Constrictive pericarditis. Best sign! @mariovar55 @n3zz85 @iceman_ex @CasasolaGarcia @acrisol1 @lpbadano @fiore_corrado @wikimagen @strain_rate @purviparwani @ThorEdvardsen @robertomlang @RigolinVera @echotalk #echoreview #cardiotwitter #EchoFirst #ecocardiografia pic.twitter.com/PkT84G9LM5
— fernando morcerf (@fpmorcerf) May 20, 2019
Mês: fevereiro 2020
A aposentadoria dos aparelhos sem Strain?
Aluno pergunta:
Ainda posso comprar um aparelho novo sem Strain?
Não recomendamos
Posso continuar usando só aparelhos sem Strain na minha unidade?
Sim, mas perdendo casos de controle de Quimioterapia e sendo menos completo no acompanhamento de valvopatias
Strain for all: Válvulas
http://imaging.onlinejacc.org/content/11/9/1235
Myocardial Strain in Prediction of Outcomes After Surgery for Severe Mitral Regurgitation
Conclusions GLS appears to be a better predictor of cardiac events all-cause death than conventional parameters. Measuring preoperative GLS is helpful to predict post-operative outcome and determine optimal timing for surgery in patients with severe primary MR.
Ecoestresse na Ins. Mitral
Exercise Testing Mitral regurgitation is dynamic, and its severity is altered by afterload, preload, chamber size, left atrial pressure, and LV contractility.In asymptomatic patients with substantial MR, serial exercise testing provides an objective way to detect or exclude symptoms as well as to evaluate functional capacity .
Delaying MV surgery by 1 year in asymptomatic patients with severe DMR but with good exercise capacity is not associated with worse outcomes.
Informação interessante para a conduta do clínico
https://jamanetwork.com/journals/jamacardiology/article-abstract/2759799
Appropriate timing for surgery in DMR is challenging and requires more than guidelines; it also requiresexperienced clinical judgmentand thoughtful discussionswith patients for shared decision-making
Quando é tarde para a insuficiência Mitral ?
http://imaging.onlinejacc.org/content/13/2_Part_2/586
https://jamanetwork.com/journals/jamacardiology/article-abstract/2759799
Esperar era o caminho mais usado na insuficiência Mitral não grave
Adiar a intervenção parece que vai perdendo terreno para as intervenções endovasculares
O mundo das válvulas está mudando
http://www.echotext.info/presentations-data/Strain-For-Beginners-%5B93MB%5D/presentation_html5.html
Mais didático, impossível.
O que todo ecocardiografista deveria saber na estenose aórtica
http://www.echotext.info/presentations-data/AS-versus-MR-Tips/story_html5.html
Agradeça aos céus se o seu caso de estenose aórtica moderada ou grave também apresentar refluxo mitral com envelope claro.
Assim, você NUNCA vai superestimar uma estenose aórtica.
