View allAll Photos Tagged echocardiogram
Dr. Laura Hatton, cardiologist at Bluepearl, performs an echocardiogram on Pluto the guinea pig. His owner and Dr. Hatton's assistant, Mallory, gently restrain Pluto and distract him with some delicious parsley.
Don’t be fooled by the « do not pet » vest, this girl loves being petted. She never moved the entire time except to lick my ankles once or twice.
THE GOLDEN YEARS Is it worth a Triple By Pass , A Triple A Repair, 7 Defibrillator Shocks , Angiograms , M R I's , Echocardiograms , 22 pills /day , 1/day Insulin , 1/week Ozempic , A Weekly Pain Regiment , a Pair of Canes , a Pair of Crutches , and a Walker ! YOU BET IT IS ! Bring it on for one moment like this !
www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22)00244-9/fulltext
Outcomes at least 90 days since onset of myocarditis after mRNA COVID-19 vaccination in adolescents and young adults in the USA: a follow-up surveillance study
Summary
Background
Data on medium-term outcomes in indivduals with myocarditis after mRNA COVID-19 vaccination are scarce. We aimed to assess clinical outcomes and quality of life at least 90 days since onset of myocarditis after mRNA COVID-19 vaccination in adolescents and young adults.
Methods
In this follow-up surveillance study, we conducted surveys in US individuals aged 12–29 years with myocarditis after mRNA COVID-19 vaccination, for whom a report had been filed to the Vaccine Adverse Event Reporting System between Jan 12 and Nov 5, 2021. A two-component survey was administered, one component to patients (or parents or guardians) and one component to health-care providers, to assess patient outcomes at least 90 days since myocarditis onset. Data collected were recovery status, cardiac testing, and functional status, and EuroQol health-related quality-of-life measures (dichotomised as no problems or any problems), and a weighted quality-of-life measure, ranging from 0 to 1 (full health). The EuroQol results were compared with published results in US populations (aged 18–24 years) from before and early on in the COVID-19 pandemic.
Findings
Between Aug 24, 2021, and Jan 12, 2022, we collected data for 519 (62%) of 836 eligible patients who were at least 90 days post-myocarditis onset: 126 patients via patient survey only, 162 patients via health-care provider survey only, and 231 patients via both surveys. Median patient age was 17 years (IQR 15–22); 457 (88%) patients were male and 61 (12%) were female. 320 (81%) of 393 patients with a health-care provider assessment were considered recovered from myocarditis by their health-care provider, although at the last health-care provider follow-up, 104 (26%) of 393 patients were prescribed daily medication related to myocarditis. Of 249 individuals who completed the quality-of-life portion of the patient survey, four (2%) reported problems with self-care, 13 (5%) with mobility, 49 (20%) with performing usual activities, 74 (30%) with pain, and 114 (46%) with depression. Mean weighted quality-of-life measure (0·91 [SD 0·13]) was similar to a pre-pandemic US population value (0·92 [0·13]) and significantly higher than an early pandemic US population value (0·75 [0·28]; p<0·0001). Most patients had improvements in cardiac diagnostic marker and testing data at follow-up, including normal or back-to-baseline troponin concentrations (181 [91%] of 200 patients with available data), echocardiograms (262 [94%] of 279 patients), electrocardiograms (240 [77%] of 311 patients), exercise stress testing (94 [90%] of 104 patients), and ambulatory rhythm monitoring (86 [90%] of 96 patients). An abnormality was noted among 81 (54%) of 151 patients with follow-up cardiac MRI; however, evidence of myocarditis suggested by the presence of both late gadolinium enhancement and oedema on cardiac MRI was uncommon (20 [13%] of 151 patients). At follow-up, most patients were cleared for all physical activity (268 [68%] of 393 patients).
Interpretation
After at least 90 days since onset of myocarditis after mRNA COVID-19 vaccination, most individuals in our cohort were considered recovered by health-care providers, and quality of life measures were comparable to those in pre-pandemic and early pandemic populations of a similar age. These findings might not be generalisable given the small sample size and further follow-up is needed for the subset of patients with atypical test results or not considered recovered.
