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Echocardiographic Assessment of Cardiac Disease

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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

Abstract

Echocardiography is the mainstay for the assessment of cardiac structure and function in patients with possible or known heart disease from fetal life to adulthood. The indications for echocardiography include signs and symptoms such as cyanosis, heart failure, arrhythmia, the presence of systemic or syndromic disorders associated with cardiac abnormalities, and a family history of inherited cardiac diseases. In patients with known heart disease, the echocardiogram provides important information about the effects of the disease on cardiac hemodynamics and function and is used to direct medical and surgical therapies. Two- and three-dimensional imaging delineates the structures of the heart and their relationships to each other. Color, pulsed wave, and continuous wave Doppler can identify abnormal patterns of blood flow and can estimate pressure gradients between chambers. Assessment of cardiac function is performed using two- and three-dimensional imaging and Doppler modalities. Quantitative echocardiography provides important information about the size and function of the vessels and chambers.

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References

  1. Rychik J, Ayres N, Cuneo B, Gotteiner N, Hornberger L, Spevak PJ et al (2004) American Society of Echocardiography guidelines and standards for performance of the fetal echocardiogram. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 17(7):803–810, Epub 2004/06/29

    Article  Google Scholar 

  2. Abuhamad A, Rabih C (2010) A practical guide to fetal echocardiography: normal and abnormal hearts, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  3. Cheitlin MDAJ, Armstrong WF et al (1997) ACC/AHA guidelines for the clinical application of echocardiography: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (committee on clinical application of echocardiography). Circulation 95:1687–1744

    Article  Google Scholar 

  4. Lai WW, Geva T, Shirali GS, Frommelt PC, Humes RA, Brook MM et al (2006) Guidelines and standards for performance of a pediatric echocardiogram: a report from the Task Force of the Pediatric Council of the American Society of Echocardiography. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 19(12):1413–1430, Epub 2006/12/02

    Article  Google Scholar 

  5. Abuhamad A, Rabih C (2010) A practical guide to fetal echocardiography, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  6. Ayres NA, Miller-Hance W, Fyfe DA, Stevenson JG, Sahn DJ, Young LT et al (2005) Indications and guidelines for performance of transesophageal echocardiography in the patient with pediatric acquired or congenital heart disease: report from the task force of the Pediatric Council of the American Society of Echocardiography. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 18(1):91–98, Epub 2005/01/08

    Article  Google Scholar 

  7. Napoli KL, Ingall CG, Martin GR (1996) Safety and efficacy of chloral hydrate sedation in children undergoing echocardiography. J Pediatr 129(2):287–291, Epub 1996/08/01

    Article  CAS  PubMed  Google Scholar 

  8. Wheeler DS, Jensen RA, Poss WB (2001) A randomized, blinded comparison of chloral hydrate and midazolam sedation in children undergoing echocardiography. Clin Pediatr 40(7):381–387, Epub 2001/08/09

    Article  CAS  Google Scholar 

  9. Heistein LC, Ramaciotti C, Scott WA, Coursey M, Sheeran PW, Lemler MS (2006) Chloral hydrate sedation for pediatric echocardiography: physiologic responses, adverse events, and risk factors. Pediatrics 117(3):e434–e441, Epub 2006/02/17

    Article  PubMed  Google Scholar 

  10. Lichenstein R, King JC, Bice D (1993) Evaluation of chloral hydrate for pediatric sedation. Clin Pediatr 32(10):632–633, Epub 1993/10/01

    Article  CAS  Google Scholar 

  11. American Academy of Pediatrics CoDaCoEH (1993) Use of chloral hydrate for sedation in children. Pediatrics 92:471

    Google Scholar 

  12. American Academy of Pediatrics CoD (2002) Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: addendum. Pediatrics 110:836

    Article  Google Scholar 

  13. American Academy of Pediatrics CoD (1992) Guidelines for the monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Pediatrics 89(6):1110–1115

    Google Scholar 

  14. Mould R (2007) Pierre Curie, 1859–1906. Curr Oncol 14(2):74–82

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. D’hooge PCJ (2009) Ultrasound physics. In: Lai W, Mertens L, Cohen M, Geva T (eds) Echocardiography in pediatric and congenital heart disease from fetus to adult. Blackwell, England, pp 3–14

    Google Scholar 

  16. O’Leary RYPW (2010) Principles of cardiovascular ultrasound. In: Eidem BW, Cetta F, O’Leary PW (eds) Echocardiography in pediatric and adult congenital heart disease. Lippincott Williams & Wilkins, Philadelphia, pp 1–9

    Google Scholar 

  17. Van Praagh R (1985) The importance of segmental situs in the diagnosis of congenital heart disease. Semin Roentgenol 20(3):254–271, Epub 1985/07/01

