By D. G. Gibson (auth.), Hans Rijsterborgh (eds.)
This symposium is the fourth of a sequence of clinical conferences within the box of echocardiology, held on the Erasmus collage, Rotterdam.* The sequence was once initiated by way of Klaas Born, who geared up the 1st conferences, and was once endured via Charles Lancee. those past symposia met with nice good fortune. those court cases contain many of the invited lectures and loose commu nications which had their' concert' through the 4th Symposium on Echocardiology. We made up our minds, back, to take care of one ofthe such a lot extraordinary positive aspects of the final conferences: having the court cases on hand on the time of the assembly. accordingly, the authors-to-be have been faced with a truly tight time table. The modifying time used to be additionally restricted and consequently neither terminology nor devices were thoroughly standardized. in spite of the fact that, therefore, those lawsuits do mirror the 'state of the artwork' in echocardiology. this isn't a textbook on echocardiology, yet cardiologists and techni cians, with event within the box of echocardiology, will surely enjoy the tutorial positive factors of this booklet. This symposium used to be equipped in organization with Interuniversity Institute of Cardiology, Amsterdam, the Netherlands. Dutch Society of Ultrasound in medication and Biology Dutch middle starting place, The Hague, the Netherlands ecu Society of Cardiology monetary help used to be given by means of Interuniversity Institute of Cardiology, Amsterdam, the Netherlands University-fund Rotterdam starting place, Rotterdam, the Netherlands Dutch center starting place, The Hague, the Netherlands.
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Additional info for Echocardiology
In all six cases, the root was enlarged (37-54, mean 43 mm). However, in only two were the aortic wall echoes thought to be abnormal. One patient was thought to have an ejection sound and was therefore labelled as bicuspid with root dilatation. Conversely, four patients with non-inflammatory root disease were thought to have thick aortic walls and were wrongly called inflammatory. It is obvious that the sensitivity and specificity of this sign are too low to be useful. Idiopathic aortopathy The characteristic echocardiographic features of this condition are an increased root diameter, often with multiple echoes arising from the rolled cusp edges, but with no ejection sound and a normal mitral valve (Figure 7).
E Figure 5. Echocardiogram of an SJM prosthesis in mitral position during a phase of atrial flutter and 4: 1 AV-block. 1000 I 1000 1000 Figure 6. Echocardiogram (paperspeed 25 mm/sec) of a SJM prosthesis. During bradycardiac cycles in late diastole the posterior (pF) leaflet moves backwards prematurely. Figure 7. Two-dimensional echocardiograms of the SJM prosthesis. a) Both leaflets (aF, pF) are in the opening position in diastole. b) Only the anterior (aF) leaflet can be seen in the opening position in presystole.
Recordings were made by placing the transducer on the apex impulse location and aiming the beam towards the left atrium (Figure 1). In the four-chamber view, left atrium, left ventricle, right atrium and right ventricle were scanned. The interventricular septum was clearly visualized. After recording on video tape, left ventricular endocardial contour was traced with a lightpen system. Computer-assisted left ventricular volumes POSTOPERATIVE . -__-=EN~D-SYSTOLE Figure 1. End-diastolic and end-systolic four-chamber view, early postoperatively, demonstrating akinetic septal motion despite systolic thickening.
Echocardiology by D. G. Gibson (auth.), Hans Rijsterborgh (eds.)