Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
To determine if electrocardiogram (EKG) findings may be a useful tool to predict changes in repeat transthoracic echocardiogram (TTE). We evaluated patients who underwent TTE during hospitalization and their EKGs, and whether findings differed between studies. Of 229 hospitalized patients who underwent repeat TTE, 183 (80%) were abnormal. Each minor and major EKG abnormality resulted in a 1.8 (1.2 to 2.6; p = 0.002) and 2.1 (1.3 to 3.3; p < 0.001) increased odds of abnormal imaging on TTE, respectively. The negative likelihood ratio for an unchanged EKG to predict an unchanged TTE was 0.68 (95% CI = 0.62 to 0.73). Among hospitalized patients with prior imaging results, an unchanged EKG predicts an unchanged TTE.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599417 | PMC |
| http://dx.doi.org/10.2217/fca-2023-0045 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Impact of routine repeat echocardiograms in patients hospitalized with acute decompensated heart failure without clear secondary cause.
Int J Cardiovasc Imaging
September 2025
Heart & Vascular Institute, Henry Ford Hospital Detroit, Henry Ford West Bloomfield Hospital 5, West Bloomfield, MI, USA.
Transthoracic echocardiography (TTE) at the time of acute decompensated heart failure (ADHF) may reveal significant structural and hemodynamic abnormalities that can guide clinical management. However, the impact of routine repeat TTE in uncomplicated ADHF re-admissions is yet to be established. We studied patients with repeat TTE at the time of rehospitalization for ADHF to determine downstream clinical impact.
View Article and Find Full Text PDFA reconsidered diagnosis in an unresolving myocarditis-a case report.
Eur Heart J Case Rep
September 2025
Tallaght University Hospital, Tallaght, Dublin D24 NR0A, Ireland.
Background: Myocarditis typically presents with chest pain, a raised troponin and is associated with late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (CMR). However, non-resolution of symptoms despite treatment should raise cause for concern that an alternative diagnosis may be present.
Case Summary: A 17-year-old gentleman with a background history of developmental delay, gastrointestinal motility issues, retractile testes, and patellar dislocation presented to our emergency department with chest pain.
Mortality and recurrence in acute ischemic stroke of all etiologies according to ultrasonographic assessment of carotid and aortic arch plaques: a prospective study.
Intern Emerg Med
August 2025
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE), Università degli Studi di Palermo, Piazza delle Cliniche 2, Via del Vespro 129, 90127, Palermo, Italy.
Carotid duplex ultrasound helps to determine the degree of stenosis or occlusion and characterizes plaque composition and vulnerability, which is crucial for stroke risk stratification. Recurrent ischemic stroke poses a significant risk to individuals, with about one-third of stroke survivors experiencing a repeat event within 5 years. Large-artery atherosclerosis, such as carotid, aortic, and femoral arteries, further increases the risk of recurrent strokes and influences prognosis.
View Article and Find Full Text PDFThe effect of propofol on the grading of diastolic function: a prospective observational study.
BMC Anesthesiol
July 2025
Professor Emeritus of Clinical Anesthesiology, Department of Anesthesiology & Pain Medicine, University of California, Davis, 4150 V Street Suite 1200 PSSB, Sacramento, CA, 95817, USA.
Background: Left ventricular diastolic dysfunction accounts for approximately half the cases of heart failure in the community. Its strong association with both peri-operative and post-operative adverse outcomes in both non-cardiac and cardiac surgical patients highlights the importance of accurately measuring diastolic function peri-operatively. Previous studies examining general anesthesia and diastolic function have shown varying impacts of propofol, ranging from improvement to no effect or worsening of diastolic function.
View Article and Find Full Text PDFA Case Report: The Utility of Multimodality Imaging in the Diagnosis of Cardiac Sarcoidosis-Has It Surpassed the Need for a Biopsy?
Reports (MDPI)
March 2025
Department of Cardiology, Icahn School of Medicine at Mount Sinai Morningside, New York, NY 10025, USA.
Cardiac sarcoidosis (CS) is a rare but life-threatening disorder, occurring in 2-5% of sarcoidosis cases, though post-mortem studies suggest a higher prevalence. It presents diagnostic challenges due to nonspecific symptoms and the low sensitivity of an endomyocardial biopsy. Recent guidelines emphasize multimodal imaging, such as cardiac magnetic resonance imaging (MRI) and positron emission tomography (PET).
View Article and Find Full Text PDF