KerstQuiz 2021
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Werkinstructies Mindray
Beste AIOS en enthousiaste stafleden. In verband met de Covid-19 restricties helaas geen mogelijkheid om onze nieuwe aanwinsten te demonstreren bij het ochtendrapport. Zodoende maar deze manier bedacht te doen. Sinds vandaag (23-3-2020) hebben we 2 Mindray echomachines. Deze twee machines zijn bedoeld voor inzet in het huis (i.e. SEH, consulten, B4West, WKZ, etc). De […]
Heart tranplantation normal function
Case: The following findings are typical after heart transplantation during follow up. The following patient is 70 years old and currently 10 years after an orthotopic heart transplantation (which he received after a large anteroseptal myocardial infarction in the past leading to chronic heart failure). He has no cardiac complaints an ischemia was ruled out recently […]
Myocarditis case 1
Case 1 Patient with myocarditis. Severe global LV dysfunction in combination with troponin release following a clinical episode of upper tract respiratory infection. Conventional ultrasound LVEF of 20% due to global LV hypokinesia. See images below Deformation imaging Deformation imaging showed marked regional abnormalities with clear reduction of peak systolic strain in […]
Inferior infarction
In this case, strain features of an acute inferior myocardial infarction caused by a RCA occlusion are presented. Case A 53 year old man was brought to the emergency department because of persisting symptoms of angina pectoris accompanied by perspiration and dyspnea in rest. Initial ECG showed ST elevation in the inferior wall and reciprocal […]
Intramyocardial tumor case 1
Case: 55-year old man was referred to our outpatient clinic for the endocrinology department. He is known with a neuro-endocrine tumor (NET) in his small intestine with known liver and lymph node metastases. He is currently treated with octreotide. A routine follow up PET-scan showed a “hot-spot” in the LV myocardium (scan shown below). He […]
Hypertension
Case The following case shows typical findings in hypertensive heart disease with a moderate reduction in longitudinal systolic strain in the basal septum 55-year old woman with long standing hypertension which was found on routine examination by the general physician. She was free from cardiac complaints and had no additional risk factors. Medical therapy (ACE […]