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Publisher: Medknow Publishers   (Total: 429 journals)

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Showing 1 - 200 of 429 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 5, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 12, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 4)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 2)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 2)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 3, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 5, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences     Open Access   (Followers: 3)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access  
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access  
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access  
Intl. J. of Orofacial Research     Open Access  
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 13)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 5)

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Journal Cover
Journal of Cardiovascular Echography
Journal Prestige (SJR): 0.135
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2211-4122 - ISSN (Online) 2347-193X
Published by Medknow Publishers Homepage  [429 journals]
  • Cardiovascular Multimodality Imaging: It is Time to Get on Board! A
           “Società Italiana di Ecocardiografia e CardioVascular
           Imaging” Statement

    • Authors: Francesco Antonini-Canterin, Giorgio Faganello, Antonio Mantero, Rodolfo Citro, Paolo Colonna, Mauro Giorgi, Vincenzo Manuppelli, Ines Monte, Licia Petrella, Alfredo Posteraro, Vitantonio Di Bello, Scipione Carerj, Frank Benedetto
      Pages: 1 - 8
      Abstract: Francesco Antonini-Canterin, Giorgio Faganello, Antonio Mantero, Rodolfo Citro, Paolo Colonna, Mauro Giorgi, Vincenzo Manuppelli, Ines Monte, Licia Petrella, Alfredo Posteraro, Vitantonio Di Bello, Scipione Carerj, Frank Benedetto
      Journal of Cardiovascular Echography 2018 28(1):1-8

      Citation: Journal of Cardiovascular Echography 2018 28(1):1-8
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_66_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Multimodality Imaging and Clinical Significance of Congenital Ventricular
           Outpouchings: Recesses, Diverticula, Aneurysms, Clefts, and Crypts

    • Authors: Alberto Cresti, Pierpaolo Cannarile, Elena Aldi, Marco Solari, Bruno Sposato, Luca Franci, Ugo Limbruno
      Pages: 9 - 17
      Abstract: Alberto Cresti, Pierpaolo Cannarile, Elena Aldi, Marco Solari, Bruno Sposato, Luca Franci, Ugo Limbruno
      Journal of Cardiovascular Echography 2018 28(1):9-17
      The high spatial resolution of cardiac computed tomography (CT) and cardiac magnetic resonance (CMR) permit the diagnosis of congenital ventricular outpouchings (CVOs), including congenital ventricular diverticula (CVD), congenital ventricular aneurysms (CVA), clefts, and crypts. A unique classification has not been established, and these terms are used interchangeably with confounding terminology. Moreover, their significance is not univocal. A research was performed using PubMed on six subjects: (1) congenital left ventricular outpouchings; (2) congenital ventricular diverticulum; (3) congenital ventricular aneurysm; (4) ventricular clefts; (5) ventricular crypts; and (6) ventricular crevices. Usually, CVOs are small with a preserved contraction and in asymptomatic patients, the clinical relevance may be minimal, although electrocardiographic anomalies are often present. CVA and diverticula may carry an embolic risk and cases of arrhythmia and rupture are described. In the presence of clefts, or crypts a cardiomyopathy should be excluded. A simple classification can be proposed: CVD extend beyond the myocardial wall and fibrous type may be termed CVA, acquired forms should be kept distinct. Clefts, or crypts, are small recesses extending for more than 50% of the ventricular wall but not beyond its margin. The presence of fibrosis may be evaluated by CMR. A multicenter prospective registry would be helpful to investigate potential clinical implications and to exclude dubious forms of hypertrophic cardiomyopathy or ventricular noncompaction. In conclusion, CVOs have been described with different terminologies and classifications. Their significance needs to be interpreted in the clinical setting and with the help of a multimodality imaging, particularly of CMR.
      Citation: Journal of Cardiovascular Echography 2018 28(1):9-17
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_72_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Obesity, Cardiac Remodeling, and Metabolic Profile: Validation of a New
           Simple Index beyond Body Mass Index

