Journal of Cardiovascular Echography最新文献

{"title":"Incidentally Detected Pseudoaneurysm of Aortic Root in an Afebrile Patient with Infectious Endocarditis.","authors":"Sahar Asl-Fallah, Hamidreza Biranvand, Ali Hosseinsabet, Shapour Shirani","doi":"10.4103/jcecho.jcecho_104_25","DOIUrl":"10.4103/jcecho.jcecho_104_25","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"84-86"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015806","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 Parameters of Atrial High-rate Episodes in Patients with Cardiac Implantable Electronic Devices.","authors":"Ahmed Nabil Ali, Mazen Tawfik, Mahmoud Mohamed Sokar, Azza Omran, Ahmed Gamal Elewa","doi":"10.4103/jcecho.jcecho_138_25","DOIUrl":"10.4103/jcecho.jcecho_138_25","url":null,"abstract":"<p><strong>Background: </strong>Atrial high-rate episodes (AHREs) detected by cardiac implantable electronic devices (CIEDs) are associated with adverse cardiovascular outcomes, including atrial fibrillation and thromboembolism. This study aims to identify echocardiographic parameters of AHREs in patients with CIEDs and explore the diagnostic value of strain metrics and structural parameters.</p><p><strong>Patients and methods: </strong>This cross-sectional study included 140 patients with CIEDs, divided into AHRE and non-AHRE groups. Comprehensive echocardiographic assessments, including left atrial (LA) strain and left ventricular (LV) parameters, were performed. ROC curve analysis was used to evaluate predictive accuracy. Univariate and multivariate logistic regression analyses identified independent parameters.</p><p><strong>Results: </strong>Patients with AHREs showed significant differences in echocardiographic parameters. Diastolic wall strain (DWS) was markedly reduced (0.29 ± 0.03 vs. 0.38 ± 0.05, <i>P</i> < 0.001). LA reservoir, conduit, and pump strain were significantly impaired in AHRE group (<i>P</i> < 0.001). Their combined measure demonstrated the highest overall performance with area under curve (AUC) of 0.956, sensitivity of 95.71%, and specificity of 84.29%. Combining all three parameters (DWS, standard deviation of the time-to-peak strain during ventricular systole, and Standard deviation of the time-to-peak strain during late diastole [SDd]) maintained high diagnostic accuracy with AUC of 0.941, sensitivity of 97.14%, and specificity of 80%. Multivariate analysis identified DWS (OR = 0.727, <i>P</i> = 0.0045), LA diameter (OR = 2.454, <i>P</i> = 0.002), and diastolic strain variability (SDd, OR = 6.570, <i>P</i> < 0.001) as independent markers of the occurrence and burden of AHRE.</p><p><strong>Conclusions: </strong>Echocardiographic parameters, particularly DWS, LA strain metrics, and SDd, are important parameters in patients with AHREs. The integration of strain and structural metrics enhances diagnostic accuracy, offering valuable insights into AHRE pathophysiology.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"46-53"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015800","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":"Cardiac Rhabdomyoma in a Neonate.","authors":"Mahmood Dhahir Al-Mendalawi","doi":"10.4103/jcecho.jcecho_155_25","DOIUrl":"10.4103/jcecho.jcecho_155_25","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"87"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015750","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":"Restored Left Ventricular Mechanical Synchrony in Heart Failure with Reduced Ejection Fraction and Left Ventricular Dyssynchrony: Myocardial Work Indices Analysis.","authors":"Mochamad Rizky Hendiperdana","doi":"10.4103/jcecho.jcecho_120_25","DOIUrl":"10.4103/jcecho.jcecho_120_25","url":null,"abstract":"<p><p>Left ventricle (LV) remodeling consists of structural and electrical remodeling of LV which leads to ventricular systolic dysfunction and LV segment contraction dyssynchrony in heart failure with reduced ejection fraction (HFrEF). The case is a 75-year-old woman who presented with acute decompensated heart failure (HF) and severely reduced left ventricular (LV) systolic function and LV dyssynchrony. We administered guideline-directed medical therapy (GDMT) for HF including sacubitril/valsartan. We evaluated LV systolic function and myocardial work index (MWI) after 12-month GDMT and found a significant improvement of all LV systolic function and MWI parameters along with re-synchronization of LV segment peak systolic strain. We observed none of the HF hospitalization periods and hyperkalemia events in the follow-up time. This report also describes the efficacy of sacubitril/valsartan to induce LV structural and restore LV synchrony. We present a case of severe HFrEF with LV dyssynchrony with low global work efficiency and high global wasted work. After 12-month GDMT for HFrEF, we observed a significant improvement in LV systolic function with LV segment re-synchronization. It is hypothesized the possibility of medication-induced LV mechanical synchrony restoration.