Elena Surkova, Margarita Brida, Denisa Muraru, Annemien van den Bosch, Hani Mahmoud Elsayed, Wei Li, Michael A Gatzoulis, Giovanni Di Salvo
{"title":"Three-Dimensional Echocardiography in Adults with Congenital Heart Disease. A Scientific Statement of the ESC Working Group on Adult Congenital Heart Disease and the European Association of Cardiovascular Imaging of the ESC.","authors":"Elena Surkova, Margarita Brida, Denisa Muraru, Annemien van den Bosch, Hani Mahmoud Elsayed, Wei Li, Michael A Gatzoulis, Giovanni Di Salvo","doi":"10.1093/ehjci/jeaf105","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf105","url":null,"abstract":"<p><p>Congenital heart disease (CHD) is the most common inborn defect affecting up to 1% of newborns. The prevalence of CHD has shifted from childhood to adulthood, and the number of adult patients living with CHD continues to increase. This patient population presents unique challenges in diagnostic imaging and management due to complex underlying cardiac morphology, previous operations and interventions, and hemodynamic conditions. Three-dimensional echocardiography (3DE) has significantly improved our understanding of complex anatomic and hemodynamic substrates and emerged as a clinically useful tool that provides incremental information and complements the routine echocardiographic examination. The advantages of 3DE, including more accurate visualization of anatomic structures, absence of geometrical assumptions regarding shape of cardiac structures, and ability to obtain a complete view of the structures of interest from multiple perspectives in a beating heart, are especially relevant for diagnosis and follow-up of CHD in adult population, as well as interventional and surgical planning and guidance. In this scientific statement, we provide detailed and simple-to-follow descriptions of the added value of 3DE in evaluation of specific cardiac structures encountered in CHD, its role in diagnosis and follow-up, as well as training requirements for proficiency in 3DE in adult CHD.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Murray F Matangi, Marie-France Hétu, David W J Armstrong, Jonas Shellenberger, Daniel Brouillard, Josh Baker, Ana Johnson, Nicholas Grubic, Hannah Willms, Amer M Johri
{"title":"Carotid plaque score is associated with 10-year major adverse cardiovascular events in low-intermediate risk patients referred to a general cardiology community clinic.","authors":"Murray F Matangi, Marie-France Hétu, David W J Armstrong, Jonas Shellenberger, Daniel Brouillard, Josh Baker, Ana Johnson, Nicholas Grubic, Hannah Willms, Amer M Johri","doi":"10.1093/ehjci/jeae153","DOIUrl":"10.1093/ehjci/jeae153","url":null,"abstract":"<p><strong>Aims: </strong>Atherosclerotic carotid plaque assessments have not been integrated into routine clinical practice due to the time-consuming nature of both imaging and measurements. Plaque score, Rotterdam method, is simple, quick, and only requires 4-6 B-mode ultrasound images. The aim was to assess the benefit of plaque score in a community cardiology clinic to identify patients at risk for major adverse cardiovascular events (MACE).</p><p><strong>Methods and results: </strong>Patients ≥ 40 years presenting for risk assessment were given a carotid ultrasound. Exclusions included a history of vascular disease or MACE and being >75 years. Kaplan-Meier curves and hazard ratios were performed. The left and right common carotid artery (CCA), bulb, and internal carotid artery were given 1 point per segment if plaque was present (plaque scores 0-6). Administrative data holdings at ICES were used for 10-year event follow-up. Of 8472 patients, 60% were females (n = 5121). Plaque was more prevalent in males (64% vs. 53.9%; P < 0.0001). The 10-year MACE cumulative incidence estimate was 6.37% with 276 events (males 6.9% vs. females 6.0%; P = 0.004). Having both maximal CCA intima media thickness < 1.00 mm and plaque score = 0 was associated with less events. A plaque score < 2 was associated with a low 10-year event rate (4.1%) compared with 2-4 (8.7%) and 5-6 (20%).</p><p><strong>Conclusion: </strong>A plaque score ≥ 2 can re-stratify low-intermediate risk patients to a higher risk for events. Plaque score may be used as a quick assessment in a cardiology office to guide treatment management of patients.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"714-724"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141497515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hee Jeong Lee, Na Young Kim, Dae-Young Kim, Jang-Won Son, Kang-Un Choi, SeonHwa Lee, In-Cheol Kim, Kyu-Yong Ko, Kyung Eun Ha, Seo-Yeon Gwak, Kyu Kim, Jiwon Seo, Hojeong Kim, Chi Young Shim, Jong-Won Ha, Hyungseop Kim, Geu-Ru Hong, Iksung Cho, Young Joo Suh