    • Authors: Francesco Antonini-Canterin, Concetta Di Nora, Stefano Poli, Lina Sparacino, Iulian Cosei, Andreea Ravasel, Andreea Catarina Popescu, Bogdan Alexandru Popescu
      Pages: 18 - 25
      Abstract: Francesco Antonini-Canterin, Concetta Di Nora, Stefano Poli, Lina Sparacino, Iulian Cosei, Andreea Ravasel, Andreea Catarina Popescu, Bogdan Alexandru Popescu
      Journal of Cardiovascular Echography 2018 28(1):18-25
      Aim: The body mass index (BMI), the most used anthropometric index of obesity, has an important limitation, not taking into consideration the distribution of body fat. We developed a new simple index: the waist-corrected BMI (wBMI), calculated as waist circumference (WC) × BMI. The study aim was to assess the role of wBMI, compared to BMI, WC, and Waist-to-Height Ratio (WHtR) in predicting abnormal cardiac geometry, insulin resistance, increased arterial stiffness, and dyslipidemia. Methods: This was a cross-sectional study that included 805 patients referred to our Department of Preventive Cardiology for risk factors evaluation and treatment. Eleven echographic and laboratory parameters were determined, and receiver operating characteristic (ROC) curves were derived. Areas under ROC curves (AUC) were used to assess the accuracy of the four indexes to identify unfavorable characteristics. Results: There were 29% overweight, 59% obese, and 77% hypertensive patients. Of 11 echographic and laboratory parameters, wBMI, BMI, WHtR, and WC had the largest AUC for identifying 3, 1, 6, and 1 parameters, respectively, but with overlapping 95% confidence intervals. wBMI had the largest AUC for increased arterial stiffness and insulin resistance; also, it was superior to BMI for increased left atrial volume, relative wall thickness, and triglyceride level. Conclusions: In a large population with a high prevalence of obesity and hypertension, all four indexes were associated with unfavorable characteristics. wBMI has the theoretical advantage of taking into account simultaneously the global fat mass and distribution and might be useful for a better cardiovascular risk assessment.
      Citation: Journal of Cardiovascular Echography 2018 28(1):18-25
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_63_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • European Society of Cardiology-Proposed Diagnostic Echocardiographic
           Algorithm in Elective Patients with Clinical Suspicion of Infective
           Endocarditis: Diagnostic Yield and Prognostic Implications in Clinical
           Practice

    • Authors: Andrea Barbieri, Francesca Mantovani, Roberta Lugli, Francesca Bursi, Matteo Fabbri, Ylenia Bartolacelli, Marcella Manicardi, Guglielmo Stefanelli, Cristina Mussini, Giuseppe Boriani
      Pages: 26 - 31
      Abstract: Andrea Barbieri, Francesca Mantovani, Roberta Lugli, Francesca Bursi, Matteo Fabbri, Ylenia Bartolacelli, Marcella Manicardi, Guglielmo Stefanelli, Cristina Mussini, Giuseppe Boriani
      Journal of Cardiovascular Echography 2018 28(1):26-31
      Background: Echocardiography plays a central role in diagnosing infective endocarditis (IE). Accordingly, the European Society of Cardiology (ESC) has proposed a diagnostic echocardiographic algorithm. However, new studies are still needed to evaluate the degree of implementation of these guidelines in clinical practice and their consequences on incidence and prognosis of IE. Aim: This study aims to investigate the diagnostic yield of the ESC proposed echocardiographic algorithm in patients with suspected IE. We also examined the association among IE diagnosis and clinical outcomes. Methods: Retrospective analysis of a series of patients undergoing the ESC algorithm for clinical suspicion of IE at our institution. Results: Between 2009 and 2013, 323 cases were managed by a multidisciplinary team for clinical suspicion of IE. Following ESC algorithm, 26 (8%) patients were diagnosed with IE and 297 (92%) had IE excluded. In 92% of patients with a good-quality negative transthoracic echocardiography (TTE) and low level of clinical suspicion, the first TTE was considered sufficient to rule out IE. During a mean follow-up of 2.3 ± 1.4 years, patients who had a final diagnosis of IE showed similar mortality (P = 0.2) and rates of combined endpoint (all-cause death, stroke/transient ischemic attack, advanced atrioventricular block, and heart failure) compared to patients without echocardiographic diagnosis of IE (P = 0.5). Only 1% of the patients who had IE excluded experienced IE in the following 3 months, none of them in the subgroup of patients, in which a first negative TTE was considered sufficient to rule out IE. Conclusions: In spite of the current ESC recommendation TTE is used as part of a routine fever screen. Consequently, only a minority of patients had a final echocardiographic diagnosis of IE. Although in patients with low clinical suspicion a first negative TTE is sufficient to rule out IE, the incidence of clinical events is similar regardless the final diagnosis of IE.
      Citation: Journal of Cardiovascular Echography 2018 28(1):26-31
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_49_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • 12-year Temporal Trend in Referral Pattern and Test Results of Stress
           Echocardiography in a Tertiary Care Referral Center with Moderate Volume
           Activities and Cath-lab Facility

