Self Cite

View full text Add to dashboard Cite

Carotid artery plaques are considered a measure of atherosclerosis and are associated with an increased risk of atherosclerotic cardiovascular disease, particularly ischemic strokes. Monitoring of patients with an elevated risk of stroke is critical in developing better prevention strategies. Non-invasive imaging allows us to directly see atherosclerosis in vessels and many features that are related to plaque vulnerability. A large body of evidence has demonstrated a strong correlation between some lipid parameters and carotid atherosclerosis. In this article, we review the relationship between lipids and atherosclerosis with a focus on carotid ultrasound, the most common method to estimate atherosclerotic load.

show abstract

Section: Carotid Stiffness Ultrasoundmentioning

confidence: 99%

Carotid Atherosclerosis, Ultrasound and Lipoproteins

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…In physiopathological terms, the benefits achieved by exercise-based CR can be attributed to various mechanisms: reduction in major risk factors, such as smoking, obesity, and arterial hypertension; improvement in lipid profile; improved medication adherence; depression identification and treatment; reduction in inflammation; ischemic preconditioning; improved endothelial function; improved insulin sensitivity and glucose levels; and more favorable fibrinolytic balance. CR also seems to favor a reverse cardiac remodeling with a reduction in left ventricular (LV) volumes, an increase in LV ejection fraction, and an improvement in LF and left atrial mechanics [ 11 ].…”

Section: Relevance Of Cardiac Rehabilitation In Cardiovascular Dismentioning

confidence: 99%

Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation

Sperlongano

Renon

Bigazzi

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

Transcatheter aortic valve implantation (TAVI) is an increasingly widespread percutaneous intervention of aortic valve replacement (AVR). The target population for TAVI is mainly composed of elderly, frail patients with severe aortic stenosis (AS), multiple comorbidities, and high perioperative mortality risk for surgical AVR (sAVR). These vulnerable patients could benefit from cardiac rehabilitation (CR) programs after percutaneous intervention. To date, no major guidelines currently recommend CR after TAVI. However, emerging scientific evidence shows that CR in patients undergoing TAVI is safe, and improves exercise tolerance and quality of life. Moreover, preliminary data prove that a CR program after TAVI has the potential to reduce mortality during follow-up, even if randomized clinical trials are needed for confirmation. The present review article provides an overview of all scientific evidence concerning the potential beneficial effects of CR after TAVI, and suggests possible fields of research to improve cardiac care after TAVI.

show abstract

“…Two-dimensional (2D) speckle tracking echocardiography (STE) is a gray-scale based technique which allows the assessment of myocardial deformation independently from insonation angle. All the above-mentioned components of the LV contractile function can be evaluated by STE [ 4 ]. Therefore, STE overcomes the two main limitations of tissue Doppler deformation imaging, the heavy dependence on insonation angle, and the possibility of analyzing only longitudinal deformation.…”

Section: Left Ventricular Speckle Tracking Echocardiographymentioning

confidence: 99%

Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application

et al. 2021

Self Cite

View full text Add to dashboard Cite

Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality. However, its symptoms and signs are not specific or can be absent. In this context, transthoracic echocardiography plays a key role in diagnosing the various forms of HF, guiding therapeutic decision making and monitoring response to therapy. Over the last few decades, new ultrasound modalities have been introduced in the field of echocardiography, aiming at better understanding the morpho-functional abnormalities occurring in cardiovascular diseases. However, they are still struggling to enter daily and routine use. In our review article, we turn the spotlight on some of the newest ultrasound technologies; in particular, analysis of myocardial deformation by speckle tracking echocardiography, and intracardiac flow dynamics by color Doppler flow mapping, highlighting their promising applications to HF diagnosis and management. We also focus on the importance of these imaging modalities in the selection of responses to cardiac resynchronization therapy.

show abstract

New Ultrasound Technologies for Ischemic Heart Disease Assessment and Monitoring in Cardiac Rehabilitation

Cited by 22 publications

References 73 publications

Carotid Atherosclerosis, Ultrasound and Lipoproteins

Carotid Atherosclerosis, Ultrasound and Lipoproteins

Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation

Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application

Contact Info

Product

Resources

About