DECLARATION OF CONFLICT OF INTEREST
|
|
|
- Muriel Price
- 5 years ago
- Views:
Transcription
1 DECLARATION OF CONFLICT OF INTEREST
2 Clinica Cardiologica Università degli Studi di Padova Direttore: Prof. Sabino Iliceto BENEFITS OF REAL-TIME 3D STRESS ECHOCARDIOGRAPHY Luigi P. Badano**, MD, FESC **Dr. Badano has received honoraries and research grants from GE Healthcare, Sorin cardio S.p.A., Actelion, Edwards Lifesciences *No off-label use of device
3 DIAGNOSTIC ACCURACY OF STRESS ECHO SENSITIVITY SPECIFICITY 0 ExEcho DbEcho DypEcho ExEcho DbEcho DypEcho Highest Lowest Mean Marwick TH. Heart 2003
4 STRESS-ECHO Limitations of current 2D Imaging for stress echo Time required for image acquisition (potential missing of ischemia) Operator-dependent image acquisition Difficult to precisely match myocardial segments between baseline and stress (over- or under-estimation of ischemia) Quad screen display does not encompass the entire left ventricle (risk of missing stress-induced wall motion abnormalities)
5 STRESS-ECHO Limitations of current 2D Imaging for stress echo
6 STRESS-ECHO Limitations of current 2D Imaging for stress echo
7 STRESS-ECHO Limitations of current 2D Imaging for stress echo
8 REAL-TIME 3D STRESS-ECHO The Time Saver 4D Echo (multislice) Multiplane
9 3D STRESS-ECHO Added value? 2007 by BMJ Publishing Group Ltd and British Cardiovascular Society Aggeli C et al. Heart 2007
10 3D STRESS-ECHO Limitations of Previous 3D Imaging for Stress-echo Limited time resolution Varnero S et al. Cardiovasc Ultrasound 2008 Reduced image quality vs 2D Analysis time prolonged by manual cropping the full-volume data-sets Impossibility to side-by-side display of cropped images
11 3D STRESS-ECHO Limitations of Previous 3D Imaging for Stress-echo Varnero S et al. Cardiovasc Ultrasound 2008
12 3D DIPYRIDAMOLE STRESS-ECHO 0.84 (3D DSE) Dipyridamole (mg/kg) Aminophylline Time (min) Baseline Peak Recovery
13 3D DIPYRIDAMOLE STRESS ECHO Study Population (December January 2010) Variables n= 107 pts Males 67 (63%) Age (yrs) 68±13 Hypertension 52 (49%) Smokers 73 (68%) Diabetes 25 (23%) Hypecholesterolemia 46 (43%) Clinical Indication Non cardiac surgery pre-op assessment 63 (59%) Angina pectoris (unable to exercise) 44 (41%) Previous CAD Myocardial infarction 25 (23%) Previous PCI 13 (12%) Previous CABG 8 (8%) Medical therapy Withdrawn
14 3D DIPYRIDAMOLE STRESS-ECHO The challenge 2D Acquisition 3D Acquisition Vs. Acquisition Time = 65±30 s Analysis Time= 176±63 s Temporal resolution= 75±5 fps Acquisition Time = 16±3 s (p<0.0001) Analysis Time= 91±5 s (p<0.0001) Temporal resolution= 41±5 vps (p<0.0001) Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
15 3D DIPYRIDAMOLE STRESS-ECHO Image Acquisition
16 3D DIPYRIDAMOLE STRESS-ECHO 2D Image Analysis Baseline Stress-echo
17 3D DIPYRIDAMOLE STRESS-ECHO Baseline 3D Image Analysis 9 slices 12 slices
18 3D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 3D Image Analysis (4CH-view) 2D 3D
19 3D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 3D Image Analysis (2CH view) 2D 3D
20 3D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 3D Image Analysis (ApLAX view) 2D 3D
21 3D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 3D Image Analysis (SAX Basal)
22 3D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 4D Image Analysis (Sax Mid)
23 4D DIPYRIDAMOLE STRESS-ECHO Stress-Echo 4D Image Analysis (SAX Apex)
24 3D DIPYRIDAMOLE STRESS ECHO Results Variables n= 107 pts Adequate 3D imaging 84 (79%) Reasons for test termination End of the protocol 46 (55%) New or worsening wall motion 38 (45%) LV segments available for analysis 1428 x 2 Uninterpretable segments at 2DE 311 Baseline 197 (14%) Peak stress 114 (8%) Unininterpretable segments at 3DE 213 (p<0.001 vs 2DE) Baseline 127(9%) (p<0.03 vs 2DE) Peak stress 81 (6%) Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
