Head-to-head comparison of real-time three-dimensional transthoracic echocardiography with transthoracic and transesophageal two-dimensional contrast echocardiography for the detection of patent foramen ovale

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
Ines MonteLuigi P Badano

Abstract

To assess the incremental value of real-time three-dimensional echocardiography (RT-3DTE) over contrast transthoracic echocardiography (TTE), compared with contrast transesophageal echocardiography (TEE) in the identification of patent foramen ovale (PFO). Eighty-one consecutive patients with history of migraine headache (MH) or unexplained cerebrovascular events (CE) were examined using RT-3DTE, contrast TTE, and contrast TEE in sequence. Feasibility of RT-3DE in patients with MH and CE was 98 and 91%, respectively. Mean time for 3D colour data set acquisition was 9 +/- 5 min. PFO was diagnosed using contrast TEE in 36 patients (overall prevalence = 44%). Diagnostic accuracy of RT-3DE was significantly higher than that of contrast TTE: sensitivity 83 vs. 44%, P < 0.001; specificity 100 vs. 100%, P7 = NS; positive predictive value 100 vs. 100%, P = NS; negative predictive value 88 vs. 69%, P < 0.01; accuracy 93 vs. 75%, P < 0.003. Five of the six patients in whom RT-3DTE did not identify PFOs showed a defect diameter smaller than 2 mm. RT-3DTE is a feasible, accurate, and reproducible technique to detect PFO without the need of saline contrast injection. Its accuracy is superior to contrast 2D TTE and close to that of contrast ...Continue Reading

References

Dec 2, 1989·Lancet·P T WilmshurstM M Webb-Peploe
Mar 1, 1995·Annals of Internal Medicine·T N Srivastava, E K Undesser
Oct 24, 2000·The American Journal of Medicine·H W SchuchlenzF Quehenberger
May 12, 2001·Chest·B W HolcombI M Robbins
Feb 12, 2002·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Miguel A QuiñonesUNKNOWN Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography
Jan 8, 2003·Circulation·Bernhard Meier, James E Lock
Feb 26, 2004·Cephalalgia : an International Journal of Headache·UNKNOWN Headache Classification Subcommittee of the International Headache Society
Feb 15, 2005·Journal of the American College of Cardiology·Babak AzarbalRichard Gaster
Mar 18, 2005·Heart·F J Pinto
Aug 17, 2005·Circulation·Shunichi Homma, Ralph L Sacco
Feb 4, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Mohamed A SeliemThomas L Spray
Sep 5, 2007·Echocardiography·Françoise ChristinBertrand Delafosse

❮ Previous
Next ❯

Citations

Dec 22, 2011·Future Cardiology·Roberta EspositoMaurizio Galderisi
Jan 13, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Blerim LuaniJochen Wöhrle
Jan 24, 2015·AJR. American Journal of Roentgenology·Ricardo J PagánBrian P Shapiro
May 22, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Tomás F CianciulliHoracio A Prezioso
Nov 17, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Paul DavisonRichard P Steeds
May 15, 2015·Pacing and Clinical Electrophysiology : PACE·Giacomo MugnaiGian-Battista Chierchia
Oct 15, 2013·Journal of Cardiovascular Electrophysiology·Juan SieiraPedro Brugada
Sep 29, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Paul E CotterMark Belham
Jan 1, 2012·JRSM Cardiovascular Disease·G S Kanaganayagam, I S Malik
Apr 18, 2012·Journal of cardiovascular ultrasound·Luigi P BadanoSabino Iliceto
Aug 25, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Christian PristipinoUNKNOWN European Haematological Society (EHA)

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.