ISSN: 0300-8932 Factor de impacto 2023 7,2
Vol. 5. Núm. A.
Páginas 45A-54A (Junio 2005)

Temas de actualidad en cardiología 2004
Ecocardiografía. Impacto de las nuevas tecnologías

Echocardiography. Impact of New Technologies

Eva Laraudogoitia Zaldumbide¿

Opciones

Los recientes avances en el campo de la tecnología digital han dado lugar a un enorme progreso en las diferentes modalidades de imagen cardíaca. Estos grandes avances han hecho que el clínico confíe y se apoye cada vez más en las técnicas de imagen para el diagnóstico de las enfermedades cardíacas. La ecocardiografía se ha convertido en la modalidad de imagen cardíaca más utilizada en todo el mundo. Los equipos de ultrasonidos de alta gama que tenemos en la actualidad tienen integradas numerosas funciones que los hacen verdaderamente complejos. Un importante reto de los cardiólogos es conseguir llegar a entender las características de las nuevas modalidades de imagen y conocer su impacto clínico. Debido a la sofisticación de los sistemas, el incremento en el número de las indicaciones y las complejas cuestiones clínicas que se plantean, serán necesarios programas de entrenamiento específico y probablemente obtener acreditaciones en los diferentes desarrollos tecnológicos.

En este artículo revisamos el impacto que ha tenido el desarrollo de algunas de estas técnicas, como la imagen armónica, la ecocardiografía de contraste miocárdico para estudios de perfusión, la ecocardiografía intracardíaca y la ecografía tridimensional.

