Journal of Cardiovascular Echography最新文献

{"title":"Effect of Preoperative Pulmonary Hypertension on the Course of Right Ventricular Function: A Three-dimensional Echocardiographic Study in Valvular Surgery Patients.","authors":"Shinya Ito, Kenji Yoshitani, Satsuki Fukushima, Hitoshi Matsuda","doi":"10.4103/jcecho.jcecho_38_24","DOIUrl":"10.4103/jcecho.jcecho_38_24","url":null,"abstract":"<p><strong>Context: </strong>Postoperative right heart failure is a poor prognostic factor after cardiac surgery. However, the factors that influence perioperative right ventricular (RV) function remain unknown. This study investigated whether preoperative pulmonary hypertension (PH) affects changes in RV systolic function during the perioperative period.</p><p><strong>Aims: </strong>This study aimed to determine the effect of preoperative PH on changes in RV systolic function in patients undergoing aortic or mitral valve surgery.</p><p><strong>Settings and design: </strong>This was a retrospective review of three-dimensional echocardiographic datasets of 157 patients undergoing aortic or mitral valve surgery.</p><p><strong>Materials and methods: </strong>Patients were classified into the PH (<i>n</i> = 105) or non-PH (<i>n</i> = 51) group based on preoperative right heart catheterization findings. RV ejection fraction and RV longitudinal strain (RVLS) of the free wall and septum were calculated using semiautomated image analysis software at four time points: before surgery, end of surgery, 3 months after surgery, and 1 year after surgery.</p><p><strong>Statistical analysis used: </strong>A mixed-effects model was used to compare changes in RV function between groups.</p><p><strong>Results: </strong>Over 1 year, no significant differences in trends were observed between groups for any of the parameters. However, a significant deterioration in free wall RVLS was observed in the non-PH group when focusing on the change from baseline to 1 year (<i>P</i> value for interaction = 0.013).</p><p><strong>Conclusions: </strong>In patients undergoing valvular surgery, the presence of preoperative PH did not significantly influence changes in RV function throughout the perioperative period.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"170-178"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noninvasive Estimation of Right Atrial, Right Ventricular, and Pulmonary Systolic Pressure: \"A Good Story Never Ends\".","authors":"Laura Fusini, Gloria Tamborini, Anna Garlaschè, Sarah Ghulam Ali, Manuela Muratori, Gianluca Pontone, Mauro Pepi","doi":"10.4103/jcecho.jcecho_73_24","DOIUrl":"10.4103/jcecho.jcecho_73_24","url":null,"abstract":"<p><p>The precise evaluation of pulmonary artery, right atrial, and ventricular pressures is essential for the diagnosis, ongoing management, and therapeutic decision-making in a wide range of cardiovascular conditions, including pulmonary hypertension. Since the early 1980s, the accuracy and consistency of echocardiography in estimating pulmonary artery pressure have been a subject of debate, with multiple formulas developed over time to improve reliability. Despite initial concerns, echocardiography has now been widely accepted as a noninvasive, safe, and readily available alternative to the more invasive right heart catheterization, which remains the gold standard. The growing recognition of echocardiography's role in clinical practice has led to significant advancements in its methodology. This review explores the contribution of echo-Doppler techniques to the assessment of right heart hemodynamics, highlighting their importance in daily practice. It also examines the historical milestones that have facilitated the standardization of various formulas and paved the way for the development of current guidelines. By tracing these developments, the review underscores the relevance of echocardiography in modern cardiology and the importance of continuing to refine its application to ensure accurate and reliable assessments.