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#echocardiography

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samarthneuro

हृदयविकाराची तपासणी कशी केली जाते आणि त्याचा महत्व काय आहे हे जाणून घ्या. अधिक माहिती मिळवण्यासाठी कृपया खालील लिंक क्लिक करा.

#HeartDiagnosis#ECG#Echocardiography
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datum (n=1)

I can't really tell if this is good news or bad news.

Good news perspective: for this pretty large cohort of mild acute SARS-CoV2 cases, cardiac damage was subclinical

Bad news perspective: for this pretty large cohort of mild acute SARS-CoV2 cases, cardiac damage was quite detectable by imaging.

All participants were putatively healthy, none had moderate or severe COVID-19.

"In the present cohort of COVID-19-infected individuals with mild initial illness, echocardiographic measurements revealed significant yet subclinical differences in systolic and diastolic function compared with controls, as well as between individuals with cardiac symptoms and those without. All the measured differences were small in magnitude and thus unlikely to be detectable clinically at the individual level." [1]

[1] nature.com/articles/s41598-025

h/t @Brad

NatureSubclinical patterns of cardiac involvement by transthoracic echocardiography in individuals with mild initial COVID-19 - Scientific ReportsThe aim of this study was to evaluate the subclinical patterns and evolution of cardiac abnormalities via transthoracic echocardiography (TTE) in patients with mild initial COVID-19 illness. A total of 343 infected individuals (163 males; age 44 (interquartile range, IQR 35–52) years) years) underwent serial TTE assessments at a median of 109 (interquartile range (IQR), 77–177) and 327 (276–379) days after infection. Compared with those of non-COVID-19-infected controls (n = 94, male n = 49), baseline systolic (LVEF, TAPSE) and diastolic function (eʹ, aʹ, E/eʹ) were significantly different in infected participants (p < 0.05 for all). Compared with baseline assessments, there was a reduction in global longitudinal strain (GLS) and an increase in the E wave, E/A ratio and E/eʹ at follow-up. At baseline, symptomatic participants had a lower LVEF and TAPSE and increased IVRT, eʹ and E/eʹ. At follow-up, symptomatic patients had a lower LV end-diastolic diameter (LVEDd). Symptoms were independently associated with E/eʹ at baseline (OR (95% CI) 1.45 (1.12–1.87), p = 0.005). Symptoms at follow-up were associated with LVEDd, measured either at baseline (OR: 0.91 (0.86, 0.96), p < 0.001) or follow-up (OR (95% CI) 0.91 (0.86–0.96), p < 0.001). There were significant associations for GLS and troponin and E/eʹ with CRP and NTproBNP at baseline. In the present cohort of COVID-19-infected individuals with mild initial illness, echocardiographic measurements revealed significant yet subclinical differences in systolic and diastolic function compared with controls, as well as between individuals with cardiac symptoms and those without. All the measured differences were small in magnitude and thus unlikely to be detectable clinically at the individual level.
#COVID#COVID19#COVIDIsNotOver
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Lars Mølgaard Saxhaug

1st day of #adventarticles, sharing some of my all time favourite papers:
"Ejection Fraction Revisited" from Robotham et al, THE paper to read on ejection fraction.
One of many key takeaways:
Hyperdynamic LV/supranormal EF is not a sign of low preload, on the contrary EF is relatively preload insensitive and if anything very low preload lowers EF.
pubs.asahq.org/anesthesiology/ #physiology #criticalcare #echocardiography

American Society of AnesthesiologistsEjection Fraction Revisited
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Lars Mølgaard Saxhaug

#introduction to new instance!
I'm an end stage #cardiology trainee working in Trondheim, Norway, finishing up a PhD in #POCUS in stroke care, aiming to subspecialise in #cardiaccriticalcare and #imaging. Obsessed with #criticalcare #echocardiography, fascinated by #physiology and #statistics, concerned about the future of our #publichealthcare system, #socialdeterminantsofhealth and #climatechange
Toots in English, Norwegian, Danish and French.

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