ΚΑΡΔΙΟΛΟΓΟΣ EUROPEAN ACCREDITATION IN TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY

Size: px
Start display at page:

Download "ΚΑΡΔΙΟΛΟΓΟΣ EUROPEAN ACCREDITATION IN TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY"

Transcription

1 1 ΚΑΡΔΙΟΛΟΓΟΣ EUROPEAN ACCREDITATION IN TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY

2 2 Constrictive pericarditis (CP) is characterized by impaired ventricular filling due to a stiffened or noncompliant pericardium Early rapid filling and elevation and and equalisation of diastolic pressures in all four cardiac champers

3 CLINICAL PRESENTATION 3 FLUID OVERLOAD DECREASED CARDIAC OUTPUT Elevated jugular venous pressure dyspnea Pleural effusion hepatomegaly ascites edema

4 PATHOPHYSIOLOGY 4 Disossociation of intrathoracic and intracardiac pressures Exaggerated ventricular interdependence

5 DIFFERENTIAL DIAGNOSIS 5 Consider the possibility of constrictive pericarditis when evaluating patients with the clinical diagnosis of heart failure with normal EFs Patients with right heart failure and findings of elevated venous pressure in the absence of severe left heart disease and severe pulmonary hypertension Restrictive cardiomyopathy Chronic obstructive lung diseases Cardiac tamponade TV disease Atrial myxoma Acute dilatation of the heart Pulmonary embolism Right ventricular infarction Pleural effusion Liver disease Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography, JASE 2009 Heart 2009;95: , Pericardial Guidelines 2004 J Am Coll Cardiol 2008;51:315 9,

6 CONSTRICTION VERSUS RESTRICTION 6 Both disease processes limit diastolic filling and result in diastolic heart failure

7 CONSTRICTION VERSUS RESTRICTION 7 Heart :

8 CONSTRICTION VERSUS RESTRICTION CP 8 RCM Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography, JASE 2009

9 9 CONSTRICTION VERSUS RESTRICTION Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography, JASE 2009

10 CONSTRICTION 10 VERSUS RESTRICTION

11 11 CONSTRICTION VERSUS RESTRICTION NORMAL Preserved tissue Doppler imaging (both e and S) Annulus reversus CP RCM European Journal of Echocardiography (2009) 10, Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography, JASE 2009 J Am Soc Echocardiogr 2009;22:24-33

12 12 CONSTRICTION VERSUS RESTRICTION CP RCM Heart : J Am Coll Cardiol 2008;51:315 9)

13 Similar Respiratory variation in mitral flow Acute dilatation of the heart Pulmonary embolism RV infarction Pleural effusion Pericardial tamponade Obesity Asthma Obstructive airway disease Lack of respiratory variation in CP Increase in atrial pressures Mixed Constiction and Restriction Atrial Fibrillation 13 Uncomon patterns of Constriction Effusive-constrictive pericarditis Transient Occult Localised Mitral annulus velocity MV replacement Infarction Annular calicification BEFORE AFTER

14 CONSTRICTION VERSUS CHRONIC OBSTRUCTIVE PULMONARY DISEASE COPD Mitral inflow velocities are not restrictive 14 CP COPD Highest mitral E occurs to the end of expiration Systolic SVC flow is markedly increased with inspiration ( 20cm/sec)

15 CONSTRICTION VERSUS LIVER DISEASE 15 Consider constriction in patients with unexplained chronic liver disease Jugular venous pressure is normal or slightly elevated Echo should be undertaken if there is suspicion of heart disease BMJ 1999 Vol 318:585-6

16 CONSTRICTION CONSTRICTION VERSUS VERSUS 16 RESTRICTION RESTRICTION MILLET MILLET VERSUS VERSUS VAN VAN GOGH GOGH ΤHANKS YOU YOU

17 CONSTRICTION VERSUS RESTRICTION 17

Constrictive Pericarditis

Constrictive Pericarditis Constrictive Pericarditis Never Confused with Anything Else Jae K. Oh, MD 2018 MFMER 3712003-1 ARS #1 CP Which of following patients has constrictive pericarditis? 1 2 3 Medial e 13 cm/s Medial e 3 cm/s

More information

10/1/2016. Constrictive Pericarditis Unique Hemodynamics. What s New in Pericardial Disease? Case-based Discussion

10/1/2016. Constrictive Pericarditis Unique Hemodynamics. What s New in Pericardial Disease? Case-based Discussion Mayo Clinic Department of Cardiovascular Diseases Mayo Clinic Echocardiography Review Course for Boards and Recertification What s New in Pericardial Disease? Case-based Discussion Jae K. Oh, MD Samsung

More information

Pericardial Diseases. Smonporn Boonyaratavej, MD. Division of Cardiology, Department of Medicine Chulalongkorn University

Pericardial Diseases. Smonporn Boonyaratavej, MD. Division of Cardiology, Department of Medicine Chulalongkorn University Pericardial Diseases Smonporn Boonyaratavej, MD Division of Cardiology, Department of Medicine Chulalongkorn University Cardiac Center, King Chulalongkorn Memorial Hospital 21 AUGUST 2016 Pericardial

More information

Adel Hasanin Ahmed 1

Adel Hasanin Ahmed 1 Adel Hasanin Ahmed 1 PERICARDIAL DISEASE The pericardial effusion ends anteriorly to the descending aorta and is best visualised in the PLAX. PSAX is actually very useful sometimes for looking at posterior

