imposter
Модератор: Pyankov Vasily
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Re: imposter
At this time,I have no doubt this is ALCAPA.
But several days after, another 15 years old boy came to Echo.
Here is he,very similar blue flow with the first boy,there is no red retrograde flow in position of LCx.
Neither the first nor the second has angio CT.I have not an access to CT.
Echocardiography for certificate of Polish football association/PZPN.
But several days after, another 15 years old boy came to Echo.
Here is he,very similar blue flow with the first boy,there is no red retrograde flow in position of LCx.
Neither the first nor the second has angio CT.I have not an access to CT.
Echocardiography for certificate of Polish football association/PZPN.
- Вложения
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- BU STILL.avi
- blue
- (3.05 МБ) 526 скачиваний
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- BU 3.avi
- the same
- (878.54 КБ) 518 скачиваний
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- BU 1.avi
- blue jet in LAD position
- (1.23 МБ) 518 скачиваний
with respect sincerely yours
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Re: imposter
i really impressed!
In first time If i had no access to CT in such case, stress-echo would be my option.
In first time If i had no access to CT in such case, stress-echo would be my option.
С уважением, Жуковский Николай.
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Re: imposter
I prefer supine bicycle, but if we want assess CFR adenosin will be a better choise (because dyipyridomole isn't available in russia).
С уважением, Жуковский Николай.
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Re: imposter
Adenosinum is high costly,in Poland 1amp- 140$.
But bicycle exercise is not diagnostic in ALCAPA,opinion
But bicycle exercise is not diagnostic in ALCAPA,opinion
with respect sincerely yours
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Re: imposter
Really! By the way, adenosine also is inavailable in Russia, we use ATP for this reason.
I have no expirience in stress-echo in alcapa patients, but there are some case in literature discribing wall motion abnormalities during stress-echo. In patients wthis good image equality also posible asess flow in LAD during supine(!)bicycle exercise stress-echo.
In this two case these findings may be a great cardiac vein, as you said before.
I have no expirience in stress-echo in alcapa patients, but there are some case in literature discribing wall motion abnormalities during stress-echo. In patients wthis good image equality also posible asess flow in LAD during supine(!)bicycle exercise stress-echo.
In this two case these findings may be a great cardiac vein, as you said before.
- Вложения
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- IMG_5131.JPG (282.97 КБ) 5572 просмотра
Последний раз редактировалось nikolan70 Вт авг 14, 2018 2:23 pm, всего редактировалось 1 раз.
С уважением, Жуковский Николай.
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Re: imposter
Sorry i forgot to attach image with poible LCX flow in previous answer. Now i did it.
С уважением, Жуковский Николай.
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Re: imposter
Finaly, if you couldn't find RCA, it may be anomalous RCA origin from PA or LCA with steal flow from left to right artery.
This PW-flow pattern mostly diastolic, cardiac vein flow tipicaly systolo-diastolic with interruption during atrial contraction
This PW-flow pattern mostly diastolic, cardiac vein flow tipicaly systolo-diastolic with interruption during atrial contraction
С уважением, Жуковский Николай.
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Re: imposter
Nikolan,do you have any echo images of anomalous CA,yours?
Can you show?
Coronary fistulas,something like that, to see?
Can you show?
Coronary fistulas,something like that, to see?
with respect sincerely yours
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Re: imposter
First look: ARCAPA,but final diagnosis is CAF?
SAX: evident collaterals from LCA to RCA-> blue jet
Amazing
$ versus chestnuts for ARCAPA,No doubt there is a steal phenomenon with ischaemia,functionally ARCAPA.Maybe partial ARCAPA- one RCA from right SV,and the second RCA from pulmonary artery
That is the way it is.
Insidious,sneaky functional ARCAPA with sudden impact with no warning.
SAX: evident collaterals from LCA to RCA-> blue jet
Amazing
$ versus chestnuts for ARCAPA,No doubt there is a steal phenomenon with ischaemia,functionally ARCAPA.Maybe partial ARCAPA- one RCA from right SV,and the second RCA from pulmonary artery
That is the way it is.
Insidious,sneaky functional ARCAPA with sudden impact with no warning.
Последний раз редактировалось Wojtek Guzowski Ср авг 15, 2018 11:20 am, всего редактировалось 5 раз.
with respect sincerely yours
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Re: imposter
Guideline for cardiovascular screening of sports participants
https://www.bsecho.org/media/99004/spor ... or_web.pdf
https://www.bsecho.org/media/99004/spor ... or_web.pdf
Пьянков Василий Алексеевич
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Re: imposter
corresponding to your ARCAPA,16 years old,without symptoms,Polish Navy Highschool schoolboy.
Something wrong?
When I was reading your post about 18 years old boy with ARCAPA one thing is ror sure- very critical attitude of the others,but it is very difficult and critical diagnosis,do they know?
Something wrong?
When I was reading your post about 18 years old boy with ARCAPA one thing is ror sure- very critical attitude of the others,but it is very difficult and critical diagnosis,do they know?
with respect sincerely yours
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- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
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- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland