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The role of imaging in the emergency ward

EuroEcho-Imaging 2014 session report

The right imaging technique must be selected in many emergency pathological conditions, and it is thus important to know about all available imaging techniques

“The role of imaging in the emergency ward” was a session organized jointly by the EACVI with the American Society of Echocardiography.

Prof Sanjiv Kaul (Portland, USA) presented the role of imaging in this setting in patients with valvular heart disease. He started from different clinical presentations, illustrating every example with a number of cases. He insisted on the complementary role of different imaging modalities, with echocardiography remaining the first line modality.

Prof Aleksandar Neskovic (Belgrade, Serbia) discussed the role of imaging in patients with acute endocarditis. He presented the diagnostic criteria of infective endocarditis, the prominent role of echocardiography, and the expanding role of non-echo imaging modalities (e.g. PET), as well as the importance of comprehensive patient risk stratification.

Prof Susanne Wiegers (Philadelphia, USA) commented on the role of multimodality imaging in patients with acute pulmonary embolism. She discussed the diagnostic algorithm recommended by the recently published ESC Guidelines on the management of pulmonary embolism, highlighting the importance of risk stratification in decision-making with the recommendation for more aggressive therapy in high-risk patients. She underlined the role of CT as a first-line imaging modality in this setting, illustrating it with several relevant cases.

Finally, Prof Maria Dorobantu (Bucharest, Romania) talked about the role of imaging in patients with acute prosthetic dysfunction. After highlighting the importance of knowing the normal echo aspect of different types of prostheses, she commented on the different types of acute prosthetic dysfunction. She illustrated every type of dysfunction with several examples of clinical cases and discussed the complementary role of TTE and TOE as the main diagnostic methods, with fluoroscopy playing an additional role in specific patient subsets.

The session was very well attended and appreciated by the participants.




The role of imaging in the emergency ward

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.