More information

Pericardial Disease: Case Examples. Echo Fiesta 2017

Pericardial Disease: Case Examples. Echo Fiesta 2017 Pericardial Disease: Case Examples Echo Fiesta 2017 2014 2014 MFMER MFMER 3346252-1 slide-1 Objectives Have a systematic approach to evaluation of constriction 2014 MFMER 3346252-2 CASE 1 2013 MFMER 3248567-3

More information

Echocardiography as a diagnostic and management tool in medical emergencies

Echocardiography as a diagnostic and management tool in medical emergencies Echocardiography as a diagnostic and management tool in medical emergencies Frank van der Heusen MD Department of Anesthesia and perioperative Care UCSF Medical Center Objective of this presentation Indications

More information

Constriction vs Restriction Case-based Discussion

Constriction vs Restriction Case-based Discussion Mayo Clinic Department of Cardiovascular Diseases Mayo Clinic Echocardiography Review Course for Boards and Recertification Constriction vs Restriction Case-based Discussion Jae K. Oh, MD Samsung Professor

More information

Choose the grading of diastolic function in 82 yo woman

Choose the grading of diastolic function in 82 yo woman Question #1 Choose the grading of diastolic function in 82 yo woman E= 80 cm/s A= 70 cm/s LAVI < 34 ml/m 2 1= Grade 1 2= Grade 2 3= Grade 3 4= Normal 5= Indeterminate 2018 MFMER 3712003-1 Choose the grading

More information

ECHOCARDIOGRAPHY. Patient Care. Goals and Objectives PF EF MF LF Aspirational

ECHOCARDIOGRAPHY. Patient Care. Goals and Objectives PF EF MF LF Aspirational Patient Care Be able to: Perform and interpret basic TTE and X cardiac Doppler examinations Perform and interpret a comprehensive X TTE and cardiac Doppler examination Perform and interpret a comprehensive

More information

Imaging in Heart Failure: A Multimodality Approach. Thomas Ryan, MD

Imaging in Heart Failure: A Multimodality Approach. Thomas Ryan, MD Imaging in Heart Failure: A Multimodality Approach Thomas Ryan, MD Heart Failure HFrEF HFpEF EF50% Lifetime risk 20% Prevalence 6M Americans Societal costs - $30B 50% 5-year survival 1 Systolic

More information

HFpEF. April 26, 2018

HFpEF. April 26, 2018 HFpEF April 26, 2018 (J Am Coll Cardiol 2017;70:2476 86) HFpEF 50% or more (40-71%) of patients with CHF have preserved LV systolic function. HFpEF is an increasingly frequent hospital discharge. Outcomes

More information

Changes in the Venous Pulse Waveform in Pericardial Effusion Revealed by Doppler. Benoy N Shah MD(Res) MRCP FESC & Dhrubo J Rakhit PhD FRCP FACC

Changes in the Venous Pulse Waveform in Pericardial Effusion Revealed by Doppler. Benoy N Shah MD(Res) MRCP FESC & Dhrubo J Rakhit PhD FRCP FACC Page 1 of 5 Title of image and video article Changes in the Venous Pulse Waveform in Pericardial Effusion Revealed by Doppler Echocardiography of the Superior Vena Cava Authors Benoy N Shah MD(Res) MRCP

More information

Evalua&on)of)Le-)Ventricular)Diastolic) Dysfunc&on)by)Echocardiography:) Role)of)Ejec&on)Frac&on)

Evalua&on)of)Le-)Ventricular)Diastolic) Dysfunc&on)by)Echocardiography:) Role)of)Ejec&on)Frac&on) Evalua&on)of)Le-)Ventricular)Diastolic) Dysfunc&on)by)Echocardiography:) Role)of)Ejec&on)Frac&on) N.Koutsogiannis) Department)of)Cardiology) University)Hospital)of)Patras)! I have no conflicts of interest

More information

Outline. Echocardiographic Assessment of Pericardial Effusion/Tamponade: The Essentials

Outline. Echocardiographic Assessment of Pericardial Effusion/Tamponade: The Essentials Echocardiographic Assessment of Pericardial Effusion/Tamponade: The Essentials John R Schairer DO FACC Henry Ford Heart and Vascular Institute No Disclosures Outline Normal Anatomy and Physiology Pathophysiology

More information

Heart Failure Syndromes related to Unusual Cardiomyopathies

Heart Failure Syndromes related to Unusual Cardiomyopathies Heart Failure Syndromes related to Unusual Cardiomyopathies Juan M. Aranda Jr., M.D. Professor of Medicine Medical Director of Heart Failure/ Transplant Program University of Florida College of Medicine

More information

Value of echocardiography in chronic dyspnea

Value of echocardiography in chronic dyspnea Value of echocardiography in chronic dyspnea Jahrestagung Schweizerische Gesellschaft für /Schweizerische Gesellschaft für Pneumologie B. Kaufmann 16.06.2016 Chronic dyspnea Shortness of breath lasting

More information

An Integrated Approach to Study LV Diastolic Function

An Integrated Approach to Study LV Diastolic Function An Integrated Approach to Study LV Diastolic Function Assoc. Prof. Adriana Ilieşiu, FESC University of Medicine Carol Davila Bucharest, Romania LV Diastolic Dysfunction impaired relaxation (early diastole)

More information

Index. K Knobology, TTE artifact, image resolution, ultrasound, 14

Index. K Knobology, TTE artifact, image resolution, ultrasound, 14 A Acute aortic regurgitation (AR), 124 128 Acute aortic syndrome (AAS) classic aortic dissection diagnosis, 251 263 evolutive patterns, 253 255 pathology, 250 251 classifications, 247 248 incomplete aortic

