Echocardiography
Review: Acute and complicated inflammatory pericarditis – Mayo Clin Proc
6 May, 2024 | 18:03h | UTCThe article provides a comprehensive review of current approaches to the diagnosis and management of inflammatory pericardial disease, with a particular focus on acute and complicated cases of pericarditis. Here’s a summary tailored for a medical audience:
Key Points:
1 – Epidemiology and Presentation:
– Acute pericarditis is relatively common, particularly among younger populations.
– It can be effectively managed in most cases but poses a significant risk of recurrence and morbidity if not properly treated.
– Presentations can vary, with chest pain being a predominant symptom, which improves upon leaning forward and worsens in the supine position.
2 – Diagnostic Evaluation:
– Diagnosis hinges on a combination of clinical signs (e.g., chest pain, pericardial rub), ECG changes, imaging findings, and laboratory markers (elevated CRP and white blood cell count).
– Multimodality imaging plays a critical role in diagnosis and management, including echocardiography, CT, and MRI to evaluate pericardial effusion and inflammation.
3 – Management Strategies:
– The treatment landscape has evolved with the introduction of targeted anti-inflammatory therapies and a more systematic approach to care.
– Management includes NSAIDs as first-line therapy, colchicine to reduce recurrence rates, and corticosteroids for severe cases. Recent advancements include the use of interleukin-1 receptor blockers for complicated cases.
– Pericardiectomy may be considered in chronic or recurrent cases that are refractory to medical management.
4 – Future Directions:
– Ongoing research is directed at improving diagnostic accuracy through advanced imaging techniques and refining treatment protocols to minimize recurrence and manage complicated cases effectively.
– The integration of novel biological agents and personalized medicine approaches is anticipated to enhance outcomes for patients with pericardial disease.
This article emphasizes the importance of a protocol-driven approach to the initial care, the use of targeted therapeutics based on individual patient profiles, and the integration of care pathways to manage acute and complicated pericarditis effectively.
Reference (link to free full-text):
Malik, A. A., Lloyd, J. W., Anavekar, N. S., & Luis, S. A. (2024). Acute and Complicated Inflammatory Pericarditis: A Guide to Contemporary Practice. Mayo Clinic Proceedings, 99(5), 795-811. https://doi.org/10.1016/j.mayocp.2024.01.012
Guidelines and recommendations for performance of the fetal echocardiogram
17 Jul, 2023 | 13:45h | UTC
Consensus Statement | Three-dimensional transesophageal echocardiography
13 Jun, 2023 | 14:02h | UTC
ACC/AHA Multimodality appropriate use criteria for the detection and risk assessment of chronic coronary disease
29 May, 2023 | 11:18h | UTCCommentaries:
Commentary on Twitter
New multimodality AUC released by @ACCinTouch, key specialty & subspecialty societies, provides guidance on the appropriate use of stress testing & anatomic diagnostic procedures for risk assessment & evaluation of known or suspected CCD. https://t.co/56ewQWqW13 #JACC pic.twitter.com/WIqPyEDwfC
— JACC Journals (@JACCJournals) May 25, 2023
Consensus Statement | Multimodality imaging in thoracic aortic diseases
25 May, 2023 | 11:28h | UTC
New CV POCUS workbook addresses current value and vision for future use
8 May, 2023 | 13:10h | UTC
Position Statement | Transthoracic echocardiographic assessment of the heart in pregnancy
28 Apr, 2023 | 12:57h | UTC
Blinded, randomized trial of sonographer versus AI cardiac function assessment
11 Apr, 2023 | 14:34h | UTCBlinded, randomized trial of sonographer versus AI cardiac function assessment – Nature
News Release: Is artificial intelligence better at assessing heart health? – Cedars-Sinai Medical Center
Review | Multi-modality cardiac imaging evaluation of infective endocarditis
30 Mar, 2023 | 14:05h | UTCContemporary Review of Multi-Modality Cardiac Imaging Evaluation of Infective Endocarditis – Life
Recommendations for cardiac point-of-care ultrasound in children
10 Mar, 2023 | 14:35h | UTC
Review | Excessive trabeculation of the left ventricle
22 Feb, 2023 | 12:18h | UTCNews Release: Review calls for a refreshed look at clinical approach to heart muscle disorder – Queen Mary, University of London
Review | Indications, clinical impact, and complications of critical care transesophageal echocardiography
15 Feb, 2023 | 15:45h | UTC
Guideline | Recommendations for the use of echocardiography in the evaluation of rheumatic heart disease
30 Jan, 2023 | 00:59h | UTCCommentaries:
ASE releases updated rheumatic heart disease guideline – Cardiovascular Business
Role of ECHO Emphasized in Management of Rheumatic Heart Disease – HealthDay
Commentary on Twitter
NEW GUIDELINE: Read our newest #guideline, "Recommendations for the Use of Echocardiography in the Evaluation of Rheumatic Heart Disease," in our January @JournalASEcho! https://t.co/Rf0BL3grm6 pic.twitter.com/tHCJDlzbqp
— American Society of Echocardiography (@ASE360) January 5, 2023
Cohort Study | Left atrial mechanical dysfunction and risk of ischemic stroke in people without atrial fibrillation
20 Jan, 2023 | 14:23h | UTCLeft Atrial Mechanical Dysfunction and the Risk for Ischemic Stroke in People Without Prevalent Atrial Fibrillation or Stroke: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries:
Left Atrial Dysfunction and Risk for Ischemic Stroke – American College of Cardiology
Left Atrial Dysfunction Tied to Cerebral Infarcts in Absence of Prior AF, Stroke – TCTMD
Left Atrial Reservoir Strain Plus CHA₂DS₂-VASc Ups Stroke Prediction – HealthDay
Commentary on Twitter
A study of persons without a history of #AtrialFibrillation or #stroke has found that measuring left atrial mechanical function can improve stroke prediction. https://t.co/QEYHRFDPop @Maheshwari_EP @PennStHershey pic.twitter.com/pIutPcW5Sm
— Annals of Int Med (@AnnalsofIM) December 20, 2022
Guidelines for point-of-care ultrasound: part one (common heart and pulmonary applications).