Funding
US Centers for Disease Control and Prevention.
www.nejm.org/doi/full/10.1056/NEJMc2205667
IL-1RA Antibodies in Myocarditis after SARS-CoV-2 Vaccination
DOI: 10.1056/NEJMc2205667
Metrics
TO THE EDITOR:
Myocarditis associated with messenger RNA (mRNA) vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) predominantly affects male adolescents and young male adults (14 to <30 years of age) and typically occurs after receipt of the second vaccine dose. In adults with critical coronavirus disease 2019 (Covid-19) and in cases of multisystem inflammatory syndrome in children (MIS-C), we recently discovered neutralizing autoantibodies targeting the endogenous interleukin-1 receptor antagonist (IL-1RA), which inhibits interleukin-1 signaling and inflammation.
In this study, we evaluated the prevalence of antibodies neutralizing IL-1RA and progranulin, which inhibits tumor necrosis factor signaling, in 69 patients (14 to 79 years of age) who had clinically suspected myocarditis after SARS-CoV-2 vaccination. A total of 61 patients underwent endomyocardial biopsy.
Myocarditis was confirmed by biopsy in 40 of 61 patients (Figure 1A). Among patients with histologically confirmed myocarditis, anti–IL-1RA antibodies were found in 9 of 12 patients (75%) younger than 21 years of age, as compared with 3 of 28 patients (11%) 21 years of age or older. Anti–IL-1RA antibodies were not detectable in the 21 patients in whom biopsy ruled out the diagnosis of myocarditis (Figure 1B and 1C). IL-1RA antibody–positive patients with biopsy-confirmed myocarditis had an early onset of symptoms, which occurred mostly after receipt of the second vaccine dose, and a milder course of myocarditis than patients with biopsy-confirmed myocarditis but without anti–IL-1RA autoantibodies (Tables S1 through S6 and Figs. S1 through S6 in the Supplementary Appendix, available with the full text of this letter at NEJM.org).
IL-1RA antibodies were observed in 2 of 214 vaccinated control participants (1%) and in 2 of 125 participants (2%) who had histologically proven myocarditis that had been diagnosed before the Covid-19 pandemic. Previous data that had been obtained from patients with critical Covid-19 did not support the cross-reactivity of purified IL-1RA antibodies with structural proteins of SARS-CoV-2, including the spike protein, which argues against virus- or vaccine-driven molecular mimicry.
Current evidence points toward a transient hyperphosphorylation of IL-1RA preceding a breakdown of peripheral immune tolerance. In Western blots of total plasma protein, antibodies to IL-1RA coincided with weaker bands of free IL-1RA, but prominent immune (IgM or IgG)–complexed protein with an atypical IL-1RA isoform occurred exclusively in patients who were seropositive for anti–IL-1RA antibodies (Figure 1D). This additional IL-1RA isoform was hyperphosphorylated at threonine position 111, which had been observed previously in adult patients with critical Covid-19 and in patients with MIS-C. In contrast to our observations in patients with myocarditis after SARS-CoV-2 vaccination, IL-1RA was not hyperphosphorylated in any of the samples that had been obtained from control participants.
At the time of acute myocarditis, the mean (±SD) free IL-1RA plasma level in 15 patients who were seropositive for anti–IL-1RA antibodies was 236±82 pg per milliliter, whereas the level was 1736±312 pg per milliliter in 33 patients without anti–IL-1RA antibodies and 1599±277 pg per milliliter in 21 patients in whom histologic testing ruled out the diagnosis of myocarditis (Figure 1F). IL-1RA plasma levels correlated with markers of cardiac damage (troponin T, creatine kinase, creatine kinase MB, or pro–B-type natriuretic peptide), cardiac-tissue infiltration of CD3+ T cells and CD68+ macrophages, and systemic inflammation (C-reactive protein). There was a negative correlation between markers of cardiac damage and IL-1RA plasma levels in patients with anti–IL-1RA antibodies (Figure 1E). Interleukin-1 signaling reporter assay experiments showed direct impairment of IL-1RA bioactivity after the addition of anti–IL-1RA antibodies from patients’ plasma (Figure 1G).