    Article  PubMed  Google Scholar 

  18. Van Praagh R, David I, Gordon D et al (1981) Ventricular diagnosis and designation. In: Godman MJ (ed) Paediatric cardiology 1980 world congress, London. Churchill Livingstone, Edinburgh, pp 153–168

    Google Scholar 

  19. van Praagh R, Plett JA, van Praagh S (1979) Single ventricle. Pathology, embryology, terminology and classification. Herz 4(2):113–150, Epub 1979/04/01

    PubMed  Google Scholar 

  20. Ed Gillis RS, O’Leary PW (2010) Practical issues related to the examination, anatomic image orientation, and segmental cardiovascular analysis. In: Eidem BW, Cetta F, O’Leary PW (eds) Echocardiography in pediatric and adult congenital heart disease. Lippincott, Williams & Wilkins, Philadelphia, pp 10–28

    Google Scholar 

  21. Lopez L, Colan SD, Frommelt PC, Ensing GJ, Kendall K, Younoszai AK et al (2010) Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 23(5):465–495; quiz 576–7, Epub 2010/05/11

    Article  Google Scholar 

  22. Batterham AM, George KP, Whyte G, Sharma S, McKenna W (1999) Scaling cardiac structural data by body dimensions: a review of theory, practice, and problems. Int J Sports Med 20(8):495–502, Epub 1999/12/22

    Article  CAS  PubMed  Google Scholar 

  23. George K, Sharma S, Batterham A, Whyte G, McKenna W (2001) Allometric analysis of the association between cardiac dimensions and body size variables in 464 junior athletes. Clin Sci 100(1):47–54, Epub 2000/12/15

    Article  CAS  PubMed  Google Scholar 

  24. Neilan TG, Pradhan AD, Weyman AE (2008) Derivation of a size-independent variable for scaling of cardiac dimensions in a normal adult population. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 21(7):779–785, Epub 2008/03/11

    Article  Google Scholar 

  25. Sengupta PP, Korinek J, Belohlavek M, Narula J, Vannan MA, Jahangir A et al (2006) Left ventricular structure and function: basic science for cardiac imaging. J Am Coll Cardiol 48(10):1988–2001

    Article  PubMed  Google Scholar 

  26. Mertens JGaBE LL (2009) Evaluation of systolic function. In: Lai W, Mertens L, Cohen M, Geva T (eds) Echocardiography in pediatric and congenital heart disease from fetus to adult. Blackwell, England, pp 76–94

    Chapter  Google Scholar 

  27. O’Leary BWEPW (2010) Quantitative methods in echocardiography – basic techniques. In: Eidem BW, Cetta F, O’Leary PW (eds) Echocardiography in pediatric and adult congenital heart disease. Lippincott, Williams & Wilkins, Philadelphia, pp 29–47

    Google Scholar 

  28. Frigiola A, Redington AN, Cullen S, Vogel M (2004) Pulmonary regurgitation is an important determinant of right ventricular contractile dysfunction in patients with surgically repaired tetralogy of Fallot. Circulation 110(11 Suppl 1):II153–II157, Epub 2004/09/15

    CAS  PubMed  Google Scholar 

  29. Pauliks LB, Pietra BA, DeGroff CG, Kirby KS, Knudson OA, Logan L et al (2005) Non-invasive detection of acute allograft rejection in children by tissue Doppler imaging: myocardial velocities and myocardial acceleration during isovolumic contraction. J Heart Lung Transplant Off Publ Int Soc Heart Transplant 24(7 Suppl):S239–S248, Epub 2005/07/05

    Article  Google Scholar 

  30. Cerqueira MDWN, Dilsizian V et al (2002) Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation 105:539–542

    Article  PubMed  Google Scholar 

  31. Weidemann F, Eyskens B, Jamal F, Mertens L, Kowalski M, D’Hooge J et al (2002) Quantification of regional left and right ventricular radial and longitudinal function in healthy children using ultrasound-based strain rate and strain imaging. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 15(1):20–28, Epub 2002/01/10

    Article  Google Scholar 

  32. Di Salvo G, Eyskens B, Claus P, D’Hooge J, Bijnens B, Suys B et al (2004) Late post-repair ventricular function in patients with origin of the left main coronary artery from the pulmonary trunk. Am J Cardiol 93(4):506–508, Epub 2004/02/19

    Article  PubMed  Google Scholar 

  33. Weidemann F, Eyskens B, Mertens L, Di Salvo G, Strotmann J, Buyse G et al (2003) Quantification of regional right and left ventricular function by ultrasonic strain rate and strain indexes in Friedreich’s ataxia. Am J Cardiol 91(5):622–626, Epub 2003/03/05

    Article  PubMed  Google Scholar 

  34. Frommelt PC (2009) Diastolic ventricular function assessment. In: Lai W, Mertens L, Cohen M, Geva T (eds) Echocardiography in pediatric and congenital heart disease from fetus to adult. Blackwell, England, pp 95–116

