Cardiology

Hearts in motion
Ultrasound is enthusiastically embraced by cardiologists in guidelines as essential for evaluating a patient's heart. Now visualisation of 3-D wall motion takes ultrasound to a higher level, opening a new understanding of heart mechanics

Article • cTCA vs. cardiovascular diseases
CT coronary angiography
Cardiovascular diseases, the most common cause of death in the West, includes diseases for which early detection is an important objective in cardiac imaging – particularly for coronary artery stenosis. Diagnosis is often made in the cardiac catheter laboratory. Now, however, CT scanning advances provide a lower impact alternative to that invasive exam. PD Dr Thomas Schlosser, Consultant at the…

MRI brings a new beat to rhythmology
More anatomy details, real-time visualisation of catheter movement, and reduced exposure – MRI has promising potential in rhythmology, explain Professor Matthias Gutberlet and PD Dr Christopher Piorkowski, at the Heart Centre, University Hospital Leipzig, Germany.

CIED patients can have MRI examinations
A new generation of cardiovascular implantable electronic devices (CIEDs) includes the Implantable Cardioverter Defibrillator (ICD), Cardiac Resynchronisation Therapy Defibrillator (CRT-Ds) and Cardiac Resynchronisation Therapy Pacemakers (CRT-Ps). Professor W R Bauer at University Hospital Würzburg has been significantly involved in their development, EH Editor Ralf Mateblowski to ask him about…

Fame 2 rates FFR as a new gold standard
John Brosky reports on a ground-breaking trial and how CT-FFR may change the practice of invasive cardiology and cardiac surgery.

Nanotechnology
Over the last five years the tiniest particles have attracted large attention in relation to the diagnosis and treatment of cardiovascular disease. Indeed, as in other medical disciplines, nanotechnology is advancing in cardiology despite as yet insufficient research on the extent of its effect and double blind studies to confirm findings

CT angiography best for low-risk patients
Incorporating coronary CT angiography (CCTA) into the initial evaluation of low-risk patients coming to hospital emergency departments (EDs) with chest pain appears to reduce the time patients spend in the hospital without incurring additional costs or exposing patients to significant risks. The report of a study conducted at nine U.S. hospitals appears in the New England Journal of Medicine.

Looking beyond the lungs: don’t forget the cardiac structures!
So close yet so far away! A fitting description of many diagnostic examinations of heart and lungs. Modern imaging modalities allow these two neighbouring organs to be evaluated together, nevertheless it is rarely done.

EuroPRevent 2012
CVD prevention experts will meet in Dublin from 3-5 May for the leading international forum for preventive cardiology, Finn Snyder reports.

Agfa HealthCare’s Cardiovascular Information System
The Impax CV12A, a new version of Agfa HealthCare’s Cardiovascular Information System (CVIS), was introduced this March during the American College of Cardiology’s (ACC’s) 61st Annual Scientific Session & Expo in Chicago, USA.

EIZO Presents a New Widescreen Monitor for the Operating Room
EIZO GmbH, Display Technologies introduced the RadiForce LX600W, a large widescreen LCD color monitor with an LED (light-emitting diode) backlight. This 8 megapixel monitor is designed for use in operating rooms (interventional radiology, cardiology, and surgery).

ECR 2013: Cardiac imaging is picking up speed
They examine the structure of the heart muscle with magnetic resonance imaging (MRI) or evaluate the status of the coronary vessels with computed tomography (CT): radiologists increasingly use imaging methods to prevent or to assess cardiac diseases.

The end of blooming effects
During the RSNA 2011, Professor Uwe J Schoepf MD, was asked what will be the chosen procedure of the future in cardiac imaging, he answered without hesitation: ‘Definitely CT,’ and, the Director of Cardiovascular Imaging at the Medical University Charleston, South Carolina.

A conceptual shift for medical device manufacturers
Much has changed for medical device manufacturers. Take scanner development; whereas the aim has long been to increase multi-slices, produce higher field strengths and sharper images, optimise the ergonomics and then launch the new product at a specific group of customers, in recent years this approach became insufficient.

The ascent of image-guided surgical interventions
Medical imaging is no longer limited to diagnosis and evaluation. New, high resolution imaging systems enable very precise positioning of lasers, endoscopes and micro-instruments for surgery near the nerves, spinal cord or blood vessels and for selective tumour destruction, with minimum levels of pain and low complication rates.

Article • Focus on TAVI
Transcatheder aortic valve implants
With transcatheder aortic valve implants (TAVI) forming some 20% of all heart valve replacement procedures today, and the technology constantly developing, the 'real art' to the intervention's success lies in precise patient selection and procedure performance carried out by a multi-disciplinary and effective team, according to Simon Redwood, Professor of the interventional cardiology at King's…

The BRANSIST alexa
The multipurpose BRANSIST alexa, which aims to provide total support for advanced catheterisation procedures, features a 12 x 12-inch flat panel detector (FPD) – an ideal size, the manufacturer Shimadzu points out, for covering interventions from head-to-toe, from brain blood vessels, cardiac and abdomen to peripheral blood vessels in the upper and lower extremities.

Coronary Heart Disease can be diagnosed and treated earlier using new techniques
Prof. Uwe Nixdorff from the European Prevention Centre, Düsseldorf advocates cardiologists combine IMT measurement with ALOKA’s pulse wave intensity function to check for unseen coronary heart disease: “This technique is currently seldom used, however in my experience it provides a more complete picture and enables me to treat patients earlier for life-threatening conditions that are often…

Sheffield Hospitals to work on prestigious heart failure research project
Researchers in Sheffield have been given an mportant grant to trial state-of-the-art computer modelling systems that could provide a breakthrough in the treatment of patients with heart failure.

Cardiac resynchronisation therapy
From guidelines to daily clinical practice: Cardiac resynchronisation therapy is increasingly important in heart failure treatment. The therapy is complex, the demands to medical technology high. Holger Zorn reports
Developing Integration Capabilities Presents a Real Opportunity for Vendors
Healthcare facilities in Europe are currently working to create a unified digital patient record. In tandem, medical imaging vendors are developing and offering cardiology information systems (CIS) with advanced functionalities and easy integration capabilities with enterprise-wide information systems. As a result of such trends, image management-based information systems are set to witness…
Ultra High Field Magnetic Resonance
2011 brought a second year for European and US scientists to meet up at the Annual Scientific Symposium on Ultra High Field Magnetic Resonance, held at the Max Delbrück Centre for Molecular Medicine Berlin-Buch (MDC), Germany, to present and discuss their recent findings. Along with technical improvements, the main issues of the one-day gathering were cardiac, cerebral and molecular MR imaging.…

Philips and Innovations in Heart Modeling*
Royal Philips Electronics provided clinicians from across the globe with a glimpse of future innovations designed to advance cardiac care, including the current management of cardiovascular disease (CVD) and associated cardiac conditions, during the 2011 Congress of the European Society of Cardiology (ESC).
