Dia: 28 de dezembro de 2021

https://doi.org/10.1093/ehjci/jeab202

The primary endpoint was incident AF. During a median follow-up period of 5.3 years, 154 (4.3%) participants developed AF

PALS [hazard ratio (HR) 1.05, 95% confidence interval (CI) (1.03–1.07), P < 0.001, per 1% decrease] and PACS (HR 1.08, 95% CI (1.05–1.12), P < 0.001, per 1% decrease] remained independent predictors of AF in multivariable analysis

Conclusion

In the general population, PALS and PACS independently predict incident AF. These findings remained consistent even in participants with normal-sized LA and normal LV systolic function.

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STRAIN atrial começa a mostrar uso clínico

Ainda pouco significante, mas reforça o caminho do STRAIN!

Non-invasive imaging in coronary syndromes: recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in collaboration with the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance

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Stress echocardiography allows combined assessment of ischaemia with diastolic function, valvular structure and function, presence of LV hypertrophy, atrial enlargement, RV size and function, and pulmonary hypertension

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1. Anatomical or functional imaging should be used as first-line test for diagnostic and prognostic purposes in patients with known or suspected CAD and low to high PTP.
2. Myocardial ischaemia can be detected by stress-induced perfusion defects or WMA.
3. Echocardiography, SPECT, PET, CMR, and CT-FFR can detect ischaemia with high accuracy.
4. The choice of one test over the other will depend on relative contraindications, patient characteristics, and local availability and expertise.
5. With all techniques, the presence of ischaemia, as well as its location, extent, and severity should be reported as they all have diagnostic and prognostic value

https://academic.oup.com/ehjcimaging/advance-article/doi/10.1093/ehjci/jeab244/6423983?searchresult=1#322951815

1- O DIC vai ser um parceiro inesquecível para o Ecocardiografista

2- O STRAIN pago será adotado definitivamente pelas operadoras

3- O 3D continuará sendo subutilizado e restrito a valvopatias

4- O Ecoestresse viável e resolutivo, feito em bicicleta horizontal, ainda será um privilégio dos seguidores da EchoTalk

5- As empresas vão continuar a atuar no Brasil como vendedoras de máquinas, não de soluções

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https://www.jacc.org/doi/10.1016/j.jacc.2016.03.478#.YcrK_FI9izQ.twitter

Abordagem cirúrgica que corrige o subvalvar parece melhor mas não tem resultados claros

Ecocardiograma avalia a insuficiência mas todos sabemos das variações do método nesta patologia

Parâmetro mais forte para classificação foi o EROA

PSAP ficou abaixo dos 50 antes da cirurgia