    • Authors: Andrea Barbieri, Francesca Mantovani, Francesca Bursi, Ylenia Bartolacelli, Marcella Manicardi, Maria Giulia Lauria, Giuseppe Boriani
      Pages: 32 - 38
      Abstract: Andrea Barbieri, Francesca Mantovani, Francesca Bursi, Ylenia Bartolacelli, Marcella Manicardi, Maria Giulia Lauria, Giuseppe Boriani
      Journal of Cardiovascular Echography 2018 28(1):32-38
      Background: Data on stress echocardiography (SE) time-related changes in referral patterns and diagnostic yield for detection of inducible ischemia could enhance Echo Lab quality benchmarks and performance measures. Aim: This study aims to evaluate temporal trends in SE test results among ambulatory patients with suspected or known coronary artery disease (CAD) in a tertiary care referral center with moderate (>100/year) volume SE activities and Cath-Lab facility. Methods: From January 2004 to December 2015, 1954 patients (mean age 62 ± 12 years, 42% women, 27% with known CAD) underwent SE (1673 exercise SE, 86%, 246 pharmacological SE, 12%, 35 pacing SE, 2%). Time was grouped into three 4 year periods, where clinical data and test results were evaluated. Results: Our series comprised low-to-intermediate pretest probability of CAD throughout the observation period (overall pretest probability of CAD 19% ± 15%). A progressive decline over time in the rate of pharmacological SE instead of a dramatic increment of exercise SE (79%–96%, P < 0.0001) was noted. The use of beta-blockers increased (from 43% to 66%, P < 0.0001), while the use of nitrates decreased (from 11% to 4%, P < 0.0001) over time. We noted a very uncommon occurrence of abnormal test results with a further decrease in the last period (from 11% to 3%, P < 0.0001). Conclusions: We observed, over a 12-year period, a progressive decrease in the frequency of inducible myocardial ischemia among patients with known or suspected CADe referred to our Echo Lab for SE with Cath-Lab facility, and this trend was parallel to changes in SE referral practice. These findings are particularly relevant if we consider the practical implications on diagnostic SE accuracy and risk assessment.
      Citation: Journal of Cardiovascular Echography 2018 28(1):32-38
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_48_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Detection of Left Ventricular Remodeling in Acute ST Elevation Myocardial
           Infarction after Primary Percutaneous Coronary Intervention by Two
           Dimensional and Three Dimensional Echocardiography

