Shi-Wen Li , Tian-Xin Dong , Ruo-Cen Bai , Chun-Feng Wang , Xiao-Fang Pan , Yu-Qiong Lai , Tao Cong , Jun Wu , Gui-Lin Lu , Jing Tan , Xin-Yun Chen , Ming-Yan Ding , Su-Li Zhang , Lin-Wei Hong , Yu-Hong Li , Cheng-Cai Chen , Yi-Lin Liu , Dong-Mei Yang , Yan-Hua Li , Hai-Xia Sun , Chun-Yan Ma
{"title":"Comparison of model-based and speckle tracking-based automated three-dimensional echocardiographic quantification of left ventricular volumes and function: A multicenter study","authors":"Shi-Wen Li , Tian-Xin Dong , Ruo-Cen Bai , Chun-Feng Wang , Xiao-Fang Pan , Yu-Qiong Lai , Tao Cong , Jun Wu , Gui-Lin Lu , Jing Tan , Xin-Yun Chen , Ming-Yan Ding , Su-Li Zhang , Lin-Wei Hong , Yu-Hong Li , Cheng-Cai Chen , Yi-Lin Liu , Dong-Mei Yang , Yan-Hua Li , Hai-Xia Sun , Chun-Yan Ma","doi":"10.1016/j.ijcard.2025.133426","DOIUrl":"10.1016/j.ijcard.2025.133426","url":null,"abstract":"<div><h3>Background</h3><div>Three-dimensional echocardiography (3DE) provides accurate and reproducible measurements of left ventricular (LV) volumes and ejection fraction (LVEF). Speckle tracking-based 4D LV-Analysis and model-based Dynamic Heart Model (DHM) are commonly used automated 3DE software. However, the potential discrepancies in quantification between these two software have not been fully elucidated. Therefore, this study aimed to determine the differences between the two methods.</div></div><div><h3>Methods</h3><div>A total of 770 healthy individuals aged 18 to 79 years were enrolled in 38 hospitals throughout China. LV volumes and LVEF were measured using both speckle tracking-based 4D LV-Analysis and model-based DHM.</div></div><div><h3>Results</h3><div>The measurements of LV end-diastolic volume, end-systolic volume, stroke volume, and LVEF by DHM were found to be 16.6 mL, 5.1 mL, 11.6 mL, and 1.0 % higher, respectively, compared with 4D LV-Analysis (all <em>P</em> values were < 0.001). DHM showed shorter analysis time in comparison with 4D LV-Analysis, whether manual adjustment is required or not. Although both methods exhibited high reproducibility, the reproducibility of DHM was less influenced by variations in image quality. Due to the differences between the two software, age- and sex-specific reference ranges for LV volumes and LVEF were established for the DHM.</div></div><div><h3>Conclusion</h3><div>There are notable differences between DHM and 4D LV-Analysis in LV quantification. Specifically, LV volumes and LVEF measured using DHM are significantly higher. These discrepancies should be carefully considered in clinical practice, and distinct reference ranges should be employed accordingly.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133426"},"PeriodicalIF":3.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bülent Özlek , Veysel Ozan Tanık , Süleyman Barutçu
{"title":"Reassessing the role of troponin in supraventricular tachycardia: Clinical utility or contextual signal?","authors":"Bülent Özlek , Veysel Ozan Tanık , Süleyman Barutçu","doi":"10.1016/j.ijcard.2025.133439","DOIUrl":"10.1016/j.ijcard.2025.133439","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133439"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Husnain Ahmad , Muhammad Bilal , Muhammad Ibrahim , Hafiza Iman
{"title":"Letter to editor on low chronotropic response in post-myocardial infarction exercise test predicts worse prognosis in patients with preserved or mildly reduced left ventricular ejection fraction","authors":"Muhammad Husnain Ahmad , Muhammad Bilal , Muhammad Ibrahim , Hafiza Iman","doi":"10.1016/j.ijcard.2025.133432","DOIUrl":"10.1016/j.ijcard.2025.133432","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133432"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to “U-shaped relationship between serum phosphate levels and mortality in critically ill patients with atrial fibrillation: Insights from the MIMIC-IV database”","authors":"Pengcheng Zhao, Ting Zhang","doi":"10.1016/j.ijcard.2025.133430","DOIUrl":"10.1016/j.ijcard.2025.133430","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133430"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the link between plasma proteome and cardiac function: A leap forward in heart failure