2019;32(4) – ABC CARDIOL

Case Report

Cardiac Metastasis in Patient with Rectal Carcinoid Tumor

Iuri Shen de Lacerda et al. Priscilla Ornellas Neves Lucianno Henrique Pereira Santos Joalbo Matos Andrade

[…]

Original Article

Ecocardiographic Evaluation of Mitral Insufficiency in Patients with Hypertrophic Cardiomyopathy

Marina Braga Oliveira et al. Angélica Fonseca Noriega Jéssica Richard Miranda Gabriel Andrey Ricci … Bruna Basaglia Maria Beatriz Marques Ribeiro Marina Bragheto Oliveira Jamil Ali Murad Junior

Abstract

Background

Hypertrophic Cardiomyopathy (HCM) is a genetic disease that affects thousands of people around the world.

Objectives

The present study aims to evaluate the presence of mitral regurgitation in patients with HCM, as well as its relationship with left ventricular Doppler echocardiographic variables. The mitral valve failure found in these patients is an extremely important finding, since it is able to predict the survival and mortality rate of the patients affected by HCM.

Materials and Methods

All echocardiograms performed from 2006 to 2016 in the echocardiographic service of Hospital de Base de São José do Rio Preto were evaluated. A total of 112,930 tests were gathered, of which those with HCM diagnosis or wall thickness >15 mm were selected and 132 patients were included in the analysis.

Results

Moderate and major mitral valve regurgitation is present in 25% and 5.3% of the patients, respectively, and MRI is independently correlated with the obstructive form of HCM.

Conclusion

Mitral regurgitation is a frequent finding in patients with CMP, however, significant MI is extremely uncommon and is correlated with the obstructive form of the disease.

Read Full Article

Editorial

Embolic Complications in Infective Endocarditis: How Can We Predict Using a Risk Evaluator Score (SORTIE or ABCDE)

Cesar Augusto da Silva Nascimento

[…]

Read Full Article

Case Report

Bilateral Internal Carotid Artery Hypoplasia in Asymptomatic Patient. Case Report

Márcia Azevedo Caldas et al. Luiza Braconi Grilo Lerrícia Pinheiro Soares Polyana da Silva Custódio … Laura Maria Vieira Duarte Carlos Eduardo Cordeiro Soares

[…]

Read Full Article

Editorial

Rare Diseases, Orphan Drugs and the Scenario in 2019

Sandra Marques e Silva et al. José Luís Barros Pena

[…]

Read Full Article

Review Article

Echocardiographic Evaluation of Pulmonary Hypertension in Children

Karen Saori Shiraishi Sawamura et al. Alessandro Cavalcanti Lianza Gabriela Nunes Leal Samira Saady Morhy

Abstract

Hypertensive Pulmonary Disease (HPD) can be defined as a set of pathophysiological pulmonary disorders that result in severe, progressive disease with high morbidity and mortality. Transthoracic echocardiogram (TTE) is an easily accessible and essential imaging method for the evaluation of this disease, especially in children, where there are limitations to frequent and routine right-heart catheterization. In this review, we address the main echocardiographic techniques for the diagnosis and hemodynamic evaluation of pulmonary hypertension in the pediatric population. Early diagnosis and appropriate staging in the follow-up of clinical interventions are fundamental for the assertive choice of therapeutic approach and, consequently, improvement of clinical outcomes.

Read Full Article

Special Article

Position Statement on Indications of Echocardiography in Adults – 2019

Silvio Henrique Barberato et al. Minna Moreira Dias Romano Adenalva Lima de Souza Beck Ana Clara Tude Rodrigues … André Luiz Cerqueira de Almeida Bruna Morhy Borges Leal Assunção Eliza de Almeida Gripp Fabio Villaça Guimarães Filho Henry Abensur José Maria Del Castillo Marcelo Haertel Miglioranza Marcelo Luiz Campos Vieira Márcio Vinicius Lins de Barros Maria do Carmo Pereira Nunes Maria Estefania Bosco Otto Renato de Aguiar Hortegal Rodrigo Bellio de Mattos Barretto Thais Harada Campos Vicente Nicoliello de Siqueira Samira Saady Morhy

[…]

Read Full Article

Case Report

Late Diagnosis of Kawasaki Disease and its Complications. Case Report

Layanne Sousa Cruz Martins et al. Mila Simões Alves Paloma Cheab Ribeiro Moura Costa Naiara Galvão de Araújo Alcântara

[…]

Read Full Article

Image

A Deceiving Aorta

Helder Santos et al. Hugo Miranda Inês Almeida Mariana Santos … Samuel Almeida Lurdes Almeida

[…]

Read Full Article

Case Report

Arrhythmogenic Right Ventricular Dysplasia with Right Atrial Thrombus

Clara Bernardy dos Santos et al. Angela Bolonhez Otavio Mangili

Abstract

Arrhythmogenic right ventricular dysplasia is an autosomal dominant genetic disease characterized by the progressive replacement of the myocardium with fibrous fat tissue. It is clinically characterized by arrhythmia, heart failure, syncope and, in some cases, sudden death. We report the case of a patient with such pathology, at an advanced stage, with atrial flutter and thrombus formation in the right atrial appendage, whose therapeutic option was anticoagulation and subsequent electrical cardioversion.

Read Full Article

Review Article

PET-CT 18F-FDG applications in cardiac tumors

Simone Cristina Soares Brandão et al. Luca Terracini Dompieri

ABSTRACT

Cardiac neoplasms are divided into primary and secondary. Secondary neoplasms are 20 to 40 times more common than the primary ones. Although rare, primary cardiac neoplasms may be benign or malignant. Benign neoplasms are responsible for 75% of the cases. The main objectives of cardiovascular imaging are to define tumor morphology and etiology, identify potential complications and assist in the establishment of treatment. For the diagnosis of cardiac neoplasms, positron emission tomography combined with computed tomography (PET-CT) with fluorodeoxyglucose-F18 (¹⁸F-FDG) is a technique that is still little used, especially in primary cardiac tumors. However, it can help differentiate between malignant and benign tumors, thus preventing cardiac biopsies and unnecessary invasive treatments. For this review, we searched the PubMed database, considering the publications on this topic in the past 10 years. PET-CT ¹⁸F-FDG is a useful test to differentiate benign from malignant heart masses according to the higher degree of glycolytic metabolism found in malignant neoplasms. Moreover, in malignant tumors, PET-CT ¹⁸F-FDG plays a central role in disease staging and may help assess treatment response.

Read Full Article

Image

Right Atrial Papillary Fibroelastoma

Irving Gabriel Araújo Bispo et al. Ricardo Volpatto Fernando Hideki Assakawa Diego Farias Costa … André Borges Paes Coelho Vera Márcia Lopes Gimenes

[…]

Read Full Article