    • Authors: Rakesh Kumar Ola, Chandra Bhan Meena, S Ramakrishnan, Ashish Agarwal, Smriti Bhargava
      Pages: 39 - 44
      Abstract: Rakesh Kumar Ola, Chandra Bhan Meena, S Ramakrishnan, Ashish Agarwal, Smriti Bhargava
      Journal of Cardiovascular Echography 2018 28(1):39-44
      Background: Left ventricular remodeling (LVR) after ST-elevation myocardial infarction (STEMI) harbingers poor prognosis. Three-dimensional echocardiography (3DE) is more accurate than 2 D echo for the assessment of left ventricle (LV) shape. We assessed LV geometry with 3D ECHO 6 months after STEMI in patients who had primary angioplasty. Materials and Methods: In this prospective study, morphological and functional analysis of LV with 3D ECHO (volumes, LVEF, 3D sphericity index [SI]) was assessed up to 7 days and 6 months in 42 STEMI patients. The LVR was considered for increase >15% of the end diastolic volume of the LV (LVEDV) 6 months after the STEMI, compared to the LVEDV up to 7 days of it. Results: Sixteen (38%) patients had LVR. 3D Echocardiographic measurements up to 7 days after the acute myocardial infarction (AMI) 1-LVEDV in ventricular remodeling group was 99.8 ± 19.1 ml and in no ventricular remodeling group was 87 ± 18.2 mL (P = 0.037); 2-LVEF was 0.48 ± 0.01 and 51 ± 0.02 (P <.001); 3D-SI was 0.41 ± 0.05 and 31 ± 0.05 (P < 0.001) II-after 6 months: 1-LVEDV in remodeling group was 114.2 ± 19.5 mL and no remodeling group was 94.2 ± 18.6 (P = 0.002); 2-LVEF was 0.58 ± 0.01 and 59 ± .01 (P = 0.003); 3D-sphericity was 0.35 ± 0.05 and 28 ± .05 (P < 0.001). Conclusion: LVR was observed in 38% of the patients 6 months after AMI. The 3D SI has been associated with occurrence of LVR and can differentiate patients with and without subsequent development of LVR accurately and early on its basis.
      Citation: Journal of Cardiovascular Echography 2018 28(1):39-44
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_32_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Hypoplasia or Absence of Posterior Leaflet: A Rare Congenital Anomaly of
           The Mitral Valve in Adulthood – Case Series

    • Authors: Vito Maurizio Parato, Stefano Lucio Masia
      Pages: 45 - 47
      Abstract: Vito Maurizio Parato, Stefano Lucio Masia
      Journal of Cardiovascular Echography 2018 28(1):45-47
      We present a case series of two adult patients with almost complete absence of the posterior mitral valve leaflet and who are asymptomatic or mildly symptomatic, with two different degrees of mitral regurgitation.
      Citation: Journal of Cardiovascular Echography 2018 28(1):45-47
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_73_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Acute Right Ventricular Failure Postintubation in a Mitral Stenosis
           Patient

    • Authors: Sridhar Reddy Musuku, Saroj Pani, John Cagino
      Pages: 48 - 50
      Abstract: Sridhar Reddy Musuku, Saroj Pani, John Cagino
      Journal of Cardiovascular Echography 2018 28(1):48-50
      Mitral stenosis (MS) is prevalent in 0.02-0.2% of the population in developed countries. The pathophysiology of MS results in elevated left atrial pressures and over-time results in pulmonary hypertension (HTN) which ultimately affects the right ventricle. In addition, MS restricts the diastolic filling of the left ventricle. Therefore, during induction patients with MS are limited by their ability to increase cardiac output by increasing stroke volume. Anesthesia goals in severe MS are to avoid sudden changes in heart rate, as well as systemic and pulmonary artery pressures. We report a patient who sustained severe hypotension upon induction and intubation which was resistant to conventional medications. Intraoperative transesophageal echocardiography displayed unique right atrial and right ventricular dilatation. In addition, the leftward inter-ventricular, inter-atrial septal shift and septal bounce were noted as the characteristic findings. Intravenous epinephrine bolus was administered to achieve normo-tension and normal chamber dimensions and interventricular septal position.
      Citation: Journal of Cardiovascular Echography 2018 28(1):48-50
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_27_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • An Unusual Left Atrial Mass in a Woman with Active Breast Cancer and
           Recent Cardiothoracic Surgery