    Chapter  Google Scholar 

  35. Eidem BW, McMahon CJ, Cohen RR, Wu J, Finkelshteyn I, Kovalchin JP et al (2004) Impact of cardiac growth on Doppler tissue imaging velocities: a study in healthy children. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 17(3):212–221, Epub 2004/02/26

    Article  Google Scholar 

  36. Eidem BW, McMahon CJ, Ayres NA, Kovalchin JP, Denfield SW, Altman CA et al (2005) Impact of chronic left ventricular preload and afterload on Doppler tissue imaging velocities: a study in congenital heart disease. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 18(8):830–838, Epub 2005/08/09

    Article  Google Scholar 

  37. Gomez CA, Ludomirsky A, Ensing GJ, Rocchini AP (2005) Effect of acute changes in load on left ventricular diastolic function during device closure of atrial septal defects. Am J Cardiol 95(5):686–688, Epub 2005/02/22

    Article  PubMed  Google Scholar 

  38. Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quinones MA (1997) Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 30(6):1527–1533, Epub 1997/11/15

    Article  CAS  PubMed  Google Scholar 

  39. Popescu BA, Antonini-Canterin F, Temporelli PL, Giannuzzi P, Bosimini E, Gentile F et al (2005) Right ventricular functional recovery after acute myocardial infarction: relation with left ventricular function and interventricular septum motion. GISSI-3 echo substudy. Heart 91(4):484–488, Epub 2005/03/18

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Kaul S, Tei C, Hopkins JM, Shah PM (1984) Assessment of right ventricular function using two-dimensional echocardiography. Am Heart J 107(3):526–531, Epub 1984/03/01

    Article  CAS  PubMed  Google Scholar 

  41. Koestenberger M, Ravekes W, Everett AD, Stueger HP, Heinzl B, Gamillscheg A et al (2009) Right ventricular function in infants, children and adolescents: reference values of the tricuspid annular plane systolic excursion (TAPSE) in 640 healthy patients and calculation of z score values. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 22(6):715–719, Epub 2009/05/09

    Article  Google Scholar 

  42. Kisanuki A, Tei C, Otsuji Y, Natsugoe K, Kawazoe Y, Arima S et al (1987) Doppler echocardiographic documentation of diastolic pulmonary artery forward flow. Am J Cardiol 59(6):711–713, Epub 1987/03/01

    Article  CAS  PubMed  Google Scholar 

  43. Redington AN, Penny D, Rigby ML, Hayes A (1992) Antegrade diastolic pulmonary arterial flow as a marker of right ventricular restriction after complete repair of pulmonary atresia with intact septum and critical pulmonary valvar stenosis. Cardiol Young 2:382–386

    Google Scholar 

  44. Cecile Tissot CP, Younoszai AK (2009) Restrictive cardiomyopathy and pericardial disease. In: Lai W, Mertens L, Cohen M, Geva T (eds) Echocardiography in pediatric and congenital heart disease from fetus to adult. Blackwell, England, pp 597–618

    Chapter  Google Scholar 

  45. Stevenson JG (2009) Transesophageal echocardiography. In: Lai W, Mertens L, Cohen M, Geva T (eds) Echocardiography in pediatric and congenital heart disease from fetus to adult. Blackwell, England, pp 671–686

    Google Scholar 

  46. Salgo GSSI (2010) Three-dimensional echocardiography in congenital heart disease. In: Eidem BW, Cetta F, O’Leary PW (eds) Echocardiography in pediatric and adult congenital heart disease. Lippincott, Williams & Wilkins, Philadelphia, pp 388–395

    Google Scholar 

  47. Hlavacek AM, Crawford FA Jr, Chessa KS, Shirali GS (2006) Real-time three-dimensional echocardiography is useful in the evaluation of patients with atrioventricular septal defects. Echocardiography 23(3):225–231, Epub 2006/03/10

    Article  PubMed  Google Scholar 

  48. Tantengco MV, Bates JR, Ryan T, Caldwell R, Darragh R, Ensing GJ (1997) Dynamic three-dimensional echocardiographic reconstruction of congenital cardiac septation defects. Pediatr Cardiol 18(3):184–190, Epub 1997/05/01

    Article  CAS  PubMed  Google Scholar 

  49. Friedman D, Buyon J, Kim M, Glickstein JS (2003) Fetal cardiac function assessed by Doppler myocardial performance index (Tei Index). Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol 21(1):33–36, Epub 2003/01/16

    Article  CAS  Google Scholar 

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Chambers, S., Lopez, L. (2014). Echocardiographic Assessment of Cardiac Disease. In: Da Cruz, E., Ivy, D., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4619-3_222

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  • DOI: https://doi.org/10.1007/978-1-4471-4619-3_222

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