https://www.onlinejase.com/article/S0894-7317(21)00088-2/pdf
Interessante medida da abertura mitral antes da Tricúspide como marcador de elevação da pressão diastólica
At 2 years, the primary endpoint remained significantly lower with TAVR versus surgery, but initial differences in death and stroke favoring TAVR were diminished and patients who underwent TAVR had increased valve thrombosis.
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Já vimos algo semelhante nas comparações iniciais da angioplastia com Stent e as cirurgias abertas
Com o tempo, os benefícios eram menores.
A evolução dos Stent(s) coronários conseguiu equilibrar a situação.
A evolução das próteses e dos procedimentos deve seguir este caminho.
Imaging of the heart and related structures has progressively evolved over the last few
years. Three-dimensional (3D) echocardiography has come a long way from its debut and
represents the most useful innovation in cardiovascular ultrasound. Its use can be helpful
for gaining a better insight into valve diseases and for rapid and accurate volumes and
function assessment. Further improvements of the image quality and resolution associated
with the use of artificial intelligence techniques, for automated quantitative analysis of the
data, will allow 3DTTE to reduce analysis time and make quantitative assessments more
objective and reproducible.
Promessa de redução no tempo de exame vem dos anos 90.
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https://doi.org/10.1093/ehjci/jeaa058
Atrial fibrillation (AF) has been associated with tricuspid annulus (TA) dilation in patients with severe functional tricuspid regurgitation (TR); however, the impact of AF is less clear in patients without severe TR. Our aim was to characterize TA remodelling in patients with AF in the absence of severe TR using 3D transoesophageal echocardiography (TOE).
Conclusion
AF is associated with right atrial and tricuspid annular remodelling independent of the presence of Left Heart Disease in patients with intrinsically normal tricuspid leaflets without severe TR.
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Temos centenas de artigos usando o 3D para volume e medidas estruturais com alguma vantagem
Nunca a vantagem é redução do tempo de exame.
https://www.liebertpub.com/doi/full/10.1089/biores.2016.0033
The apparent limitations of the RT3DE are largely related to its ongoing development,28,29 specifically, the low rates of frames caused by imperfect translation of data sets and lack of agreement among the various softwares used for 3D evaluation.
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The results from the regional wall motion abnormalities need to be verified in larger studies.
Revisão bem pessimista feita em 2017
Será que os avanços já superaram os obstáculos?