25 Success Rate of Adequate Image Acquisistion (%) 3D DIPYRIDAMOLE STRESS-ECHO p=0.02 p=0.03 p=1.00 p=0.51 p=1.00 p=1.00 p=1.00 p= Apical Anteroseptal Inferior Ant.-lateral 3D Bas 2D Bas 3D Pk 2D Pk Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
26 3D DIPYRIDAMOLE STRESS-ECHO Results k= 0.71 k= 0.73 WMSI 2DE 3DE p Value Baseline 1.041± ±0.01 NS Peak stress 1.21± ± Apical 1.34± ±0.078 < Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
27 3D DIPYRIDAMOLE STRESS ECHO Results Coronary angiography 35 pts. 1 vessel disease 9 2 vessel disease 17 3 vessel disease 9 Sensitivity (%) Specificity (%) 3DE 2DE p 3DE 2DE p All territories NS NS LAD territory NS RCA territory NS NS LCX territory NS NS Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
28 3D DIPYRIDAMOLE STRESS-ECHO Results Variables n= 107 pts Adequate 3D Imaging 84 (79%) Reasons for test termination End of the protocol 46 (55%) New or worsening wall motion 38 (45%) LV segments available for analysis 1428 x 2 Uninterpetable segments at 2DE 311 Baseline 197 (14%) Peak stress 114 (8%) Unininterpretable segments at 3DE 213 (p<0.001 vs 2DE) Baseline 127 (9%) (p<0.03 vs 2DE) Peak stress 81 (6%) Badano LP, Muraru D et al. J Am Soc Echocardiogr 2010
29 3D ADENOSINE STRESS-ECHO Additive Diagnostic Yield of Contrast 2D 3D Aggeli C. et al. Eur J Echocardiogr 2011
30 3D DIPYRIDAMOLE STRESS-ECHO Conclusions PROS: - Simultaneous acquisition of all views; - Quick (around 30 s); - Comprehensive assessment of the whole LV (long. and circumf. extension of ischemia) ; - Precise anatomically correct tomographic LV sections; - No foreshortening of the apex; - Reduced operator skill needed for acquisition - Image quality competing with 2D - Cost/effectiveness CONS: -(Temporal resolution (41 vps)) - Atrial fibrillation - Nearly real time - (Visual assessment only)
31
3D-stress echocardiography Bernard Cosyns, MD, PhD
3D-stress echocardiography Bernard Cosyns, MD, PhD No Disclosure The Pro-Technology bias Sicari et al. Cardiovascular Ultrasound 2006, 4:11 Overview 2D stress echocardiography: main limitations 3D echocardiography:
HOW TO SET UP THE ECHO LAB?
Clinica Cardiologica Università degli Studi di Padova Direttore: Prof. Sabino Iliceto HOW TO SET UP THE ECHO LAB? Luigi P. Badano*, MD, FESC *No relevant conflict of interests *No off-label use of devices
MITRAL VALVE PATHOLOGY WITH TRICUSPID REGURGITATION (AND PHT)
UNIVERSITY OF PADUA, SCHOOL OF MEDICINE Department of Cardiac,Thoracic and Vascular Sciences Padua, Italy MITRAL VALVE PATHOLOGY WITH TRICUSPID REGURGITATION (AND PHT) Luigi P. Badano**, MD, PhD, FESC,
Cardiovascular Imaging Stress Echo
Cardiovascular Imaging Stress Echo Theodora A Zaglavara, MD, PhD Cardiac Imaging Department INTERBALKAN MEDICAL CENTER Thessaloniki GREECE Evolution of Stress Echo: From Innovation to a Widely Established
Department of Cardiac, Thoracic and Vascular Sciences University of Padua Cardiac Tamponade. Echocardiography in Diagnosis and Management
Department of Cardiac, Thoracic and Vascular Sciences University of Padua Cardiac Tamponade. Echocardiography in Diagnosis and Management Luigi P. Badano, MD, FESC, FACC Declaration of interest **Dr. Badano
Abnormal, Autoquant Adenosine Myocardial Perfusion Heart Imaging. ID: GOLD Date: Age: 46 Sex: M John Doe Phone (310)
Background: Reason: preoperative assessment of CAD, Shortness of Breath Symptom: atypical chest pain Risk factors: hypertension Under influence: a beta blocker Medications: digoxin Height: 66 in. Weight:
Right Heart Hemodynamics: Echo-Cath Discrepancies
