Page 3 - The role of advanced echocardiography in patients with ischemic heart disease - Rachid Abou
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Stellingen behorend bij het proefschrift
The role of advanced echocardiography in patients with ischemic heart disease
1. Echocardiography is the key diagnostic tool in the context of complications of ST- segment elevation myocardial infarction (Steg PG et al. Eur Heart Journal 2012)
2. Since the assessment of strain has much to offer to clinicians as a marker of subclinical disease, among other situations, the assessment of strain must move away from the laboratories of expert researchers into general use. (Marwick TH, J AM Soc Echocardiography 2012)
3. Current advancements in software allow for more in depth analysis of the LV myocardial wall. Layer-specific LV GLS allows for a more comprehensive understanding of LV systolic function (This thesis)
4. Particularly in ischaemic heart disease, layer-specific analysis is of interest since the myocardial damage after acute myocardial infarction may not be transmural (This thesis)
5. ...strain measurement in the subendocardial layer provided higher accuracy to discriminate non transmural infarction versus non infarction compared with global strain, whereas strain assessment in the subepicardial layer allowed the differentiation of transmural versus non transmural infarction better than global strain (Abate et al. J American Society of Cardiol 2014)
6. As early detection of myocardial fibrosis possibly leads to early identification of patients at risk for adverse events, LV MD by 2D STE appears to be a promising marker of LV fibrosis and outcome (This thesis)
7. LV MD assessed using speckle tracking provides important predictive value for
VA in patients with a number of cardiac diseases and appears to have superior predictive value over left ventricular ejection fraction and global longitudinal strain for risk stratification (Kawakami et al. JACC Cardiovasc Imaging 2019)
8. ...This underscores the importance of systematic approach of patient care following prevailing guidelines which is currently strongly advocated (This thesis)
9. Houses aren’t built by merely nails. Make sure you’re toolbox is equipped for the task at hand (fictional character) – collect all available tools and information to make the best choice whether in patient care or life
10. Even the loftiest of mountains begins on the ground (Moroccan proverb) – even the one that has grown to great heights once had to start at the bottom.
11. He who says he can and he who says he can’t are both usually right (Confucius 551- 479 BC) – The first step before anybody else in the world believes it is you have to believe it
12. Alleen kun je niks, je moet het samen doen! (Johan Cruijff, 1947-2016) – Samenwerken is de sleutel tot succes!