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Editorial Reviews. Review. From the reviews: “The intended audience includes sonographers and echocardiographers. Extensive topics ranging from the.
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- Case Based Echocardiography - Fundamentals and Clinical Practice | Theodore Abraham | Springer
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This is held collaboratively with the University of Chicago Medical Center. The program is designed to accommodate the evolving needs of inquisitive attendees. Expert U. During the course, over cases will be presented by the expert faculty to highlight what echo brings to each theme, help clinicians recognize and avoid common errors and pitfalls, and learn how to apply the guidelines in a practical manner.
The topics to be covered include diastology, ischemic heart disease, valvular heart disease, application of TEE in clinical practice, and cardiomyopathy.
Traditional topics in the field of echocardiography including the assessment of systolic and diastolic function, quantitative Doppler, and stress echocardiography will be presented. In addition, newer techniques including 3-D echo and Doppler and 2-D strain imaging will be presented. The program will concentrate on practical points regarding daily use of these techniques with illustrative examples from a wide variety of cardiovascular disorders. This review course will cover all aspects of cardiovascular ultrasound essential to these examinations, including physics, valvular heart disease, ischemic heart disease, congenital heart disease, and new technologies.
An Audience Response System and question and answer sessions facilitate faculty interaction and self-guided learning. The Review Course has been designed with the computer-based examination administration in mind. There is more case-based learning and increased use of Audience Response Systems to simulate a digital multiple choice examination.
Basic to Advanced Echocardiography Island Ultrasound Dates : May , Location : Hilton Head Marriott Hilton Head Island, SC Details : The course will begin with a discussion of echocardiographic assessment of left and right ventricular function, including presentations on diastolic function and strain imaging for assessing myocardial function.
We will then discuss a broad range of disease states for which echocardiography is useful, including ischemic heart disease, valvular heart disease, pericardial disease, and cardiomyopathies. The presentations will include basic concepts as well as advanced techniques including 3-D imaging and strain imaging. Transesophageal Echocardiography. Intraoperative Transesophageal Echocardiography. Use of echo contrast in routine practice. Three Dimensional Echocardiography. Stress Echocardiography.
Mechanical Dyssynchrony Assessment. Echocardiographic Assessment of the Right Ventricle.
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Vascular Imaging. Editorial Reviews From the reviews:"The intended audience includes sonographers and echocardiographers. MCE is the result of interaction between the microbubbles and ultrasound power. Thus, variation in microbubble concentration with each administration may influence the contrast intensity.
Lack of uniformity of ultrasound power in the ultrasound field affects the estimation of myocardial blood volume and velocity. Contrast intensity may be reduced at the bases of the heart, because the ultrasound power is weakest in the far field, thereby giving rise to false perfusion defects.
Conversely, in the near-field, destruction of contrast may result in false perfusion defects as the ultrasound power is strongest here as it is nearest the transducer. Furthermore, assessing myocardial viability in very thin myocardium may be problematic because of frequent blooming artefacts from the cavity. However, recent advancements in technology and understanding of microbubble and ultrasound interaction and thus recognition of artefacts and techniques to overcome these artefacts has improved interpretation significantly. In SE laboratories with the availability of low MI imaging and expertise of the staff, MCE should be considered in all patients undergoing dobutamine, vasodilator SE and high-risk patients undergoing physiological stress for improved diagnosis and risk stratification of CAD beyond wall motion assessment Class I, Level A.
MCE may also be performed to improve detection of myocardial viability particularly in dobutamine non-responsive segments, where wall thickness is preserved Class IIa, Level B. The flash-replenishment technique should be used for the assessment of myocardial perfusion Class I, Level A. Kurt et al. In patients assessed for the presence of clots, Siebelink et al. Non-diagnostic tests were less frequent, resulting in fewer referrals for other tests compared with stress ECG and these translated to superior cost efficacy of SE compared with Ex-ECG.
No difference in serious adverse events were noted between the two groups. The incidence of side effects did not differ significantly between the two groups. Safety in patients with pulmonary disease and severe pulmonary hypertension has been demonstrated in several studies. These data firmly establish the use of contrast agents in severe pulmonary artery hypertension. Side effects have been noted with contrast agents, but they are usually mild and transient. Table 11 lists risk categories observed during usage of competing investigations. The only absolute contraindications for administration of contrast agents available in the market today, i.
Case Based Echocardiography - Fundamentals and Clinical Practice | Theodore Abraham | Springer
The contraindications in the former scenario have been questioned. Intracoronary administration is also not approved and is considered contraindicated, although it has been performed without complications in thousands of patients with hypertrophic cardiomyopathy undergoing septal ablation. They are usually transient and do require any treatment apart from reassuring the patients. Back pain has been reported after injections of Definity and may need treatment with analgesics, this is rare with other other contrast agents.
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All staff in the echo laboratory should be familiar with the symptoms of anaphylactoid reactions such as skin erythema, urticaria, rash, dyspnoea, throat tightness, flushing and difficulty swallowing and know where the drugs allergy box are located. Most of the severe adverse events are probably due to complement activation-related pseudo allergy. However, the treatment is the same as for immunoglobulin E-mediated allergic reactions. Early diagnosis and treatment can positively affect the severity and course of the anaphylactic reaction: IV injection of antihistaminics and steroids and small dosages of epinephrine for symptomatic hypotension can prevent the anaphylactic shock.
Although serious adverse events are very rare, echocardiography laboratories using ultrasound contrast agents should have a policy to deal with adverse events. The echocardiography laboratories performing contrast echocardiography should be equipped with the appropriate drugs to treat severe adverse events. The EACVI has updated the standards and processes for accreditation of echocardiographic laboratories in Contrast-specific imaging modalities should be available see Contrast agents section. According to the ESC Core Curriculum for the General Cardiologist , the trainees should acquire knowledge in contrast echocardiography, but this has not been further specified.
There have been no systematic studies on how many studies using contrast agents have to be performed to provide a reliable service.
Taking the experience from other advanced echocardiographic imaging techniques such as TOE, the writing group proposes the following procedures for all physicians undergoing training in transthoracic echocardiography: Physicians should participate in a course on contrast echocardiography to learn the performance, interpretation, pitfalls and adverse effects in contrast echocardiography. The training of physicians who apply contrast agents in SE aligns to recommendations in the Stress Echocardiography Expert Consensus Statement of the European Association of Echocardiography.
For perfusion, SE the committee recommends examinations supervised in a high-volume centre.