Department of cardiac, thoracic and vascular sciences University of Padua, School of Medicine Padua, Italy Right Heart Hemodynamics: Echo-Cath Discrepancies Luigi P. Badano, MD, PhD, FESC, FACC **Dr. Badano
Imaging and heart failure
Imaging and heart failure Jeroen J Bax Dept of Cardiology Leiden Univ Medical Center The Netherlands Davos, feb 2013 Research grants: Medtronic, Biotronik, Boston, St Jude, BMS imaging, GE Healthcare,
Pearls & Pitfalls in nuclear cardiology
Pearls & Pitfalls in nuclear cardiology Maythinee Chantadisai, MD., NM physician Division of Nuclear Medicine, Department of radiology, KCMH Principle of myocardial perfusion imaging (MPI) Radiotracer
Appropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods
Appropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods Review by Michael Devenport, MS, RDCS Objectives: A basic description and review of appropriate use of
J. Schwitter, MD, FESC Section of Cardiology
J. Schwitter, MD, FESC Section of Cardiology CMR Center of the CHUV University Hospital Lausanne - CHUV Switzerland Centre de RM Cardiaque J. Schwitter, MD, FESC Section of Cardiology CMR Center of the
Validation of CT Perfusion Imaging Against Invasive Angiography and FFR on a 320-MDCT Scanner
Validation of CT Perfusion Imaging Against Invasive Angiography and FFR on a 320-MDCT Scanner Zhen Qian, Gustavo Vasquez, Sarah Rinehart, Parag Joshi, Eric Krivitsky, Anna Kalynych, Dimitri Karmpaliotis,
CASE from South Korea
CASE from South Korea Bon-Kwon Koo, MD, PhD, Seoul, Korea Outpatient clinic of a non-interventional cardiologist F/56 Chief complaint: Angina with recent aggravation, CCS II~III Brief history: # Stroke
Clinical Summary. Live Cases I - IX
Clinical Summary Live Cases I - IX Case #1 2017/09/16 Age: 66 Target Vessel: RCA proximal Relevant Diagnosis: Single vessel CAD with normal LVEF Coronary Risk Factors: Hypertension, smoke (90py) ECG abnormality:
Clinical Summary. Live Cases I - IX
Clinical Summary Live Cases I - IX Patient: Male, 66 years Diagnosis: Single vessel CAD with normal LVEF Target lesion: proximal RCA Coronary risk factor: Hypertension, smoke (90py) Clinical course: ECG
Coronary interventions
Controversial issues in the management of ischemic heart failure Coronary interventions Maciej Lesiak Department of Cardiology, University Hospital in Poznan none DECLARATION OF CONFLICT OF INTEREST CHF
Assessment of Ischemia and Viability
EAE Teaching Course Bucharest, 2010 Assessment of Ischemia and Viability Jens-Uwe Voigt Dpt. of Cardiology University Leuven Belgium Assessment of Ischemia & Viability resting wall motion Stress Testing
Hospital, 6 Lukon Road, Lukong Town, Changhua Shien, Taiwan 505, Taiwan.
Volume 1, Issue 1 Image Article Resolution of Inferior Wall Ischemia after Successful Revascularization of LAD Lesion: The Value of Myocardial Perfusion Imaging in Guiding Management of Multi-vessel CAD
Nuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb. Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN
Nuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN VUMC PET/CT conference 2009 82 Rb Cardiac Perfusion PET 82 Rb is
Benefit of Performing PCI Based on FFR
Benefit of Performing PCI Based on FFR William F. Fearon, MD Associate Professor Director, Interventional Cardiology Stanford University Medical Center Benefit of FFR-Guided PCI FFR-Guided PCI vs. Angiography-Guided
CHRONIC CAD DIAGNOSIS
CHRONIC CAD DIAGNOSIS Chest Pain Evaluation 1. Approach to diagnosis of CAD 2. Classification of chest pain 3. Pre-test likelihood CAD 4. Algorithm for chest pain evaluation in women 5. Indications for
Stress Echo in viability estimation of patients with ischemic heart disease and low LVEF. Prognostic implications.
Stress Echo in viability estimation of patients with ischemic heart disease and low LVEF. Prognostic implications. Stefanos Karagiannis MD PhD Cardiologist Director Echocardiology Dept ATHENS MEDICAL CENTER
ISAR-LEFT MAIN: A Randomized Clinical Trial on Drug-Eluting Stents for Unprotected Left Main Lesions
Julinda Mehilli, MD Deutsches Herzzentrum Technische Universität Munich Germany ISAR-LEFT MAIN: A Randomized Clinical Trial on Drug-Eluting Stents for Unprotected Left Main Lesions Background Left main
Safety of Single- Versus Multi-vessel Angioplasty for Patients with AMI and Multi-vessel CAD
Safety of Single- Versus Multi-vessel Angioplasty for Patients with AMI and Multi-vessel CAD Mun K. Hong, MD Associate Professor of Medicine Director, Cardiovascular Intervention and Research Weill Cornell
Imaging ischemic heart disease: role of SPECT and PET. Focus on Patients with Known CAD
Imaging ischemic heart disease: role of SPECT and PET. Focus on Patients with Known CAD Hein J. Verberne Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands International Conference
Current Guidelines for Diagnosis of AMI Chest pain ST change on EKG Cardiac Enzymes
Noninvasive Cardiac Imaging in Myocardial Infarction Sangchol Lee Sungkyunkwan University Samsung Medical Center Current Guidelines for Diagnosis of AMI Chest pain ST change on EKG Cardiac Enzymes Do We
Global left ventricular circumferential strain is a marker for both systolic and diastolic myocardial function
Global left ventricular circumferential strain is a marker for both systolic and diastolic myocardial function Toshinari Onishi 1, Samir K. Saha 2, Daniel Ludwig 1, Erik B. Schelbert 1, David Schwartzman
Stephen Glen ISCHAEMIC HEART DISEASE AND LEFT VENTRICULAR FUNCTION
Stephen Glen ISCHAEMIC HEART DISEASE AND LEFT VENTRICULAR FUNCTION Overview Coronary arteries Terminology to describe contractility Measuring ventricular function Systolic dysfunction Practice cases- LV
CHRONIC HEART FAILURE : WHAT ELSE COULD WE OFFER TO OUR PATIENTS? Cardiac Rehabilitation Society of Thailand
CHRONIC HEART FAILURE : WHAT ELSE COULD WE OFFER TO OUR PATIENTS? Cardiac Rehabilitation Society of Thailand ENHANCED EXTERNAL COUNTER PULSATION Piyanuj Ruckpanich, MD. Cardiac Rehabilitation Center Perfect
Echo in CAD: Wall Motion Assessment
Echo in CAD: Wall Motion Assessment Joe M. Moody, Jr, MD UTHSCSA and STVHCS October 2007 Relevant References ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography Bayes de
Role of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이
Role of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이 Outline Evaluation of Chest pain Evaluation of MI complications Prediction of Outcomes Evaluation of Chest pain Evaluation
FFR vs icecg in Coronary Bifurcations FIESTA ClinicalTrials.gov Identifier: NCT
FFR vs icecg in Coronary Bifurcations FIESTA ClinicalTrials.gov Identifier: NCT01724957 Dobrin Vassilev MD, PhD Assoc. Prof. in Cardiology Head Cardiology Clinic, Alexandrovska University Hospital Medical
Getting the Most Out of Stress Echo
Getting the Most Out of Stress Echo Vera H. Rigolin, MD, FASE, FACC, FAHA Professor of Medicine Northwestern University Feinberg School of Medicine Medical Director, Echocardiography Laboratory Northwestern
Fundamentals of Nuclear Cardiology. Terrence Ruddy, MD, FRCPC, FACC
Fundamentals of Nuclear Cardiology Terrence Ruddy, MD, FRCPC, FACC Objectives To understand the Principles of Nuclear Cardiac Imaging Radiotracers Image acquisition and processing Stress protocols To appreciate
Quantifying LV function how good are we?
Quantifying LV function how good are we? Professor Alan G Fraser Wales Heart Research Institute Cardiff University, U.K. Support for research from Hitachi Aloka, & GE Ultrasound Visual assessment of synchronicity
EAE Teaching Course. Magnetic Resonance Imaging. Competitive or Complementary? Sofia, Bulgaria, 5-7 April F.E. Rademakers
EAE Teaching Course Magnetic Resonance Imaging Competitive or Complementary? Sofia, Bulgaria, 5-7 April 2012 F.E. Rademakers Complementary? Of Course N Engl J Med 2012;366:54-63 Clinical relevance Treatment
Stable Angina: Indication for revascularization and best medical therapy
Stable Angina: Indication for revascularization and best medical therapy Cardiology Basics and Updated Guideline 2018 Chang-Hwan Yoon, MD/PhD Cardiovascular Center, Department of Internal Medicine Bundang
Perioperative Management After Coronary Stenting: Risk Assessment Before Surgery. Christian Seiler No conflict of interest to declare.