Palabras clave

Imagen armónica
Contraste miocárdico
Ecocardiografía intracardíaca
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Bibliografía
[1.]
D. Liang, I. Schitteger.
Accuracy of hand-carried ultrasound.
Echocardiography, (2003), 20 pp. 487-490
[2.]
J.M. De Cara, R.M. Lang, K.T. Spencer.
The hand-carried echocardiographic device as aid to the physical examination.
Echocardiography, (2003), 5 pp. 477-485
[3.]
E. Laraudogoitia.
Ecocardiografía. Novedades diagnósticas.
Rev Esp Cardiol, (2004), 4 pp. 36-44
[4.]
C. Chauvel, E. Bogino, M. Simon, P. Dehant.
Impact des progrès en imaginerie transthoracique sur les indications de l’echocardiographie par voie transoesophagienne.
Arch Mal Coeur, (2003), 96 pp. 859-863
[5.]
M. Pozzoli, A. Selva, D. Skouse, R. Traversi, G. Mancini, A. Bana, et al.
Visualization of left atrial appendage and assessment of its function by transthoracic second harmonic imaging and contrast-enhanced pulsed Doppler.
Eur J Echocardiography, (2002), 3 pp. 13-23
[6.]
S. Carerj, M.P. Trifiro, A. Granata, F. Luzza, F. Arrigo, G. Oreto.
Comparison between transesophageal echocardiography and transthoracic echocardiography with harmonic tissue imaging for left atrial appendage assessment.
Clin Cardiol, (2002), 25 pp. 268-270
[7.]
J.W. Ha, N. Chung, S.M. Kang, K.J. Jang, S.J. Rim, Y. Jang, et al.
Enhanced detection of left atrial spontaneous contrast by transthoracic harmonic imaging in mitral stenosis.
J Am Soc Echocardiogr, (2000), 13 pp. 849-854
[8.]
J.W. Ha, M.S. Shin, S. Kang, W.B. Pyun, K.J. Jang, K.H. Byun, et al.
Enhanced detection of right-to-left shunt through patent foramen oval by transthoracic contrast echocardiography using harmonic imaging.
Am J Cardiol, (2001), 87 pp. 669-671
[9.]
H.P. Kühl, R. Hoffmann, M.W. Merx, A. Franke, C. Klötzsh, W. Lepper, et al.
Transthoracic echocardiography using second harmonic imaging. Diagnostic alternative to transesophageal echocardiography for the detection of atrial right to left shunt in patients with cerebral embolic events.
J Am Coll Cardiol, (1999), 34 pp. 1823-1830
[10.]
N.R.A. Clarke, J. Timperley, A.D. Kelion, A.P. Banning.
Transthoracic echocardiography using second harmonic imaging with Valsalva manoeuvre for the detection of rigth to left shunts.
Eur J Echocardiography, (2004), 5 pp. 176-181
[11.]
D. Mesa, M. Franco, J. Suárez de Lezo, J. Muñoz, C. Rus, M. Delgado, et al.
Prevalencia de foramen oval permeable en pacientes jóvenes con accidente isquémico cerebral de causa desconocida.
Rev Esp Cardiol, (2003), 56 pp. 662-668
[12.]
E. Schwammental, Y. Schwammental, D. Tanne, A. Tenenbaum, A. Garniek, M. Motro, et al.
Transcutaneous detection of aortic arch atheromas by suprasternal harmonic imaging.
J Am Coll Cardiol, (2002), 39 pp. 1127-1132
[13.]
C. Teupe, M. Takeuchi, S.P. Ram, N.G. Pandian.
Three-dimendional echocardiography: in vitro validation of a new, voxel-based method for rapid quantification of left ventricular volume in normal and aneurysmal left ventricles.
Int J Cardiov Imaging, (2001), 17 pp. 99-105
[14.]
L. Suseng, L. Weirnet, R.M. Lang.
Left ventricular assessment using real time three-dimensional echocardiography.
Heart, (2003), 89 pp. 29-36
[15.]
K. Altmann, Z. Shen, L.M. Boxt, D.L. King, W.M. Gersony, L.D. Allan, et al.
Comparison of three-dimensional echocardiographic assessment of volume, mass and function in children with functionally single left ventricles wiyh two-dimensional echocardiography and magnetic resonance imaging.
Am J Cardiol, (1997), 8 pp. 1060-1065
[16.]
C. Teupe, M. Takeuchi, J. Yao, N. Pandian.
Determination of left ventricular mass by three-dmensional echocardiography: in vitro validation of a novel quantification method using multiple equiangular rotational planes for rapid measurements.
Int J Cardiov Imaging, (2002), 18 pp. 161-167
[17.]
H.P. Kühl, P. Hanrath, A. Franke.
M-mode echocardiography overestimates left ventricular mass in patients with normal left ventricular shape: A comparative study using three-dimensional echocardiography.
Eur J Echocardiography, (2003), 4 pp. 313-319
[18.]
H.F. Mannaerts, J.A. Van der Heide, O. Kamp, T. Papavassiliu, J.T. Marcus, A. Beek, et al.