Our study of SARS-CoV-2 vaccination–associated myocarditis and anti–IL-1RA antibodies should be interpreted within the context that the transiency of hyperphosphorylation (as previously reported in patients with critical Covid-19 or MIS-C3,4) and patients’ HLA haplotypes were not known. In our study, neutralizing antibodies against IL-1RA and a hyperphosphorylated IL-1RA isoform were observed in young male patients with biopsy-confirmed myocarditis after the receipt of SARS-CoV-2 mRNA vaccine. These antibodies impaired IL-1RA bioactivity in vitro, were associated with low circulating levels of IL-1RA, and were found in patients with biomarker evidence of cardiac damage and inflammation.
This is the angiogram from 10/4/07 showing how her coarctation, or narrowing, has returned after surgery.
During Miriam's first surgery, the surgeons clipped out the narrow portion and sewed the ends back together (an "end-to-end repair"). They then cut lengthwise along the aorta and sewed in a Dacron patch to expand the diameter of the arch.
Her cardiologist has followed her closely since then. On Oct. 3, he checked her upper- and lower-body blood pressures and saw a difference (a pressure gradient). He also saw a substantial difference when he took an echocardiogram. That day, he admitted her to pediatric ICU (PICU).
On the 4th, he and her surgeon took her to the cath lab for an angiogram and angioplasty; because her narrowing is so long, the angioplasty didn't help. She has to have another coarctation repair, which is set for Tuesday, November 6th. The surgery will be similar to the first one: a larger patch will be used to expand the narrowed aortic arch along the whole length that's affected.
i had an echocardiogram done today, along with some other tests. the technician wouldn't give me a copy of the pictures of my heart, so this was the best i could do. the machine was truly like something from the movie "brazil." way cool.
The young woman who did an echocardiogram of my heart today. What you see on the screen is the evidence that it still works.
THE ARROW FUND'S CHER HAD HER 10 DAY POST OP APPOINTMENT TODAY – THE DOCTOR GAVE HER A GOOD REPORT! When Cher came first came to The Arrow Fund, she was extremely emaciated, covered in fleas, and had a heart condition. We needed to wait for Cher to gain some weight before she could safely undergo her heart surgery, which took place 10 days ago.
Today, all of her stitches were removed from her heart surgery and she is now down to only two medications from her previous six! Cher will go back to the vet in two weeks for an echocardiogram to make sure that her heart is healing and that everything is progressing as it should. In the meantime, Cher is living the life of luxury with her medical foster parents, Becky and Dave!
We have been hit very hard with new cases lately, and Cher’s case is especially costly. If you are able, donations can be made at www.thearrowfund.org, through the donate button on our Facebook page, or checks can be mailed to The Arrow Fund P.O. Box 1127 Prospect, Kentucky 40059. Thank you all for your support! (post by Rebecca K., The Arrow Fund)
You've been laid off. Please pack up your things and go.
This picture was my attempt at using my photography to express some of what I went through when I was laid off from my job. I've mentioned this before, but it seemed especially relevant since so many people all over the world lost their jobs and continue to suffer in this terrible recession. I still hope that one day I can say that losing that job was the best thing that ever happened to me because I went on to something better.
