Journal of Cardiovascular Echography最新文献

{"title":"Caseous Calcification of the Mitral Annulus Associated with Severe Mitral Regurgitation: A Multimodality Diagnostic Approach.","authors":"Dan Alexandru Cozac, Eleonora Lassandro, Raffaella Motta, Valeria Pergola","doi":"10.4103/jcecho.jcecho_20_24","DOIUrl":"10.4103/jcecho.jcecho_20_24","url":null,"abstract":"<p><p>Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification, and a multimodality approach is advised to ensure an accurate diagnosis. We report a case of a patient with CCMA, associated with severe mitral regurgitation. An 82-year-old woman was admitted due to worsening heart failure. Transthoracic echocardiography revealed a fixed, hyperechogenic mass, accompanied by restriction of the posterior mitral leaflet, and subsequent severe mitral regurgitation. Transesophageal echocardiography demonstrated a restricted motion of the posterior mitral leaflet, because of a large, echogenic mass (15 mm × 11 mm), attached to the mitral annulus, vacuolated with a central echolucent aspect, lacking acoustic shadowing. Contrast-enhanced cardiac computed tomography identified a distinct oval mass (18 mm × 11 mm × 19 mm) presenting a central hypodense content and peripheral calcification, strongly suggestive of CCMA. Considering the patient's profile, surgical valvular replacement was considered unsuitable. Therefore, a transcatheter edge-to-edge repair was performed, resulting in mild residual regurgitation.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"82-84"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859851","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":"Comment on \"Left Ventricular Twist and Untwist in Patients Undergoing Elective Percutaneous Coronary Intervention\".","authors":"Digvijay Nalawade, Ajitkumar Jadhav, Madhura Gandhi","doi":"10.4103/jcecho.jcecho_65_23","DOIUrl":"10.4103/jcecho.jcecho_65_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"96-97"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859852","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":"The Heart Team during the Pandemic: A Case Report of Bio-Prosthesis Degeneration Treated with Valve in Valve Implantation.","authors":"Maria Teresa Manes, Anna Rita Ritacco, Susanna Cassano, Maria Teresa Ferrò, Bruno Manduca, Carmen Spaccarotella, Domenico Musacchio","doi":"10.4103/jcecho.jcecho_12_23","DOIUrl":"10.4103/jcecho.jcecho_12_23","url":null,"abstract":"<p><p>The pandemic changed the type of patients. The concept of \"patient at the center\" became concrete. The execution of simple consultancy was overcome to create effective collaboration and fruitful exchanges between specialists. The \"Heart Team\" model is on increasing affirmation. The TEAM-BASED approach in the cardiology field is successfully used in patients suffering from ischemic heart disease and valvulopathies for the choice of possible treatments. Degenerative type Sao is the most frequent valvulopathy among the valvulopathies in Western countries and its incidence is correlated with age. In high-risk patients, percutaneous valve replacement (transcatheter aortic valve implantation) is the most valid therapeutic option. The implantation of biological prostheses raises the problem of both degeneration and dysfunction of the prosthesis itself over time in subjects of advanced age and with comorbidities. In this scenario, valve-in-valve (VinV) is a valid therapeutic alternative in high-risk patients. A clinical case of aortic prosthetic degeneration, as an outcome of endocarditis, treated with VinV is presented. The therapeutic decision was made by an \"Electronic Heart Team\" which represents a further evolution of the treatment pathways and reduces the distance between the specialists in \"Hub\" Centers and the \"Spoke\" center.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"77-81"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859877","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":"A Case of Tumoral Acute Coronary Syndrome - Case Report and Literature Review.","authors":"Catarina Isabel Ribeiro Carvalho, Pedro Miguel Rocha Carvalho, Maria Inês Costa Silveira, Ana Isabel Santos Baptista","doi":"10.4103/jcecho.jcecho_69_23","DOIUrl":"10.4103/jcecho.jcecho_69_23","url":null,"abstract":"<p><p>Cardiovascular disease and cancer constitute the most prevalent illnesses worldwide. Cancer patients show an increased risk of coronary artery disease not only due to shared cardiovascular risk factors, a pro-inflammatory and prothrombotic state induced by cancer itself, the cardiovascular toxicity of cancer therapy, or rarely, due to extrinsic compression of a coronary artery by the primary tumor or a metastatic lesion. Here, we present the case of a 59-year-old man with squamous cell carcinoma of the lung presented with asymptomatic diffuse ST segment depression and troponin T increase. Echocardiography revealed a large mass adjacent to the right atrium, atrioventricular groove, and basal segment of the anterior wall of the left ventricle, which the computed tomography scan showed to encase and probably compress the anterior descending coronary artery. Thus, the patient was diagnosed with acute coronary syndrome due to anterior descendent coronary artery compression by a neoplastic lung mass.