TEE Before Cardioversion in Atrial Fibrillation Patients

TEE Before Cardioversion in Atrial Fibrillation Patients

Transesophageal echocardiography (TEE) offers an invaluable, non-invasive avenue for diagnosing and managing various cardiac conditions, including atrial fibrillation (AF). As the most common cardiac arrhythmia, AF affects... read more

Esophageal Adenocarcinoma Causing Nonbacterial Thrombotic Endocarditis

Esophageal Adenocarcinoma Causing Nonbacterial Thrombotic Endocarditis

Nonbacterial thrombotic endocarditis (NBTE) is a rare condition that causes noninfectious vegetative lesions of heart valves. NBTE is generally seen in association with advanced malignancy. The patient in this case is a 54-year-old... read more

Rescue TEE Might Diagnose Cardiac Arrest Faster

Rescue TEE Might Diagnose Cardiac Arrest Faster

A Penn Medicine team is testing whether a new technology that gives live ultrasound images from inside a patient during CPR can help doctors get those answers faster. The device, called Rescue TEE, uses a tiny camera at the... read more

Resuscitative TEE

Resuscitative TEE

The use of ED resuscitative transesophageal echocardiography (TEE) is a practical modality that provides useful diagnostic and therapeutic information for critically ill patients in the emergency department, with an excellent... read more

Transesophageal Echocardiography Training of Emergency Physicians Through an E-Learning System

Transesophageal Echocardiography Training of Emergency Physicians Through an E-Learning System

A transesophageal echocardiography (TEE) training course resulted in a 50% increase in surveyed participants feeling comfortable using TEE in cardiac arrest and a 40% increase in participants scoring ≥80% on a test of knowledge. We... read more

Non-Invasive Cardiac Imaging for LVAD and OHT During COVID-19

Non-Invasive Cardiac Imaging for LVAD and OHT During COVID-19

Considerations for cardiac imaging in the COVID-19 era include thoughtful patient and study selection with a goal to limit the overall number of tests. General recommendations are as follows: Defer routine or low-risk... read more

Cardiovascular Phenotypes in Ventilated Patients with COVID-19 ARDS

Cardiovascular Phenotypes in Ventilated Patients with COVID-19 ARDS

Approximately two-thirds of patients admitted to the intensive care unit (ICU) for coronavirus disease-19 (COVID-19) pneumonia present with the acute respiratory distress syndrome (ARDS). COVID-19-associated acute cardiac... read more

Practical Perioperative Transesophageal Echocardiography

Practical Perioperative Transesophageal Echocardiography

A practical, full-color guide with videos, Practical Perioperative Transesophageal Echocardiography, 2nd Edition, by Drs. David Sidebotham, Alan F. Merry, Malcolm E. Leggett, and Mark L. Edwards, will help improve your diagnosis... read more

Echocardiographic Assessment of Pulmonary Artery Occlusion Pressure in Ventilated Patients

Echocardiographic Assessment of Pulmonary Artery Occlusion Pressure in Ventilated Patients

TEE accurately predicts invasive PAOP ≤ 18 mmHg in ventilated patients. This further increases its diagnostic value in patients with suspected acute lung injury/acute respiratory distress syndrome. During two consecutive... read more

Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

This case report shows that junctional rhythm can cause deterioration of SAM, LVOTO, and MR, and can lead to unstable hemodynamics in a patient with right ventricular failure after MVR. Atrial pacing can resolve SAM, LVOTO,... read more

Preventing Harmful Delays with POCUS During Cardiac Arrest

Preventing Harmful Delays with POCUS During Cardiac Arrest

With the integration of bedside echocardiography into cardiac arrest, we now have a real-time tool to help us glean some of this critical missing information, as well as offer procedural guidance and prognostic data. However,... read more

The Right Tool for the Right Patient

The Right Tool for the Right Patient

Resuscitative TEE in the diagnosis of massive PE in the ED. We have multiple tools in the ed that allow us to assess patients rapidly. But of course, you must use the right tool for the patient. transthoracic echo (TTE) can... read more

Guidelines for Point-of-Care Use of Transesophageal Echocardiography in Cardiac Arrest Resuscitation

Guidelines for Point-of-Care Use of Transesophageal Echocardiography in Cardiac Arrest Resuscitation

In patients with cardiac arrest, transesophageal echocardiography (TEE) may provide greater benefits than transthoracic echocardiography (TTE) for imaging, diagnosis, and prognosis, according to a review paper published in... read more