{"title":"Selecting the optimal candidates for percutaneous mitral valvuloplasty using multi-modality imaging.","authors":"Hee Jeong Lee, Na Young Kim, Dae-Young Kim, Jang-Won Son, Kang-Un Choi, SeonHwa Lee, In-Cheol Kim, Kyu-Yong Ko, Kyung Eun Ha, Seo-Yeon Gwak, Kyu Kim, Jiwon Seo, Hojeong Kim, Chi Young Shim, Jong-Won Ha, Hyungseop Kim, Geu-Ru Hong, Iksung Cho, Young Joo Suh","doi":"10.1093/ehjci/jeae334","DOIUrl":"10.1093/ehjci/jeae334","url":null,"abstract":"<p><strong>Aims: </strong>This study compared echocardiography (echo) and cardiac computed tomography (CT) in measuring the Wilkins score and evaluated the potential added benefit of CT in predicting immediate percutaneous mitral valvuloplasty (PMV) outcomes in rheumatic mitral stenosis (MS) patients deemed eligible for PMV by echo.</p><p><strong>Methods and results: </strong>From a multicentre registry of 3,140 patients with at least moderate MS, we included 96 patients (age 56.4 ± 11.5 years, 81% female) eligible for PMV based on echo Wilkins score (≤9) who underwent PMV and had measurable CT and echo images. We compared Wilkins scores from both modalities and analysed their relationship with unsuccessful procedural outcomes, defined as sub-optimal post-procedural mitral valve area (<1.5 cm2) or newly developed mitral regurgitation Grade ≥III. The mean CT score was higher than the echo score (8.0 ± 2.4 vs. 7.3 ± 1.2 points, P = 0.005). Procedural success was achieved in 65 (67.7%) patients. Unsuccessful results occurred in 31 patients, primarily in intermediate echo score (7-9 points) group. Among patients with intermediate echo scores, 90% had high CT scores (≥9), which were associated with significantly higher rates of unsuccessful PMV compared with lower CT scores (61.1 vs. 18.9%, P < 0.001).</p><p><strong>Conclusion: </strong>CT-derived Wilkins scores were higher than echo-derived scores, with the most significant discrepancy in the intermediate echo score group. CT identified a subgroup of patients at higher risk for unsuccessful PMV among those with intermediate echo-based feasibility. Patients with intermediate echo-based PMV feasibility may benefit from CT-based reclassification, potentially improving patient selection and procedural outcomes.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"705-711"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The emerging role of left atrioventricular coupling index in heart failure: a new frontier for cardiac magnetic resonance.","authors":"Federico Fortuni, Claudio Bernetti, Erberto Carluccio","doi":"10.1093/ehjci/jeaf047","DOIUrl":"10.1093/ehjci/jeaf047","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"618-619"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ivan Lechner, Alex Kaser, Martin Reindl, Sebastian J Reinstadler
{"title":"Global longitudinal strain and beta-blockers: rethinking their roles in post-AMI patients with preserved ejection fraction.","authors":"Ivan Lechner, Alex Kaser, Martin Reindl, Sebastian J Reinstadler","doi":"10.1093/ehjci/jeaf039","DOIUrl":"10.1093/ehjci/jeaf039","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"628-629"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jwan A Naser, Hossam Ibrahim, Kartik Andi, Christopher G Scott, Patricia A Pellikka, Austin M Kennedy, Heidi M Connolly, Vuyisile T Nkomo, Maurice Enriquez-Sarano, Sorin V Pislaru, Carole A Warnes, Charles C Jain, Barry A Borlaug, Alexander C Egbe
{"title":"Prevalence, aetiology, and outcomes of native pulmonary regurgitation in the general adult population.","authors":"Jwan A Naser, Hossam Ibrahim, Kartik Andi, Christopher G Scott, Patricia A Pellikka, Austin M Kennedy, Heidi M Connolly, Vuyisile T Nkomo, Maurice Enriquez-Sarano, Sorin V Pislaru, Carole A Warnes, Charles C Jain, Barry A Borlaug, Alexander C Egbe","doi":"10.1093/ehjci/jeaf011","DOIUrl":"10.1093/ehjci/jeaf011","url":null,"abstract":"<p><strong>Aims: </strong>Pulmonary regurgitation (PR) after reparative intervention for congenital heart disease has been studied extensively. However, the burden, distribution of causes, and outcome of PR in adults is unknown. The study aimed to evaluate the prevalence, types, and outcomes of moderate/severe PR in adults in the community setting.</p><p><strong>Methods and results: </strong>A total of 398 adult residents of Olmsted County who had clinically indicated echocardiography 2004-2023 at Mayo Clinic, Rochester, and had moderate or severe PR were identified retrospectively. The median age was 77 years, 48% were females, and 61 (51%) had severe PR. The age- and sex-adjusted US prevalence was 0.11% (vs. 0.67% for ≥moderate tricuspid regurgitation). Moderate/severe PR was due to pulmonary hypertension in 77%, congenital/iatrogenic in 11%, primary pulmonary valve disease in 2% (88% due to carcinoid), and idiopathic isolated in 10%. In contrast, severe PR was due to congenital/iatrogenic disease in 52%, pulmonary hypertension in 39%, primary PR in 5%, and isolated idiopathic in 3%. The all-cause mortality rate per 100 person-year was 73 in primary (mostly carcinoid) PR, 16 in pulmonary hypertension-related PR (not different vs. propensity-matched patients without PR), and 6 in isolated idiopathic PR (not different vs. matched patients without PR).</p><p><strong>Conclusion: </strong>Moderate or severe PR had a lower prevalence vs. TR. The most frequent cause was pulmonary hypertension for ≥moderate PR and congenital/iatrogenic for severe PR. Mortality in patients with acquired ≥moderate PR appeared to be related to the underlying cause, with no excess mortality compared with matched patients without PR. Whether specifically severe PR confers excess mortality requires future investigation.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"695-702"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fanyu Chen, Lanxin Ye, Oudi Chen, Hongkun Qing, Xuhua Jian
{"title":"A case of systemic multiple haemangiomas with cardiac haemangioma as the initial manifestation.","authors":"Fanyu Chen, Lanxin Ye, Oudi Chen, Hongkun Qing, Xuhua Jian","doi":"10.1093/ehjci/jeae327","DOIUrl":"10.1093/ehjci/jeae327","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"763"},"PeriodicalIF":6.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}