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"93-95"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859849","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 Assessment of Recovered Patients with Mild COVID-19 Infection: A Case-Control Study.","authors":"Hedieh Alimi, Leila Bigdelu, Hoorak Poorzand, Fereshteh Ghaderi, Maryam Emadzadeh, Asal Yadollahi, Azadeh Izadi-Moud, Afsoon Fazlinezhad, Maedeh Rezaei Danesh","doi":"10.4103/jcecho.jcecho_3_24","DOIUrl":"10.4103/jcecho.jcecho_3_24","url":null,"abstract":"<p><strong>Context: </strong>Coronavirus disease 2019 (COVID-19) has been revealed as a severe illness with a wide-ranging cardiac manifestation and has a worldwide burden on the health-care system.</p><p><strong>Aims: </strong>Our aim in this study is to assess the impact of mild COVID-19 infection on cardiac function in patients without previous structural heart disease.</p><p><strong>Settings and design: </strong>We evaluated 100 outpatients with a history of mild COVID-19 infection without needing hospitalization within 3 weeks to 3 months after recovery from the acute phase of the illness between August 2020 and July 2021.</p><p><strong>Subjects and methods: </strong>The patients were compared with 105 healthy participants without a history of COVID-19 as the control group. All participants underwent comprehensive transthoracic echocardiography.</p><p><strong>Statistical analysis used: </strong>Data were analyzed using IBM SPSS statistics 23. For all tests, <i>P</i> < 0.05 was defined as statistically significant.</p><p><strong>Results: </strong>COVID-19 patients had higher global longitudinal strain (<i>P</i> = 0.001), systolic pulmonary artery pressure (<i>P</i> = 0.008), RV E' (<i>P</i> = 0.049), and RV A' (<i>P</i> = 0.003), while had lower septal tissue velocities (<i>P</i> = 0.01) and left ventricular ejection fraction (EF) (LVEF) (<i>P</i> = 0.03). Abnormal EF (LVEF <55%) was noted in 19% of the COVID-19 patients and 8.6% of the control group (<i>P</i> = 0.03). Moderate or more diastolic dysfunction was noted in 10 COVID-19 patients but only in one participant in the control group (<i>P</i> = 0.005).</p><p><strong>Conclusions: </strong>Mild COVID-19 infection can result in cardiac functional and structural changes, even in patients without known previous structural heart disease. Echocardiography can be a useful modality for risk assessment and follow-up in patients with COVID-19.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"72-76"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859853","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":"How Right is the Right Ventricle in Predicting Cardiac Mortality in Cardiac Failure: A 6-year Prospective Cohort Study.","authors":"Aleksandra Sljivic, Milena Pavlovic Kleut, Vera Celic, Aleksandar N Neskovic, Ivan Nesic, Tatjana Gazibara","doi":"10.4103/jcecho.jcecho_13_24","DOIUrl":"10.4103/jcecho.jcecho_13_24","url":null,"abstract":"<p><strong>Aim: </strong>Two-dimensional speckle tracking echocardiography (2D-STE) and three-dimensional echocardiography (3DE) may overcome many limitations of the conventional 2D echocardiography (2DE) in assessing right ventricular (RV) function. We sought to determine whether characteristics of the right atrium and right ventricle as measured by 2D-STE and 3DE are associated with cardiac mortality in patients with ischemic heart failure, over a 6-year follow-up.</p><p><strong>Materials and methods: </strong>The inclusion criteria were ischemic cardiomyopathy with left ventricular ejection fraction of <40% diagnosed using standard 2DE, 2D-STE, and 3DE examination. Patients were followed for 6 years, and cardiac mortality was recorded.</p><p><strong>Results: </strong>The study sample comprised a total of 54 participants. During the period of follow-up, 24% (13/54) died. The 2DE models showed that being older, having a higher body mass index (BMI), having higher systolic pulmonary artery pressure (SPAP), and a lower RV global longitudinal strain were associated with cardiac mortality in our cohort after 6-year follow-up. Finally, the 3DE models showed that in addition to being older, having higher BMI, having a higher SPAP baseline, lower baseline 3DE RV stroke volume, and larger 3DE RV end-diastolic volume and 3DE RV end-systolic volume were associated with cardiac mortality over 6-year follow-up.</p><p><strong>Conclusion: </strong>This study provides evidence that RV dysfunction as seen on 2D-STE and 3DE could be associated with increased risk of cardiac-related mortality in patients with heart failure over 6 years.