I debated posting this next paragraph because I was afraid I'd sound too whiny and self-indulgent, but I have been ashamed (afraid?) to talk about this for so long I decided I needed to get it out of my system once and for all. I felt like someone kicked me in the stomach when my bosses told me they were no longer able to keep me on as an employee as a result of restructuring. I found out later that "restructuring" really boiled down to their desire to replace me with one of the managing partner's buddies, or his kid, or both. Although I'd never received any complaints about my work performance (just the opposite), I was offered no severance package — my boss merely asked me if I "needed a few weeks to clean out my office." Of course I lost my medical benefits along with my job, which was terrifying since only a year earlier I'd undergone a series of expensive tests, including an echocardiogram, because my doctor thought my heart beat too fast. I was so worried about how I was going to pay bills I woke up crying every day for two weeks and couldn’t eat. I lost so much weight none of my clothes fit, not even my belt, and I had to tie my clothes on with a string (which sounds funny now, but wasn't at the time). My boss also, I'll use the word "advised", me not to describe him or the circumstances under which I'd been laid off in any kind of negative light or he told me he wouldn't give me a good recommendation when I applied for jobs in the future. Because he was a powerful and well-connected person, he meant it. I am not a powerful or well-connected person, so his threat only made me feel even more ashamed and afraid. I blamed myself. To be fair, I was eventually given a severance package, but only after my bosses saw how distraught I was at losing my job when I returned to finish cleaning out my office.
I wore a 48-hour heart monitor over the weekend to see if everything is OK. I've had some palpitations off and on for the past year or so but EKGs and echocardiograms haven't revealed anything abnormal. A 48-hour monitor gives the cardiologist a better picture of the heart's activity.
It's a royal pain in the ass too. You can't shower. You have to wear it while you sleep. But it's a great diagnostic tool. Of course, my heart seemed to beat along just fine for the last couple of days. It's like taking your car to the mechanic and having it perform flawlessly instead.
#Dr.S.Srikar Samir Nandan M.D,DM(Cardiology Consultant)
#Interventional #Cardiology
Consequences for High BloodPressure
High blood pressure(HBP) can injure or kill's you
#DrSSrikarSamirNandan
ForAppointment:+91-8886655692
#Email:#drsrikarasiddamsetti@gmail.com
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Central Ohio Podcasters Meeting
I had a big day.
Today was my Echocardiogram and Stress Test. The Echo was weird; seeing my own heart! The Stress Test lived up to it's name. The tech saw a couple PVCs as I was cooling down but not as I was doing the test. The cardiologist called me about two hours after the tests to tell me my Echo looked good and my Stress Test was "perfect". He went on to say I still have the highest PVC count he has ever seen (8,699 (362/hr) isolated PVCs in 24 hours) and he would ask some electrophysiologists if further testing is needed.
After my testing I met TC at Donerick's on Henderson for a couple drinks before the Central Ohio Podcasters meeting. He was freely talking to anybody in the bar and asking them to check out the Podcast.
The podcast meeting was weird. The topic tonight was "monetizing your podcast". TC and I were a little lit and he blurted out in the middle of the presentation a tirade of getting pressured to do video. TOTALLY off topic. He would go on to blurt out all sorts of things for the remainder of the meeting. It was awkward. At least they provided pizza.
March 28, 2017 weight: 159.1 lbs (Garmin) (158.8 lbs Tanita)
March 28, 2016 weight: 171.7 lbs (Garmin)
To help reduce the stress of pediatric patients in the Heart & Vascular Center at Sherman Health, the center’s pediatric echocardiogram room is currently being transformed into an under-the-sea adventure with Disney character Nemo and friends by local artist, Chris Beaulieu.
I'm VERY happy to report that Cooper's echocardiogram went well today. He has had slight deterioration in heart function from last year but nothing that requires intervention. His surgery last year was done at Oregon State University Veterinary Hospital (the only place in the state where the procedure is done). The gal on the right is the Resident Cardiologist who performed his test today. As you can see, he wasn't all that interested in posing for a picture before his escape.
He is also feeling much better after his back/hip injury. We're still TRYING to keep him quiet but it's hard for him, as well as for Ruby.
27:365
Tuesday's photo, finally!
Folks, today has been 'one of those days'. Last night i flopped (y'all know how big i am, how hard can me flopping be?) onto my bed, and it broke!! Yikes! Nails slammed into the bins of clothes under my bed, but we are lucky that there wasn't a kitty under there at the time.
This morning i was preheating the oven for some bread i wanted to bake - and it caught on fire!!!! Eeeek!
