Home | Who We Are  
 
     
Welcome to the Echocardiography website of the Lebanese society of Cardiology
   
 
Recent Cases
 
Supravalvular aortic stenosis
Walid Gharzuddine - 2016-04-27


Cardiac amyloidosis, sequel
Dr. Ahmad Al Ayouby Dr. Hassan Kazma - 2016-04-27


Retro-cardiac mass,diagnosis
Walid Gharzuddine - 2016-03-16


 
This website was made possible with the help of:
 
Email
Answer to last week's "what's your diagnosis"
 
Published on 2014-07-08 by Elie Chammas
 
 
History and Findings
 
 
 
 
   
 
 
Discussion
 

This case is similar to the first case published by Dr Gharzuddine in this website with emphasis on the use of strain imaging in making the diagnosis of cardiac amyloidosis.

An abdominal fat biopsy done confirmed this diagnosis of Amyloidosis.

The echocardiographic findings were well described in the case of Dr Gharzuddine, in his comments he added that “Recently an interesting finding has been noted on evaluation of longitudinal strain of the left ventricle with demonstration of a pattern of relative sparing of the apex from the decreased strain noted in basal segments. This appears to be highly specific for amyloidosis “.

The Bull’s eye of the longitudinal speckle tracking is a clear illustration of this statement (figure 1). It showed a high level of strain in the apex (> 20%) with a decrease of the strain in the basal segments.

To make the principle easier to understand another image of longidinal strain in graphic form is shown below (figure 2). This is from another patient with proven amyloidosis. In the right upper corner the curves of the basal egments (red and yellow) show a significantly decreased strain compared to the apical segments (magenta and green) with the mid-ventricular segment values in between.

The first description of this finding was done by the Cleveland clinic team (Phelan et al.). The conclusion of this study was: Cardiac Amyloidosis is characterized by regional variations in Longitudinal Strain from base to apex. A relative 'apical sparing' pattern of Longitudinal Strain is an easily recognizable, accurate and reproducible method of differentiating Cardiac Amyloidosis from other causes of LV hypertrophy.

 The sensitivity and specificity are 93 % and 82% in differentiating Cardiac amyloidosis from other forms of left ventricular hypertrophy.

We recommend doing a longitudinal strain analysis by the speckle tracking technique in all patients with cardiac hypertrophy. It is easy to do; fast, reproducible and can help in the diagnosis of the etiology of the hypertrophy. 

 

Reference: Phelan et al. Heart 2012; 98:1442e1448. Relative apical sparing of longitudinal strain in cardiac amyloidosis.

 
Latest Comments
 
jay reply on 2018-04-03
 
I can feel that the articles contained in this blog is so interesting. Lean Belly Breakthrough Manifestation Miracle Review Unlock Your Hip Flexors Review 2 Week Diet Paleohacks Cookbook Review 15 Minute Manifestation Review 3 Week Diet Review
 
