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Erschienen in: Journal of Echocardiography 1/2018

22.01.2018 | Review Article

Nimura lecture: “Three EBMs”

verfasst von: Shinichi Minagoe

Erschienen in: Journal of Echocardiography | Ausgabe 1/2018

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Abstract

The three EBMs in the title refer to the following concepts: evidence-based medicine, experience-based medicine, and echo-based medicine. Evidence-based medicine: I have carried out the following clinical research using transthoracic Doppler echocardiography: (1) noninvasive pulsed-wave Doppler echocardiographic detection of the direction of shunt flow in patients with atrial septal defect: usefulness of the right parasternal approach (1985), (2) significance of laminar systolic regurgitant flow in patients with tricuspid regurgitation: a combined pulsed-wave, continuous-wave, and two-dimensional echocardiography (1990), (3) obstruction of the inferior vena caval orifice by the giant left atrium in patients with mitral stenosis: a Doppler echocardiographic study from the right parasternal approach (1992), and (4) demonstration of a localized acceleration flow signal in the transmural penetrating coronary artery using transthoracic color and pulsed-wave Doppler echocardiography in patients with hypertrophic cardiomyopathy (1996–2017). Experience-based medicine: Dr. Eugene Braunwald says “The best book of cardiology is the patient itself.” I have conducted my modest research activities gleaning hints through day-to-day routine work and sometimes investigating experimentally using the Doppler echocardiographic method. I have also learned from the Japanese Society of Echocardiography that a physician should stand between evidence-based medicine and experience-based medicine. Echo-based medicine: This term is intended to express my personal determination. I believe that echocardiography is the stethoscope of the 21st century. It is a safe, painless, low-cost, and repeatable tool at the bedside. I expect that echocardiography can reduce unnecessary healthcare costs and appropriately select reasonable examinations for patients. I would like to devote the time left in my career to the study of cardiovascular medicine, believing in the power of echocardiography and the Doppler method to provide a link between evidence-based medicine and experience-based medicine.
Literatur
1.
Zurück zum Zitat Shub C, Dimopoulos IN, Seward JB, et al. Sensitivity of two-dimensional echocardiography in the direct visualization of atrial septal defect utilizing the subcostal approach: experience with 154 patients. J Am Coll Cardiol. 1983;2:127–35.CrossRefPubMed Shub C, Dimopoulos IN, Seward JB, et al. Sensitivity of two-dimensional echocardiography in the direct visualization of atrial septal defect utilizing the subcostal approach: experience with 154 patients. J Am Coll Cardiol. 1983;2:127–35.CrossRefPubMed
2.
Zurück zum Zitat Weyman AE, Wann LS, Caldwell RL, et al. Negative contrast echocardiography: a new method for detecting left-to-right shunts. Circulation. 1979;59:498–505.CrossRefPubMed Weyman AE, Wann LS, Caldwell RL, et al. Negative contrast echocardiography: a new method for detecting left-to-right shunts. Circulation. 1979;59:498–505.CrossRefPubMed
3.
Zurück zum Zitat Tei C, Tanaka H, Kashima T, et al. Real-time cross-sectional echocardiographic evaluation of the interatrial septum by right atrium-interatrial septum- left atrium direction of ultrasound beam. Circulation. 1979;60:539–46.CrossRefPubMed Tei C, Tanaka H, Kashima T, et al. Real-time cross-sectional echocardiographic evaluation of the interatrial septum by right atrium-interatrial septum- left atrium direction of ultrasound beam. Circulation. 1979;60:539–46.CrossRefPubMed
4.