Perioperative Management After Coronary Stenting: Risk Assessment Before Surgery Christian Seiler No conflict of interest to declare PCI Long-Term Outcome Perioperative Management After Coronary Stenting:
The best from Euro-Echo Ischemic heart disease. Fausto Rigo,FESC Department of Cardiology Mestre-Venezia Hospital,Italy
The best from Euro-Echo 2011 Ischemic heart disease Fausto Rigo,FESC Department of Cardiology Mestre-Venezia Hospital,Italy faustorigo@alice.it DECLARATION OF CONFLICT OF INTEREST No conflict of interest
Coronary microvascular dysfunction after elective percutaneous coronary intervention: correlation with exercise stress test results
Department of Cardiovascular Medicine Università Cattolica del Sacro Cuore Rome, Italy Coronary microvascular dysfunction after elective percutaneous coronary intervention: correlation with exercise stress
High Speed Myocardial Perfusion SPECT: Validation of Quantitative Analysis and use in Low Dose Stress only Protocol
High Speed Myocardial Perfusion SPECT: Validation of Quantitative Analysis and use in Low Dose Stress only Protocol Tali Sharir 1, Marina Pinskiy 1, Vitaly Prochorov 1, Andrzej Bojko 1, Arik Rochman 1,
Old and new insights into viability:perfusion and Perfusion Reserve
Old and new insights into viability:perfusion and Perfusion Reserve R.Senior Professor of Clinical Cardiology Consultant Cardiologist and Director of Echo,Royal Brompton Hospital,London and Northwick Park
Paris, August 28 th Gian Paolo Ussia on behalf of the CoreValve Italian Registry Investigators
Paris, August 28 th 2011 Is TAVI the definitive treatment in high risk patients? Impact Of Coronary Artery Disease In Elderly Patients Undergoing TAVI: Insight The Italian CoreValve Registry Gian Paolo
DECLARATION OF CONFLICT OF INTEREST
DECLARATION OF CONFLICT OF INTEREST The additive prognostic value of myocardial perfusion defects, coronary flow reserve and wall motion abnormalities during dipyridamole contrast stress-echo: a prospective
A.K. Gitt, F. Towae, C. Juenger, A. Papp, R. Zahn, U. Zeymer, J. Senges For the STAR-Study-Group Herzzentrum Ludwigshafen, Germany
Impact of Interventional Versus Conservative Approach on 5-Year-Mortality of Patients With Stable Angina and Documented Coronary Artery Disease in Clinical Practice: Results of the STAR-Registry A.K. Gitt,
Safety and Efficacy of the Coronary Sinus Reducer in Patients with Refractory Angina: the COSIRA Trial
Safety and Efficacy of the Coronary Sinus Reducer in Patients with Refractory Angina: the COSIRA Trial (COronary SInus Reducer for Treatment of Refractory Angina) Stefan Verheye, MD Cardiovascular Center,
Debate Should we use FFR? I will say NO.
Debate Should we use FFR? I will say NO. Hyeon-Cheol Gwon Cardiac and Vascular Center Samsung Medical Center Sungkyunkwan University School of Medicine Dr. Hyeon-Cheol Gwon Research fund from Abbott Korea
Atypical pain and normal exercise test
Atypical pain and normal exercise test F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history 67-year old male with several coronary risk factors. Atypical
Stress echo workshop STRESSORS
Stress echo workshop STRESSORS Adham Ahmed, MD Lecturer of Cardiology, Ain Shams Indications of Stress Echo CAD Diagnosis Prognosticat ion 1 Physiologic Basis 1930s: Tennant and Wiggers Relationship between
Ultrasound 10/1/2014. Basic Echocardiography for the Internist. Mechanical (sector) transducer Piezoelectric crystal moved through a sector sweep
Ultrasound Basic Echocardiography for the Internist Carol Gruver, MD, FACC UT Erlanger Cardiology Mechanical wave of compression and rarefaction Requires a medium for transmission Ultrasound frequency
12 Lead ECGs: Ischemia, Injury & Infarction. Kevin Handke NRP, FP-C, CCP, CMTE STEMI Coordinator Flight Paramedic
12 Lead ECGs: Ischemia, Injury & Infarction Kevin Handke NRP, FP-C, CCP, CMTE STEMI Coordinator Flight Paramedic None Disclosures Objectives Upon completion of this program the learner will be able to
Isolated congenital coronary anomalies: Evaluation by multislice-ct or MRI
Isolated congenital coronary anomalies: Evaluation by multislice-ct or MRI B.K. Velthuis, Dept. of Radiology UMC Utrecht, the Netherlands ESC 2010 Coronary artery anomalies CAA Uncommon 0.3-5% normal population