Alyaunuck reply on 2018-04-02
 
is generic viagra legal|viagra generika serios kaufen|research viagra|viagra vs viagra|mexiko viagra|viagra sur les hommes|viagra price in canad|discount viagra cialis|price of viagra at cvs|pilule gratuite viagra|viagra pill on line|ecstacy viagra|not ed take viagra|we use it sales online viagra|akta viagra online|can get viagra pharmacy|vente libre viagra portugal|viagra in norway|fast viagra delivery|viagra in jakarta|viagra bestellen auf nachnahme|viagra dose 200 mg|were we get viagra in malaysia|viagra prix reduit|only today cheapest viagra|cialis ve viagra das einkaufen|viagra serve la ricetta|viagra preis indien|most effective use of viagra|il viagra delle donn|buy authentic viagra in canada|viagra generico economico|le viagra c quoi|dare viagra di nascosto|generic viagra available|vendo viagra torino|order viagra plus overnight|sirve es y que viagra que para|air order travel viagra videos|canada viagra fast delivery|name for viagra|what is the generic of viagra|comprar viagra 100mg pfizer|achat de viagra anonyme|ed pills viagra online usa|viagra larga duracion|order viagra price|viagra generico in itali|price for viagra at walgreens|viagra generika 20mg|generic viagra us|cialis viagra levitra generic|comprare viagra inghilterra|generic viagra 50 uk|aspirin viagra|buy cheap viagra online now|does viagra cause ed|is viagra illegal in uk|viagra mit mastercard|cost comparison cialis viagra|all about viagra|mg viagra|click here next day viagra|should i take 50 mg viagra|viagra tablets price in sg|kauf von viagras|edad para tomar viagra|strong viagra|viagra for females|viagra in nero|who buys viagra|viagra salesman by jamie reidy|viagra edrugstore|vendo viagra malag|espaa viagra sin receta|follow link viagra next day uk|viagra best price on net|herbal viagra tablets uk|chinese viagra store qld|commander viagra|price genuine viagra|cost of viagra in bangalore|viagra original ohne rezept|sale of viagra on line|le viagra coeu|cheap viagra online mastercard|best time take viagra pill|medicinale generico viagra|generieke viagra bestellen|viagra tescos over counter|get for viagra in singapore|cheap viagra malaysia|viagra forums and doctors|discount generic viagra php|cheapest viagra 100mg|viagra same the generic|viagra for sale in america|viagra sublingual medicine|guaranteed low price viagra|viagra pfizer comentarios|viagra viagra canada|take soft viagra|bestellen viagra rezept|best viagra soft prices|generic viagra super force|order viagra india|viagra no prescripcin uk|il viagra per donne|we use it viagra prescriptions|only now soft viagra|health shop viagra|viagra price 100mg|viagra 50 mg tab cost|viagra similar|history viagra sales|viagra online at sydney|viagra pricing vs cialis|legit online pharmacy viagra|female viagra description|viagra e coca|viagra use guide|click now viagra where to buy|enter site super viagra|quanto costa il viagra generic|espa241a viagra precio|viagra basso prezzo|viagra apothecary|generic viagra filagra|viagra cheap mail order|4 gratuit viagra discount|online viagra ads|cost if viagra in mexico|viagra quel ca|pastilla viagra profesional|buy viagra original in holland|generic viagra pills for sale|viagra generic sample packs|viagra et nitrat|viagra cialis alcoo|russian viagra|link for you rx viagra 100mg|viagra pill buy cheap|can i take viagra at 13|viagra kaufen munchen|visit our site viagra mexico|buy viagra 2 days|viagra pfizer cheap online|effective viagra use|there place viagra online safe|paypal buy to how now viagra|viagra verkaufen illegal|bestel viagra|viagra kaufen online sicher|online doctor prescribe viagra|super viagra online australia|viagra clogged sinuses|viagra per gli anziani|viagra frau tabletten|farmacias viagra generica|viagra achat de toronto|online oklahoma viagra|existe viagra 800 mg|we like it fda approves viagra|cheap viagra cialis on line|basics discount viagra sale|buy viagra in los angeles|posologie viagra 100mg|viagra nebenwirkungen forum|effetti viagra ciali|online doctors viagra|viagra con receta precio|viagra o altri farmaci|viagra vente en pharmacie|cvs