.

.

http://onlinelibrary.wiley.com/doi/10.1002/ejhf.592/full?campaign=dartwol|217036970

.

CMR is acknowledged as the gold standard for the measurements of volumes, mass and EF of both the left and right ventricles. It is the best alternative cardiac imaging modality for patients with non-diagnostic echocardiographic studies (particularly for imaging of the right heart) and is the method of choice in patients with complex congenital heart diseases.

.

É a diretriz quem afirma. RM para casos onde o ecocardiograma não é diagnóstico.

Quantos casos avaliados ao ecocardiograma, em 1000, não são diagnósticos, na sua experiência?

.

.

5.2 Transthoracic echocardiography

Echocardiography is a term used here to refer to all cardiac ultrasound imaging techniques, including two-dimensional/three-dimensional echocardiography, pulsed and continuous wave Doppler, colour flow Doppler, tissue Doppler imaging (TDI) contrast echocardiography and deformation imaging (strain and strain rate).

Transthoracic echocardiography (TTE) is the method of choice for assessment of myocardial systolic and diastolic function of both left and right ventricles.

5.4 Stress echocardiography

Exercise or pharmacological stress echocardiography may be used for the assessment of inducible ischaemia and/or myocardium viability and in some clinical scenarios of patients with valve disease (e.g. dynamic mitral regurgitation, low-flow–low-gradient aortic stenosis).There are also suggestions that stress echocardiography may allow the detection of diastolic dysfunction related to exercise exposure in patients with exertional dyspnoea, preserved LVEF and inconclusive diastolic parameters at rest.

.

Ecocardiografia 2D, 3D, Strain, Doppler Tecidual, Estresse…

O pacote completo da ecocardiografia na cardiologia.

.

Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease

.

http://onlinelibrary.wiley.com/doi/10.1111/echo.13409/abstract;jsessionid=C649D72A822669402C180D62C06D44C0.f02t04

.

Conclusion

A low IVCCI(Colapso da veia cava inferior)  was significantly associated with reduced renal function and was an independent risk factor for adverse outcomes, regardless of underlying cardiovascular disease and renal function.

.

Um dado de fácil obtenção que pouparia milhares de vidas no mundo!

.