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EBSCOhost | | Rasgos de personalidad de los residentes de Cardiología y áreas afines.

Recognizing these traits will contribute to the study of psychological profiles needed for having a successful medical practice that provide patients a better attention. In this regard, speckletracking echocardiography STE has been introduced as a technique for angle-independent quantification of multidirectional myocardial strain and rotation. The angle dependency is a serious limitation of all Doppler-based techniques, including Doppler-derived myocardial velocities and strain.

In heart failure study, it has obtained transcendent achievements in knowledge of pathophysiology, as well as the therapeutic aspects with new drugs [ 1 – 8 ] with electrical devices to prevent sudden death, or to optimize left ventricular function [ 9 ], revascularization procedures when the cause is hibernating myocardium [ 10 ], cardiac transplantation [ 11 ] and methods of ventricular assistance [ 12 – 13 ], when heart failure is a terminal process.

Acute Shock Dengue Myocarditis. Response

Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular guaealajara function. In the apical four- three- and two-chamber views, transversal strain and longitudinal strain can be calculated 45 Figure When the compensatory mechanism are unable to mantain cardiac output and tissular perfussion appears Decompensated Heart Failure.

They assessed radial and circumferential strains, and tried to distinguish between normokinesis, hypokinesis, and akinesis based on the segment American Heart Association model. Minnesota Multiphasic Personality Inventory MMPI-version 1gyadalajara gives information about personality traits and psychological disorders, was applied.

Furthermore, when this mechanism fails to restore cardiac output appears tissue hypoperfusion the heart loses its vital functionswhich corresponds to cardiogenic shock [ 59 ] decompensated heart failure.


Extensive intracardiac thrombi in a patient with heart failure and hepatic congestion: These definitions and concepts are based on the original contributions of recognized researchers, in an attempt to clarify the concepts, which was born in the nomination of heart failure, and thus to avoid an erroneous interpretation, always motivated by inadequate simplification of terms, in order to scientifically explain the concept of ventricular guadalajata and heart failure.

Email alerts New issue alert. The traditional measurement of ejection fraction is based upon tracing the left ventricular borders and calculating left ventricular volumes using geometric assumptions. In the cardiac segmentation model the posterior wall is replaced by the basal inferior segment. The normal left ventricle in man. The first column represents measurement of strain in each main principal strain axis; the second column represents measurements of strain rate, and the cardiiologia column tissue velocity.

Acute Shock Dengue Myocarditis. Response | Revista Española de Cardiología (English Edition)

Furthermore, they demonstrated that this technique had good inter- and intra-observer variability when both measurements were performed using the same cardiac cycle. These values are not independent, one is cardioogia wall thickening when the other is negative segment shortening in a normal heart. A different natural history?

A Example of rotation assessment at three different levels of the left ventricle in a healthy volunteer and its relation with twist, B and C patient with hypertrophic cardiomyopathy, evaluation of longitudinal strain, D patient with dilated myocardiopathy assessment of left ventricular volumes and radial strain.

Doppler tissue imaging quantitates regional wall motion during myocardial ischemia and reperfusion. There are some important differences between candidates for specialty and subspecialty in Cardiology.

It also has an important role in diastole since it contributes to diastolic suction in the early phases of ventricular filling in a process called untwist. Two-dimensional speckle tracking echocardiography.

All subjects underwent cardiac magnetic resonance imaging CMRI. Figure 7B discusses the mechanism of Frank Starling, as compensation in heart failure process; in the patient with heart failure shifts downward Starling curve contractile failure can normalize cardiac index and thereby restore and tissue perfusion Compensated Heart Failureeven though is cause of increase heart size and pulmonary congestion shortness of breath.


Apical Rotation Assessed by speckle-tracking echocardiography as an index of global left ventricular contractility. Ford LE Mechanical manifestations of activation in cardiac muscle. ED Handbook of Physiology.

Are you a health professional able to prescribe or dispense drugs? Speckles are natural acoustic markers that occur as small and bright elements in conventional gray scale ultrasound images. Am J Physiol However, in the clinical scenario of acute coronary syndrome the concept of posterior myocardial infarction PMI endures. In this article, we review in a concise manner the methodology behind the development, usefulness, and shortcomings of these echocardiographic techniques.

It is worth mentioning that the normal values of EF: Three-dimensional speckle tracking study of myocardial mechanics in normal humans: Differentiation of constrictive pericarditis from restrictive cardiomyopathy using mitral annular velocities by tissue Doppler echocardiography. November 12, Accepted: Shah PK et al. By definition it is the temporal derivative of strain and expresses the rate of shortening or lengthening of a part of the heart.

Three dimensional speckle tracking 3DST has potential to be an ideal tool to assess not only global myocardial function but regional function through deformation, rotation, twist and untwisting parameters. Amyloid Cardiomyopathy in the Emergency Department.

Rasgos de personalidad de los residentes de Cardiología y áreas afines.

Speckle tracking is an application of pattern-matching technology to ultrasound cine data. Comparison with guadalajraa corrected tissue Doppler strain imaging. In heart failure the increase of LV pressure it is due to increase of ventricular volume and myocardial wall stress preload [ 68 ].