ECHOCARDIOGRAPHIC DIAGNOSTICS OF CARCINOID HEART DISEASE

  • Janez Ravnik Klinični oddelek za kardiologijo Klinični center Zaloška 7 1525 Ljubljana
  • Maja Podlesnik Klinični oddelek za kardiologijo Klinični center Zaloška 7 1525 Ljubljana
  • Saša Markovič Klinični oddelek za gastroenterologijo Klinični center Japljeva 2 1525 Ljubljana
  • Mirta Koželj Klinični oddelek za kardiologijo Klinični center Zaloška 7 1525 Ljubljana
Keywords: carcinoid tumors, carcinoid syndrome, carcinoid heart disease, diagnostics, echocardiography

Abstract

Background. Carcinoid heart disease is a rare heart disease which affects endocard and heart valves on the right side of heart. It affects only patients with manifested carcinoid syndrome, which is thought to be the consequence of secretory active metastases of carcinoid tumour. The carcinoid endocardial plaques cause structural changes of tricuspid and pulmonic valve and later on their stenosis and/or insufficiency.

Patients and methods. In this article we introduce a carcinoid valve heart disease (CVHD) scoring system for easier end exact echocardiographic diagnostics. Four echocardiographic parameters are beeing estimated: structural changes of tricuspid valve, tricuspid valve regurgitation, stenosis of pulmonic valve and pulmonic valve regurgitation.

Conclusions. The scoring system allows us to make an early diagnosis and evaluation of progression of carcinoid heart disease, which is very important for planning the treatment process. Our experiences confirm the usefulness of this scoring system in echocardiographic follow–up of patients with carcinoid syndrome.

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How to Cite
1.
Ravnik J, Podlesnik M, Markovič S, Koželj M. ECHOCARDIOGRAPHIC DIAGNOSTICS OF CARCINOID HEART DISEASE. ZdravVestn [Internet]. 1 [cited 26Jun.2019];71(9). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1619
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Professional Article

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