More information

Μαρία Μπόνου Διευθύντρια ΕΣΥ, ΓΝΑ Λαϊκό

Μαρία Μπόνου Διευθύντρια ΕΣΥ, ΓΝΑ Λαϊκό Μαρία Μπόνου Διευθύντρια ΕΣΥ, ΓΝΑ Λαϊκό Diastolic HF DD: Diastolic Dysfunction DHF: Diastolic HF HFpEF: HF with preserved EF DD Pathophysiologic condition: impaired relaxation, LV compliance, LV filling

More information

THE PERICARDIUM: LOOKING OUTSIDE THE HEART

THE PERICARDIUM: LOOKING OUTSIDE THE HEART THE PERICARDIUM: LOOKING OUTSIDE THE HEART DISCLOSURE Relevant relationships with commercial entities none Potential for conflicts of interest within this presentation none Steps taken to review and mitigate

More information

Constrictive/Restrictive Cardiomyopathies: Diagnosis and Management Update; Radiation Induced Heart Disease. Alexander (Sandy) Dick, MD

Constrictive/Restrictive Cardiomyopathies: Diagnosis and Management Update; Radiation Induced Heart Disease. Alexander (Sandy) Dick, MD Constrictive/Restrictive Cardiomyopathies: Diagnosis and Management Update; Radiation Induced Heart Disease Alexander (Sandy) Dick, MD Outline Pericardial Constriction Diagnosis: Imaging, Hemodynamics

More information

Constrictive Pericarditis as a Long-term Undetermined Etiology of Ascites and Edema

Constrictive Pericarditis as a Long-term Undetermined Etiology of Ascites and Edema doi: 10.2169/internalmedicine.9455-17 http://internmed.jp CASE REPORT Constrictive Pericarditis as a Long-term Undetermined Etiology of Ascites and Edema Takahiro Kamio 1, Eiji Hiraoka 2, Kotaro Obunai

More information

ΔΙΑΧΕΙΡΙΣΗ ΑΣΘΕΝΩΝ ΜΕ ΜΕΣΟΚΟΛΠΙΚΗ ΕΠΙΚΟΙΝΩΝΙΑ ΖΑΧΑΡΑΚΗ ΑΓΓΕΛΙΚΗ ΚΑΡΔΙΟΛΟΓΟΣ ΗΡΑΚΛΕΙΟ - ΚΡΗΤΗ

ΔΙΑΧΕΙΡΙΣΗ ΑΣΘΕΝΩΝ ΜΕ ΜΕΣΟΚΟΛΠΙΚΗ ΕΠΙΚΟΙΝΩΝΙΑ ΖΑΧΑΡΑΚΗ ΑΓΓΕΛΙΚΗ ΚΑΡΔΙΟΛΟΓΟΣ ΗΡΑΚΛΕΙΟ - ΚΡΗΤΗ ΔΙΑΧΕΙΡΙΣΗ ΑΣΘΕΝΩΝ ΜΕ ΜΕΣΟΚΟΛΠΙΚΗ ΕΠΙΚΟΙΝΩΝΙΑ ΖΑΧΑΡΑΚΗ ΑΓΓΕΛΙΚΗ ΚΑΡΔΙΟΛΟΓΟΣ ΗΡΑΚΛΕΙΟ - ΚΡΗΤΗ European Accreditation in TTE, TEE and CHD Echocardiography NOTHING TO DECLARE ATRIAL SEPTAL DEFECT TYPES SECUNDUM

More information

Constrictive pericarditis: Morphological, functional and haemodynamic evaluation

Constrictive pericarditis: Morphological, functional and haemodynamic evaluation Constrictive pericarditis: Morphological, functional and haemodynamic evaluation Poster No.: C-0743 Congress: ECR 2010 Type: Educational Exhibit Topic: Cardiac Authors: B. Graca, P. Donato, M. Ferreira,

More information

UPDATE ON CONSTRICTIVE PERICARDITIS ECHOCARDIOGRAPHY AND CARDIAC CATHETERISATION

UPDATE ON CONSTRICTIVE PERICARDITIS ECHOCARDIOGRAPHY AND CARDIAC CATHETERISATION Arsen D. Ristić, MD, PhD, FESC (no conflicts of interest to disclose regarding this presentation) UPDATE ON CONSTRICTIVE PERICARDITIS ECHOCARDIOGRAPHY AND CARDIAC CATHETERISATION Department of Cardiology,

More information

Echocardiography Conference

Echocardiography Conference Echocardiography Conference David Stultz, MD Cardiology Fellow, PGY-6 September 20, 2005 Atrial Septal Aneurysm Bulging of Fossa Ovalis Associated commonly with Atrial septal defect or small perforations

More information

Rotation: Echocardiography: Transthoracic Echocardiography (TTE)

Rotation: Echocardiography: Transthoracic Echocardiography (TTE) Rotation: Echocardiography: Transthoracic Echocardiography (TTE) Rotation Format and Responsibilities: Fellows rotate in the echocardiography laboratory in each clinical year. Rotations during the first

More information

PERICARDIAL DIAESE. Kaijun Cui Associated professor Sichuan University

PERICARDIAL DIAESE. Kaijun Cui Associated professor Sichuan University PERICARDIAL DIAESE Kaijun Cui Associated professor Sichuan University CLASSIFICATION acute pericarditis pericardial effusion cardiac tamponade constrictive pericarditis congenitally absent pericardium

More information

Echo Doppler Assessment of Right and Left Ventricular Hemodynamics.

