segunda-feira, novembro 12, 2012

Eco TT na dissecção tipo A

The role of transthoracic echocardiography in the diagnosis and management of acute type A aortic syndrome ..................................................................................................................................... AQUI ...................................................................................................................................................................................................................................................................Conclusions: Transthoracic echocardiography is a useful imaging modality for the diagnosis of classic acute type A aortic dissection. It cannot be used as the sole screening technique for detecting AAAS, but in the light of the predictive values observed, patients with optimal image quality and clear-cut diagnosis of AAAS should proceed to the operative room, whereas in patients with negative or indeterminate studies, other imaging techniques are needed to refine the diagnosis..............................................................................................................................................
In previous studies, TTE was reported to have a 57% to 82% sensitivity and a 65% to 96% specificity for the detection of classic type A acute aortic dissection (CAAAD) as compared with a 95% to 100% sensitivity and 94% to 100% specificity when using computed tomography (CT), transesophageal echocardiography (TEE), and magnetic resonance imaging (MRI). .................................................................................................................................................................................................................................................................................................................................................................... Artigo muito bom, relata que as novas tecnologias como segunda harmônica, contraste e transdutores de alta frequência ainda não foram estudados!!!!! Pode ser que a sensibilidade e especificidade sejam maiores!

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