research","authors":"Yong Ye, Wen-wen Shao, Cheng Yang","doi":"10.1016/j.ijcard.2025.133438","DOIUrl":"10.1016/j.ijcard.2025.133438","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133438"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “impact of sodium-glucose cotransporter 2 inhibitors on catheter ablation for atrial fibrillation in heart failure patients without type-2 diabetes”","authors":"Yanyan Song , MingLiang Li , ZhuYing Zhang","doi":"10.1016/j.ijcard.2025.133441","DOIUrl":"10.1016/j.ijcard.2025.133441","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133441"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is female sex still a driver of stroke risk in atrial fibrillation?","authors":"Fatih Akkaya , Yusuf Hosoglu","doi":"10.1016/j.ijcard.2025.133442","DOIUrl":"10.1016/j.ijcard.2025.133442","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133442"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validation of MitraScore in diverse mitral regurgitation subtypes: Insights from the OCEAN-mitral registry","authors":"Hideaki Nonaka , Masahiko Asami , Yu Horiuchi , Jun Tanaka , Yuki Gonda , Masanori Taniwaki , Kota Komiyama , Kengo Tanabe , Masanori Yamamoto , Shunsuke Kubo , Mike Saji , Yuki Izumi , Yusuke Enta , Shinichi Shirai , Masaki Izumo , Shingo Mizuno , Yusuke Watanabe , Makoto Amaki , Kazuhisa Kodama , Junichi Yamaguchi , Kentaro Hayashida","doi":"10.1016/j.ijcard.2025.133427","DOIUrl":"10.1016/j.ijcard.2025.133427","url":null,"abstract":"<div><h3>Background</h3><div>MitraScore is a newly developed tool for predicting mortality risk in patients undergoing mitral transcatheter edge-to-edge repair (M-TEER). Although its performance has been demonstrated in a derivation study, external validation beyond functional mitral regurgitation (MR) remains limited.</div></div><div><h3>Objective</h3><div>To externally validate the performance of MitraScore across diverse MR subtypes.</div></div><div><h3>Methods</h3><div>Using the dataset from the OCEAN-Mitral registry, an ongoing multicenter study recruiting consecutive patients undergoing M-TEER, discrimination and calibration of MitraScore were assessed with Harrell's C-statistic and Gronnesby-Borgan goodness-of-fit tests, respectively. The primary outcome was all-cause mortality. Risk stratification was evaluated by classifying patients into low-risk (MitraScore: 0–2 points), moderate-risk (3–4 points), and high-risk (5–8 points) groups.</div></div><div><h3>Results</h3><div>In the entire population (<em>n</em> = 3745; age, 78.8 ± 9.6; female 45.1 %; median follow-up, 1.2 years), MitraScore showed moderate discrimination (C-statistic: 0.63) and good calibration (Chi-squared value: 2.86; <em>P</em> = 0.41) to predict mortality. Compared to MitraScore low-risk patients, moderate- (hazard ratio [HR], 1.92; 95 % confidence interval [CI], 1.59–2.33) and high-risk patients (HR, 4.16; 95 % CI, 3.25–5.33) showed significantly higher mortality risk. These performances were consistent in subgroup analyses of different etiologies of MR, anatomical features, and cases with hemodynamic instability. The addition of novel independent predictor, “Clinical Frailty Scale ≥ 4 points”, improved the performance of conventional MitraScore, outperforming STS score, and EuroSCOREII.</div></div><div><h3>Conclusions</h3><div>This was the largest external validation study for MitraScore, demonstrating moderate discrimination, good calibration, and effective risk stratification across diverse MR types. Frailty assessment enhances predictive value, although additional validation is required.</div><div>(250/250)</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133427"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zheng-Bing Liu , Yu Wang , Jing Liu , Shi-Fang Ding
{"title":"Combination of colchicine and bifidobacteria: A promising strategy for reducing the recurrence of atrial fibrillation","authors":"Zheng-Bing Liu , Yu Wang , Jing Liu , Shi-Fang Ding","doi":"10.1016/j.ijcard.2025.133440","DOIUrl":"10.1016/j.ijcard.2025.133440","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"436 ","pages":"Article 133440"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}