A report from the American Society of Echocardiography’s Nomenclature and Standards Committee and The Task Force on Valvular Regurgitation, developed in conjunction with the American College of Cardiology Echocardiography Committee, The Cardiac Imaging Committee Council on Clinical Cardiology, the American Heart Association, and the European Society of Cardiology Working Group on Echocardiograp...

Adult onset Still's disease (AOSD) is an uncommon acute systemic inflammatory disease of unknown origin. The clinical features include high spiking fever, arthralgia or arthritis, transient maculopapular rash, lymphadenopathy, hepatosplenomegaly, and serositis. Pericarditis is the most common cardiac manifestation of AOSD and occurs in approximately 30% of cases. A simultaneous occurrence of ra...

Valvular heart disease has significant effect on the outcome of practically any kind of surgical procedure involving general or regional anaesthesia. The most frequently encountered cardiac valve lesions produce pressure overload (mitral stenosis, aortic stenosis) or volume load (mitral regurgitation, aortic regurgitation) on the left atrium or left ventricle. Anaesthetic management during the ...

BACKGROUND A 61-year-old woman with Parkinson's disease, receiving pergolide 1.75 mg four times daily, was admitted with progressive dyspnea. METHODS Investigations revealed mitral and aortic regurgitation. She underwent surgical mitral replacement and aortic repair, but had a post-operative course characterized by repeated bouts of congestive heart failure. RESULTS Severe tricuspid valve (...

Among 543 necropsy patients over age 14 years with severe chronic valvular heart disease, Aschoff bodies were found in 11 patients (2%). The ages of the 11 patients ranged from 18 to 68 years (avg 38), and nine had had a history of acute rheumatic fever earlier in life. Clinically, nine of the 11 patients had mitral stenosis with or without dysfunction of one or more other cardiac valves, one h...

OBJECTIVE To evaluate the clinical and epidemiological profile of patients with valvular heart disease who arrived decompensated at the emergency department of a university hospital in Brazil. METHODS A descriptive analysis of clinical and echocardiographic data of 174 patients with severe valvular disease, who were clinically decompensated and went to the emergency department of a tertiary c...

Studies of the right atrial pressure and flow curves in patients with cardiac failure show that with a venous pressure of more than 8 mm. Hg, increasing amounts of functional tricuspid regurgitation may occur (Muller and Shillingford, 1954; Korner and Shillingford, 1954). If the forward flow is maintained, backflow through the valve will add a variable amount to the right ventricular stroke vol...

Hemodynamically severe aortic regurgitation (AR) and mitral regurgitation (MR) are among the most predictable causes of heart failure (HF) and sudden death (SD). During the past 4 decades, surgery has become the primary intervention for patients with these diseases. However, timing of operation is a “moving target”: surgical techniques have improved dramatically; noninvasive methods have develo...

PURPOSE The aim of this study was to evaluate the proportion of suspected heart failure patients with significant valvular heart disease. Early diagnosis of valve disease is essential as delay can limit treatment and negatively affect prognosis for undiagnosed patients. The prevalence of unsuspected valve disease in the community is uncertain. PARTICIPANTS We prospectively evaluated 79 043 pa...

Right ventricular migration of a systemic venous stent is a rare complication. We present a case of stent migration in a 65-year-old male who underwent palliative intervention for inferior vena cava compression secondary to malignant mesothelioma. Two- and three-dimensional echocardiographic images revealed evidence of a free-stent trapped in the tricuspid valvular apparatus causing severe tric...