Echo Doppler Assessment of Right and Left Ventricular Hemodynamics. Echo Doppler Assessment of Right and Left Ventricular Hemodynamics. Itzhak Kronzon, MD, FASE, FACC, FESC, FAHA, FACP, FCCP Northwell, Lenox Hill Hospital, New York Professor of Cardiology Hofstra University

More information

Constrictive Pericarditis Curable Paradoxical Diastolic Heart Failure ASE EBRC 2018

Constrictive Pericarditis Curable Paradoxical Diastolic Heart Failure ASE EBRC 2018 Constrictive Pericarditis Curable Paradoxical Diastolic Heart Failure ASE EBRC 2018 May 8 th, 2018 Jae K. Oh, MD Samsung Professor of CV Diseases Director, Pericardial Disease Clinic Co-Director, Integrated

More information

P = 4V 2. IVC Dimensions 10/20/2014. Comprehensive Hemodynamic Evaluation by Doppler Echocardiography. The Simplified Bernoulli Equation

P = 4V 2. IVC Dimensions 10/20/2014. Comprehensive Hemodynamic Evaluation by Doppler Echocardiography. The Simplified Bernoulli Equation Comprehensive Hemodynamic Evaluation by Doppler Echocardiography Itzhak Kronzon, MD North Shore LIJ/ Lenox Hill Hospital New York, NY Disclosure: Philips Healthcare St. Jude Medical The Simplified Bernoulli

More information

Diastolic Function Assessment Practical Ways to Incorporate into Every Echo

Diastolic Function Assessment Practical Ways to Incorporate into Every Echo Diastolic Function Assessment Practical Ways to Incorporate into Every Echo Jae K. Oh, MD Echo Hawaii 2018 2018 MFMER 3712003-1 Learning Objectives My presentation will help you to Appreciate the importance

More information

Clinical Indications for Echocardiography

Clinical Indications for Echocardiography Clinical Indications for Echocardiography Echocardiography is widely utilised and potential applications are increasing with advances in technology. The aim of this document is two-fold: 1) To define clinical

More information

DOPPLER HEMODYNAMICS (1) QUANTIFICATION OF PRESSURE GRADIENTS and INTRACARDIAC PRESSURES

DOPPLER HEMODYNAMICS (1) QUANTIFICATION OF PRESSURE GRADIENTS and INTRACARDIAC PRESSURES THORAXCENTRE DOPPLER HEMODYNAMICS (1) QUANTIFICATION OF PRESSURE GRADIENTS and INTRACARDIAC PRESSURES J. Roelandt DOPPLER HEMODYNAMICS Intracardiac pressures and pressure gradients Volumetric measurement

More information

TAVR: Echo Measurements Pre, Post And Intra Procedure

TAVR: Echo Measurements Pre, Post And Intra Procedure 2017 ASE Florida, Orlando, FL October 10, 2017 8:00 8:25 AM 25 min TAVR: Echo Measurements Pre, Post And Intra Procedure Muhamed Sarić MD, PhD, MPA Director of Noninvasive Cardiology Echo Lab Associate

More information

Constrictive Pericarditis in the Modern Era

Constrictive Pericarditis in the Modern Era Journal of the American College of Cardiology Vol. 51, No. 3, 2008 2008 by the American College of Cardiology Foundation ISSN 0735-1097/08/$34.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2007.09.039

More information

Comprehensive Hemodynamics By Doppler Echocardiography. The Echocardiographic Swan-Ganz Catheter.

Comprehensive Hemodynamics By Doppler Echocardiography. The Echocardiographic Swan-Ganz Catheter. Comprehensive Hemodynamics By Doppler Echocardiography. The Echocardiographic Swan-Ganz Catheter. Itzhak Kronzon, MD, FASE, FACC, FESC, FAHA, FACP, FCCP North Shore HS, LIJ/Lenox Hill Hospital, New York

More information

Certificate in Clinician Performed Ultrasound (CCPU) Syllabus. Rapid Cardiac Echo (RCE)

Certificate in Clinician Performed Ultrasound (CCPU) Syllabus. Rapid Cardiac Echo (RCE) Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Rapid Cardiac Echo (RCE) Purpose: Rapid Cardiac Echocardiography (RCE) This unit is designed to cover the theoretical and practical curriculum

More information

Heart Failure Dr ahmed almutairi Assistant professor internal medicin dept

Heart Failure Dr ahmed almutairi Assistant professor internal medicin dept Heart Failure Dr ahmed almutairi Assistant professor internal medicin dept (MBBS)(SBMD) Introduction Epidemiology Pathophysiology diastolic/systolic Risk factors Signs and symptoms Classification of HF

More information

Pericardial Diseases/Tamponade Illustrative Cases

Pericardial Diseases/Tamponade Illustrative Cases Pericardial Diseases/Tamponade Illustrative Cases Jae K. Oh, MD Echo Hawaii 2017 2012 MFMER 3200268v3(2010)-1 Case #1 47 year old man Chest pain Not exertional Normal Examination 2016 MFMER slide-2 1 47

More information

Πνευμονική υπέρταση και περικαρδιακή συλλογή. Τρόποι αντιμετώπισης

Πνευμονική υπέρταση και περικαρδιακή συλλογή. Τρόποι αντιμετώπισης Πνευμονική υπέρταση και περικαρδιακή συλλογή. Τρόποι αντιμετώπισης Γεώργιος Λάζαρος Καρδιολόγος, Διευθυντής ΕΣΥ Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Γ.Ν. Αθηνών Pericardial syndromes o Acute

More information

Tricuspid and Pulmonic Valve Disease

Tricuspid and Pulmonic Valve Disease Chapter 31 Tricuspid and Pulmonic Valve Disease David A. Tate Acquired disease of the right-sided cardiac valves is much less common than disease of the leftsided counterparts, possibly because of the

