sexta-feira, agosto 22, 2008

Three-dimensional echocardiography: coming of age

In summary, in the coming years, we expect that with the integration of 2DE, Doppler and RT3DE in transthoracic and transoesophageal probes, a combined 2DE and 3DE examination will become routine in clinical practice. Three-dimensional echocardiography will be routinely used for preoperative planning of mitral surgery and as a guiding tool for different percutaneous procedures. Currently, there is sufficient evidence that 3D imaging is better than traditional 2D echocardiography and should be routinely used in two clinical situations: (a) quantification of LV volume and EF and (b) quantification of the mitral valve area in mitral stenosis. Overall, the large number of recent publications on RT3DE imaging reflects the rapidly growing body of knowledge necessary for widely accepting and incorporating this methodology into the arsenal of clinical cardiac imaging. In some instances, the scientific evidence seems strong enough to endorse the use of 3D echocardiography for prime-time use in the clinical evaluation of the heart.
Heart . Volume 94(9), September 2008, pp 1123-1125

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