| Incidence and characteristics of left ventricular false tendons and trabeculations in the normal and pathologic heart by second harmonic echocardiography. | |
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MedLine Citation:
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PMID: 15044872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We sought to review echocardiographic incidence of anomalous images (AI) as false tendons and trabeculations of the left ventricle (LV) in light of recent advancements in echocardiographic evaluation of heart anatomy. In 1580 patients the presence of false tendons, trabeculations, or thrombi was evaluated with transthoracic echocardiography and correlated to clinical characteristics and echocardiographic parameters. Incidence of AI was 46.7% (75% false tendons, 23% trabeculations, 2% thrombi), slightly higher in pathologic (48.9%) than in normal hearts (40.8%). AI were more frequent in male patients (52%) than in female patients (39.7%) and associated with LV dilatation, hypertrophy, and systolic dysfunction. False tendons and trabeculations were not related to age. Male sex was the most significant independent predictor of AI. In 2 patients, isolated LV noncompaction of myocardium was diagnosed and confirmed by magnetic resonance imaging. This study shows a high prevalence of AI for patients with and without pathologic hearts suggesting the need of updating LV echocardiographic anatomy. It also emphasizes the necessity for an awareness of these anatomic variants when evaluating patients for mural thrombi and cardiomyopathies. |
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Authors:
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Gloria Tamborini; Mauro Pepi; Fabrizio Celeste; Manuela Muratori; Francesca Susini; Anna Maltagliati; Fabrizio Veglia |
Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography Volume: 17 ISSN: 0894-7317 ISO Abbreviation: J Am Soc Echocardiogr Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-03-26 Completed Date: 2004-11-08 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8801388 Medline TA: J Am Soc Echocardiogr Country: United States |
Other Details:
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Languages: eng Pagination: 367-74 Citation Subset: IM |
Affiliation:
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Centro Cardiologico Monzino, I.R.C.C.S, Institute of Cardiology, University of Milan, Italy. gtamborini@cardiologicomonzino.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cardiomyopathy, Dilated / epidemiology, pathology, ultrasonography Child Echocardiography* Echocardiography, Doppler, Color Female Heart Septum / pathology, ultrasonography Heart Ventricles / pathology, ultrasonography Humans Hypertrophy, Left Ventricular / epidemiology, pathology, ultrasonography Incidence Male Middle Aged Multivariate Analysis Myocardium / pathology Observer Variation Predictive Value of Tests Statistics as Topic Stroke Volume / physiology Thrombosis / epidemiology, pathology, ultrasonography |
| Comments/Corrections | |
Comment In:
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J Am Soc Echocardiogr. 2004 Oct;17(10):1120-1; aothor reply 1121
[PMID:
15452479
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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