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"50-56"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859855","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":"Predischarge Peak Atrial Longitudinal Strain and Plasma N-terminal Pro-hormone Brain Natriuretic Peptide as a Predictor of Short-term Rehospitalization and Cardiovascular Mortality in Patients with Acute Heart Failure.","authors":"I Gusti Bagus Putu Suwarjana Kaler, Ida Bagus Rangga Wibhuti, I Nyoman Wiryawan, A A Wiradewi Lestari","doi":"10.4103/jcecho.jcecho_70_23","DOIUrl":"10.4103/jcecho.jcecho_70_23","url":null,"abstract":"<p><strong>Context: </strong>The postacute heart failure (AHF) rehospitalization rate is attributed to persistent hemodynamic congestion despite clinical improvement. Peak atrial longitudinal strain (PALS), utilizing speckle tracking echocardiography technology, shows potential in post-AHF prognosis. Meanwhile, N-terminal pro-hormone brain natriuretic peptide (NT-proBNP) remains a known biomarker of intracardiac congestion.</p><p><strong>Aims: </strong>This study aimed to determine the relationship between predischarge PALS and NT-proBNP as predictors of major adverse cardiac event (MACE) in patients after AHF hospitalization.</p><p><strong>Settings and design: </strong>This study is a prospective cohort study, conducted in Prof. Dr. I G.N.G Ngoerah Hospital, Bali, Indonesia.</p><p><strong>Subjects and methods: </strong>The study included hospitalized AHF patients, collecting demographic data, comorbidities, therapies, and echocardiographic measures before discharge. Predischarge PALS and NT-proBNP were taken within 24 h before discharge. The main outcome was MACE, defined as rehospitalization and cardiovascular mortality within 90 days.</p><p><strong>Statistical analysis used: </strong>Comparative statistical analyses was done using independent <i>t</i>-test for continuous variables (Mann-Whitney <i>U</i> test for variables with abnormal distribution) and Chi-squared tests. Receiver operating characteristic (ROC) used in determining optimal threshold values of predischarge PALS and NT-proBNP as a predictor of MACE. Kaplan-Meier curves were employed to gauge event-free survival differences between these cohorts. Then, independent Cox regression was used to identify the predictors of MACE.</p><p><strong>Results: </strong>The study enrolled 67 patients with varying ejection fraction (EF) (16 - heart failure with preserved ejection fraction, 10 - heart failure with mildly reduced ejection fraction, and 41 - heart failure with reduced ejection fraction; mean age: 56.88 ± 14.57 years). Over the 90-day follow-up, 21 patients (31.3%) encountered MACE. Both PALS (area under the curve [AUC] 0.816) and NT-proBNP (AUC 0.856) before discharge served as predictors of MACE. There was no significant AUC difference between ROC curves (area difference: 0.039, <i>P</i> = 0.553). The regression model highlighted that PALS and NT-proBNP level before discharge acted as independent predictors of MACE, irrespective of EF, average E/e', or estimated predischarge pulmonary capillary wedge pressure.</p><p><strong>Conclusions: </strong>Predischarge PALS is comparable to NT-proBNP levels as independent predictors of short-term MACE after AHF hospitalization.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"63-71"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859858","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":"A Case Report of Aortic Intramural Hematoma: From Diagnosis to Endovascular Treatment Guided by Transesophageal Echocardiography.","authors":"Giovanni Benedetti, Giancarlo Trimarchi, Cataldo Palmieri, Umberto Paradossi, Sergio Berti, Antonio Rizza","doi":"10.4103/jcecho.jcecho_21_24","DOIUrl":"10.4103/jcecho.jcecho_21_24","url":null,"abstract":"<p><p>Aortic intramural hematoma (IMH) accounts for approximately 10%-25% of acute aortic syndromes (AAS), and multi-slice computed tomography and magnetic resonance imaging are the leading techniques for diagnosis and classification. In this context, endovascular strategies provide a valid alternative to traditional open surgery and transesophageal echocardiography (TEE) could play a role in therapeutic decision-making and in endovascular repair procedure guidance. A 57-year-old female patient with IMH extending from the left subclavian artery to the upper tract of the abdominal aorta, underwent endovascular aortic repair using an unibody single-branched stent grafting in the aortic arch and descending aorta with a side branch inserted in the left common carotid artery. To restore proper flow in the left axillary artery, a carotid-subclavian bypass graft was performed. The procedure was guided by angiography and TEE. Intraoperative TEE revealed aortic IMH with a significant fluid component in the middle tunic of the aorta with a wall thickness of over 13 mm. TEE was useful in monitoring of all steps of the procedure, showing the presence of the guidewires into the true lumen, the advancement of the prosthesis, and the phases of release and anchoring. This case highlights the importance of using multimodality imaging techniques to evaluate AAS and demonstrates the growing potential of TEE in guiding endovascular repairs.