More information

Presenter: Steven Brust, HCS-D, HCS-H Product Manager, Home Health Coding Center

Presenter: Steven Brust, HCS-D, HCS-H Product Manager, Home Health Coding Center Presenter: Steven Brust, HCS-D, HCS-H Product Manager, Home Health Coding Center Pinpoint & properly assign the appropriate heart failure codes Left- vs. Right-sided Left ventricular failure (LVF) may

More information

Mitral Valve Disease, When to Intervene

Mitral Valve Disease, When to Intervene Mitral Valve Disease, When to Intervene Swedish Heart and Vascular Institute Ming Zhang MD PhD Interventional Cardiology Structure Heart Disease Conflict of Interest None Current ACC/AHA guideline Stages

More information

Diastolic Function Assessment New Guideline Update Practical Approach

Diastolic Function Assessment New Guideline Update Practical Approach Mayo Clinic Department of Cardiovascular Diseases Mayo Clinic Echocardiography Review Course for Boards and Recertification Diastolic Function Assessment New Guideline Update Practical Approach Jae K.

More information

Diastolic Heart Failure

Diastolic Heart Failure Chronic Heart Failure Prevalence overall = 2-3 % Diastolic Heart Failure Patrick Wouters University Hospital Ghent Belgium (Heart Failure + Asymptomatic Ventricular Dysfunction) Prevalence > 70 y = 10-20

More information

The Patient with Atrial Fibrilation

The Patient with Atrial Fibrilation Assessment of Diastolic Function The Patient with Atrial Fibrilation Assoc. Prof. Adriana Ilieşiu, FESC University of Medicine Carol Davila Bucharest, Romania Associated Conditions with Atrial Fibrillation

More information

Echocardiographic Evaluation of Pericardial Disease

Echocardiographic Evaluation of Pericardial Disease Echocardiographic Evaluation of Pericardial Disease Edwin G. Avery, IV, M.D. Chief, Division of Cardiac Anesthesia University Hospitals Case Medical Center Associate Professor of Anesthesiology Case Western

More information

Case Report Chronic Constrictive Pericarditis in Association with End-Stage Renal Disease

Case Report Chronic Constrictive Pericarditis in Association with End-Stage Renal Disease SAGE-Hindawi Access to Research International Nephrology Volume 2011, Article ID 469602, 4 pages doi:10.4061/2011/469602 Case Report Chronic Constrictive Pericarditis in Association with End-Stage Renal

More information

HFNEF. Heart Failure is

HFNEF. Heart Failure is HFNEF Bijoy K. Khandheria, MD. FASE, FACP, FACC FESC Professor of Medicine University of Wisconsin Director. Echocardiography Services Aurora Health Care No conflicts or off label use CP1173868-1 Heart

More information

Management of TR in Patients Undergoing Mitral Interventions

Management of TR in Patients Undergoing Mitral Interventions Management of TR in Patients Undergoing Mitral Interventions Stephen H. Little, MD John S. Dunn Chair in Cardiovascular Research and Education, Associate professor, Weill Cornell Medicine shlittle@houstonmethodist.org

More information

Cardiac Mass and Mass-like Structures

Cardiac Mass and Mass-like Structures KSE 2017 Basic Echo Review Course (4) Nov 26, 2017 Cardiac Mass and Mass-like Structures Sun Hwa Lee, MD, PhD Chonbuk National University Hospital & Medical School Introduction Although cardiac tumors

More information

Diagnosis and Treatment of Constrictive Pericarditis

Diagnosis and Treatment of Constrictive Pericarditis Diagnosis and Treatment of Constrictive Pericarditis Edwin G. Avery, IV, M.D. Chief, Division of Cardiac Anesthesia University Hospitals Case Medical Center Associate Professor of Anesthesiology Case Western

More information

Essentials of Pericardial Diseases

Essentials of Pericardial Diseases Essentials of Pericardial Diseases 1 Nikolaos Skubas MD, 2 Manuel Fontes MD The pericardial diseases result in cardiovascular perturbations ranging from asymptomatic electrocardiographic findings (in pericarditis

More information

Objectives. Diastology: What the Radiologist Needs to Know. LV Diastolic Function: Introduction. LV Diastolic Function: Introduction

Objectives. Diastology: What the Radiologist Needs to Know. LV Diastolic Function: Introduction. LV Diastolic Function: Introduction Objectives Diastology: What the Radiologist Needs to Know. Jacobo Kirsch, MD Cardiopulmonary Imaging, Section Head Division of Radiology Cleveland Clinic Florida Weston, FL To review the physiology and

More information

How to Assess Diastolic Dysfunction?

How to Assess Diastolic Dysfunction? How to Assess Diastolic Dysfunction? Fausto J Pinto, MD, PhD, FESC, FACC, FASE Lisbon University Dyastolic Dysfunction Impaired relaxation Elevated filling pressures Ischemic heart disease Cardiomyopathies

More information

Diagnosis is it really Heart Failure?