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"153-159"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Three-dimensional Transesophageal Echocardiography: A Game Changer in Congenital Heart Disease.","authors":"Giovanni Di Salvo, Alice Pozza, Biagio Castaldi, Domenico Galzerano, Valeria Pergola","doi":"10.4103/jcecho.jcecho_45_24","DOIUrl":"10.4103/jcecho.jcecho_45_24","url":null,"abstract":"<p><strong>Background: </strong>Despite its potential, pediatric three-dimensional (3D) transesophageal echocardiography (TEE) faced technical limitations due to the size and rigidity of early probes designed for adults.</p><p><strong>Aim: </strong>In this paper, we present our experience in using the new pediatric 3D TEE probe in complex congenital heart disease (CHD).</p><p><strong>Methods: </strong>Recent advancements in the field of miniaturization have led to the development of a new pediatric 3D TEE probe, specifically designed for young children (weight ≥4.5 kg). This probe features a smaller, flexible design and high-spatial and temporal resolution, enabling detailed views of intracardiac structures and real-time imaging crucial for complex diagnosis, planning interventional and surgical procedures. We used this new probe in pediatric cases (weight between 4.5 and 6 kg) with complex congenital heart disease.</p><p><strong>Results: </strong>In double-outlet right ventricle or in Taussig Bing anomaly the new 3D TEE probe enabled detailed assessment of ventricular septal defect and its relations with tricuspid valve apparatus, and provided details of mitral valve leaflets not detectable by the transthoracic approach, even in small children.</p><p><strong>Conclusions: </strong>These cases highlight the probe's ability to provide detailed anatomical information, enhancing surgical planning and outcomes. The pediatric 3D TEE probe has the potential to be a game changer in defining intracardiac anatomy in complex CHD.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"203-205"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Arterial Hemodynamic Assessment by Pulmonary Pulse Transit Time before and after Balloon Mitral Valvuloplasty.","authors":"Mohamed Saeed Abdelmordy Abdallah, Amany Ragab Mahmoud Serag, Mohamed Yahia Abd Elkhalek, Fatma Elzahraa Abdelmonem Zein","doi":"10.4103/jcecho.jcecho_44_24","DOIUrl":"10.4103/jcecho.jcecho_44_24","url":null,"abstract":"<p><strong>Background: </strong>Transthoracic echocardiography remains a crucial diagnostic tool for the identification of pulmonary arterial hypertension (PAH). We eagerly await the novel noninvasive techniques development that significantly advances our knowledge of the pulmonary circulation and right ventricle.</p><p><strong>Objective: </strong>The objective of this study was to assess pulmonary arterial hemodynamics using pulmonary pulse transit time (pPTT) following balloon mitral valvuloplasty (BMV).</p><p><strong>Patients and methods: </strong>Thirty-three patients with moderate-to-severe mitral stenosis (MS) with varying pulmonary hypertension degree who were presented to the National Heart Institute to do percutaneous mitral balloon valvuloplasty. Participants were evaluated for their echocardiographic variables including the pPTT, and they were followed up immediately, 1 week, 1 month, and 6 months after BMV.</p><p><strong>Results: </strong>The study demonstrated a significant and progressive improvement in the right ventricular fractional area change and the tricuspid annular plane systolic excursion (TAPSE) following BMV; on the other hand, the pulmonary artery systolic pressure demonstrated a significant decrease postprocedure and during the follow-up period. On analysis, we found a significant change observed in pPTT values postprocedure (<i>P</i> < 0.001). This value showed a significant reduction immediately following the procedure and the decline continued over the subsequent follow-up periods. Each of these postprocedure measurements showed a significant decrease from the baseline (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The pPTT was high in postcapillary pulmonary hypertension (in MS patients) and reduced after correction of causative pathology; the pPTT is a valid measure to assess the improvement in PAH after BMV.