Echocardiographic monitoring of myocardial function in a female patient with right heart Loeffler endocarditis at thrombotic stage after Epstein-Barr-virus infection
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| Titel: | Echocardiographic monitoring of myocardial function in a female patient with right heart Loeffler endocarditis at thrombotic stage after Epstein-Barr-virus infection |
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| Autoren: | Joscha Kandels, J Pawluczuk, Stephan Stöbe, Andreas Hagendorff |
| Quelle: | Int J Cardiovasc Imaging |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Case in Point, Epstein-Barr Virus Infections, Endocarditis, Prednisolone, Ventricular Dysfunction, Right, Echocardiography, Three-Dimensional, Thrombosis, Stroke Volume, Ventricular Function, Left, 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, Predictive Value of Tests, Hypereosinophilic Syndrome, Ventricular Dysfunction, Right/physiopathology [MeSH], Ventricular Function, Left [MeSH], 3D echocardiography, Epstein-Barr Virus Infections/complications [MeSH], Aged [MeSH], Hypereosinophilic Syndrome/diagnostic imaging [MeSH], Deformation imaging, Endocarditis/physiopathology [MeSH], Thrombosis/diagnostic imaging [MeSH], Ventricular Dysfunction, Right/diagnostic imaging [MeSH], Ventricular Dysfunction, Right/drug therapy [MeSH], Endocarditis/diagnostic imaging [MeSH], Thrombotic loeffler endocarditis, Ventricular Dysfunction, Right/etiology [MeSH], Epstein-Barr Virus Infections/diagnostic imaging [MeSH], Stroke Volume [MeSH], Female [MeSH], Speckle tracking, Humans [MeSH], Treatment Outcome [MeSH], Predictive Value of Tests [MeSH], Ventricular Function, Right [MeSH], Hypereosinophilic Syndrome/drug therapy [MeSH], Thrombosis/physiopathology [MeSH], Glucocorticoids/therapeutic use [MeSH], Prednisolone/therapeutic use [MeSH], Endocarditis/drug therapy [MeSH], Echocardiography, Three-Dimensional [MeSH], Hypereosinophilic Syndrome/physiopathology [MeSH], Thrombosis/drug therapy [MeSH], Endocarditis/complications [MeSH], Disease monitoring, Hypereosinophilic Syndrome/complications [MeSH], Ventricular Function, Right, Humans, Female, Glucocorticoids, Aged |
| Beschreibung: | Background Transthoracic echocardiography is usually the first non-invasive imaging modality for the detection of Loeffler endocarditis at thrombotic stage. In the recent decade 3D echocardiography and deformation imaging already proved as a helpful tool for the monitoring of left and right ventricular heart disease. Case presentation The present case illustrates the diagnostic role of 3D echocardiography and deformation imaging in the acute stage of right sided Loeffler endocarditis in a 70-year-old Western European (German) woman. This case proves that myocardial involvement due to inflammation can be detected at subclinical stages by speckle tracking echocardiography. Acute deterioration of left and right ventricular function and the early response to prednisolone therapy can objectively be monitored. In addition, alterations of effective stroke volume can quantitatively be assessed by 3D right ventricular volumetry with exclusion of thrombus formation in the volume measurements. Conclusion This case underlines the importance of 3D echocardiography and deformation imaging as a helpful diagnostic tool in disease management in the acute phase of Loeffler endocarditis at thrombotic stage. |
| Publikationsart: | Article Other literature type |
| Sprache: | English |
| ISSN: | 1875-8312 |
| DOI: | 10.1007/s10554-024-03147-2 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/38780708 https://repository.publisso.de/resource/frl:6497091 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....822b12ebc5ec32fa15bb0765a98eb8bf |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Background Transthoracic echocardiography is usually the first non-invasive imaging modality for the detection of Loeffler endocarditis at thrombotic stage. In the recent decade 3D echocardiography and deformation imaging already proved as a helpful tool for the monitoring of left and right ventricular heart disease. Case presentation The present case illustrates the diagnostic role of 3D echocardiography and deformation imaging in the acute stage of right sided Loeffler endocarditis in a 70-year-old Western European (German) woman. This case proves that myocardial involvement due to inflammation can be detected at subclinical stages by speckle tracking echocardiography. Acute deterioration of left and right ventricular function and the early response to prednisolone therapy can objectively be monitored. In addition, alterations of effective stroke volume can quantitatively be assessed by 3D right ventricular volumetry with exclusion of thrombus formation in the volume measurements. Conclusion This case underlines the importance of 3D echocardiography and deformation imaging as a helpful diagnostic tool in disease management in the acute phase of Loeffler endocarditis at thrombotic stage. |
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| ISSN: | 18758312 |
| DOI: | 10.1007/s10554-024-03147-2 |