Transesophageal Echocardiographic Evaluation of Atherosclerosis

Nishino, Masami; Tanouchi, Jun

doi:10.4070/kcj.2008.38.11.573

Cited by 3 publications

(2 citation statements)

References 73 publications

(58 reference statements)

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“…A previous study to determine the aortic elasticity in 35 AS patients (younger than 40 years) using TTE at the ascending aorta found that aortic elasticity decreased in AS patients and this decrease was not related to the disease duration 23). Compared to this study, we used TEE with the advantage of providing closer views of the aorta and aortic valve, and more detailed definition of thoracic aortic diameter than the TTE 8)9)24). The lack of sensitivity of TTE to detect cardiac abnormalities was also stressed in another study using TEE in 29 male AS patients and 13 controls 8)…”

Section: Discussionmentioning

confidence: 98%

“… 23) Compared to this study, we used TEE with the advantage of providing closer views of the aorta and aortic valve, and more detailed definition of thoracic aortic diameter than the TTE. 8) 9) 24) The lack of sensitivity of TTE to detect cardiac abnormalities was also stressed in another study using TEE in 29 male AS patients and 13 controls. 8)…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early Cardiac Valvular Changes in Ankylosing Spondylitis: A Transesophageal Echocardiography Study

Park

Sohn

Joe

et al. 2012

J Cardiovasc Ultrasound

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BackgroundThis study was conducted to determine the early cardiac valvular changes in young male ankylosing spondylitis (AS) patients.MethodsA total of 70 AS patients on treatment without clinical cardiac symptoms were divided into group I (< 10 years, n = 50) and group II (≥ 10 years, n = 20) depending on their disease duration after first diagnosis. Twenty-five healthy volunteers were selected as control subjects. All the subjects underwent transthoracic and transesophageal echocardiography, electrocardiography, and rheumatologic evaluation for AS patients.ResultsThe thickness of both the aortic and mitral valve was more increased in AS patients than in controls. Aortic valve thickness over 1.3 mm could predict AS with a sensitivity of 73% and specificity of 76%. The prevalence of aortic valve thickening was higher in the AS group compared to the controls. The prevalence of aortic and mitral regurgitation was very low and there was no difference between the controls and the patients. The aortic valve thickening was related to longer disease duration, high blood pressure, disease activity and inflammatory markers.ConclusionThickening of the aortic and mitral valve was observed without regurgitation in male AS patients early in the course of their disease without clinical cardiac manifestations. This subclinical change of aorto-mitral valve in early AS should be considered and followed up to determine its prognostic implication and evolution.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Early Cardiac Valvular Changes in Ankylosing Spondylitis: A Transesophageal Echocardiography Study

Park

Sohn

Joe

et al. 2012

J Cardiovasc Ultrasound

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Echocardiographic Assessment of the Aorta

Florescu

Darabont

Vinereanu

2018

New Approaches to Aortic Diseases From Valve to Abdominal Bifurcation

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Percutaneousl US approach to diagnosis and treatment of atherosclerosis

Nishino

2010

Jpn J Med Ultrasonics

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Percutaneousl US including carotid ultrasonographic examination is a promising noninvasive method for evaluating atherosclerosis and is finding increasing use in clinical settings. Atherosclerosis comprises two components: atherosis and sclerosis. Ultrasonography can be used to evaluate atherosis and sclerosis simultaneously: atherosis being assessed based on intima media thickness; sclerosis, by stiffness parameter. Moreover, recently developed ultrasound systems often provide tracking systems that can calculate stiffness parameter automatically. Therefore, surface echo, especially that observed in carotid ultrasonography, is useful in evaluating atherosclerosis. Further, percutaneousl US examination also has a place in treating peripheral artery disease PAD. New techniques and devices for percutaneous peripheral intervention PPI have been developed, while interventional cardi ologists use percutaneous peripheral intervention to treat more diffi cult cases of peripheral artery disease. Percutaneousl US guidance effectively decreases exposure to radiation and improves the success rate in percutaneous peripheral intervention. An ultra sound unit is thus essential in the catheter laboratory when carrying out surface echo guided percutaneous peripheral intervention. These facts support the conclusion that percutaneousl US is a valuable tool in evaluating atherosclerosis as well as in performing per cutaneous peripheral intervention to treat it.

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Transesophageal Echocardiographic Evaluation of Atherosclerosis

Cited by 3 publications

References 73 publications

Early Cardiac Valvular Changes in Ankylosing Spondylitis: A Transesophageal Echocardiography Study

Early Cardiac Valvular Changes in Ankylosing Spondylitis: A Transesophageal Echocardiography Study

Echocardiographic Assessment of the Aorta

Percutaneousl US approach to diagnosis and treatment of atherosclerosis

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