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Related Concept Videos

Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
659

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Murine Fetal Echocardiography
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Echocardiography in Sarcoidosis.

Reto Kurmann1,2, Sunil V Mankad3, Rekha Mankad1

  • 1Department of Cardiology, Mayo Clinic, Rochester, MN, USA.

Current Cardiology Reports
|September 28, 2018
PubMed
Summary

Diagnosing cardiac sarcoidosis (CS) is difficult, often requiring advanced imaging. Early detection through echocardiography and other techniques is crucial for reducing mortality from this challenging heart condition.

Keywords:
EchocardiographyGlobal longitudinal strainSarcoidosis

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Immunology

Background:

  • Cardiac sarcoidosis (CS) presents diagnostic challenges, often considered after other conditions are excluded.
  • A high index of suspicion is crucial for appropriate diagnostic testing for CS.
  • Transthoracic echocardiography is a primary imaging tool, but lacks pathognomonic features for CS.

Purpose of the Study:

  • To review the diagnostic challenges and imaging modalities for cardiac sarcoidosis.
  • To highlight the role of echocardiography and advanced imaging in CS diagnosis.
  • To emphasize the importance of early diagnosis for improving patient outcomes.

Main Methods:

  • Review of echocardiographic findings, including wall motion abnormalities and strain imaging.
  • Discussion of alternative imaging techniques like cardiac MRI and PET.
  • Consideration of endomyocardial biopsy's limitations (specificity vs. sensitivity).

Main Results:

  • Unusual wall motion abnormalities and diastolic dysfunction on echocardiography can suggest CS.
  • Myocardial strain imaging may enhance echocardiographic sensitivity for CS detection.
  • Cardiac MRI and PET are increasingly used, complementing echocardiography in CS diagnosis.

Conclusions:

  • Cardiac sarcoidosis diagnosis remains challenging, necessitating a multi-modality imaging approach.
  • Early diagnosis is critical for mitigating the high morbidity and mortality associated with CS.
  • While echocardiography is a cornerstone, its limitations drive the use of advanced imaging and biopsy for definitive diagnosis and follow-up.