pharmacy prices viagra|ou puis je acheter du viagra|viagra gnrique femelle|cheap drugs org pill viagra|acheter viagra pilules|cheapest viagra price uk|comprar generico viagra|try it sale viagra|boots viagra online uk|viagra generico da ems|cialis or viagra best|generic viagra interaction|viagra 25g online canada|buy generic viagra in eu|cialis viagra fast delivery|my boyfriend uses viagra|how to get viagra pattaya|free trials viagra|advice on viagra|cipla viagra uk|viagra how much|piil cost viagra much|only today order viagra viagra|trial pack viagra|usefull link sales viagra|bringing viagra into australia|viagra et ibuprofene|best generic viagra soft sites|buy viagra mexico|buy viagra from china|best deal on viagra cealis|viagra ordine india|typical viagra price|viagra 50mg pri|lowest price on generic viagra|uk forum buy viagra|can you take 2 viagra 100|click here viagra to buy cheap|local generic viagra|cheap viagra online ireland|viagra purchase by paypal|viagra sale auckland|just try viagra from india|viagra for men in urdu|viagra canadian pharmaies|pharmacy us viagra|low mg generic viagra dose|buy viagra for cash|best way to take a viagra|viagra confezioni|cialis inde de viagra|usefull link viagra substitute|viagra officiel site|cheap 4 viagra pills|how to buy viagra in france|buy 100 mg viagra online|overdose di viagra tom kaulitz|insurance viagra|viagra|viagra for sale nsw|does cvs have viagra pills|viagra cheap sale|generic indian viagra|viagra erfahrungen forum|viagra vendita libera|take viagra daily|prescription viagra for women|viagra zagreb|wow canadian viagra|pharmacy viagra online generic|viagra in 3 days|viagra e ipotensione|can u split viagra pills|have you used viagra|viagra i red bull|viagra germany legal|fast delivery buy now viagra http://viagraoqkf.com/ - viagra pills,cheap viagra,online viagra,viagra online,viagra cheap,buy viagra,viagra,viagra,viagra cheap,buy viagra,buy viagra online viagra pills,cheap viagra,online viagra,viagra online,viagra cheap,buy viagra,viagra,viagra,viagra cheap,buy viagra,buy viagra online is generic viagra legal|viagra generika serios kaufen|research viagra|viagra vs viagra|mexiko viagra|viagra sur les hommes|viagra price in canad|discount viagra cialis|price of viagra at cvs|pilule gratuite viagra|viagra pill on line|ecstacy viagra|not ed take viagra|we use it sales online viagra|akta viagra online|can get viagra pharmacy|vente libre viagra portugal|viagra in norway|fast viagra delivery|viagra in jakarta|viagra bestellen auf nachnahme|viagra dose 200 mg|were we get viagra in malaysia|viagra prix reduit|only today cheapest viagra|cialis ve viagra das einkaufen|viagra serve la ricetta|viagra preis indien|most effective use of viagra|il viagra delle donn|buy authentic viagra in canada|viagra generico economico|le viagra c quoi|dare viagra di nascosto|generic viagra available|vendo viagra torino|order viagra plus overnight|sirve es y que viagra que para|air order travel viagra videos|canada viagra fast delivery|name for viagra|what is the generic of viagra|comprar viagra 100mg pfizer|achat de viagra anonyme|ed pills viagra online usa|viagra larga duracion|order viagra price|viagra generico in itali|price for viagra at walgreens|viagra generika 20mg|generic viagra us|cialis viagra levitra generic|comprare viagra inghilterra|generic viagra 50 uk|aspirin viagra|buy cheap viagra online now|does viagra cause ed|is viagra illegal in uk|viagra mit mastercard|cost comparison cialis viagra|all about viagra|mg viagra|click here next day viagra|should i take 50 mg viagra|viagra tablets price in sg|kauf von viagras|edad para tomar viagra|strong viagra|viagra for females|viagra in nero|who buys viagra|viagra salesman by jamie reidy|viagra edrugstore|vendo viagra malag|espaa viagra sin receta|follow link viagra next day uk|viagra best price on net|herbal viagra tablets uk|chinese viagra store qld|commander viagra|price genuine viagra|cost of viagra in bangalore|viagra original ohne rezept|sale of viagra on line|le viagra coeu|cheap viagra online mastercard|best time take viagra pill|medicinale generico