Echo with or without contrast

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garya
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Echo with or without contrast

Post by garya » October 12th, 2018, 11:09 am

I am curious about getting an Echo "with contrast" that supposedly improves the image of the heart. This has been recommended to me before because I am a "difficult technical study." I've declined because I thought "difficult" simply meant I was a pain in the ass. Now I am learning it may mean I am too fat.

If the contrast material is not in a dry martini I really don't have much interest. This seems like they want to poke a temporary hole in me and inject some dye. Will the dye affect my kidneys? I know the dye for CT scans is not like a good vitamin for kidneys. Do echos show all that much to begin with?

Appreciate any input.

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ricatlga
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Re: Echo with or without contrast

Post by ricatlga » October 12th, 2018, 3:34 pm

A certain percentage of echocardiograms are not real definitive. I've never had one, but a couple of times my cardiologist wanted a much better look at the heart. For that he had me undergo TEE (trans esophageal echocardiogram). For that they numb the throat and run a tube down your esophagus with the echo equipment. I did NOT like it the first time because they did not tell me what was going to happen (felt like I could not breath and I had a panic attack). Second time, they made sure I was knocked out enough with Versed to give them no trouble. So, if I had the option of Contrast or a TEE, I'd opt for the former, but that's just me. Perhaps someone else on board will be able to comment on this procedure.
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mykidsmom
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Re: Echo with or without contrast

Post by mykidsmom » October 13th, 2018, 9:18 am

Ive had both and i think id prefer the tee too...faster....but the last echo i had a couple of weeks ago i requested it to not have dye....because i always reacted to it...and also i was right in the middle of kidney issues....but the cardiologist wouldnt do it without the dye...he gave me some antibiotics to ease or prevent reaction....naturally it didnt work..and i was sick as a dog for almost a week....i didnt know i could have asked for a tee instead.
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ROBO Pop
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Re: Echo with or without contrast

Post by ROBO Pop » October 13th, 2018, 10:22 am

Odd since they don't use dye or radioactive materials in a contrast echo.

And contrast does improve image detail but it's more closely related to say an x-ray than a photo. Reading an echo whether normal, doppler, or contrast is subjective and interpreted differently by different specialists. What they are best for is comparison of change over time
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abas
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Re: Echo with or without contrast

Post by abas » October 13th, 2018, 3:29 pm

Interesting topic. Just what does an echo with contrast do to an echo study that isn't showing glaring problems. My echos have said they assume some valve is not leaking too bad and this and that. They don't say it looks like there is a hidden alien hiding behind the tricuspid and we really need to add contrast to see. Am I misinterpreting?

I would want to know what or how contrast is added. Is it a simple injection of some material that wears off quickly? Are there any known side effects to this material like kidney damage?

I like versed as much as the next fun girl that is fond of rohypnol but that sounds a lot more serious than a plain jane vein injection. And antibiotics are not to be passed around like opiods so the "tee" thing is out. Leave that for the Linda Loveless fans.

Has anyone here actually had an echo with contrast?

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Ozchrissy
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Re: Echo with or without contrast

Post by Ozchrissy » October 13th, 2018, 8:56 pm

I haven't but I regularly get CT scans with contrast. I have one about every 6 months, and I come up ok after them.

Abas I don't have any body fat in that area, so maybe we can share some. wavhi I have had a couple of T's and I hate them. The first one they did the stuff down my throat to make it easier, and apparently I must have reacted badly because it was all over when they woke me up. :sick030: I now am knocked out for every one I have had. Thank goodness.

I do get a CT heart scan with contrast also. If you issue is with the dye, then I don't have any issues. As for what extra they can see with it, I am not sure. I know the echos show up heaps of other stuff, besides the old EF. All sorts of measurements etc are taken. I know mine always comes back with 'severe diastolic dysfunction' each time, and also my valves are checked for regurgitation. Prior to my valve replacement I know I could watch my mitral valve flopping in the flow for years. It wasn't until it was replaced that I realized what I had seen for years, was not normal. I was concerned because there was not much movement from my new valve, but regurgitation went from Severe, to minimal.

I have had an echo every 6 months since diagnosis abas, and never a contrast dye. I was not even aware that they did that.
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Re: Echo with or without contrast

Post by InSync » October 14th, 2018, 2:45 pm

I've never heard of an echo with contrast and I've never had any kind of injection or IV infusion for an echo. I've had TEEs and always sedated for them. I have had the radioactive imaging that I was told was a chemical stress test. I walked on the treadmill, had an infusion of some kind of radioactive material, then into an imaging machine kinda like a CT or MRI. Maybe there is a difference in the terminology we use or our doctors use.
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mykidsmom
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Re: Echo with or without contrast

Post by mykidsmom » October 15th, 2018, 1:26 am

Ive no idea what the difference is to be honest.....but my last echo was with contrast...and despite all assurances to the contrary i reacted to the dye.....not doing this again.....

Contrast echocardiography is a technique for improving echocardiographic resolution and providing real time assessment of intracardiac blood flow. Agitated saline contrast provides contrast in the right heart and enables detection of right to left shunts.Aug 25, 2017
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ROBO Pop
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Re: Echo with or without contrast

Post by ROBO Pop » October 15th, 2018, 1:33 pm

mykidsmom wrote:
October 15th, 2018, 1:26 am
Ive no idea what the difference is to be honest.....but my last echo was with contrast...and despite all assurances to the contrary i reacted to the dye.....not doing this again.....

Contrast echocardiography is a technique for improving echocardiographic resolution and providing real time assessment of intracardiac blood flow. Agitated saline contrast provides contrast in the right heart and enables detection of right to left shunts.Aug 25, 2017
punisher grrr... your own description says they use saline not dye. You are confusing a contrast echo with an angiogram in which they inject dye to be viewed in x-ray imaging. Whatever happened, you didn't have a reaction to the dye, unless of course you are talking about your hair falling out...please stop acting like the idiots over at the Pacemaker club or the white house who love to perpetuate unsubstantiated myths
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dick
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Re: Echo with or without contrast

Post by dick » October 15th, 2018, 3:39 pm

Well I guess that answers who got the bad bowl of cereal in the morning.

If I might interrupt, other than being able to charge a lot more $$, what are the particular advantages to the patient for a contrasted echo?

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ROBO Pop
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Re: Echo with or without contrast

Post by ROBO Pop » October 15th, 2018, 5:19 pm

dick wrote:
October 15th, 2018, 3:39 pm

If I might interrupt, other than being able to charge a lot more $$, what are the particular advantages to the patient for a contrasted echo?
it's name describes it, it increases the contrast between features in the image which is more like an x-ray than a photograph. It works off of sound bouncing back (echo) off of a feature. When I was designing real time mammography imaging systems, in spite of seeing hundreds of images, I was never able to pick out the micro-calcification (cancer). It's still highly subjective but far less dangerous and invasive than having an Angiogram. Then again the big advantage is how much the medical community makes ($$$)
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