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EACVI Echo Handbook - sample

Discover the EACVI Echo Handbook

Chapter 17 Systemic

Chapter 17 Systemic Disease and Other Conditions 17.1 Athlete’s heart 536 Introduction 536 Echocardiographic findings 536 Differential diagnosis 540 Suggested reading 543 17.2 Heart during pregnancy 544 Haemodynamic changes during pregnancy 544 Echocardiographic findings during normal pregnancy 544 Role of echo in pregnancy 545 Suggested reading 553 17.3 Systemic diseases 554 Introduction 554 Amyloidosis 554 Haematochromatosis 555 Sarcoidosis 556 Carcinoid syndrome 557 Connective tissue disease (CTD) 557 Vasculitis 564 Hypereosinophilic syndrome (Loeffler) 568 Whipple’s disease 569 Endocrine disease 570 HIV disease (AIDS) 572 Chagas disease 573 Suggested reading 574 535

Index 2D imaging 12, 16 assessment of LV diastolic function 164 left atrial (LA) measurements 154–6 LV measurements 150–1 mitral valve planimetry 228 3D imaging 12 2D slices 71–2 aortic regurgitation: vena contracta 254 aortic stenosis: volume assessment 211 complete examination 79–80 dataset TOE 134 TTE 103 dropout artefact 68 ECG gated multi-beat imaging 69, 75–7 focused examination 78–9 image acquisition 69 image display 69–70 infective endocarditis 342 information provided by 68 left atrial (LA) measurements 156 left chamber quantification 144, 151–2, 156 linear dimensions and areas 83–4 LV dyssynchrony 86–7 LV diastolic function 164 LV mass estimation 151–2 LV segmentation 81–3 mitral regurgitation: vena contracta 281 mitral valve annulus size and shape 87 mitral valve planimetry 229–30 processed volume 70 real-time (live) 3D 69, 73–7 reference values 87 simultaneous multi-plane 69, 72–3 size of septal defects 86 stitching artefact 68 suggested reading 87 surface rendered 71 transoesophageal echocardiography 126–31 tricuspid valve planimetry 243 volumes, ejection fraction, and mass 84–6 windows and views 77–8 A acoustic power 3 acromegalic cardiomyopathy 572 acute aortic syndromes (AAS) aortic dissection (AD) 113, 123–4, 495, 496, 497, 498, 499–500 complications 501 imaging approach 502 pregnancy 549 suggested reading 513 classification 495–6 diagnostic findings 497 follow-up 504 intramural haematoma (IMH) 495, 497, 503 penetrating aortic ulcer (PAU) 495, 497 role of TOE 499–503 role of TTE 498–9 acute cardiogenic pulmonary oedema 422, 423–4 acute dyspnoea 422–3 acute lung injury (ALI) 425 acute myocardial infarction (AMI) complications LV aneurysm 191 LV pseudoaneurysm (PSA) 191–2 LV thrombus 192–3 mitral regurgitation (MR) 193 pericardial effusion 195 RV infarction 194–5 wall rupture 193–4 diastolic filling pattern 190

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