E agora, Doppler tecidual?

Aqui artigo……………………………………………………..

…………………………………………………………………………………………………………………………….The Role of Tissue Doppler Imaging in Predicting Left Ventricular Filling Pressures in Patients Undergoing Cardiac Surgery: An Intraoperative Study
………………………………………………………………………………………………………………….. Conclusion: Intraoperative TEE was unable to accurately predict LVFP in patients undergoing cardiac surgery. PAC may continue to be the gold standard in the assessment of LVFP for this patient population…………………………………………………………………………………………………………………..At both pre- and post-CPB, there was no significant correlation between lateral, septal, and mean E/E′ obtained by TEE and PCWP.…………………………………………………………………………………………………………………….
A informação acima é muito contundente. Por que parâmetros supostamente confiáveis de estimar as pressões capilares falharam em teste ideal de correlação? Até ler esse artigo acreditava em uma correlação alta!

EchoTalk no DIC 2013: Garanta sua vaga!

4D muito além da valva Mitral! Venha conhecer o uso do 4D em situações comuns no seu laboratório de ecocardiografia. …………………………… Espessura da Carótida. O exame que vai além dos fatores de risco clássicos………………………………………..

Ecocardiograma à parmegiana

Novo CEO da Esaote conhece o Brasil e pode ajudar: Carlos Alonso is a graduate of Brazil’s Universidad e do Paranà in Curitiba . Quem sabe?????????????? …………………………………………………………………………. With about 330 millions euro consolidated sales (70% of which coming from the international markets)the EsaoteGroup is leader in the sector of biomedical equipment (in particular, ultrasound, dedicated magnetic resonance andsoftware to manage the diagnostic process). Today Esaote gives work to over 1360 employees, 20% of whi ch employedin the R&D activities. Esaote is present with itsindustrial and research units in Italy (Genoa, Florence, Naples) in theNetherlands (Maastricht), in France (Paris), and inChina (Shenzhen). Esaote is internationally recognized to be one of the “Top Ten” world’s leading diagnostic imaging companies. Esaote S.p.A. is owned by Ares (39,8%),IMIInvestimenti of Intesa Sanpaolo Group (19,2%), Equinox (13.2%), MP Venture (13,2%), Carige (8,2%) and by 100 managers and directors of the Group (6.4%). ………………………………………………………………………………………………………..AQUI texto integral

Diástole: Basta o ecocardiograma

………………………………………………………. Aula muito interessante acessível aos sócios da Escardio. …………………………………………………………. Figura já mostrada aqui e compara os diversos índices na ecocardiografia comparado ao método invasivo…………………………………………….. …………………………… Simples e brilhante conclusão do Romeno.

Congresso DIC 2013: Sem defeito de perfusão por microbolhas

……………………………………………………………………………………………………………………………….. Ao contrário do congresso brasileiro do ano passado, 2013 será um congresso que dará ao contraste de microbolhas a atenção necessária a essa tecnologia que diminui no mundo e praticamente não existe mais em nosso país…………………………………………………………………………………………………………………. Ocupar um terço do congresso, como no ano passado, aborreceu os congressistas e desperdiçou espaços……………………………………………………………………………………………………………………… Pode ser que um dia volte a ser uma tecnologia aplicável, mas não hoje.

TRIV e PAD fazem um DP/DT?

……………………………………………….AQUI………………………………………….. Methods: Thirty-three patients with less than severe MR were enrolled. −dP/dt was determined using the Doppler-MR method from the continuous-wave Doppler spectrum of the MR jet (32 mmHg/time from 3 to 1 m/sec). −dP/dt was also determined using the DBP-IVRT method using the following equation: −dP/dt = (DBP − LVEDP)/IVRT, where left ventricular end-diastolic pressure (LVEDP) was estimated based on tissue Doppler and mitral inflow patterns.…………………………………………………………………………………………………………………………………………………………………………………………………….. Results: Twenty-five patients had adequate Doppler waveforms for analysis. The average amount of MR was mild-to-moderate severity. The mean −dP/dt was 680 ± 201 mmHg by the Doppler-MR method and 681 ± 237 mmHg by the DBP-IVRT method. There was a significant correlation between the 2 methods of determining −dP/dt (Pearson r = 0.574, P = 0.003). The Bland–Altman plot revealed almost no bias between the 2 methods; the difference in −dP/dt between the 2 techniques was noted to be greater for patients with higher −dP/dt, however. Conclusion: Diastolic blood pressure and isovolumic relaxation time may be used to noninvasively assess diastolic function in patients who do not have MR, especially in those with reduced diastolic function. ……………………………………………………………………………………………………………………………………………………………………………….Chegamos a desenvolver essa idéia acima em 2007 e 2011 (abaixo) mas nossos dados não foram significativos em um número de 350 pacientes. E não tivemos essa bela idéia de relacionar com a DP/DT. Parabéns para o grupo que publicou!!!

O melhor congresso DIC/DEPECO de todos os tempos

…………………………………………………………………………………………………..Destaques imperdíveis: ……………………………………………………………………………………………………………….Tem muito mais a seguir… …………………………………………………………………………………………………………………..Sem falar nos destaques nacionais!!!!