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"179-185"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Lone Three-dimensional Transthoracic Echocardiography in Tricuspid Valve Function and Geometry Assessment: Implication for Preoperative Evaluation of Transcatheter Tricuspid Valve Therapies.","authors":"Noemi Bruno, Marco Russo, Amedeo Pergolini, Antonio Giovanni Cammardella, Francesco Musumeci, Federico Ranocchi","doi":"10.4103/jcecho.jcecho_53_24","DOIUrl":"10.4103/jcecho.jcecho_53_24","url":null,"abstract":"<p><strong>Introduction: </strong>Tricuspid regurgitation (TR) is associated with high rate and poor prognosis in patient undertreated. In recent years, transcatheter tricuspid valve interventions (TTVI) appears like a valuable option in high risk surgical candidates in presence of suitable anatomy. Screening phase with transthoracic, thansoesophageal echocardiography, and cardiac computed tomography (CT) are necessary select patients.</p><p><strong>Purpose: </strong>The aim of the study is to compare different imaging modalities as three-dimensional (3D) transthoracic echocardiography (TTE), transesophageal echocardiography (TOE) and ECG-gated cardiac CT for the definition of tricuspid valve (TV) function and geometry assessment.</p><p><strong>Materials and methods: </strong>Twenty-one (age 79 ± 7 years, female 72%) patients under screening for transcatheter treatment of TR were prospectively enrolled in the study and underwent TTE, TOE, and cardiac CT. All measurements were performed in double blind by three different operators and compared.</p><p><strong>Results: </strong>In the comparison between 2D/3D TTE and 2D/3D TOE, no statistically significant differences were found regarding the evaluation of the valve anatomy, the site of regurgitation, and the underlying mechanism (TTE vs. TOE: 3D septo-lateral diam 45.8 ± 4,92 vs. 45.87 ± 4,98 mm, <i>P</i> = 0.87; 3D antero-posterior diam 43.5 ± 4,58 vs. 43.5 ± 4,53 mm, <i>P</i> = 0.59; Circularity index 0,75 ± 0,08 vs. 0,76 ± 0,08, <i>P</i> = 0.98). When comparing 3D TTE and cardiac CT, no differences were recorded in terms of TV area 17.58 ± 3 versus 17.71 ± 4,3 cm², <i>P</i> = 0.1; perimeter 14.89 ± 1,6 versus 14.29 ± 1 cm, <i>P</i> = 0.5 and diameters. Similarly, in the study of right ventricular dimensions, obtained through 3D volumetric reconstruction, TTE was not statistically different to Cardiac CT.</p><p><strong>Conclusions: </strong>The present series shows how a lone 3D TTE has a good reliability in the definition of TV function, leaflet characteristics, and geometry when compared with second level imaging modalities and may be safely used to select optimal candidates for complex TTVI.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"186-195"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodality Imaging Approach in Infective Endocarditis: When Less is More.","authors":"Giovanni Di Salvo, Saleem Muhammad, Domenico Galzerano, Al Jufan Mansour","doi":"10.4103/jcecho.jcecho_50_24","DOIUrl":"10.4103/jcecho.jcecho_50_24","url":null,"abstract":"<p><p>The latest ESC guidelines advocate for a multimodality imaging approach in diagnosing infective endocarditis, incorporating echocardiography, computed tomography (CT), magnetic resonance imaging, positron emission tomography/CT, and single-photon emission CT/CT to enhance diagnostic accuracy. This case study examines the limitations of this approach in a patient with suspected prosthetic valve endocarditis, suggesting that while multimodality imaging is valuable, a clinically oriented strategy may be more effective in certain situations.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"219-221"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-year Impact of Clinical and Echocardiographic Parameters in Cardiac Implantable Electronic Device Infection after Transvenous Extraction.","authors":"Sara Hana Weisz, Chiara Sordelli, Nunzia Fele, Angela Guarino, Raffaele Verde, Giulio Zucchelli, Corrado Severino, Vittorio Attanasio, Stefano De Vivo, Carlo Tascini, Sergio Severino","doi":"10.4103/jcecho.jcecho_55_24","DOIUrl":"10.4103/jcecho.jcecho_55_24","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiac implantable electronic device infection (CIEDi) represents a serious complication with a poor prognosis. Many studies have underlined the importance of comorbidities on prognosis, but less is known about the impact of echocardiographic parameters. The aim of our study was to evaluate the clinical and echocardiographic characteristics of patients hospitalized for CIEDi submitted to transvenous extraction and their impact on 1-year follow-up.