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"70-74"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015447","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":"Pitfalls in Echocardiography: Superior Aortic Recess Pericardial Effusion Mimicking Ascending Aorta Dissection.","authors":"Giordano Zampi, Daniele Pontillo, Lorenzo Tinti, Amedeo Pergolini","doi":"10.4103/jcecho.jcecho_47_24","DOIUrl":"10.4103/jcecho.jcecho_47_24","url":null,"abstract":"<p><p>Acute aortic dissection is a life-threatening cardiovascular emergency and prompt diagnosis is crucial to improve the patient outcomes. Bedside transthoracic echocardiography performed in the emergency department plays a pivotal role in the initial workup of a suspected aortic disease. In this case report, we present a clinical case in which emergency echocardiographic evaluation initially suggested an erroneous diagnosis of aortic dissection, ruled out by chest computed tomography angiography and therefore highlighting a potential pitfall in echocardiography.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"75-77"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015464","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":"Differential Impact of Transcatheter and Surgical Aortic Valve Replacement on Right Ventricular Function: A Prospective Cohort Study.","authors":"Jyoti Agarwal, Abid M Sadiq, Jennifer Khati, Bagirath Raghuraman","doi":"10.4103/jcecho.jcecho_134_25","DOIUrl":"10.4103/jcecho.jcecho_134_25","url":null,"abstract":"<p><strong>Background: </strong>Right ventricular (RV) function is an important determinant of outcomes in patients with aortic stenosis (AS) undergoing valve replacement. While transcatheter aortic valve replacement (TAVR) has emerged as an alternative to surgical aortic valve replacement (SAVR), comparative data on RV remodeling in the Indian population remain limited.</p><p><strong>Objective: </strong>The objective of the study was to evaluate echocardiographic changes in RV function following SAVR and TAVR.</p><p><strong>Methods: </strong>We conducted a prospective cohort study at a tertiary cardiac center in India between January and December 2024. One hundred consecutive patients with severe AS underwent echocardiography at baseline, immediately postprocedure, and at 6-9-month follow-up. RV function was assessed using tricuspid annular plane systolic excursion (TAPSE), tissue Doppler-derived S', and RV fractional area change (RVFAC), alongside left-sided and hemodynamic parameters.</p><p><strong>Results: </strong>After TAVR, RV function indices remained stable (TAPSE: 18.3 vs. 18.1 vs. 18.3 mm; S': 10.6 vs. 10.6 vs. 10.8 cm/s; RVFAC: 39.2% vs. 39.0% vs. 40.0%; all <i>P</i> > 0.1). In contrast, SAVR caused an acute decline in TAPSE (19.5-12.8 mm), S' (11.6-7.7 cm/s), and RVFAC (42.0% to 27.6%) immediately postprocedure (all <i>P</i> < 0.001), with only partial recovery at follow-up. Both procedures significantly reduced aortic gradients and pulmonary pressures, with improvements in LV ejection fraction at follow-up.</p><p><strong>Conclusions: </strong>SAVR is associated with significant perioperative RV dysfunction that remains incompletely reversible, whereas TAVR preserves RV performance while achieving equivalent hemodynamic benefits. Incorporating RV assessment into preprocedural planning and follow-up may enhance patient selection and postoperative care.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"54-61"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015704","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":"Evaluation of Subclinical Right Ventricular Dysfunction in Adults with Repaired Aortic Coarctation.","authors":"Marwa Abohamar, Asmaa El Fiky, Eman El Doklah","doi":"10.4103/jcecho.jcecho_110_25","DOIUrl":"10.4103/jcecho.jcecho_110_25","url":null,"abstract":"<p><strong>Background: </strong>Right ventricular (RV) function and strain are becoming significant predictors of clinical outcomes in adults with repaired aortic coarctation (CoA).</p><p><strong>Objective: </strong>In this work, we aimed to evaluate RV function in adults after CoA repair or intervention, and its relation to patient characteristics, CoA morphology, and left side parameters.</p><p><strong>Patients and methods: </strong>This cross-sectional study included adult patients who underwent CoA surgical repair or catheter intervention and attended the congenital heart disease clinic in the cardiology department of Tanta University for follow-up between August 2023 and May 2025.</p><p><strong>Results: </strong>We enrolled 33 patients and 33 healthy control volunteers. The mean age of initial repair was 13.14 ± 10.14 years. Both groups were evaluated by echocardiography regarding RV function, RV strain, and the relation between RV dysfunction and different demographic, morphological, and other echocardiographic parameters. RV global longitudinal strain (RV GLS) was impaired in eight patients of the patients' group (24.2%). TAPSE and FAC were not significantly different between both groups, meanwhile, peak RV systolic velocity (S' wave), and RV GLS were significantly lower in the CoA group. RV systolic pressure, and tricuspid E/E' were significantly higher than the control group. RV GLS was significantly affected by BMI, mitral septal and lateral S wave velocity, mitral septal E' velocity, LV filling pressure, LV GLS and LA volume using simple linear regression model. Mitral septal S wave velocity and LV GLS significantly affect RV GLS using multiple linear regression analysis.</p><p><strong>Conclusions: </strong>Subclinical RV dysfunction exists in adult patients with repaired CoA and can be practically evaluated using 2D RV strain using speckle tracking imaging.