Summary of this chapter's five clinical cases, and evidence-based recommendations by the European Association of Echocardiography. Chapter extract from EAE Recommendations: "Contrast echocardiography : Evidence-based recommendations by European Association of Echocardiography" Authors: Roxy Senior, Harald Becher, Mark Monaghan, Luciano Agati, Jose Zamorano, Jean Louis Vanoverschelde, and Petros Nihoyannopoulos
60year old male. Hypertensive, diabetic, overweight. Referred for echocardiography to investigate breathlessness. Sub-optimal apical image quality, then was contrast used for image optimisation.
45 year old male, 164 cm/155 kg – Body mass index 57.6, Past AMI and established heart failure: EF 40 % (2000), Drug abuse in the past, Admitted due to shortness of breath, Not taken “some medications”
80 year old male, Smoker, Admitted due to suspected Heart Failure November 2007, Echo : Severely decreased systolic LV function, EF 15%, Normal angiogram (Non-ischemic dilated cardiomyopathy), Numerous runs of non-sustained VT : Scheduled for ICD, Medication led to a clinical improvement; NYHA IIIb & II, No remaining VT episodes during mobilisation
54 year old male teacher. Seen in Cardiology Outpatients for assessment due to fatigue and shortness of breath. Heart failure symptoms and signs, referred for echocardiography.
70 year old female, Referral for echocardiogram due to fatigue and shortness of breath.
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