Next the washing machine exploded (not really, i'm over dramatizing here, i'm not sure what happened to it just that we weren't using it and then it was filled up with water anyway) and now the entire garage floor is flooded and slippery and my stuff is getting ruined (i'm not over dramatizing here).
Topher update:
Tomorrow he goes back to Nashville to Vanderbuilt Children's Hospital for yet more blood work. Our appointment to see the doctor wasn't until March 17th, but being the not-so-patient person that i am i called and they squeezed us in during someone's cancellation yesterday.
Thursday he goes to the hospital here in town for an echocardiogram. Poor kid is never gonna get to go back to school!
His foot is very sore today, so he has to stay in bed again. I wish, i don't know, i wish he could enjoy this snow, or help around the house, or not fall so far behind in school... But we get to spend all sorts of time together and we enjoying watching lots of shows on www.hulu.com
Any suggestions for us?
Inspired by a recent chat with my cardiologist, the memory of my echocardiogram last month, and an almost-daily yoga practice in my garden, where caladiums are currently blessing me with their beauty. Did I really truly live until I took each and every breath as a blessing? Don't answer. Let me savor each moment as if it were the first.
"There's also a plant -- I believe you can cut a piece the size of a heart from this plant and the next morning it will be filled with a delicious liquid."
-- Anthony Minghella/Michael Ondaatje, The English Patient (screenplay)
Our Cardiology Team stayed at the Houston VAMC from Friday until Tuesday. They were worried that if they left, they wouldn't be able to make it back to take care of our cardiology patients! During the major storm and catastrophic flooding, our Cardiology Team performed cardiac caths, stents, pericardiocentesis, pacemaker placement, and Transesophagel echocardiograms!
9 separate applications/programs projected on single screen, including fetal echocardiogram, cardiac catheterization, 3-D MRI, Telemedicine link to Driscoll Children’s Hospital in Corpus Christi, TX, FoxNews Channel website
Meem laughs and jokes about her clothes and the difficulties of being bedridden.
Overnight, she continued to get out of bed without help, and the hospital staff placed a bed alarm on her to alert when she tries to get up, as well as adding fall mats around her bed. She also removed her IVs and Oxygen, not knowing what they were. This resulted in a nurse spending the rest of the night in the room with her.
Meem was given an echocardiogram in the morning, and removed from all IV medications. Medicine is now oral only, but she still removes her oxygen, not remembering what it is. "This ear necklace isn't mine; I don't want it." She still sets off the bed alarm from time to time by moving too much or trying to get up, but doesn't understand what it is; "I wish they'd fix that broken alarm clock. I didn't set it."
Meem does not remember being connected to IVs, and also generally becomes easily confused; for several hours she thought a rack of charts in the hallway was her doctor chatting instead of getting her the echocardiogram results; a nurse finally got the message through to her that the doctor wasn't in yet.
Overall, she has improved and has much more energy than when she was admitted. They are now talking about releasing her in the next day or so.
Walker Thomas, sonographer, performs an echocardiogram on a gorilla at the Henry Doorly Zoo on Dec. 19, 2018.
Meem laughs and jokes about her clothes and the difficulties of being bedridden.
Overnight, she continued to get out of bed without help, and the hospital staff placed a bed alarm on her to alert when she tries to get up, as well as adding fall mats around her bed. She also removed her IVs and Oxygen, not knowing what they were. This resulted in a nurse spending the rest of the night in the room with her.
Meem was given an echocardiogram in the morning, and removed from all IV medications. Medicine is now oral only, but she still removes her oxygen, not remembering what it is. "This ear necklace isn't mine; I don't want it." She still sets off the bed alarm from time to time by moving too much or trying to get up, but doesn't understand what it is; "I wish they'd fix that broken alarm clock. I didn't set it."
Meem does not remember being connected to IVs, and also generally becomes easily confused; for several hours she thought a rack of charts in the hallway was her doctor chatting instead of getting her the echocardiogram results; a nurse finally got the message through to her that the doctor wasn't in yet.
Overall, she has improved and has much more energy than when she was admitted. They are now talking about releasing her in the next day or so.