</p><p><strong>Materials and methods: </strong>This is a retrospective cohort study that evaluated patients hospitalized for CIEDi in 2019 in two high-volume centers (Cotugno Hospital of Napoli and University Hospital of Pisa).</p><p><strong>Results: </strong>Sixty-eight patients (72 ± 12 years, 24% females) were included. Isolated pocket infection was present in 30 patients (44%), whereas systemic infection in 38 (56%). In 24 patients (35%), it was possible to identify responsible germ, with a higher prevalence of <i>Staphylococcus epidermidis</i> (24%) and <i>Staphylococcus aureus</i> (16%). The mean ejection fraction (EF) was 45 ± 14%, 44% of patients had one vegetation (11.0 ± 8.0 mm), and 19% had multiple. Transthoracic echocardiography (TTE) failed to identify vegetation in 16 patients, whereas transesophageal echocardiography (TEE) was diagnostic. All patients underwent transvenous extraction of infected devices. After the procedure, echocardiographic ghosts were found in six patients (9%). At 1-year follow-up, all-cause mortality was 16%, mortality for cardiovascular cause was 12%, and no reinfection was recorded. Patients with EF ≤40% showed a significantly higher incidence of all-cause mortality (32% vs. 5%, <i>P</i> = 0.003) and mortality for cardiovascular causes (25% vs. 3%, <i>P</i> = 0.005). At adjusted Cox regression model, reduced EF ≤40% (adjusted hazard ratio [AdjHR] = 9.887, confidence interval [CI] =1.782-54.863; <i>P</i> = 0.009) and diabetes (AdjHR = 5.687, CI = 1.243-26.011; <i>P</i> = 0.025) were strong independent predictors of all-cause mortality. Moreover, reduced EF ≤40% (AdjHR = 17.382, CI = 1.379-219.037; <i>P</i> = 0.027), the presence of ghost (AdjHR = 14.584, CI = 1.465-145.197; <i>P</i> = 0.022), and diabetes (AdjHR = 11.334, CI = 1.506-85.315; <i>P</i> = 0.018) were strong independent predictors of mortality for cardiovascular cause.</p><p><strong>Conclusions: </strong>Echocardiography (TTE and TEE) is a fundamental tool for the diagnosis and follow-up of CIEDi. In our population, diabetes mellitus and echocardiographic-derived parameters as reduced EF ≤40% and the presence of ghosts were strongly associated with 1-year mortality.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"196-202"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreatitis-associated Myocarditis: Systematic Review and Meta-analysis of a Deadly Duo.","authors":"Mattia Alberti, Alessandro Marcucci, Filippo Biondi, Simona Chiusolo, Gabriele Masini, Lorenzo Faggioni, Dania Cioni, Doralisa Morrone, Raffaele De Caterina, Emanuele Neri, Giovanni Donato Aquaro","doi":"10.4103/jcecho.jcecho_59_24","DOIUrl":"10.4103/jcecho.jcecho_59_24","url":null,"abstract":"<p><p>Myocardial injury is a recognized complication of acute pancreatitis, whereas myocarditis has only been occasionally reported and has not been systematically evaluated. We systematically reviewed PubMed literature published up to January 2024 for studies including both \"myocarditis\" and \"pancreatitis\" as keywords. Relevant data regarding patient characteristics and outcomes were collected and analyzed. A total of 31 patients from 31 independent studies were included. The etiology of pancreatitis was viral in 52%, bacterial in 20%, toxic in 16%, autoimmune in 9%, and idiopathic in 3%. 23% of patients were immunocompromised. Median high sensitivity-cardiac troponin T was 342 (IQR 73-890) ng/L and N-terminus-pro-brain natriuretic peptide was 11053 (IQR 1397-26150) pg/mL. The average left ventricular ejection fraction was 33±13%. Fulminant myocarditis, presenting with cardiogenic shock and/or malignant ventricular arrhythmias occurred in 48% of patients, more frequently in men than in women (<i>P</i>=0.026). Severe myocarditis occurred in 42% of edematous and 60% of necrotizing pancreatitis (<i>P</i>=0.56). No association was found between the severity of myocarditis and plasma levels of amylase (<i>P</i>=0.98) and lipase (<i>P</i>=0.83). The relative frequency of severe myocarditis was 80% in pancreatitis due to Leptospirosis, and 40% in pancreatitis due to viral infections. The mortality rate was 22%: 13% died during hospitalization and 9% after. Myocarditis is a potentially lethal complication of pancreatitis and is more frequently associated with viral etiology in immunocompromised individuals. Based on such findings, cardiac troponin measurements and an electrocardiogram are advisable to exclude myocardial involvement in selected patients. Confirmatory diagnosis and prognostic assessments should be based on cardiac magnetic resonance imaging.