Quantification of left ventricular volumes and ejection fraction using freehand transthoracic three-dimensional echocardiography: comparison with magnetic resonance imaging.
J Am Soc Echocardiography, (2003), 16 pp. 101-109
[19.]
T. Shiota, P.M. McCarthy, R.D. White, J.X. Qin, N.L. Greenberg, S.D. Flamm, et al.
Initial clinical experience of real-time three-dimensional echocardiography in patients with ischemic and idiopathic dilated cardiomyopathy.
Am J Cardiol, (1999), 84 pp. 1068-1073
[20.]
L. Suseng, L. Weinert, G. Lammertin, P. Thomas, K.T. Spencer, J.M. Decara, et al.
Accuracy of mitral valve area measurements using transthoracic rapid freehand 3-dimensional scaning: comparison with noninvasive and invasive methods.
J Am Soc Echocardiogr, (2003), 16 pp. 1292-1300
[21.]
J. Zamorano, P. Coreiro, L. Sugeng, L. Pérez de Isla, L. Weinert, C. Macaya, et al.
Real-Time three-dimensional echocardiography for rheumatic mitral valve stenosis evaluation. An accurate and novel approach.
J Am Coll Cardiol, (2004), 43 pp. 2091-2096
[22.]
V. Sing, N.C. Nanda, G. Agrawal, S. Vengala, H.S. Dod, V. Misra, et al.
Live three-dimensional echocardiographic assessmnet of mitral stenosis.
Echocardiography, (2003), 20 pp. 743-750
[23.]
A. Macnab, N.P. Jenkins, B.J.M. Bridgewater, T.L. Hooper, D.L. Greenhalgh, M.R. Patrick, et al.
Three-dimensional echocardiography is superior to multiplane transesophageal echo in the assessment of regurgitant mitral valve morphology.
Eur J Echocardiography, (2004), 5 pp. 212-222
[24.]
P. Mahia, L. Suseng, R.M. Lang.
Valvuloplastia mitral percutánea guiada por ecocardiografía tridimensional.
Rev Esp Cardiol, (2003), 56 pp. 1016
[25.]
S. Vengala, N.C. Nanda, G. Agrawal, V. Singh, H.S. Dod, D. Khanna, et al.
Live three-dimensional echocardiographic assessment of coronary arteries.
Echocardiography, (2003), 20 pp. 751-754
[26.]
T. Htay, N.C. Nanda, G. Agrawal, B.S. Ravi, H.S. Dod, D. McGiffin.
Live three-dimensional transthoracic echocardiographic assessment of aortic disection.
Echocardiography, (2003), 20 pp. 573-577
[27.]
G. Agrawal, N.C. Nanda, T. Htay, H.S. Dod, S.R. Gandhari.
Live three-dimensional echocardiographic identification of discrete subaortic membranous stenosis.
Echocardiography, (2003), 20 pp. 617-619
[28.]
J. Lokhandwala, Z. Liu, M. Jundi, A. Loyd, M. Strong, M. Vannan.
Three-dimesional echocardiography of intracardiac masses.
Echocardiography, (2004), 21 pp. 159-163
[29.]
D. Maulik, N.C. Nanda, V. Singh, H. Dod, S. Vengala, A. Sinha, et al.
Live-three-dimensional echocardiography of the human fetus.
Echocardiography, (2003), 20 pp. 715-721
[30.]
O.A. Breithardt, C. Stellbrink, A.P. Kramer, A.M. Sinha, A. Franke, R. Salo, et al.
Echocardiographic quantification of left ventricular asynchrony predicts an acute hemodinamic benefit of cardiac resynchronization therapy.
J Am Coll Cardiol, (2002), 40 pp. 536-545
[31.]
H. Bader, S. Garrigue, S. Lafitte, S. Reuter, P. Jaïs, M. Haïssaguerre, et al.
Intra-left ventricular electromechanical asynchrony. A new independent predictor of severe cardiac events in heart failure patients.
J Am Coll Cardiol, (2004), 43 pp. 248-256
[32.]
X.A. Verbeek, K. Vernooy, M. Peschar, T. Van Der Nagel, A. Van Hunnik, F.W. Prinzen.
Quantification of interventricular asynchrony during LBBB and ventricular pacing.
Am J Physiol Heart Circ Physiol, (2002), 283 pp. 370-378
[33.]
S. Ghio, C. Constantin, C. Klersy, A. Serio, A. Fontana, C. Campana, et al.
Interventricular and intraventricular dyssynchrony are common in heart failure patients, regardless of QRS duration.
Eur Heart J, (2004), 25 pp. 571-578
[34.]
T. Muro, T. Hozumi, H. Watanabe, H. Yamagishi, M. Yoshiyama, K. Takeuchi, et al.
Assessment of myocardial perfusion abnormalities by intravenous myocardial contrast echocardiography with harmonic power Doppler imaging: comparison with positron emission tomography.
Heart, (2003), 89 pp. 145-149
[35.]
H. Leong-Poi, S.J. Rim, D.E. Le, N.G. Fisher, K. Wei, S. Kaul.
Perfusion versus function: the ischemic cascade in demand ischemia: implications of single-vessel versus multivessel stenosis.
Circulation, (2002), 105 pp. 987-992
[36.]
G. Korosoglou, K.G. Da Silva, N. Labadce, A.E. Dubart, A. Hansen, M. Rosemberg, et al.