Diagnosis is it really Heart Failure? ESC Congress Munich - 25-29 August 2012 Heart Failure with Preserved Ejection Fraction From Bench to Bedside Diagnosis is it really Heart Failure? Prof. Burkert Pieske Department of Cardiology Med.University

More information

Heart Failure in Women: Dr Goh Ping Ping Cardiologist Asian Heart & Vascular Centre

Heart Failure in Women: Dr Goh Ping Ping Cardiologist Asian Heart & Vascular Centre Heart Failure in Women: More than EF? Dr Goh Ping Ping Cardiologist Asian Heart & Vascular Centre Overview Review pathophysiology as it relates to diagnosis and management Rational approach to workup:

More information

Ref 1. Ref 2. Ref 3. Ref 4. See graph

Ref 1. Ref 2. Ref 3. Ref 4. See graph Ref 1 Ref 2 Ref 3 1. Ages 6-23 y/o 2. Significant LVM differences by gender 3. For males 95 th percentiles: a. LVM/BSA = 103 b. LVM/height = 100 4. For females 95 th percentiles: a. LVM/BSA = 84 b. LVM/height

More information

(Ann Thorac Surg 2008;85:845 53)

(Ann Thorac Surg 2008;85:845 53) I Made Adi Parmana The utility of intraoperative TEE has become increasingly more evident as anesthesiologists, cardiologists, and surgeons continue to appreciate its potential application as an invaluable

More information

Response to questions at ACCA Webinar on Echocardiography in Critical Care

Response to questions at ACCA Webinar on Echocardiography in Critical Care Response to questions at ACCA Webinar on Echocardiography in Critical Care The participants in the Webinar were Bernard Cosyns [Professor of Cardiology at the Free University, Brussels, Belgium, and Chairman

More information

Diastolic Heart Function: Applying the New Guidelines Case Studies

Diastolic Heart Function: Applying the New Guidelines Case Studies Diastolic Heart Function: Applying the New Guidelines Case Studies Mitral Regurgitation The New ASE William Guidelines: A. Zoghbi Role MD, of FASE, 2D/3D MACCand CMR Professor and Chairman, Department

More information

Management Options and Risks

Management Options and Risks Session: Update on Constrictive Pericarditis Management Options and Risks Prof. Dr. Bernhard Maisch Director of Internal Medicine-Cardiology the UKGM GmbH and Philipps University Marburg Marburg, Germany

More information

CHEST. Postgraduate Education Corner. A 74-Year-Old Man With an Incidental Right-Sided Pleural Effusion

CHEST. Postgraduate Education Corner. A 74-Year-Old Man With an Incidental Right-Sided Pleural Effusion CHEST Postgraduate Education Corner PULMONARY AND CRITICAL CARE PEARLS A 74-Year-Old Man With an Incidental Right-Sided Pleural Effusion Joshua D. Farkas, MD ; Sahar Amery, MD ; Mark B. Napier, MD ; William

More information

Diastology State of The Art Assessment

Diastology State of The Art Assessment Diastology State of The Art Assessment Dr. Mohammad AlGhamdi Assistant professor, KSAU-HS Consultant Cardiologist King AbdulAziz Cardiac Center Ministry of National Guard Health Affairs Diagnostic Clinical

More information

Means failure of heart to pump enough blood to satisfy the need of the body.

Means failure of heart to pump enough blood to satisfy the need of the body. Means failure of heart to pump enough blood to satisfy the need of the body. Due to an impaired ability of the heart to adequately to fill or eject blood. HEART FAILURE Heart failure (HF) means decreased

More information

Echocardiographic Evaluation of the Cardiomyopathies. Stephanie Coulter, MD, FACC, FASE April, 2016

Echocardiographic Evaluation of the Cardiomyopathies. Stephanie Coulter, MD, FACC, FASE April, 2016 Echocardiographic Evaluation of the Cardiomyopathies Stephanie Coulter, MD, FACC, FASE April, 2016 Cardiomyopathies (CMP) primary disease intrinsic to cardiac muscle Dilated CMP Hypertrophic CMP Infiltrative

More information

Constrictive Pericarditis Pitfalls in MR Diagnosis Cylen Javidan-Nejad Associate Professor Mallinckrodt Institute of Radiology Washington University

Constrictive Pericarditis Pitfalls in MR Diagnosis Cylen Javidan-Nejad Associate Professor Mallinckrodt Institute of Radiology Washington University Constrictive Pericarditis Pitfalls in MR Diagnosis Cylen Javidan-Nejad Associate Professor Mallinckrodt Institute of Radiology Washington University in St. Louis Goal o To review the imaging criteria of

More information

M-Mode Echocardiography Is it still Alive? Itzhak Kronzon, MD,FASE. Sampling Rate M-Mode: 1800 / sec 2D: 30 / sec

M-Mode Echocardiography Is it still Alive? Itzhak Kronzon, MD,FASE. Sampling Rate M-Mode: 1800 / sec 2D: 30 / sec M-Mode Echocardiography Is it still Alive? Itzhak Kronzon, MD,FASE Honoraria: Philips Classical M-mode Echocardiography M-Mode offers better time and image resolution. Sampling Rate M-Mode: 1800 / sec

More information

TAMPONADE CARDIAQUE. Dr Cédrick Zaouter TUSAR 15 décembre 2015

TAMPONADE CARDIAQUE. Dr Cédrick Zaouter TUSAR 15 décembre 2015 TAMPONADE CARDIAQUE Dr Cédrick Zaouter TUSAR 15 décembre 2015 OUTLINE History Incidence Definition Pathophysiology Aetiologies Investigations - Echocardiography Treatment of cardiac tamponade Pericardial

More information

Case Report. as Constrictive Pericarditis: A Rare Case Report. J Teh Univ Heart Ctr 2016;11(2):92-97.

