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Caso enviado pela Dra Ana Feijão.
Paciente hipertenso com quadro de ICC.
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Mês: maio 2012
Recordando congênitas…
DUPLA VIA DE SAÍDA DO VENTRÍCULO ESQUERDO – artérias aorta e pulmonar emergem inteira ou, preferencialmente, do ventrículo morfologicamente esquerdo. Sua incidência é menor que 1:200.000 nascidos vivos.
Gordura epicárdica
The impact of epicardial fat volume on coronary plaque vulnerability: insight from optical coherence tomography analysis
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Conclusion Epicardial fat volume (EFV) was associated with coronary plaque vulnerability and high EFV was an independent predictor of ACS in patients with coronary artery disease.
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Conclusion Epicardial fat volume (EFV) was associated with coronary plaque vulnerability and high EFV was an independent predictor of ACS in patients with coronary artery disease.
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Human Epicardial Adipose Tissue Is a Source of Inflammatory Mediators
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Conclusions— Epicardial adipose tissue is a source of several inflammatory mediators in high-risk cardiac patients. Plasma inflammatory biomarkers may not adequately reflect local tissue inflammation. Current therapies do not appear to eliminate local inflammatory signals in epicardial adipose tissue.
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Echocardiographic epicardial fat thickness and coronary artery disease.
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CONCLUSIONS:
Epicardial fat thickness was significantly correlated with the severity of coronary artery disease in patients with known coronary artery disease.
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A gordura epicárdica medida por qualquer método se firma como fator de risco para coronariopatia.
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Para nós, ecocardiografistas, essa medida leva 30 segundos e nem precisa mudar o paciente de posição.
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Falta só uma tabela de normalidade para podermos usar na rotina.
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O que é, o que é?
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Caso enviado pela Dra Ana Feijão.
Paciente hipertenso com quadro de ICC.
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Não compactação de resultados
Trabeculated (Non-Compacted) and Compact Myocardium in Adults: The Multi-Ethnic Study of Atherosclerosis .
Aqui.
Conclusions—A ratio of trabeculated to compact myocardium of more than 2.3 is common in a large population based cohort. These results suggest reevaluation of the current CMR criteria for LVNC may be necessary. .
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A epidemia de diagnósticos de miocárdio não compactado atingiu seu ápice e começa a ser questionada.
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São casos raros que precisam ser confirmados pelo Eco também.
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