Mechanisms and role of contrast echocardiography
Mechanisms and role of contrast echocardiography Seol Sang-Hoon Inje University College of Medicine, Haeundae Paik Hospital, Busan, Korea Physical Principles of Contrast Ultrasound Contrast echocardiography
FFR-guided Jailed Side Branch Intervention
FFR-guided Jailed Side Branch Intervention - Pressure wire in Bifurcation lesions - Bon-Kwon Koo, MD, PhD Seoul National University Hospital, Seoul, Korea Bifurcation Lesions Bifurcation Lesions Still
Fractional Flow Reserve from Coronary CT Angiography (and some neat CT images)
Fractional Flow Reserve from Coronary CT Angiography (and some neat CT images) Victor Cheng, M.D. Director, Cardiovascular CT Oklahoma Heart Institute 1 Disclosures Tornadoes scare me 2 Treating CAD Fixing
Stress Echo Cases Sunday, October 8, :10 3:30 PM 20 min
2017 ASE Echo Florida, Orlando, FL Stress Echo Cases Sunday, October 8, 2016 3:10 3:30 PM 20 min 1 M U H A M E D S A R I Ć, M D, P H D D i r e c t o r o f E c h o c a r d i o g r a p h y L a b A s s o
CCS/CAIC/CSCS Position Statement on Revascularization Multi-vessel CAD. Teo et al, Canadian Journal of Cardiology 2014;30:
CCS/CAIC/CSCS Position Statement on Revascularization Multi-vessel CAD Teo et al, Canadian Journal of Cardiology 2014;30: 1482-1491 Parallel Paper: Canadian Cardiovascular Society Guidelines for the Diagnosis
Technical Aspects and Clinical Indications of FFR
Technical Aspects and Clinical Indications of FFR Emanuele Barbato, MD, PhD, FESC Cardiovascular Center Aalst - OLV Clinic Aalst, Belgium Potential conflicts of interest Consulting fees and honoraria on
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users February 1 5, 2011 University of Santo Tomas Hospital Angelo King A-V Auditorium Manila,
Imaging in Ischemic Heart Disease: Role of Cardiac MRI
Imaging in Ischemic Heart Disease: Role of Cardiac MRI Chiara Bucciarelli Ducci MD, PhD, FESC, FRCP Consultant Senior Lecturer Cardiologist Bristol Heart Institute, University of Bristol, UK Chair elect,
Patient. Clinical data Indications: Operation date. Comorbidities: Patient code Birth date: / /
Patient Patient code Birth date: / / Sex: Male Height (cm): Female Weight (kg): Risk Factors: Family history of coronary disease: Hypertension Dyslipidemia Peripheral disease Diabetes Comorbidities: No
Qualitative and Quantitative Assessment of Perfusion
APCDE 2011 Qualitative and Quantitative Assessment of Perfusion Hyun Ju Yoon Chonnam National University Hospital Gwangju, Korea ISCHEMIC CASCADE Blood flow mismatch Perfusion defects on nuclear imaging,
Strain and Strain Rate Imaging How, Why and When?
Strain and Strain Rate Imaging How, Why and When? João L. Cavalcante, MD Advanced Cardiac Imaging Fellow Cleveland Clinic Foundation Disclosures: No conflicts of interest Movement vs Deformation Movement
Velocity Vector Imaging as a new approach for cardiac magnetic resonance: Comparison with echocardiography
Velocity Vector Imaging as a new approach for cardiac magnetic resonance: Comparison with echocardiography Toshinari Onishi 1, Samir K. Saha 2, Daniel Ludwig 1, Erik B. Schelbert 1, David Schwartzman 1,
FFR-Guided PCI. 4 th Imaging and Physiology Summit October 29 th, 2010 Seoul, Korea. Stanford
4 th Imaging and Physiology Summit October 29 th, 2010 Seoul, Korea FFR-Guided PCI William F. Fearon, M.D. Associate Professor Division of Cardiovascular Medicine University Medical Center Disclosure Statement
Maria Angela S. Cruz-Anacleto, MD
Maria Angela S. Cruz-Anacleto, MD 57/Female Menopausal Non-HTN, non-dm Hypothyroid (s/p RAI 1997) Levothyroxine 100 ug OD 5 Months PTA Chest discomfort Stress Echocardiography 5 Months PTA Chest discomfort
My Patient Needs a Stress Test
My Patient Needs a Stress Test Amy S. Burhanna,, MD, FACC Coastal Cardiology Cape May Court House, New Jersey Absolute and relative contraindications to exercise testing Absolute Acute myocardial infarction
The prevalence of atrial fibrillation (AF) increases
Long-term Prognostic Value of Dobutamine Stress Echocardiography in Patients With Atrial Fibrillation* Don Poldermans, MD; Jeroen J. Bax, MD; Abdou Elhendy, MD; Fabiola Sozzi, MD; Eric Boersma, PhD; Ian
CURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O.
CURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O. INTRODUCTION Form of imprisonment in 1818 Edward Smith s observations TECHNIQUE Heart rate Blood pressure ECG parameters Physical appearance INDICATIONS
Dr Felix Keng. Imaging of the heart is technically difficult because: Role of Cardiac MSCT. Current: Cardiac Motion Respiratory Motion
Siemens Philips Dr Felix Keng GE Toshiba Role of Cardiac MSCT Current: Structural / congenital heart imaging Extra-cardiac / Great vessel imaging Volumes and ejection fractions (cine + gating) Calcium
Insights into Viability- Function and Contractile Reserve
Insights into Viability- Function and Contractile Reserve Tom Marwick Cleveland Clinic Conflicts research grants and consulting with GE, Philips, Siemens Off-label use of Definity for assessment of myocardial
A New Method to Rapidly Evaluate LVEF from a Contractility Polar Map. Lebeau et al.
A New Method to Rapidly Evaluate LVEF from a Contractility Polar Map Lebeau et al. Good afternoon It is my pleasure to present to you a new method to rapidly evaluate LVEF from a contractility polar map
Can Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO!
Can Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO! Young-Hak Kim, MD, PhD Heart Institute, University of Ulsan College of Medicine Asan Medical Center,
1. LV function and remodeling. 2. Contribution of myocardial ischemia due to CAD, and
1 The clinical syndrome of heart failure in adults is commonly associated with the etiologies of ischemic and non-ischemic dilated cardiomyopathy, hypertrophic cardiomyopathy, hypertensive heart disease,
CT or PET/CT for coronary artery disease
CT or PET/CT for coronary artery disease Rotterdam 2012 Juhani Knuuti, MD, PhD, FESC Turku PET Centre University of Turku Turku, Finland Juhani.knuuti@utu.fi Turku PET Centre University of Turku Åbo Akademi
DECLARATION OF CONFLICT OF INTEREST. None
DECLARATION OF CONFLICT OF INTEREST None Hot Topics in Echocardiography: The position of the EAE EAE / ASE recommendation about Echo Assessment of Cardiac Mechanics Jens-Uwe Voigt Dpt. of Cardiovascular
Coronary artery disease (CAD) risk factors
Background Coronary artery disease (CAD) risk factors CAD Risk factors Hypertension Insulin resistance /diabetes Dyslipidemia Smoking /Obesity Male gender/ Old age Atherosclerosis Arterial stiffness precedes
Imaging congestive heart failure: role of coronary computed tomography angiography (CCTA)
Imaging congestive heart failure: role of coronary computed tomography angiography (CCTA) Gianluca Pontone, MD, PhD, FESC, FSCCT Director of MR Unit Deputy Director of Cardiovascul CT Unit Clinical Cardiology
Chronic Total Occlusion: A case for coronary artery bypass grafting
Chronic Total Occlusion: A case for coronary artery bypass grafting Prof. Alfredo R Galassi MD, FESC, FACC, FSCAI Director of Cardiac Catheterization and Interventional Cardiology Unit Department of Medical
Patient-centered Imaging in Coronary Artery Disease. Jason H Cole, MD, MS, FACC January 10, 2015
Patient-centered Imaging in Coronary Artery Disease Jason H Cole, MD, MS, FACC January 10, 2015 Non-invasive coronary imaging Non-invasive cardiac imaging has improved assessment of cardiac function, anatomy,
Cardiac Viability Testing A Clinical Perspective Annual Cardiac Imaging Symposium. Lisa M Mielniczuk MD FRCPC University of Ottawa Heart Institute
Cardiac Viability Testing A Clinical Perspective Annual Cardiac Imaging Symposium Lisa M Mielniczuk MD FRCPC University of Ottawa Heart Institute 62 year old male Anterior STEMI late presentation, occluded
Sung A Chang Department of Internal Medicine, Division of Cardiology, Sungkyunkwan University School of Medicine, Samsung Medical Center
CMR Perfusion and Viability A STICH Out of Time? Sung A Chang Department of Internal Medicine, Division of Cardiology, Sungkyunkwan University School of Medicine, Samsung Medical Center Can Imaging Improve
Form 4: Coronary Evaluation
Form : Coronary Evaluation Print this Form t Started Date of Coronary Evaluation Coronary Evaluation Indication for Coronary Evaluation Check only one. Angio NOT DONE: n invasive test performed Followup
Detection of Resting Myocardial Perfusion
