The Journal of the American Osteopathic Association July 2015 | Vol 115 | No. 7 432 From Henry Ford Wyandotte Downriver Cardiology in Brownstown, Michigan (Dr Rogers); West Suburban Medical Center in Oak Park, Illinois (Dr Gundala); Oakwood Southshore Medical Center in Trenton, Michigan (Dr Ramos); and Elmhurst Memorial Hospital in Illinois (Dr Serajian). Drs Gundala and Ramos are in their thir...

Symptomatic heart failure, despite preserved left ventricular (LV) ejection fraction, is a well-recognized phenomenon. This manifestation of diastolic dysfunction is associated with increased morbidity and mortality and can be attributed to a variety of pathogeneses, including diabetes mellitus, hypertension, infiltrative processes, and obesity. Unlike in systolic heart failure, where LV ejecti...

Methods 242 consecutive consenting patients referred for CMR between December 2014 and June 2015 were scanned on a 1.5T Magnetom Avanto (Siemens Healthcare, Erlangen) using a MOLLI (WIP#448, 5:3:3 acquisition scheme, motion correction and automatically generated T1 map). In all cases on the basal short axis slice, a single, slender ROI was placed in the mid wall of the septum with meticulous at...

Ficuax 1. Two-dimensional echocardiogram stop frame images are shown above and accompanying schematics below. Left panel demonstrates an apical image with four heart chambers. Middle panel shows cloud of echoes from peripheral injection of normal saline solution demonstrating simultaneous appearance of echoes in all four chambers. A similar injection postoperatively demonstrates echoes in right...

background: echocardiographic evaluations of the longitudinal axis of the left ventricular (lv) function have been used in the diagnosis and assessment of heart failure with normal ejection fraction (hfnef). the evaluation of the global and segmental peak systolic longitudinal strains (pslss) by two-dimensional speckle tracking echocardiography (ste) may correlate with conventional echocardiogr...

Background: Study the correlation between the left ventricular end diastolic volume (LVEDV), ejection fraction (EF) and the development of arrhythmia. Patients and methods: Two hundreds patients with documented acute coronary syndrome and myocardial infection with dysrhythmia documented by ECG and holter monitoring assessed at the cardiac department at Baghdad teaching hospital over the period ...

OBJECTIVE To investigate the value of Simpson's rule, Teichholz's formula, and recording of mitral ring motion in assessing left ventricular ejection fraction (EF) in patients with left ventricular hypertrophy. DESIGN Left ventricular ejection fraction calculated by Simpson's rule and by Techholz's formula and estimated by mitral ring motion was compared with values obtained by radionuclide a...

Low gradient aortic stenosis can be caused by critical aortic stenosis causing left ventricular impairment or by more moderate aortic stenosis coexisting with another cause of left ventricular impairment. The main challenges are to differentiate these two states and then to determine whether the left ventricle is likely to recover after aortic valve surgery. Exhaustive echocardiography is neces...

1. Demonstrate the association between heart failure with preserved ejection fraction (HFpEF) and survival. 2. Given a patient with heart failure (HF), recognize HFpEF on the basis of clinical signs and symptoms, physical examination, echocardiography, and radiographic findings. 3. Classify patients at high risk of hospitalization and mortality through assessing risk factors, clinical presentat...