Zurück zum Zitat Tei C, Tanaka H, Nakao S, et al. Motion of the interatrial septum in acute mitral regurgitation. Clinical and experimental echocardiographic studies. Circulation. 1980;62:1080–8.CrossRefPubMed Tei C, Tanaka H, Nakao S, et al. Motion of the interatrial septum in acute mitral regurgitation. Clinical and experimental echocardiographic studies. Circulation. 1980;62:1080–8.CrossRefPubMed
5.
Zurück zum Zitat Levin AR, Spach MS, Boineau JP, et al. Atrial pressure-flow dynamics in atrial septal defects (secundum type). Circulation. 1968;37:476–88.CrossRefPubMed Levin AR, Spach MS, Boineau JP, et al. Atrial pressure-flow dynamics in atrial septal defects (secundum type). Circulation. 1968;37:476–88.CrossRefPubMed
6.
Zurück zum Zitat Alexander JA, Reinbert JC, Sealy WC, et al. Shunt dynamics in experimental atrial septal defects. J Appl Physiol. 1975;39:281–6.CrossRefPubMed Alexander JA, Reinbert JC, Sealy WC, et al. Shunt dynamics in experimental atrial septal defects. J Appl Physiol. 1975;39:281–6.CrossRefPubMed
7.
Zurück zum Zitat Minagoe S, Tei C, Kisanuki A, et al. Noninvasive pulse Doppler echocardiographic detection of the direction of shunt flow in patients with atrial septal defect: usefulness of the right parasternal approach. Circulation. 1985;71:745–53.CrossRefPubMed Minagoe S, Tei C, Kisanuki A, et al. Noninvasive pulse Doppler echocardiographic detection of the direction of shunt flow in patients with atrial septal defect: usefulness of the right parasternal approach. Circulation. 1985;71:745–53.CrossRefPubMed
8.
Zurück zum Zitat Hatle L, Angelsen B. Doppler ultrasound in cardiology. Philadelphia: Lea & Febige; 1982. Hatle L, Angelsen B. Doppler ultrasound in cardiology. Philadelphia: Lea & Febige; 1982.
9.
Zurück zum Zitat Miyatake K, Okamoto M, Kinoshita N, et al. Evaluation of tricuspid regurgitation by pulsed Doppler echocardiography. Circulation. 1982;66:777–84.CrossRefPubMed Miyatake K, Okamoto M, Kinoshita N, et al. Evaluation of tricuspid regurgitation by pulsed Doppler echocardiography. Circulation. 1982;66:777–84.CrossRefPubMed
10.
Zurück zum Zitat Minagoe S, Chandraratna PAN, Rahimtoola SHB. Significance of laminar systolic regurgitant flow in patients with tricuspid regurgitation: a combine pulse-wave, continuous-wave and two dimensional echocardiography. Am Heart J. 1990;119:627–35.CrossRefPubMed Minagoe S, Chandraratna PAN, Rahimtoola SHB. Significance of laminar systolic regurgitant flow in patients with tricuspid regurgitation: a combine pulse-wave, continuous-wave and two dimensional echocardiography. Am Heart J. 1990;119:627–35.CrossRefPubMed
11.
Zurück zum Zitat Kitabatake A, Inoue M, Tanouchi J, et al. Transmitral blood flow reflecting diastolic behavior of the left ventricle in health and disease: a study by pulsed Doppler technique. Jpn Circ J. 1982;46:92–102.CrossRefPubMed Kitabatake A, Inoue M, Tanouchi J, et al. Transmitral blood flow reflecting diastolic behavior of the left ventricle in health and disease: a study by pulsed Doppler technique. Jpn Circ J. 1982;46:92–102.CrossRefPubMed
12.
Zurück zum Zitat Minagoe S, McKay CR, Chandraratna PAN. Doppler echocardiographic left ventricular filling dynamics in patients with right ventricular overload (abstr). Circulation. 1985;72:III–352 (58th Scientific Sessions held November 11–14, 1985, in Washington D.C.). Minagoe S, McKay CR, Chandraratna PAN. Doppler echocardiographic left ventricular filling dynamics in patients with right ventricular overload (abstr). Circulation. 1985;72:III–352 (58th Scientific Sessions held November 11–14, 1985, in Washington D.C.).
13.
Zurück zum Zitat Louie EK, Rich S, Brundage BH. Doppler echocardiographic assessment of impaired left ventricular filling in patient with right ventricular pressure overload due to primary pulmonary hypertension. J Am Coll Cardiol. 1986;8:1298–306.CrossRefPubMed Louie EK, Rich S, Brundage BH. Doppler echocardiographic assessment of impaired left ventricular filling in patient with right ventricular pressure overload due to primary pulmonary hypertension. J Am Coll Cardiol. 1986;8:1298–306.CrossRefPubMed
