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Advanced Transthoracic Echocardiography

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Ultrasound in the Critically Ill

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Abstract

Differentiation between focused cardiac ultrasound, targeted echocardiography and comprehensive echocardiography is important. All echocardiography and focused cardiac ultrasound in the critically ill must be interpreted in the pathophysiological context of the patient. Advanced echocardiography as applied to critical care is challenging, and should only be undertaken by appropriately trained practitioners. More research is needed to determine the applicability of out-patient echocardiography values and techniques to the critical care arena

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References

  1. Kristian Thygesen, Joseph S. Alpert, Allan S. Jaffe, Maarten L. Simoons, Bernard R. Chaitman, Harvey D. White and the Writing Group on behalf of the Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction. ESC/ACCF/AHA/WHF expert consensus document: Third Universal Definition of Myocardial Infarction. Circulation. 2012;126:2020–2035.

    Google Scholar 

  2. https://www.resus.org.uk/resuscitation-guidelines/adult-advanced-life-support/.

  3. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, Falk V, González-Juanatey JR, Harjola VP, Jankowska EA, Jessup M, Linde C, Nihoyannopoulos P, Parissis JT, Pieske B, Riley JP, Rosano GM, Ruilope LM, Ruschitzka F, Rutten FH, van der Meer P; Authors/Task Force Members; Document Reviewers. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016 Aug;18(8):891–975. https://doi.org/10.1002/ejhf.592. Epub 2016 May 20. 2016.

  4. Lancellotti P, Price S, Edvardsen T, Cosyns B, Neskovic AN, Dulgheru R, Flachskampf FA, Hassager C, Pasquet A, Gargani L, Galderisi M, Cardim N, Haugaa KH, Ancion A, Zamorano JL, Donal E, Bueno H, Habib G. The use of echocardiography in acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. Eur Heart J Acute Cardiovasc Care. 2014 Nov 6. pii: 2048872614549739.

    Google Scholar 

  5. http://www.echoboards.org.

  6. http://www.bsecho.org/accreditation/types-of-accreditation/.

  7. http://www.escardio.org/Sub-specialty-communities/European-Association-of-Cardiovascular-Imaging-(EACVI)/Certification-Accreditation.

  8. http://www.esicm.org/education/edec.

  9. Duncan AM, Francis DP, Henein MY, Gibson DG. Importance of left ventricular activation in determining myocardial performance (Tei) index: comparison with total isovolumic time. Int J Cardiol. 2004;95(2–3):211–7.

    Article  Google Scholar 

  10. Vignon P, AitHssain A, François B, Preux PM, Pichon N, Clavel M, Frat JP, Gastinne H. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: a transoesophageal study. Crit Care. 2008;12(1):R18.

    Article  Google Scholar 

  11. Duncan A, Francis D, Gibson D, Pepper J, Henein M. Electromechanical left ventricular resynchronisation by coronary artery bypass surgery. Eur J Cardiothorac Surg. 2004;26(4):711–9.

    Article  Google Scholar 

  12. Tavazzi G, Kontogeorgis A, Bergsland NP, Price S. Resolution of cardiogenic shock using echocardiography-guided pacing optimization in intensive care: a case series. Crit Care Med. 2016;44(8):e755–61.

    Article  Google Scholar 

  13. Mantziari L, Guha K, Senguttuvan NB, Sharma R. Cardiac resynchronization therapy for critically ill patients with left ventricular systolic dysfunction. Int J Cardiol. 2013;163(2):141–5. https://doi.org/10.1016/j.ijcard.2011.05.034.

    Article  PubMed  Google Scholar 

  14. Vignon P, AitHss ain A, François B, Preux PM, Pichon N, Clavel M, Frat JP, Gastinne H. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: a transoesophageal study. Crit Care. 2008;12(1):R18.

    Google Scholar 

  15. Luna Gargani. PMCID: PMC305929. Lung ultrasound: a new tool for the cardiologist. Cardiovasc Ultrasound. 2011;9:6. Published online 2011 Feb 27. https://doi.org/10.1186/1476-7120-9-6.

