[Diagnosis of restrictive cardiomyopathy: place of the bidimensional echocardiography]

The restrictive cardiomyopathies are sporadic diseases, their diagnosis is often made tardively. Their main differential diagnosis is the chronic pericardiac constriction. The non invasive diagnostic techniques don't permit always to differentiate this two pathologies of different prognosis and treatment. The target of our work is to specify the place of the echocardiography in the diagnosis of the restrictive cardiomyopathies [RCM]. We collected between January 1993 and January 2005 four patients presenting a RCM. The circumstance of discovery was in any case a global cardiac insufficiency. The echocardiography showed a dilatation of the atrium in all patients, whereas the ventricles were of normal size three times. The study of the endocardium showed an apical fill in all patients, whereas the endocardic calcifications had not been recovered except one time, All patients had a valvular thickening. The systolic function was normal three times over four

Echographie transoesophagienne dans la pathalogie aortique

The aim of this study was to precise transoesophageal ultrasonegraphy advantages and limits in the thoracic aortic disease and in aortic orifice. We made systematically this exam for 75 patients having aortic ilness to explore mechanical protheses, aortic disease and to louk for aetiology of embolc episode. This study show the transoesophagal echography advantages in aortic dissection and infections endocarditis diagnosis and its limits to assen mechanical prothese study

Complications degeneratives du diabete interet de l'echographie doppler cardiaque systematique

To precise with non-invasive early myocardi injury in diabetics, we recrute 22 patients without myocardiopathy clinical signs: 6 are insuline depending and 16 non insuline depending. Age average is 49 years, 50% are males ultrasonography find normal systolic fonction for all patients, relaxation abnormal! Exist in 7 patients [E/A varing from 0,6 to 1,3] and increased myocardic mass in 3 [110 and 140 g/mm2]. Discovering these abnormalities, during evolution, impose rigourouse supervise of diabetic