Real-time contrast echocardiography for pharmacologic stress testing: Is quantitative estimation of myocardial blood flow reserve necessary?.
J Am Soc Echocardiogr, (2004), 17 pp. 1-9
[37.]
S. Kaul, R. Senior, H. Dittrich, U. Raval, R. Khattar, A. Lahiri.
Detection of coronary artery disease with myocardial contrast echocardiography: comparison with 99mTc-sestamibi single-photon emission computed tomography.
Circulation, (1997), 96 pp. 785-792
[38.]
S.K. Heinle, J. Noblin, P. Goree-Best, A. Mello, G. Ravad, S. Mull, et al.
Assessment of myocardial perfusion by harmonic power Doppler imaging at rest and during adenosine stress: comparison with (99m)Tc-sestamibi SPECT imaging.
Circulation, (2000), 102 pp. 55-60
[39.]
S. Shimoni, W.A. Zoghbi, F. Xie, D. Kricsfeld, S. Iskander, L. Gobar, et al.
Real-time assessment of myocardial perfusion and wall motion during bicycle and treadmill exercise echocardiography: comparison with single photon emission computed tomography.
J Am Coll Cardiol, (2001), 37 pp. 741-747
[40.]
T.R. Porter, F. Xie, M. Silver, D. Kricsfeld, E. Oleary.
Real-time perfusion imaging with low mechanical index pulse inversion Doppler imaging.
J Am Coll Cardiol, (2001), 37 pp. 748-753
[41.]
S. Lafitte, H. Matsugata, B. Peters, M. Togni, M. Strachan, O.L. Kwan, et al.
Comparative value of Dobutamine and adenosine stress in the detection of coronary stenosis with myocardial contrast echocardiography.
Circulation, (2001), 103 pp. 2724-2730
[42.]
M.C. Kontos, D. Hinchman, M. Cunnigham, J.J. Miller, J. Cherif, J.V. Nixon.
Comparison of contrast echocardiography with single-photon emission computed tomographic myocardial perfusion imaging in the evaluation of patients with possible acute coronary syndromes in the emergency department.
Am J Cardiol, (2003), 91 pp. 1099-2002
[43.]
G.T. Sieswerda, L. Yang, M. Bakker de Boo, O. Kamp.
Real-time perfusion imaging: A new echocardiographic technique for simultaneous evaluation of myocardial perfusion and contraction.
Echocardiography, (2003), 20 pp. 545-555
[44.]
E. Balcells, E.R. Powers, W. Lepper, T. Belcik, K. Wei, M. Ragosta, et al.
Detection of myocardial viability by contrast echocardiography in acute infarction predicts recovery of resting function and contractile reserve.
J Am Coll Cardiol, (2003), 41 pp. 827-833
[45.]
J.M. Swinburn, A. Lahiri, R. Senior.
Intravenous myocardial contrast echocardiography predicts recovery of dysinergic myocardium early after acute myocardial infarction.
J Am Coll Cardiol, (2001), 38 pp. 19-25
[46.]
S. Shimoni, N.G. Frangogiannis, C.J. Aggeli, K. Shan, M.S. Verani, M.A. Quinones, et al.
Identification of hibernating myocardium with quantitative intravenous myocardial contrast echocardiography: comparison with dobutamine echocardiography and thallium-201 scintigraphy.
Circulation, (2003), 107 pp. 538-544
[47.]
S. Fukuda, T. Hozumi, T. Muro, H. Watanabe, E. Hyodo, M. Yoshiyama, et al.
Quantitative intravenous myocardial contrast echocardiography predicts recovery of left ventricular function after revascularization in cronic coronary artery disease.
Echocardiography, (2004), 21 pp. 119-124
[48.]
D.L. Packer, C.L. Stevens, M.G. Curley, C.J. Bruce, F.A. Miller, B.K. Khanderia.
et al. Intracardiac phased-array imaging: methods and initial clinical experience with high resolution, under blood visualization: initial experience with intracardiac phased-array ultrasound.
J Am Coll Cardiol, (2002), 39 pp. 509-516
[49.]
N.F. Marrouche, D.O. Martin, O. Wazni, A.M. Gillinov, A. Klein, B. Mandeep, et al.
Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: Impact on outcome and complications.
Circulation, (2003), 107 pp. 2710-2716
[50.]
C.J. Bruce.
Intracardiac echocardiography guiding successful ablation.
Eur J Echocardiography, (2003), 4 pp. 4-5
[51.]
M. Zanchetta, L. Pedon, G. Rigatelli, A. Carrozza, M. Zennaro, R. Di Martino, et al.
Intracardiac echocardiography evaluation in secundum atrial septal defect transcatheter closure.
Cardiovasc Intervent Radiol, (2003), 26 pp. 52-57
[52.]
S. Peters, A. Brattström, B. Götting, M. Trümmel.
Value of intracardiac ultrasound in the diagnosis of arrhytmogenic right ventricular dysplasia-cardiomyopathy.
Int J Cardiol, (2002), 83 pp. 111-117
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