Ecocardiograma na cardiopatia hipertrófica

Echocardiography in Hypertrophic Cardiomyopathy

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J A C C : C A R D I O V A S C U L A R I M A G I N G , V O L . 1 , N O . 6 , 2 0 0 8
N O V E M B E R 2 0 0 8 : 7 8 7 – 8 0 0

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Hypertrophic cardiomyopathy is a relatively common inherited cardiomyopathy that is occasionally challenging to differentiate from hypertensive heart disease and athlete hearts on the basis of morphologic or functional abnormalities alone. Echocardiography has traditionally played a preeminent role in the diagnosis, formulation of management strategies, and the prognostication of this complex disease. In this review, we briefly profile the utility and pitfalls of established echocardiographic modalities and discuss the evolving role of novel echocardiographic imaging modalities such as tissue Doppler, Doppler-based strain, 2-dimensional strain (speckle tracking imaging), and 3-dimensional imaging in the assessment of hypertrophic cardiomyopathy.

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Revisão muito boa do papel do ecocardiograma na cardiopatia hipertrófica.

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Ecocardiografia: Embolia e prognóstico

Prognostic Value of Echocardiography in Normotensive Patients With Acute Pulmonary Embolism ONLINE FIRST

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Objectives  The goal of the study was to evaluate the prognostic value of echocardiographic indices of right ventricular dysfunction (RVD) for prediction of pulmonary embolism–related 30-day mortality or need for rescue thrombolysis in initially normotensive patients with acute pulmonary embolism (APE).

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Conclusions  TAPSE is preferable to the RV/LV ratio for risk stratification in initially normotensive patients with APE. TAPSE ≤15 mm identifies patients with an increased risk of 30-day APE-related mortality, whereas TAPSE >20 mm can be used for identification of a very low-risk group.

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É incrível como uma medida simples e fácil como a TAPSE pode fornecer informações valiosas de prognóstico na embolia.

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