viagra|generieke viagra bestellen|viagra tescos over counter|get for viagra in singapore|cheap viagra malaysia|viagra forums and doctors|discount generic viagra php|cheapest viagra 100mg|viagra same the generic|viagra for sale in america|viagra sublingual medicine|guaranteed low price viagra|viagra pfizer comentarios|viagra viagra canada|take soft viagra|bestellen viagra rezept|best viagra soft prices|generic viagra super force|order viagra india|viagra no prescripcin uk|il viagra per donne|we use it viagra prescriptions|only now soft viagra|health shop viagra|viagra price 100mg|viagra 50 mg tab cost|viagra similar|history viagra sales|viagra online at sydney|viagra pricing vs cialis|legit online pharmacy viagra|female viagra description|viagra e coca|viagra use guide|click now viagra where to buy|enter site super viagra|quanto costa il viagra generic|espa241a viagra precio|viagra basso prezzo|viagra apothecary|generic viagra filagra|viagra cheap mail order|4 gratuit viagra discount|online viagra ads|cost if viagra in mexico|viagra quel ca|pastilla viagra profesional|buy viagra original in holland|generic viagra pills for sale|viagra generic sample packs|viagra et nitrat|viagra cialis alcoo|russian viagra|link for you rx viagra 100mg|viagra pill buy cheap|can i take viagra at 13|viagra kaufen munchen|visit our site viagra mexico|buy viagra 2 days|viagra pfizer cheap online|effective viagra use|there place viagra online safe|paypal buy to how now viagra|viagra verkaufen illegal|bestel viagra|viagra kaufen online sicher|online doctor prescribe viagra|super viagra online australia|viagra clogged sinuses|viagra per gli anziani|viagra frau tabletten|farmacias viagra generica|viagra achat de toronto|online oklahoma viagra|existe viagra 800 mg|we like it fda approves viagra|cheap viagra cialis on line|basics discount viagra sale|buy viagra in los angeles|posologie viagra 100mg|viagra nebenwirkungen forum|effetti viagra ciali|online doctors viagra|viagra con receta precio|viagra o altri farmaci|viagra vente en pharmacie|cvs pharmacy prices viagra|ou puis je acheter du viagra|viagra gnrique femelle|cheap drugs org pill viagra|acheter viagra pilules|cheapest viagra price uk|comprar generico viagra|try it sale viagra|boots viagra online uk|viagra generico da ems|cialis or viagra best|generic viagra interaction|viagra 25g online canada|buy generic viagra in eu|cialis viagra fast delivery|my boyfriend uses viagra|how to get viagra pattaya|free trials viagra|advice on viagra|cipla viagra uk|viagra how much|piil cost viagra much|only today order viagra viagra|trial pack viagra|usefull link sales viagra|bringing viagra into australia|viagra et ibuprofene|best generic viagra soft sites|buy viagra mexico|buy viagra from china|best deal on viagra cealis|viagra ordine india|typical viagra price|viagra 50mg pri|lowest price on generic viagra|uk forum buy viagra|can you take 2 viagra 100|click here viagra to buy cheap|local generic viagra|cheap viagra online ireland|viagra purchase by paypal|viagra sale auckland|just try viagra from india|viagra for men in urdu|viagra canadian pharmaies|pharmacy us viagra|low mg generic viagra dose|buy viagra for cash|best way to take a viagra|viagra confezioni|cialis inde de viagra|usefull link viagra substitute|viagra officiel site|cheap 4 viagra pills|how to buy viagra in france|buy 100 mg viagra online|overdose di viagra tom kaulitz|insurance viagra|viagra|viagra for sale nsw|does cvs have viagra pills|viagra cheap sale|generic indian viagra|viagra erfahrungen forum|viagra vendita libera|take viagra daily|prescription viagra for women|viagra zagreb|wow canadian viagra|pharmacy viagra online generic|viagra in 3 days|viagra e ipotensione|can u split viagra pills|have you used viagra|viagra i red bull|viagra germany legal|fast delivery buy now viagra
 
Robertunuck reply on 2018-04-02
 
venta cialis en lima cialis cheap cialis cheapflorida player viagra canadian viagra canadian viagranatural viagra substitute buy viagra online generic viagra
 
View all comments 5842
 
Post a Comment
 
Name *
     
Email *  
     
Country *  
     
Comment *