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"19-26"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015809","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":"Assessment of Peripheral Arterial (Normal) Flows in Multiple Vascular Territories in Patients Receiving Mechanical Cardiac Support.","authors":"Francesco Natale, Francesco S Loffredo, Adriano Caputo, Claudio Marra, Cristiano Amarelli, Giovanni Cimmino, Paolo Golino","doi":"10.4103/jcecho.jcecho_135_25","DOIUrl":"10.4103/jcecho.jcecho_135_25","url":null,"abstract":"<p><strong>Background: </strong>In the last few years, mechanical circulatory support in patients with advanced/terminal heart failure (HF) is increasing. New devices have been developed from the known intra-aortic balloon pump to the total artificial heart. However, vascular complications may occur in up to 30% based on the device implanted. Evaluation of the Doppler flow in all vascular territories (cranial, extracranial, abdominal, and peripheral) in patients with these devices might be of great importance but remains still unexplored. This is a proof of concept study in which we provide a practical analysis of the Doppler waveform of different territories in patient with different mechanical circulatory support devices.</p><p><strong>Methods: </strong>Three patients with different mechanical circulatory support system (MCSS) were included in this analysis. Doppler evaluation of several vascular territories has been performed and compared with flow from normal heart. Patients with advanced HF supported by a mechanical circulatory system were included in this analysis.</p><p><strong>Results: </strong>A standard Doppler ultrasound has been performed to evaluate blood flow in the following vascular territories: middle cerebral artery, ophthalmic artery, common carotid artery, intraparenchymal renal artery, common femoral artery, and posterior tibial artery.</p><p><strong>Conclusions: </strong>This is the first report comparing Doppler waveforms between different MCSS. It may represent a practical guide for physicians evaluating the vascular pattern in these patients.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"27-32"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015720","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 to Monitor Transseptal Puncture: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging.","authors":"Stefano Stella, Matteo Cameli, Maurizio Cusma'-Piccione, Antonio De Luca, Roberta Manganaro, Concetta Zito, Riccardo Colombi, Paola Cunsolo, Leone Giovanni Musci, Eustachio Agricola, Francesco Becherini, Giovanna di Giannuario, Ilaria Caso","doi":"10.4103/jcecho.jcecho_17_26","DOIUrl":"10.4103/jcecho.jcecho_17_26","url":null,"abstract":"<p><p>Interest in the anatomy of the interatrial septum (IAS) and the implications for a proper transseptal puncture (TSP) has risen in the past two decades along with the simultaneous evolution of left-sided transcatheter structural heart interventions. A comprehensive understanding of the anatomy of the IAS in relation with the therapeutic target, is essential for performing a safe and effective transseptal puncture. Intra-procedural echocardiography, transoesophageal and/or intracardiac, is recommended in all patients undergoing TSP because it provides fundamental insights into the septum anatomy and, furthermore, allows for tailored puncture. This document aims to describe the essentials of echocardiographic guidance of transseptal puncture (TSP).</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"1-13"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015789","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":"Assessment of Left Atrial Strain in Patients with and without Chronic Obstructive Airway Disease.","authors":"Saeed Shalaby, Ahmed Ali Harby, Hend Mohamed Abdo El Deeb","doi":"10.4103/jcecho.jcecho_40_25","DOIUrl":"10.4103/jcecho.jcecho_40_25","url":null,"abstract":"<p><strong>Background: </strong>The cardiac abnormality related with chronic obstructive pulmonary disease (COPD) has traditionally been right ventricular (RV) dysfunction, publications in the last century already reporting pathological left atrial (LA) changes due to increased (LV) end diastolic pressure which increases the LA strain.</p><p><strong>Aim: </strong>To evaluate left atrium (LA) strain by two-dimensional (2D)- STE in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Patients and methods: </strong>This prospective study was carried out on 39 subjects divided into (Group I) including 14 normal persons and (Group II) including 25 COPD patients with typical symptoms and signs and typical radiological features of COPD. All subjects were subjected to resting transthoracic echocardiography and left atrial strain analysis.</p><p><strong>Results: </strong>Left atrium, aorta, pulmonary artery systolic pressure (PASP), E/A were significantly higher in group 2 than group left atrial strain rate (LA sr) (apical 4 and 2 chamber) were significantly higher in group 1 than group 2 (<i>P</i><0.05). LAScd (apical 4 chamber) was significantly lower in group 1 than group 2 (<i>P</i><0.001). There was a negative correlation between (smoking index) and (LA sr, LAScd in apical 4 and 2 chambers) (<i>P</i><0.05). There was a negative correlation between (smoking index) and LASct (apical 2 chambers) (<i>P</i><0.05). There was negative correlation but statistically insignificant between TAPSE and PASP.</p><p><strong>Conclusions: </strong>LA sr was affected in COPD patients.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"36 1","pages":"14-18"},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015688","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}