14.
Zurück zum Zitat Minagoe S, Yoshikawa J, Yoshida K, et al. Obstruction of the inferior vena caval orifice by the giant left atrium in patients with mitral stenosis: a Doppler echocardiographic study from the right parasternal approach. Circulation. 1992;86:214–25.CrossRefPubMed Minagoe S, Yoshikawa J, Yoshida K, et al. Obstruction of the inferior vena caval orifice by the giant left atrium in patients with mitral stenosis: a Doppler echocardiographic study from the right parasternal approach. Circulation. 1992;86:214–25.CrossRefPubMed
15.
Zurück zum Zitat Minagoe S, Toyama Y, Yamaguchi H, et al. Transthoracic Doppler echocardiographic detection of intramyocardial coronary artery flow in humans using high frequency transducer. J Cardiol. 1997;30:149–55.PubMed Minagoe S, Toyama Y, Yamaguchi H, et al. Transthoracic Doppler echocardiographic detection of intramyocardial coronary artery flow in humans using high frequency transducer. J Cardiol. 1997;30:149–55.PubMed
16.
Zurück zum Zitat Kim WS, Minagoe S, Mizukami N, et al. No reflow-like pattern in intramyocardial coronary artery suggests myocardial ischemia in patients with hypertrophic cardiomyopathy. J Cardiol. 2008;52:7–16.CrossRefPubMed Kim WS, Minagoe S, Mizukami N, et al. No reflow-like pattern in intramyocardial coronary artery suggests myocardial ischemia in patients with hypertrophic cardiomyopathy. J Cardiol. 2008;52:7–16.CrossRefPubMed
17.
Zurück zum Zitat Canty JM, Dunker DJ. Coronary blood flow and myocardial ischemia. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Philadelphia: Saunders; 2015. p. 1039. Canty JM, Dunker DJ. Coronary blood flow and myocardial ischemia. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Philadelphia: Saunders; 2015. p. 1039.
18.
19.
Zurück zum Zitat Crea F, Lanza GA, Camici PG. Comparative summary of the available methods to investigate coronary microvascular function. Coronary microvascular dysfunction. Milan: Springer; 2014. Crea F, Lanza GA, Camici PG. Comparative summary of the available methods to investigate coronary microvascular function. Coronary microvascular dysfunction. Milan: Springer; 2014.
20.
Zurück zum Zitat Maron BJ, Wolfson JK, Epstein SE, et al. Intramural (“small vessels”) coronary artery disease in hypertrophic cardiomyopathy. J Am Coll Cardiol. 1986;8:545–57.CrossRefPubMed Maron BJ, Wolfson JK, Epstein SE, et al. Intramural (“small vessels”) coronary artery disease in hypertrophic cardiomyopathy. J Am Coll Cardiol. 1986;8:545–57.CrossRefPubMed
21.
Zurück zum Zitat Tanaka M, Fujiwara H, Onodera T, et al. Quantitative analysis of narrowing of intramyocardial small arteries in normal hearts, hypertensive hearts, and hearts with hypertrophic cardiomyopathy. Circulation. 1987;75:1130–9.CrossRefPubMed Tanaka M, Fujiwara H, Onodera T, et al. Quantitative analysis of narrowing of intramyocardial small arteries in normal hearts, hypertensive hearts, and hearts with hypertrophic cardiomyopathy. Circulation. 1987;75:1130–9.CrossRefPubMed
22.
Zurück zum Zitat Jaski BE. The 4 stages of heart failure. Minnesota: Cardiotext; 2015. p. 42. Jaski BE. The 4 stages of heart failure. Minnesota: Cardiotext; 2015. p. 42.
23.
Zurück zum Zitat Meet the history: Application of the ultrasound Doppler method to cardiac examination. Shinzo 2010;42:1500–12. Meet the history: Application of the ultrasound Doppler method to cardiac examination. Shinzo 2010;42:1500–12.
Metadaten
Titel
Nimura lecture: “Three EBMs”
verfasst von
Shinichi Minagoe
Publikationsdatum
22.01.2018
Verlag
Springer Japan
Erschienen in
Journal of Echocardiography / Ausgabe 1/2018
Print ISSN: 1349-0222
Elektronische ISSN: 1880-344X
DOI
https://doi.org/10.1007/s12574-017-0369-x

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