The study of left ventricular diastolic function by Doppler echocardiography: the essential for the clinician

The study of diastolic function by Doppler-echocardiography is complex and demanding. The cardiologist/echocardiographist must have a systematic approach to the study of left ventricular diastolic function, not only based on the Doppler index, but integrating Doppler patterns with other echo-parameters (chamber dimensions, wall thicknesses, systolic function, valve function and morphology) and clinical information. A rational interpretation of clinical and instrumental data can allow a correct diagnosis, which is essential for clinical decision-making

Infectious endocarditis during pregnancy, problems in the decision-making process: a case report

Infective endocarditis in pregnancy has a low incidence, often being associated with a previous history of rheumatic or congenital heart disease. In most reports the disease tends to run a subacute course and to appear more frequently in the third trimester of pregnancy. We present the case of a 36-year-old woman with large vegetations on the mitral valve due to infective endocarditis detected at the 32nd week of her first pregnancy. The difficulties in selecting the appropriate management strategy, particularly optimal time and mode of delivery, optimal time and type of valve surgery, are emphasized

The study of left ventricular diastolic function by Doppler echocardiography: the essential for the clinician

The study of diastolic function by Doppler-echocardiography is complex and demanding. The cardiologist/echocardiographist must have a systematic approach to the study of left ventricular diastolic function, not only based on the Doppler index, but integrating Doppler patterns with other echo-parameters (chamber dimensions, wall thicknesses, systolic function, valve function and morphology) and clinical information. A rational interpretation of clinical and instrumental data can allow a correct diagnosis, which is essential for clinical decision-making

Thrombus or tumor? a case of fibroelastoma as indicated during the submission process

We describe the case of a 50-year-old woman who was admitted to a pheriferal department for heart failure. The echocardiography revealed a small mass measuring about 1.3 × 1.0 cm adhering to the non-coronary cusp of the aortic valve, mild dilated cardiomiopathy and severe biventricular dysfunction. This mass had erroneously been considered a thrombotic lesion, so the patient was treated with thrombolysis and heparin e.v. Only after a transoesophageal echocardiography a tumour cardiac mass was suspected. The diagnosis of fibroelastoma was confirmed by MRI and then from the anatomic and histoligical definition after surgery

Echokardiogram miesiąca Guz w przegrodzie międzyprzedsionkowej serca – nietypowy obraz pierwotnej amyloidozy

We report a patient with primary systemic amyloidosis who had a very unusual form of clinical and instrumental presentatio

Zatorowość płucna powikłana zatorem skrzyżowanym - opis przypadku i przegląd piśmiennictwa

Pulmonary embolism (PE) is a common CV emergency that may lead to acute life-threatening right ventricular failure. Right-sided heart thrombi are relatively rare (4-18% of patients presenting with acute PE). The presence of right heart thrombi, particularly when mobile, is associated with a significantly increased risk of mortality. Thrombus straddling the patent foramen ovale (TSFO) in PE is even rarer and it is at high risk of impending paradoxical embolism (PDE). We report a case of a PE complicated by a right-sided heart thrombus and impending PDE and we analysed different therapeutic options