Case Report. as Constrictive Pericarditis: A Rare Case Report. J Teh Univ Heart Ctr 2016;11(2):92-97. The Journal of Tehran University Heart Center Case Report Non-Hodgkin s Lymphoma Presenting as Constrictive Pericarditis: A Rare Case Report Maryam Nabati, MD 1*, Keyvan Yosofnezhad, MD 1, Morteza Taghavi,

More information

Normal Pericardial Physiology

Normal Pericardial Physiology Normal Pericardial Physiology Normal pericardium contains 20-30 ml of lymphoid fluid lubricating function that facilitates normal myocardial rotation and translation during each cardiac cycle in that the

More information

Diastolic Heart Failure (HFpEF) Felix J. Rogers, DO, FACOI April 29, 2018

Diastolic Heart Failure (HFpEF) Felix J. Rogers, DO, FACOI April 29, 2018 Diastolic Heart Failure (HFpEF) Felix J. Rogers, DO, FACOI April 29, 2018 Case presentation MSO, an 81 year old woman was admitted to HFWH because of progressive dyspnea and difficult to control hypertension

More information

Transthoracic Echocardiography:

Transthoracic Echocardiography: Transthoracic Echocardiography: An essential tool for the obstetric anaesthetist? Brendan Carvalho MBBCh, FRCA Department of Anesthesiology Stanford University, California Focused TTE Stethoscope of the

More information

Swan Song: Echocardiography as a Pulmonary Artery Catheter? Interdepartmental Division of Critical Care Medicine

Swan Song: Echocardiography as a Pulmonary Artery Catheter? Interdepartmental Division of Critical Care Medicine Swan Song: Echocardiography as a Pulmonary Artery Catheter? The swan is without spot, and it sings sweetly as it dies, that song ending its life Leonardo Da Vinci Curr Opin Anesthesiol 2016, 29:36 45 Circulation.

More information

PRINCIPLES OF ENDOCARDITIS

PRINCIPLES OF ENDOCARDITIS 015 // Endocarditis CONTENTS 140 Principles of Endocarditis 141 Native Valve Endocarditis 143 Complications of Native Valve Endocarditis 145 Right Heart Endocarditis 145 Prosthetic Valve Endocarditis 146

More information

Diastolic Function: What the Sonographer Needs to Know. Echocardiographic Assessment of Diastolic Function: Basic Concepts 2/8/2012

Diastolic Function: What the Sonographer Needs to Know. Echocardiographic Assessment of Diastolic Function: Basic Concepts 2/8/2012 Diastolic Function: What the Sonographer Needs to Know Pat Bailey, RDCS, FASE Technical Director Beaumont Health System Echocardiographic Assessment of Diastolic Function: Basic Concepts Practical Hints

More information

GENERAL PRINCIPLES FOR ECHO ASSESSMENT OF DIASTOLIC FUNCTION (For full recommendation refer to the Left Ventricular Diastolic Function Guideline)

GENERAL PRINCIPLES FOR ECHO ASSESSMENT OF DIASTOLIC FUNCTION (For full recommendation refer to the Left Ventricular Diastolic Function Guideline) 1 THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY RECOMMENDATIONS FOR THE EVALUATION OF LEFT VENTRICULAR DIASTOLIC FUNCTION BY ECHOCARDIOGRAPHY: A QUICK REFERENCE GUIDE FROM THE ASE WORKFLOW AND LAB MANAGEMENT

More information

Valvular Regurgitation: Can We Do Better Than Colour Doppler?

Valvular Regurgitation: Can We Do Better Than Colour Doppler? Valvular Regurgitation: Can We Do Better Than Colour Doppler? A/Prof David Prior St Vincent s Hospital Melbourne Sports Cardiology Valvular Regurgitation Valve regurgitation volume loads the ventricles

More information

ASCeXAM / ReASCE. Practice Board Exam Questions Monday Morning

ASCeXAM / ReASCE. Practice Board Exam Questions Monday Morning ASCeXAM / ReASCE Practice Board Exam Questions Monday Morning Ultrasound Physics Artifacts Doppler Physics Imaging, Knobology, and Artifacts Echocardiographic Evaluation of the RV Tricuspid and Pulmonary

More information

Cor pulmonale. Dr hamid reza javadi

Cor pulmonale. Dr hamid reza javadi 1 Cor pulmonale Dr hamid reza javadi 2 Definition Cor pulmonale ;pulmonary heart disease; is defined as dilation and hypertrophy of the right ventricle (RV) in response to diseases of the pulmonary vasculature

More information

The role of bedside ultrasound in the diagnosis of pericardial effusion and cardiac tamponade

The role of bedside ultrasound in the diagnosis of pericardial effusion and cardiac tamponade Symposium The role of bedside ultrasound in the diagnosis of pericardial effusion and cardiac tamponade Adam Goodman, Phillips Perera, Thomas Mailhot, Diku Mandavia Department of Emergency Medicine, Los

More information

Value of echocardiography in differen tiation of acute dyspnoea

Value of echocardiography in differen tiation of acute dyspnoea REVIEW ARTICLE 146 A very important diagnostic tool in patients with acute dyspnoea Value of echocardiography in differen tiation of acute dyspnoea Ioannis Kapos, Felix C. Tanner University Heart Centre

More information

Pericardial disease. Se-Jung Yoon Cardiology division NHIS Ilsan hospital

Pericardial disease. Se-Jung Yoon Cardiology division NHIS Ilsan hospital Pericardial disease Se-Jung Yoon Cardiology division NHIS Ilsan hospital Normal pericardial effusion Normal pericardium Normal pericardium Pericardial Layers: Visceral layer Parietal layer Fibrous pericardium

More information

The V Wave. January, 2007 Joe M. Moody, Jr, MD UTHSCSA and ALMMVAH. Ref: Kern MJ. Hemodynamic Rounds, 2 nd ed

The V Wave. January, 2007 Joe M. Moody, Jr, MD UTHSCSA and ALMMVAH. Ref: Kern MJ. Hemodynamic Rounds, 2 nd ed The V Wave January, 2007 Joe M. Moody, Jr, MD UTHSCSA and ALMMVAH Ref: Kern MJ. Hemodynamic Rounds, 2 nd ed. 1999. Normal Hemodynamic Values Cardiac index 2.8-4.2 (mean 3.4 L/min/m 2 ) Stroke volume 30-65

