{"title":"Longitudinal systolic function following aortic valve replacement in the PARTNER 2 trial and registry.","authors":"Iria Silva, Julien Ternacle, Philippe Pibarot","doi":"10.1093/ehjci/jeae222","DOIUrl":"10.1093/ehjci/jeae222","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"e323"},"PeriodicalIF":6.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008531","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}
James T Brown, Ruta Virsinskaite, Tushar Kotecha, Jennifer A Steeden, Marianna Fontana, Nina Karia, Benjamin E Schreiber, Voon H Ong, Christopher P Denton, J Gerry Coghlan, Vivek Muthurangu, Daniel S Knight
{"title":"Prognostic utility of exercise cardiovascular magnetic resonance in patients with systemic sclerosis-associated pulmonary arterial hypertension.","authors":"James T Brown, Ruta Virsinskaite, Tushar Kotecha, Jennifer A Steeden, Marianna Fontana, Nina Karia, Benjamin E Schreiber, Voon H Ong, Christopher P Denton, J Gerry Coghlan, Vivek Muthurangu, Daniel S Knight","doi":"10.1093/ehjci/jeae177","DOIUrl":"10.1093/ehjci/jeae177","url":null,"abstract":"<p><strong>Aims: </strong>Systemic sclerosis complicated by pulmonary arterial hypertension (SSc-PAH) is a rare condition with poor prognosis. The majority of patients are categorized as intermediate risk of mortality. Cardiovascular magnetic resonance (CMR) is well placed to reproducibly assess right heart size and function, but most patients with SSc-PAH have less overtly abnormal right ventricles than other forms of PAH. The aim of this study was to assess if exercise CMR measures of cardiac size and function could better predict outcome in patients with intermediate risk SSc-PAH compared with resting CMR.</p><p><strong>Methods and results: </strong>Fifty patients with SSc-PAH categorized as intermediate risk underwent CMR-augmented cardiopulmonary exercise testing. Most patients had normal CMR-defined resting measures of right ventricular (RV) size and function. Nine (18%) patients died during a median follow-up period of 2.1 years (range 0.1-4.6). Peak exercise RV indexed end-systolic volume (ESVi) was the only CMR metric to predict prognosis on stepwise Cox regression analysis, with an optimal threshold < 39 mL/m2 to predict favourable outcome. Intermediate-low risk patients with peak RVESVi < 39 mL/m2 had significantly better survival than all other combinations of intermediate-low/-high risk status and peak RVESVi< or ≥39 mL/m2. In our cohort, ventilatory efficiency and resting oxygen consumption (VO2) were predictive of mortality, but not peak VO2, peak cardiac output, or peak tissue oxygen extraction.</p><p><strong>Conclusion: </strong>Exercise CMR assessment of RV size and function may help identify SSc-PAH patients with poorer prognosis amongst intermediate risk cohorts, even when resting CMR appears reassuring, and could offer added value to clinical PH risk stratification.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"1712-1720"},"PeriodicalIF":6.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003925","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}
Su Nam Lee, Ronit H Zadikany, Louise E J Thomson, Robert J Siegel, Daniel S Berman
{"title":"Cigar-shaped left ventricular thrombus in cocaine-related cardiomyopathy: echocardiography, cardiac MRI and coronary CT angiography correlations.","authors":"Su Nam Lee, Ronit H Zadikany, Louise E J Thomson, Robert J Siegel, Daniel S Berman","doi":"10.1093/ehjci/jeae220","DOIUrl":"10.1093/ehjci/jeae220","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"e326"},"PeriodicalIF":6.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003924","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":"Imaging detected coronary and carotid atherosclerosis in the general population: is prevalence still different between sexes?","authors":"Riccardo Liga, Mariaelena Occhipinti, Danilo Neglia","doi":"10.1093/ehjci/jeae218","DOIUrl":"10.1093/ehjci/jeae218","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"1673-1674"},"PeriodicalIF":6.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992267","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":"Coronary-pulmonary collateral as major pulmonary blood sources in Tetralogy of Fallot with absent left pulmonary artery.","authors":"Leizhi Ku, Yuhang Wang, Zheng Liu, Xiaojing Ma","doi":"10.1093/ehjci/jeae303","DOIUrl":"https://doi.org/10.1093/ehjci/jeae303","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709607","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}
Daniel E Loewenstein, Björn Wieslander, Einar Heiberg, Jimmy Axelsson, Igor Klem, Robin Nijveldt, Erik B Schelbert, Peder Sörensson, Andreas Sigfridsson, David G Strauss, Raymond J Kim, Brett D Atwater, Martin Ugander
{"title":"Accuracy of left ventricular mechanical dyssynchrony indices for mechanical characteristics of left bundle branch block using cardiovascular magnetic resonance feature tracking.","authors":"Daniel E Loewenstein, Björn Wieslander, Einar Heiberg, Jimmy Axelsson, Igor Klem, Robin Nijveldt, Erik B Schelbert, Peder Sörensson, Andreas Sigfridsson, David G Strauss, Raymond J Kim, Brett D Atwater, Martin Ugander","doi":"10.1093/ehjci/jeae301","DOIUrl":"https://doi.org/10.1093/ehjci/jeae301","url":null,"abstract":"<p><strong>Aims: </strong>More than 90% of patients with left bundle branch block (LBBB) and reduced left ventricular (LV) ejection fraction have LV dyssynchrony and a high probability of response to cardiac resynchronization therapy (CRT). A subgroup of patients with non-specific intraventricular conduction delay (IVCD) have a LBBB-like LV activation pattern when studied using invasive mapping and advanced echocardiographic techniques. These patients also frequently benefit from CRT but these patients have proven difficult to identify using ECG criteria. Cardiovascular magnetic resonance (CMR) imaging indices of dyssynchrony may identify patients with IVCD who may benefit from CRT but their relative accuracies for identification of LV dyssynchrony remains unknown. We compared the LV dyssynchrony classification accuracy of two commonly available CMR indices in a study population of patients with severely reduced LV ejection fraction and no scar, and either LBBB or normal conduction (normal QRS duration and axis, controls).</p><p><strong>Methods and results: </strong>In LBBB (n=44) and controls (n=36), using CMR feature-tracking circumferential strain, dyssynchrony was quantified as the circumferential uniformity ratio estimate (CURE) and the systolic stretch index (SSI). Deidentified CMR image-data were made publicly available. Both CURE and SSI quantified more severe dyssynchrony in LBBB compared to controls (p<0.001 for both). SSI more frequently discriminated LBBB and normal conduction LV activation patterns than CURE (area under the receiver-operating characteristics curve [95% confidence interval] 0.96 [0.92-1.00] for SSI vs 0.76 [0.65-0.86] for CURE, p<0.001).</p><p><strong>Conclusion: </strong>SSI is superior to CURE for discriminating synchronous and dyssynchronous LV activation and should be further studied in the setting of non-LBBB conduction abnormalities.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692828","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}