  16. Haddad François, Hunt Sharon A, Rosenthal David N, Murphy Daniel J. Right Ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation. 2008;117:1436–48.

    Article  Google Scholar 

  17. Haddad F, Doyle R, Murphy DJ, Hunt SA. Right ventricular function in cardiovascular disease, part II: pathophysiology, clinical importance, and management of right ventricular failure. Circulation. 2008;117(13):1717–31. https://doi.org/10.1161/CIRCULATIONAHA.107.653584.

    Article  PubMed  Google Scholar 

  18. Sebastian Schattke, Moritz Wagner, Robert Hättasch. Single beat 3D echocardiography for the assessment of right ventricular dimension and function after endurance exercise: Intraindividual comparison with magnetic resonance imaging. Cardiovasc Ultrasound. 2012;10:6. Published online 2012 February 22. https://doi.org/10.1186/1476-7120-10-6.

  19. Cullen S, Shore D, Redington AN. Characterization of right ventricular diastolic performance after complete repair of tetralogy of Fallot: restrictive physiology predicts slow postoperative recovery. Circulation. 1995;91:1782–9.

    Article  CAS  Google Scholar 

  20. Kapetanakis S, Kearney MT, Siva A, Gall N, Cooklin M, Monaghan MJ. Real-time three-dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony. Circulation. 2005;112:992–1000.

    Article  CAS  Google Scholar 

  21. Marwick TH. Measurement of strain and strain rate by echocardiography: ready for prime time? J Am Coll Cardiol. 2006;47(7):1313–27 Epub 2006 Mar 20.

    Article  Google Scholar 

  22. Marciniak A, Sutherland GR, Marciniak M, Kourliouros A, Bijnens B, Jahangiri M. Prediction of postoperative left ventricular systolic function in patients with chronic mitral regurgitation undergoing valve surgery—the role of deformation imaging. Eur J Cardiothorac Surg. 2011 Nov;40(5):1131–7. https://doi.org/10.1016/j.ejcts.2011.02.049. Epub 2011 Apr 1.

  23. De Geer Lina, Engvall Jan, Oscarsson Anna. Strain echocardiography in septic shock—a comparison with systolic and diastolic function parameters, cardiac biomarkers and outcome. Crit Care. 2015;26(19):122. https://doi.org/10.1186/s13054-015-0857-1.

    Article  Google Scholar 

  24. Basu S, Frank LH, Fenton KE, Sable CA, Levy RJ, Berger JT. Two-dimensional speckle tracking imaging detects impaired myocardial performance in children with septic shock, not recognized by conventional echocardiography. Pediatr Crit Care Med. 2012;13(3):259–64. https://doi.org/10.1097/PCC.0b013e3182288445.

    Article  PubMed  Google Scholar 

  25. Sanfilippo Filippo, Santonocito Cristina, Panarello Giovanna, Arcadipane Antonio. The role of speckle tracking echocardiography for prognostication in patients with severe sepsis or septic shock. Crit Care. 2016;20(1):284.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Cardiologist & Intensivist, Royal Brompton Hospital, Sydney Street, London, SW36NP, UK

    Susanna Price

  2. National Heart & Lung Institute, Imperial College, London, UK

    Susanna Price

Authors
  1. Susanna Price
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Correspondence to Susanna Price .

Editor information

Editors and Affiliations

  1. Intensive Care Unit, Royal Berkshire Hospital, Reading, Berkshire, UK

    Andrew Walden

  2. Department of Critical Care Medicine, Wrexham Maelor Hospital, Wrexham, UK

    Andrew Campbell

  3. Department of Anaesthetics, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK

    Ashley Miller

  4. Adult Critical Care, University Hospital of Wales, Cardiff, UK

    Matthew Wise

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Price, S. (2022). Advanced Transthoracic Echocardiography. In: Walden, A., Campbell, A., Miller, A., Wise, M. (eds) Ultrasound in the Critically Ill. Springer, Cham. https://doi.org/10.1007/978-3-030-71742-1_8

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  • DOI: https://doi.org/10.1007/978-3-030-71742-1_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71740-7

  • Online ISBN: 978-3-030-71742-1

  • eBook Packages: MedicineMedicine (R0)

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