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"160-169"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echocardiographic Evaluation of Central Venous Pressure Using Inferior Vena Cava Characteristics: An Estimate Guide for Right Atrial Pressure in Intensive Care Unit.","authors":"Muataz F Hussein, Wisam J Mohammad, Samar Omran Essa","doi":"10.4103/jcecho.jcecho_2_24","DOIUrl":"10.4103/jcecho.jcecho_2_24","url":null,"abstract":"<p><strong>Background: </strong>Central venous pressure (CVP) is a good approximation of right atrial pressure (RAP), which in turn is a major determinant of right ventricular filling. The inferior vena cava (IVC) is a compliant vessel whose size and shape vary with changes in CVP. IVC diameter and Collapsibility Index (CI) assessed by echocardiography are used as indirect indicators for the estimation of RAP.</p><p><strong>Aim of the study: </strong>To evaluate the correlation between IVC echocardiographic characteristics and CVP and RAP and the value of assessment of IVC as a guide for the status of the right side of the heart.</p><p><strong>Patients and methods: </strong>A total of sixty patients (male and female) above 18 years of age, who were admitted in the intensive care unit, were enrolled in this single-center, descriptive cross-sectional study. Echocardiographic assessment of IVC hemodynamics (IVC expiratory [IVCe] and inspiratory [IVCi] diameters and IVC-CI) were carried out. In addition to standard echocardiographic examination, right heart function measurements (Tricuspid annular plane systolic excursion [TAPSE] and right atrial [RA] area) in spontaneously and mechanically ventilated patients were done.</p><p><strong>Results: </strong>The average age of the patients was 62 years (18-80 years). Overall, 45% (<i>n</i> = 27) were male and 55% (<i>n</i> = 33) were female. The breathing modality was mechanical ventilation in 27 (45%) patients and spontaneous breathing in 33 (55%) patients. Both IVCe and IVCi diameters showed a strong negative correlation with CI, (<i>r</i> = -0.920 for IVCe and <i>r</i> = -0.964 for IVCi) (<i>P</i> < 0.001). There was a positive correlation between TAPSE and IVC-CI (<i>r</i> = 0.857, <i>P</i> < 0.001). IVC-CI in mechanically ventilated patients was (mean ± standard deviation [SD], 40.11 ± 1.782) compared to spontaneous breathing (mean ± SD, 48.91 ± 1.811) (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>There is a linear relationship of IVC-CI with TAPSE but an inverse relation with RA area. Evaluation of IVC diameter and its CI is an easy and noninvasive method to estimate CVP and RAP and so evaluate right heart performance of critically ill patients. Its use is more helpful in patients who are spontaneously breathing than those who are mechanically ventilated.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"206-213"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double Orifice Mitral Valve: Two Patients with Contrasting Presentations.","authors":"Jaideep Dey, Shailendra Bhadoriya, Vijay Singh Chauhan, Arif Mustaqueem, Sameer Shrivastava","doi":"10.4103/jcecho.jcecho_54_24","DOIUrl":"10.4103/jcecho.jcecho_54_24","url":null,"abstract":"<p><p>Double orifice mitral valve, despite being an extremely rare entity, may be encountered on routine echocardiographic studies in adults. The varied morphology of the valve may be complicated by coexisting anomalies of the subvalvular apparatus. We present the cases of two patients with this condition and associated papillary muscle anomalies. A thorough echocardiographic study with three-dimensional imaging was pivotal in making a final diagnosis.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 4","pages":"222-227"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}