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Os alunos perguntam sem parar:
– Qual o livro obrigatório para a prova do título?
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Não tenho dúvida que é o livro do Suaide (AQUI)
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O livro é enorme, precisa de um planejamento de leitura para a prova. Mas eu tentaria esse caminho para o sucesso na difícil missão.
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Um dos três melhores ecocardiografistas dos EUA, junto com o Feigenbaum e W. Armstrong, esse autor de um livro imperdível não teve tradução recente de sua obra para o português.
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Uma pena para os residentes e iniciantes do método que não entendam bem o inglês.
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Ele estará no congresso DIC de 2014.
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Conclusions Upright exercise echocardiography is feasible and can unmask early diastolic dysfunction and increased LV filling pressures in patients with small prior MIs.
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We found a modest decrease in RVIT dimensions (P < 0.05), but increase in RVOT dimensions with advancing age (P < 0.05). A small decrease in RVOT fs with age was also found (P < 0.05). Estimated pulmonary pressures and pulmonary vascular resistance increased (P < 0.001) as did RVOT wall thickness (P < 0.001), but RV diastolic function was not altered (P < 0.001) with age. Despite correction for the BSA, males showed larger RVIT dimensions (P < 0.001 for both), but RVOT end-diastolic dimension was larger in females (P < 0.05). RVIT and RVOT fractional shortening were increased in females (P < 0.01 for both).
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In a cohort of normal individuals, age has significant impact on right ventricular structure and function, inlet area falls and outflow tract dimensions increase and fractional shortening also increase in females. In addition, RV outflow tract wall thickens significantly and Doppler markers of pulmonary vascular resistance show a consistent rise. The age-related changes should carefully be considered when commenting on normality and when using absolute values.
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Vemos frequentemente laudos patológicos e conclusões com cinco ou mais linhas, em pacientes acima de 65 anos.
Muitos dos achados são comuns na faixa etária e não deveriam ser abordados na conclusão.
Envelhecer não é uma condenação certa à doença. O laudo de ecocardiografia deve respeitar a fisiologia e não assustar pacientes e médicos solicitantes!
Metade dos exames foram ressarcidos com pelo menos 150 reais, valor aproximado de 64 dólares.
Quando me especializei em ecocardiografia, em 1998, o valor era de 180 dólares ou 425 reais hoje.
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Novo endereço do blog EchoTalk = echotalkblog.com
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Possible pitfalls in pulse wave Doppler recordings of atrial and ventricular filling:[3][6]
Similar respiratory variation in mitral inflow velocity may occur in several clinical settings such as acute dilatation of the heart, pulmonary embolism, right ventricular infarct, conditions in which a dilated right ventricle helps in the differential diagnosis
Increased respiratory variation in mitral and tricuspid inflow velocities are seen in chronic obstructive lung disease without pericardial constriction due to respiratory changes in intrathoracic pressure. In this setting, E/A ratio is lower, EDT is more prolonged and there is a more pronounced respiratory variation in superior vena cava flow with increase in forward flow and systolic dominant flow with inspiration
Persistence of respiratory variation in mitral and tricuspid inflow velocities after pericardiectomy
Absence of respiratory variation in mitral inflow velocity in cases of markedly elevated left atrial pressure
Reduced respiratory variation in mitral inflow velocity in atrial fibrillation, with more pronounced respiratory change in D-wave velocity in this setting.
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