Abstract:
BACKGROUND:Left ventricular (LV) failure is common in Ebstein's anomaly, though remains poorly understood. We investigated whether shape deformity impacts LV function. METHODS:Three-dimensional models of the right ventricle (RV) and LV from 29 adult Ebstein's patients and nine normal subjects were generated from cardiac magnetic resonance image tracings. LV end diastolic (ED) shape, systolic function, septal motion and ventricular interaction were analyzed. RESULTS:LV ED volume index was normal in Ebstein's (75 ± 19 vs. 78 ± 11 ml/m(2) in normals, p=0.50) but the LV was basally narrowed and modestly dilated apically. LV function was reduced globally (ejection fraction (EF) 41 ± 7 vs. 57 ± 5% in normals, p<0.0001) and regionally (decreased mean segment displacement at end systole (ES) in 12/16 segments, basal Z-scores -2.1 to -1.0). Septal dyskinesis was suggested by outward mean segment displacement in at least one basal septal segment in 25 patients (86%) but refuted by septal thickening in 14 (48%), normal septal curvature at ED and ES, and by visually evident basal LV anterior translation in 27 patients (93%). LV EF correlated better with normalized tricuspid annular plane systolic excursion (r=0.70) than with RV EF (r=0.42) or RVEDVI (r=0.18). CONCLUSIONS:Although the Ebstein's LV has preserved volume, it exhibits basal narrowing, modest apical dilation and global hypokinesis. The apparent basal septal dyskinesis observed in most patients is likely attributable to anterior cardiac translation rather than true paradoxical motion. LV EF is unaffected by RV volume, correlating well instead with RV longitudinal shortening.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Goleski PJ,Sheehan FH,Chen SS,Kilner PJ,Gatzoulis MAdoi
10.1016/j.ijcard.2013.12.037subject
Has Abstractpub_date
2014-02-15 00:00:00pages
404-12issue
3eissn
0167-5273issn
1874-1754pii
S0167-5273(13)02247-Xjournal_volume
171pub_type
杂志文章abstract:BACKGROUND:Little is known about global patterns of critical care unit (CCU) care and the relationship with outcomes in patients with acute decompensated heart failure (ADHF). Whether a ward or a CCU admission is associated with better outcomes is unclear. METHODS:Patients in the Acute Study of Clinical Effectiveness ...
journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijcard.2014.11.007
更新日期:2014-12-20 00:00:00
abstract:BACKGROUND:It has been controversial whether routine screening for depression should be recommended in all patients with acute coronary syndrome (ACS) due to lack of evidence for psychiatric as well as for cardiac outcomes. This study aimed to evaluate the result of screening for treatment and subsequent treatment of d...
journal_title:International journal of cardiology
pub_type: 杂志文章,随机对照试验
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更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of age- and gender-specific cut-offs for high-sensitivity cardiac troponin T (hs-cTnT) compared to the general 99th percentile hs-cTnT cut-off on diagnosis and prognosis of acute myocardial infarction (AMI). METHODS:1282 unselected patients presenting to the emergency department with ...
journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2016-04-15 00:00:00
abstract:BACKGROUND:Effects of potassium supplementation on vascular function remain conflicting. This meta-analysis aimed to summarized current literature to fill the gaps in knowledge. METHODS:A literature search was performed on PubMed database through April, 2016. The measurements of vascular function included pulse wave v...
journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析
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更新日期:2017-02-01 00:00:00
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journal_title:International journal of cardiology
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更新日期:2013-10-03 00:00:00
abstract::Time-frequency maps of signal-averaged electrocardiogram based on a short time Fourier transform (STFT) technique analysis was employed to assess the presence of high frequency electrical transients (turbulence) and arrhythmia risk assessment. The optimal configuration set of STFT variables aiming at risk stratificati...
journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2010-11-05 00:00:00
abstract::We observed a patient with ventricular septal rupture occurring 33 days after a blunt chest trauma. The presumed mechanism was interventricular septal dissection and formation of a pseudoaneurysm that ruptured after a delay. Echocardiography enabled a non-invasive diagnosis and follow-up of the patient. ...
journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:1994-12-01 00:00:00
abstract::With the changing demography of populations and increasing prevalence of co-morbidity, frail patients and more complex cardiac conditions, the modern medicine is facing novel challenges leading to rapid innovation where evidence and experiences are lacking. This scenario is also evident in cardiovascular disease preve...
journal_title:International journal of cardiology
pub_type: 杂志文章,评审
doi:10.1016/j.ijcard.2014.11.107
更新日期:2015-02-01 00:00:00
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journal_title:International journal of cardiology
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pub_type: 杂志文章,评审
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更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Amiodarone (AMD) is a strong antiarrhythmic drug but has severe side effects such as pulmonary toxicity. There are no indicators or drugs that can prevent the development of amiodarone-induced pulmonary toxicity (AIPT). METHODS:We collected data for 96 consecutive patients treated with AMD and analyzed clin...
journal_title:International journal of cardiology
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更新日期:2010-04-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2007.07.085
更新日期:2009-01-09 00:00:00
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更新日期:2003-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijcard.2019.09.015
更新日期:2020-02-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
doi:10.1016/j.ijcard.2013.12.028
更新日期:2014-02-15 00:00:00
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pub_type: 杂志文章
doi:10.1016/0167-5273(91)90217-d
更新日期:1991-05-01 00:00:00
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更新日期:2017-12-15 00:00:00
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更新日期:1998-03-13 00:00:00
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更新日期:2016-10-01 00:00:00
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pub_type: 信件
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更新日期:2008-07-04 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:2017-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2004-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
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