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 2","pages":"85-89"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859850","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":"Rates and Predictors of Structural Valve Degeneration and Failure of Trifecta Bioprosthetic Valve Over a 5-year Follow-up Period: A Single-center Experience.","authors":"Anas Mohamad Hashem, Ahmed Elkhapery, Amr Mohamed, Rupinder Buttar, Amani Khalouf, Mohamed Salah Mohamed, Faiz Abbas, Saif Ur Rehman, Mahmoud Eisa, Bipul Baibhav, Devesh Rai, Jeremiah P Depta","doi":"10.4103/jcecho.jcecho_74_23","DOIUrl":"10.4103/jcecho.jcecho_74_23","url":null,"abstract":"<p><strong>Introduction: </strong>The Trifecta bioprosthetic valve has been commonly used for surgical aortic valve replacement (SAVR). Multiple studies have been done to define the rate of structural valve degeneration (SVD) and failure (SVF), but the outcomes are still debatable. Therefore, we aim to conduct this single-center study to estimate the rate and predictors of SVD/SVF.</p><p><strong>Methodology: </strong>This retrospective observational cohort single-center study was conducted between 2014 and 2019 among Trifecta SAVR patients. Data were patient's characteristics collected from electronic medical records at baseline and follow-up (3-5 years). Statistical analysis was performed with a significance level of <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>A total of 271 eligible patients were identified. Most of our sample were males (57.9%), with a mean age of 71.1 ± 10.6 years. The mean baseline preoperative ejection fraction (EF) was 53.0%, with no change (<i>P</i> = 0.88) in the immediate postoperative EF (53.6%). A most recent follow-up EF revealed a significant increase of EF (55.2%), <i>P</i> = 0.01. Furthermore, there was a significant increase from peak velocity to PV_MRE (mean difference [MD] ± standard error of mean (SEM) [0.15 ± 0.04], <i>P</i> < 0.01), an increase in pressure gradient (PG_IPE) to PG_MRE (MD ± SEM [1.70 ± 0.49], <i>P</i> < 0.01), and a decrease in Doppler velocity index (DVI_IPE) to DVI_MRE (MD ± SEM [-0.037 ± 0.01], <i>P</i> = 0.01). Regarding the SVF rate, 13 (4.8%) patients had failed valves requiring replacement throughout the study period.</p><p><strong>Conclusions: </strong>Over a 5-year follow-up period, 4.8% had SVF with an SVD of 23.2%, with the majority of SVD not being clinically significant except in six patients. These results corroborate with a previously published study suggesting a bad clinical outcome of Trifecta valve placement.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 1","pages":"7-13"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179741","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":"Comparison of Global Longitudinal Strain in Dual-chamber versus Ventricular Pacemaker in Complete Heart Block.","authors":"Sidhi Laksono, Yoga Yuniadi, Amiliana Mardiani Soesanto, Sunu Budhi Raharjo, Lisnawati, Saptawati Bardosono, Irwan Surya Angkasa, Cliffian Hosanna","doi":"10.4103/jcecho.jcecho_78_23","DOIUrl":"10.4103/jcecho.jcecho_78_23","url":null,"abstract":"<p><strong>Context: </strong>Bradycardia caused by total atrioventricular block (TAVB) is treated by implantation of permanent pacemakers (PPMs) in either dual-chamber (DDD) versus ventricular (VVI) pacing modes. DDD is considered a more physiological pacing mode than VVI as it avoids atrioventricular dyssynchrony. However, previous trials have failed to demonstrate the superiority of DDD in improving quality of life and morbidity.</p><p><strong>Aims: </strong>This study aims to provide postpacemaker function of the left ventricle (LV) measured with global longitudinal strain (GLS), in TAVB patients.</p><p><strong>Settings and design: </strong>This is a comparative study; samples included in the study are adult TAVB patients undergoing PPM implantation, without significant heart function, and structural abnormality. Echocardiographic parameters are obtained before, after 1 month, and after 3 months post-PPM.</p><p><strong>Subjects and methods: </strong>A total of 98 TAVB patients undergoes PPM implantation during the study period, 55 patients were excluded, and in the end, only 43 patients fulfill the inclusion criteria.</p><p><strong>Statistical analysis used: </strong>Baseline data between DDD and VVI are compared using unpaired <i>t</i>-test. Statistical significance 1 month post-PPM and 3 months post-PPM is analyzed using paired <i>t</i>-test.</p><p><strong>Results: </strong>There were no significant differences between both groups at baseline. However, significant GLS changes are observed 1 month after PPM in the VVI group (<i>P</i> = 0.002), but no significant change was observed in the DDD group even after 3 months (<i>P</i> = 0.055).</p><p><strong>Conclusions: </strong>In our study, we conclude that DDD is superior in maintaining LV function in the short term in TAVB patients after PPM implantation.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"34 1","pages":"14-18"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179778","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}