Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach

Background: Echocardiography increasingly used for diagnosis of right atrial dilatation. Three dimensional is superior than two dimensional echocardiography. However, advances and new windows continues to emerge to increase its accuracy Aim of the work: to show the feasibility and accuracy of right...

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Autores principales:	Khaled Najeeb, Mohamed Bashandy, Reda Abd Elfattah
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2019
Materias:	echocardiography, parasternal approach three-dimensional two dimensional right atrial dilatation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b8c7862984af4471b1bb23b0394aa700
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spelling	oai:doaj.org-article:b8c7862984af4471b1bb23b0394aa7002021-12-02T15:22:19ZFeasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach2636-41742682-378010.21608/ijma.2019.39236https://doaj.org/article/b8c7862984af4471b1bb23b0394aa7002019-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_39236_bec306265cb48a4989c98fb71b646dde.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Echocardiography increasingly used for diagnosis of right atrial dilatation. Three dimensional is superior than two dimensional echocardiography. However, advances and new windows continues to emerge to increase its accuracy Aim of the work: to show the feasibility and accuracy of right parasternal approach and its usefulness in qualitative and quantitative assessments of right atrium in patients with right atrial dilatation in comparison with transesophageal approach. Patients and Methods: The study included thirty patients with right atrial dilatation. All patients underwent full history taking, clinical, 12-lead electro-cardiography and echocardiography. Transesophageal Echocardio-graphy was used as a gold standard for the accuracy of the right parasternal approach. Results: The study includes 30 patients with right atrial dilatation the right parasternal (RPS) view obtained in 18 patients (60%), and not obtained in 12 patients (40%). There was significant decrease of SVC anteroposterior minimal diameter (Min AP), crista terminalis (CT) width, CT length, right atrial appendage (RAA) base Maximum diameter and RAA base Minimum diameter, in 2D Echocardiography when compared to 3D Echocardiography. On the other side, there was no statistically significant difference in Right parasternal approach (3D) and Transesophageal approach. Conclusions: Parasternal approach is feasible in imaging right heart structures. In addition, three dimensional TTE had an incremental value over two dimensional TTE in the assessment of these structuresKhaled NajeebMohamed BashandyReda Abd ElfattahAl-Azhar University, Faculty of Medicine (Damietta)articleechocardiography, parasternal approachthree-dimensionaltwo dimensionalright atrial dilatationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 1, Pp 58-64 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	echocardiography, parasternal approach three-dimensional two dimensional right atrial dilatation Medicine (General) R5-920
spellingShingle	echocardiography, parasternal approach three-dimensional two dimensional right atrial dilatation Medicine (General) R5-920 Khaled Najeeb Mohamed Bashandy Reda Abd Elfattah Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
description	Background: Echocardiography increasingly used for diagnosis of right atrial dilatation. Three dimensional is superior than two dimensional echocardiography. However, advances and new windows continues to emerge to increase its accuracy Aim of the work: to show the feasibility and accuracy of right parasternal approach and its usefulness in qualitative and quantitative assessments of right atrium in patients with right atrial dilatation in comparison with transesophageal approach. Patients and Methods: The study included thirty patients with right atrial dilatation. All patients underwent full history taking, clinical, 12-lead electro-cardiography and echocardiography. Transesophageal Echocardio-graphy was used as a gold standard for the accuracy of the right parasternal approach. Results: The study includes 30 patients with right atrial dilatation the right parasternal (RPS) view obtained in 18 patients (60%), and not obtained in 12 patients (40%). There was significant decrease of SVC anteroposterior minimal diameter (Min AP), crista terminalis (CT) width, CT length, right atrial appendage (RAA) base Maximum diameter and RAA base Minimum diameter, in 2D Echocardiography when compared to 3D Echocardiography. On the other side, there was no statistically significant difference in Right parasternal approach (3D) and Transesophageal approach. Conclusions: Parasternal approach is feasible in imaging right heart structures. In addition, three dimensional TTE had an incremental value over two dimensional TTE in the assessment of these structures
format	article
author	Khaled Najeeb Mohamed Bashandy Reda Abd Elfattah
author_facet	Khaled Najeeb Mohamed Bashandy Reda Abd Elfattah
author_sort	Khaled Najeeb
title	Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
title_short	Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
title_full	Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
title_fullStr	Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
title_full_unstemmed	Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach
title_sort	feasibility and accuracy of two-and three-dimensional transthoracic echocardiography in patients with right atrial dilatation using the right parasternal approach
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2019
url	https://doaj.org/article/b8c7862984af4471b1bb23b0394aa700
work_keys_str_mv	AT khalednajeeb feasibilityandaccuracyoftwoandthreedimensionaltransthoracicechocardiographyinpatientswithrightatrialdilatationusingtherightparasternalapproach AT mohamedbashandy feasibilityandaccuracyoftwoandthreedimensionaltransthoracicechocardiographyinpatientswithrightatrialdilatationusingtherightparasternalapproach AT redaabdelfattah feasibilityandaccuracyoftwoandthreedimensionaltransthoracicechocardiographyinpatientswithrightatrialdilatationusingtherightparasternalapproach
_version_	1718387420059140096

Feasibility and Accuracy of Two-and Three-Dimensional Transthoracic Echocardiography in patients with Right Atrial Dilatation using the Right Parasternal Approach

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