Detection of Resting Myocardial Perfusion Defects by SonoVue R Myocardial Contrast Echocardiography Tamanna Nahar, M.D., Peng Li, M.D., Ph.D., Bettina Kuersten, M.D., Sanjay Batra, Ph.D., and Mani A. Vannan,
Revascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease
Impact of Angiographic Complete Revascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease Young-Hak Kim, Duk-Woo Park, Jong-Young Lee, Won-Jang
Radiologic Assessment of Myocardial Viability
November 2001 Radiologic Assessment of Myocardial Viability Joshua Moss, Harvard Medical School Year III Patient EF 66yo female with a 3-year history of intermittent chest pain previously relieved by sublingual
Mandatory knowledge about natural history of coronary grafts. P.Sergeant P. Maureira K.U.Leuven, Belgium
Mandatory knowledge about natural history of coronary grafts P.Sergeant P. Maureira K.U.Leuven, Belgium Types of grafts Arterial ITA/IMA (internal thoracic/mammary artery) Radial artery Gastro-epiploïc
DR ALEXIA STAVRATI CARDIOLOGIST, DIRECTOR OF CARDIOLOGY DEPT, "G. PAPANIKOLAOU" GH, THESSALONIKI
The Impact of AF on Natural History of CAD DR ALEXIA STAVRATI CARDIOLOGIST, DIRECTOR OF CARDIOLOGY DEPT, "G. PAPANIKOLAOU" GH, THESSALONIKI CAD MOST COMMON CARDIOVASCULAR DISEASE MOST COMMON CAUSE OF DEATH
MRI ACS-ben. Tamás Simor MD, PhD, Med Hab. University of Pécs, Heart Institute
MRI ACS-ben Tamás Simor MD, PhD, Med Hab Time Course of Changes in Infarct Size, Viable Myocardium, and LV Mass After Reperfused and Nonreperfused MI Blue lines denote reperfused myocardial infarction
FFR in Multivessel Disease
FFR in Multivessel Disease April, 26 2013 Coronary Physiology in the Catheterization Laboratory Location: European Heart House, Nice, France Pim A.L. Tonino, MD, PhD Hartcentrum, Eindhoven, the Netherlands
Patient characteristics Intervention Comparison Length of followup
ISCHAEMIA TESTING CHAPTER TESTING FOR MYCOCARDIAL ISCHAEMIA VERSUS NOT TESTING FOR MYOCARDIAL ISCHAEMIA Ref ID: 4154 Reference Wienbergen H, Kai GA, Schiele R et al. Actual clinical practice exercise ing
Clinical case in perspective. Cases from Poland
Clinical case in perspective Cases from Poland Assoc. Prof. Jacek Legutko, MD, PhD President-Elect of the Association for Percutaneous Cardiovascular Interventions of the Polish Cardiac Society Institute
Load and Function - Valvular Heart Disease. Tom Marwick, Cardiovascular Imaging Cleveland Clinic
Load and Function - Valvular Heart Disease Tom Marwick, Cardiovascular Imaging Cleveland Clinic Indications for surgery in common valve lesions Risks Operative mortality Failed repair - to MVR Operative
Mid-term results from real-world REPARA registry. Felipe Hernandez, on behalf of the REPARA investigators
Mid-term results from real-world REPARA registry Felipe Hernandez, on behalf of the REPARA investigators Potential conflicts of interest Speaker's name: Felipe Hernandez I have the following potential
MR Assessment of Myocardial Viability
MR Assessment of Myocardial Viability Definition of Viability Clinical Metabolism: Presence of glucose uptake Perfusion / Perfusion reserve Morphology: Wall thickness, wall thickening Contractility: Recovery
Patient referral for elective coronary angiography: challenging the current strategy
Patient referral for elective coronary angiography: challenging the current strategy M. Santos, A. Ferreira, A. P. Sousa, J. Brito, R. Calé, L. Raposo, P. Gonçalves, R. Teles, M. Almeida, M. Mendes Cardiology
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review consultation document Review of Clinical Guideline (CG95) Chest pain of recent onset: Assessment and diagnosis
Typical chest pain with normal ECG
Typical chest pain with normal ECG F. Mut, C. Bentancourt, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history Male 41 y.o. Overweight, hypertension, high cholesterol,
Cardiology for the Practitioner Advanced Cardiac Imaging: Worth the pretty pictures?
Keenan Research Centre Li Ka Shing Knowledge Institute Cardiology for the Practitioner Advanced Cardiac Imaging: Worth the pretty pictures? Howard Leong-Poi, MD, FRCPC Associate Professor of Medicine St.
When is strain assessment mandatory?
When is strain assessment mandatory? Geneviève Derumeaux University of Lyon France Presenter Disclosure Information Geneviève Derumeaux When is strain assessment mandatory? DISCLOSURE INFORMATION: None