    • Authors: Giuseppe Ciliberti, Luciano Carotti, Nicola Russo, Margherita Ilaria Gioia, Giovanni Caroli, Federico Guerra, Marco Di Eusanio, Alessandro Capucci
      Pages: 51 - 53
      Abstract: Giuseppe Ciliberti, Luciano Carotti, Nicola Russo, Margherita Ilaria Gioia, Giovanni Caroli, Federico Guerra, Marco Di Eusanio, Alessandro Capucci
      Journal of Cardiovascular Echography 2018 28(1):51-53
      Atrial masses are rare and more often localized in the right atrium. They are usually detected incidentally, and the leading causes are tumors, thrombi, or infective vegetations. However, normal structures and artifacts (“pseudomasses”) should also be considered in differential diagnosis, especially after cardiac and/or aortic surgery. We present a case of an unusual left atrial image observed on transthoracic echocardiography in an 83-year-old woman after an intervention of open-chest ascending aorta replacement and myocardial revascularization.
      Citation: Journal of Cardiovascular Echography 2018 28(1):51-53
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_61_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Thrombolysis Followed by Apixaban for Massive Pulmonary Embolism and
           

    • Authors: Sergio Fasullo, Nicola Morabito, Sergio Cannizzaro, Gioacchino Cosenza, Vito Pinto, Filippo Ganci, Sebastiano Scalzo, Stefania Davi, Giorgio Maringhini
      Pages: 54 - 58
      Abstract: Sergio Fasullo, Nicola Morabito, Sergio Cannizzaro, Gioacchino Cosenza, Vito Pinto, Filippo Ganci, Sebastiano Scalzo, Stefania Davi, Giorgio Maringhini
      Journal of Cardiovascular Echography 2018 28(1):54-58
      Free-floating thrombus in the right ventricle, associated with a massive acute pulmonary embolism (PE), is a rare phenomenon. PE is an important clinical entity with considerable mortality despite advances in diagnosis and treatment. The prognosis of PE depends on right ventricular dysfunction, myocardial injury markers, and early treatment. In this report, we present the case of a 71-year-old woman with a history of breast cancer admitted to intensive care unit for PE complicated by syncope. Although our case may seem complex because it is not represented in the guidelines, the result was satisfactory and showed how treatment with new anticoagulants (in this case apixaban) after massive thrombolysis of PE could be considered and included in the new guidelines.
      Citation: Journal of Cardiovascular Echography 2018 28(1):54-58
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_35_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • A Biatrial Myxoma with Triple Ripples

    • Authors: Ramachandra Barik
      Pages: 59 - 60
      Abstract: Ramachandra Barik
      Journal of Cardiovascular Echography 2018 28(1):59-60
      Cardiac myxoma is a benign tumor, but it is known for its space-occupying effect at the site of origin and frequent systemic embolization. This case report highlights a biatrial myxoma of interatrial septum who presented with significant tricuspid valve regurgitation, atrial fibrillation, and cardioembolic stroke of the left parietal lobe, i.e., a biatrial myxoma with triple ripples.
      Citation: Journal of Cardiovascular Echography 2018 28(1):59-60
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_47_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Echocardiographic Assessment of Ventricular Septal Rupture and Left
           Ventricular Aneurysm after Inferior and Posterior Myocardial Infarction

    • Authors: Giuliana Pace, Gianfranco Filippone, Egle Corrado, Fabio Triolo, Vincenzo Argano, Salvatore Novo
      Pages: 61 - 64
      Abstract: Giuliana Pace, Gianfranco Filippone, Egle Corrado, Fabio Triolo, Vincenzo Argano, Salvatore Novo
      Journal of Cardiovascular Echography 2018 28(1):61-64
      We present a case of posterior ventricular septal rupture associated to left ventricular aneurysm manged, during peri-operative period, by transthoracic and transesophageal echocardiography. Three-dimensional transesophageal echocardiography findings add adjunctive and more accurate information regarding morphological details of the ventricular septal rupture rather than two-dimensional echocardiography, allowing, meanwhile, the detection of the outcome of the surgical repair.
      Citation: Journal of Cardiovascular Echography 2018 28(1):61-64
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_29_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Ruptured Sinus of Valsalva: An Unusual Cause of Heart Failure