More information

Lnformation Coverage Guidance

Lnformation Coverage Guidance Lnformation Coverage Guidance Coverage Indications, Limitations, and/or Medical Necessity Abstract: B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. It

More information

Przemysław Palka, MD; Aleksandra Lange, MD; J. Elisabeth Donnelly, MD; Petros Nihoyannopoulos, MD

Przemysław Palka, MD; Aleksandra Lange, MD; J. Elisabeth Donnelly, MD; Petros Nihoyannopoulos, MD Differentiation Between Restrictive Cardiomyopathy and Constrictive Pericarditis by Early Diastolic Doppler Myocardial Velocity Gradient at the Posterior Wall Przemysław Palka, MD; Aleksandra Lange, MD;

More information

Transient Constrictive Pericarditis: Causes and Natural History

Transient Constrictive Pericarditis: Causes and Natural History Journal of the American College of Cardiology Vol. 43, No. 2, 2004 2004 by the American College of Cardiology Foundation ISSN 0735-1097/04/$30.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2003.08.032

More information

Squeeze, Squeeze, Squeeze: The Importance of Right Ventricular Function and PH

Squeeze, Squeeze, Squeeze: The Importance of Right Ventricular Function and PH Squeeze, Squeeze, Squeeze: The Importance of Right Ventricular Function and PH Javier Jimenez MD PhD FACC Director, Advanced Heart Failure and Pulmonary Hypertension Miami Cardiac & Vascular Institute

More information

Constrictive Pericarditis as a Never Ending Story: What s New?

Constrictive Pericarditis as a Never Ending Story: What s New? Review Print ISSN 1738-5520 On-line ISSN 1738-5555 Korean Circulation Journal Constrictive Pericarditis as a Never Ending Story: What s New? Dae-Won Sohn, MD Cardiovascular Center, Seoul National University

More information

Assessing the Impact on the Right Ventricle

Assessing the Impact on the Right Ventricle Advances in Tricuspid Regurgitation Congress of the European Society of Cardiology (ESC) Munich, August 25-29, 2012 Assessing the Impact on the Right Ventricle Stephan Rosenkranz, MD Clinic III for Internal

More information

2/4/2011. Nathan Kerner, M.D.

2/4/2011. Nathan Kerner, M.D. Nathan Kerner, M.D. Definition Elevated pressures - cut off usually >40 mmhg pulmonary artery systolic pressure (PASP) Usually associated with elevated pulmonary vascular resistance (PVR) measured in dynessec/cm

More information

Congestive Heart Failure Patient Profile. Patient Identity - Mr. Douglas - 72 year old man - No drugs, smokes, moderate social alcohol consumption

Congestive Heart Failure Patient Profile. Patient Identity - Mr. Douglas - 72 year old man - No drugs, smokes, moderate social alcohol consumption Congestive Heart Failure Patient Profile Patient Identity - Mr. Douglas - 72 year old man - No drugs, smokes, moderate social alcohol consumption Chief Complaint - SOB - When asked: Increasing difficulty

More information

ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM. General Instructions: ID NUMBER: FORM NAME: H F A DATE: 10/13/2017 VERSION: CONTACT YEAR NUMBER:

ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM. General Instructions: ID NUMBER: FORM NAME: H F A DATE: 10/13/2017 VERSION: CONTACT YEAR NUMBER: ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM General Instructions: The Heart Failure Hospital Record Abstraction Form is completed for all heart failure-eligible cohort hospitalizations. Refer to

More information

When Does 3D Echo Make A Difference?

When Does 3D Echo Make A Difference? When Does 3D Echo Make A Difference? Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network 1 Practical Applications of 3D Echocardiography Recommended

More information

Case Report Chronic Constrictive Pericarditis

Case Report Chronic Constrictive Pericarditis Case Reports in Cardiology Volume 2013, Article ID 957497, 4 pages http://dx.doi.org/10.1155/2013/957497 Case Report Chronic Constrictive Pericarditis Hossein Doustkami, 1 Afshin Hooshyar, 2 Nasrollah

More information

Left ventricular diastolic function and filling pressure in patients with dilated cardiomyopathy

Left ventricular diastolic function and filling pressure in patients with dilated cardiomyopathy Left ventricular diastolic function and filling pressure in patients with dilated cardiomyopathy Bogdan A. Popescu University of Medicine and Pharmacy Bucharest, Romania My conflicts of interest: I have

More information

Learning Objectives. Denver Health Medical Center. Nothing to Disclose... Advanced Topics in Anesthesia

Learning Objectives. Denver Health Medical Center. Nothing to Disclose... Advanced Topics in Anesthesia Nothing to Disclose... Learning Objectives 1. Describe which clinical situations are appropriate for TEE monitoring in noncardiac surgery including indications / contraindications for TEE placement. 2.

More information

The right heart: the Cinderella of heart failure

The right heart: the Cinderella of heart failure The right heart: the Cinderella of heart failure Piotr Ponikowski, MD, PhD, FESC Medical University, Centre for Heart Disease Clinical Military Hospital Wroclaw, Poland none Disclosure Look into the Heart

More information

Breakout Session: Transesophageal Echocardiography

Breakout Session: Transesophageal Echocardiography Breakout Session: Transesophageal Echocardiography Doris Ockert, MD Andrew Schroeder, MD University of Wisconsin School of Medicine and Public Health Jutta Novalija, MD, PhD Medical College of Wisconsin

More information