17 Oct, 2022 | 12:32h | UTC
Cohort Study | Diagnostic yield of ECG-gated cardiac CT in the acute phase of ischemic stroke vs. transthoracic echocardiography.
17 Oct, 2022 | 12:23h | UTCDiagnostic Yield of ECG-Gated Cardiac CT in theAcute Phase of Ischemic Stroke vsTransthoracic Echocardiography – Neurology (link to abstract – $ for full-text)
Author Interview: ECG-Gated Cardiac CT in Acute Ischemic Stroke vs Transthoracic Echocardiography
Commentary: Add Cardiac CT to Acute Stroke Imaging to Detect Cardioembolism -Medscape (free registration required)
Echocardiography in prone positioned critically ill patients: a wealth of information from a single view.
22 Sep, 2022 | 12:58h | UTC
Transesophageal echocardiography in the emergency department: a comprehensive guide for acquisition, implementation, and quality assurance.
16 Sep, 2022 | 12:54h | UTC
Guideline | Management and maintenance of echocardiography equipment.
8 Sep, 2022 | 14:40h | UTC
Review | Right ventricular function across the spectrum of health and disease.
5 Sep, 2022 | 14:30h | UTCRight ventricular function across the spectrum of health and disease – Heart
Commentary on Twitter
Right ventricular function across the spectrum
of health and disease https://t.co/3i9iiddsyV #echofirst #Cardiotwitter #CardioEd #MedEd #CardioTwitteros pic.twitter.com/Q219nvnu6v— Sergio Moreno M (@Serginho1409) July 11, 2022
Under a http://creativecommons.org/licenses/by-nc/4.0/ license
Review | Advances in imaging and targeted therapies for recurrent pericarditis.
22 Aug, 2022 | 12:06h | UTCAdvances in Imaging and Targeted Therapies for Recurrent Pericarditis: A Review – JAMA Cardiology (free for a limited period)
Videos:
Transthoracic Echocardiogram Showing Signs of Constrictive Physiology – JAMA
Cardiac Magnetic Resonance Showing Signs of Constrictive Physiology – JAMA
Cardiac Magnetic Resonance Finding in Constrictive Pericarditis – JAMA
Commentary on Twitter
Much is new in the management of recurrent pericarditis after the 2015 @escardio guidelines. Advances in CMR and IL-inhibitors have led to a paradigm shift in the management of this chronic debilitating disease. A state-of-the-art algorithm is proposed. https://t.co/7mdyYZ2BXS
— JAMA Cardiology (@JAMACardio) August 19, 2022
Deep learning electrocardiographic analysis for detection of left-sided valvular heart disease.
3 Aug, 2022 | 14:19h | UTC
Commentary from the author on Twitter (thread – click for more)
Out today in @JACCJournals, our ValveNet study shows a ML model can detect mod-severe left sided valve disease from ECG. This model is currently running live in our health system daily. Now let me tell you everything wrong with it! A brief ? https://t.co/rjtZxxTLt9 pic.twitter.com/oZKDDnZqYU
— Pierre Elias, MD (@PierreEliasMD) August 1, 2022
Review | Advances in percutaneous patent foramen ovale closure: from the procedure to the echocardiographic guidance.
1 Aug, 2022 | 12:14h | UTC
M-A | Mid- to long-term clinical and echocardiographic effects of post-procedural permanent pacemaker implantation after transcatheter aortic valve replacement.
18 Jul, 2022 | 11:10h | UTC
Consensus Statement | Clinical indications and triaging for adult transthoracic echocardiography.
14 Jul, 2022 | 12:47h | UTC