    • Authors: Laxman Dubey
      Pages: 65 - 66
      Abstract: Laxman Dubey
      Journal of Cardiovascular Echography 2018 28(1):65-66
      A 35-year-old male patient presented with heart failure. On examination, there was a continuous murmur over the left sternum. Transthoracic echocardiography revealed a ruptured aneurysm arising from the noncoronary sinus of Valsalva and draining into the right atrium.
      Citation: Journal of Cardiovascular Echography 2018 28(1):65-66
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_41_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Giant Left Ventricular Pseudoaneurysm as a Late Complication of Myocardial
           Infarction

    • Authors: In&#234;s Silveira, Patr&#237;cia Rodrigues, Catarina Gomes, Severo Torres
      Pages: 67 - 68
      Abstract: Inês Silveira, Patrícia Rodrigues, Catarina Gomes, Severo Torres
      Journal of Cardiovascular Echography 2018 28(1):67-68
      We present a case of a 63-year-old patient referred to a cardiology consultation due to progressive symptoms of heart failure. He had a history of an inferior ST elevation acute myocardial infarction 6 years ago. Echocardiogram revealed a giant left ventricular aneurysm/pseudoaneurysm involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus. Additional characterization was done by cardiac magnetic resonance, essential in establishing the diagnosis of pseudoaneurysm and to guide subsequent management. In this case, we discuss the differential diagnosis between aneurysm and pseudoaneurysm and highlight the role of non-invasive multimodality imaging.
      Citation: Journal of Cardiovascular Echography 2018 28(1):67-68
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_39_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Williams Syndrome and Right Ventricular Noncompaction: A Rare Association

    • Authors: Prashanth Panduranga, Mamatha Punjee Rajarao
      Pages: 69 - 71
      Abstract: Prashanth Panduranga, Mamatha Punjee Rajarao
      Journal of Cardiovascular Echography 2018 28(1):69-71
      Ventricular noncompaction and Williams syndrome are genetic disorders with typical clinical and echocardiographic cardiovascular manifestations. Here, we describe a young patient with rare association of clinical phenotype suggestive of Williams syndrome and right ventricular noncompaction.
      Citation: Journal of Cardiovascular Echography 2018 28(1):69-71
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_55_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Takotsubo Syndrome in Patient with Severe Mitral and Aortic Regurgitation

    • Authors: Francesco Sbrana, Vladyslav Chubuchny, Elisa Poggianti, Emilio Maria Pasanisi
      Pages: 72 - 73
      Abstract: Francesco Sbrana, Vladyslav Chubuchny, Elisa Poggianti, Emilio Maria Pasanisi
      Journal of Cardiovascular Echography 2018 28(1):72-73

      Citation: Journal of Cardiovascular Echography 2018 28(1):72-73
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_30_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Right Ventricular Outflow Tract Systolic Excursion and Fractional
           Shortening for the Assessment of Right Ventricular Function

    • Authors: Beuy Joob, Viroj Wiwanitkit
      Pages: 74 - 74
      Abstract: Beuy Joob, Viroj Wiwanitkit
      Journal of Cardiovascular Echography 2018 28(1):74-74

      Citation: Journal of Cardiovascular Echography 2018 28(1):74-74
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_38_17
      Issue No: Vol. 28, No. 1 (2018)
       
  • Left Atrial Function and Coronary Slow Flow: Is There Diastolic
           Dysfunction or Not?

    • Authors: Luca Longobardo
      Pages: 75 - 76
      Abstract: Luca Longobardo
      Journal of Cardiovascular Echography 2018 28(1):75-76

      Citation: Journal of Cardiovascular Echography 2018 28(1):75-76
      PubDate: Tue,6 Mar 2018
      DOI: 10.4103/jcecho.jcecho_3_18
      Issue No: Vol. 28, No. 1 (2018)
       
 
 
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