Journal of Cardiovascular Echography最新文献

{"title":"The Influence of Special Military Training on Left Ventricular Adaptation to Exercise in Elite Air Force Soldiers.","authors":"Iwan Junianto,&nbsp;Amiliana Mardiani Soesanto,&nbsp;Basuni Radi,&nbsp;Emir Yonas,&nbsp;Ario Soeryo Kuncoro,&nbsp;Celly Anantaria Atmadikoesoemah,&nbsp;Damba Dwisepto Aulia Sakti","doi":"10.4103/jcecho.jcecho_67_22","DOIUrl":"10.4103/jcecho.jcecho_67_22","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to observe the influence of level physical training intensity on left ventricular (LV) adaptation in elite air force soldiers compared to regular basic military training.</p><p><strong>Methods: </strong>The LV adaptation of special military physical training for elite air force soldiers was compared with basic military training for regular troops. A group of the nonmilitary subject was also evaluated as a control group. The presence of LV adaptation was evaluated using some echocardiography parameters, including LV mass index (LVMI), LV ejection fraction (LVEF), global longitudinal strain (GLS), and myocardial work index. The parameters of the myocardial work index include global constructive work (GCW), global wasted work (GWW), global work index (GWI), and global work efficiency (GWE).</p><p><strong>Results: </strong>Forty-three elite air force soldiers underwent special military training, 43 regular troops underwent basic military training, and 23 nonmilitary subjects as a control group. Age, heart rate, blood pressure, and Cooper test results significantly differed among the three groups. Multivariate analysis among all groups showed that the level of physical training was associated with the LVMI (coefficient β = 6.061; 95% confidence interval [CI] = 1.91-10.22; <i>P</i> = 0.005), LVEF (coefficient β = -1.409; 95% CI = -2.41-[-0.41]; <i>P</i> = 0.006), LVGLS (coefficient β = 1.726; 95% CI = 1.20-2.25; <i>P</i> < 0.001), GWW (coefficient β = -13.875; 95% CI = -20.88-[-6.87]; <i>P</i> < 0.001), GWE (coefficient β = 0.954; 95% CI = 0.62-1.26; <i>P</i> < 0.001), GCW (coefficient β = 176.128; 95% CI = 121.16-231.10; <i>P</i> < 0.001), and GWI (coefficient β = 196.494; 95% CI = 144.61-248.38; <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Higher intensity of physical training observed in a special military training is associated with higher LV GLS, GWE, GCW, GWI, and lower GWW value suggesting greater physiological adaptation than the lower intensity training.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"69-75"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132175","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":"Organization and Activity of Italian Echocardiographic Laboratories: A Survey of the Italian Society of Echocardiography and Cardiovascular Imaging.","authors":"Quirino Ciampi,&nbsp;Mauro Pepi,&nbsp;Francesco Antonini-Canterin,&nbsp;Andrea Barbieri,&nbsp;Agata Barchitta,&nbsp;Giorgio Faganello,&nbsp;Sofia Miceli,&nbsp;Vito Maurizio Parato,&nbsp;Antonio Tota,&nbsp;Giuseppe Trocino,&nbsp;Massimiliana Abbate,&nbsp;Maria Accadia,&nbsp;Rossella Alemanni,&nbsp;Andrea Angelini,&nbsp;Francesco Anglano,&nbsp;Maurizio Anselmi,&nbsp;Iolanda Aquila,&nbsp;Simona Aramu,&nbsp;Enrico Avogadri,&nbsp;Giuseppe Azzaro,&nbsp;Luigi Badano,&nbsp;Anna Balducci,&nbsp;Flavia Ballocca,&nbsp;Alessandro Barbarossa,&nbsp;Giovanni Barbati,&nbsp;Valentina Barletta,&nbsp;Daniele Barone,&nbsp;Francesco Becherini,&nbsp;Giovanni Benfari,&nbsp;Monica Beraldi,&nbsp;Gianluigi Bergandi,&nbsp;Giuseppe Bilardo,&nbsp;Simone Maurizio Binno,&nbsp;Massimo Bolognesi,&nbsp;Stefano Bongiovi,&nbsp;Renato Maria Bragato,&nbsp;Gabriele Braggion,&nbsp;Rossella Brancaleoni,&nbsp;Francesca Bursi,&nbsp;Christian Cadeddu Dessalvi,&nbsp;Matteo Cameli,&nbsp;Antonella Canu,&nbsp;Mariano Capitelli,&nbsp;Anna Clara Maria Capra,&nbsp;Rosa Carbonara,&nbsp;Maria Carbone,&nbsp;Marco Carbonella,&nbsp;Nazario Carrabba,&nbsp;Grazia Casavecchia,&nbsp;Margherita Casula,&nbsp;Elena Chesi,&nbsp;Sebastiano Cicco,&nbsp;Rodolfo Citro,&nbsp;Rosangela Cocchia,&nbsp;Barbara Maria Colombo,&nbsp;Paolo Colonna,&nbsp;Maddalena Conte,&nbsp;Giovanni Corrado,&nbsp;Pietro Cortesi,&nbsp;Lauro Cortigiani,&nbsp;Marco Fabio Costantino,&nbsp;Fabiana Cozza,&nbsp;Umberto Cucchini,&nbsp;Myriam D'Angelo,&nbsp;Santina Da Ros,&nbsp;Fabrizio D'Andrea,&nbsp;Antonello D'Andrea,&nbsp;Francesca D'Auria,&nbsp;Giovanni De Caridi,&nbsp;Stefania De Feo,&nbsp;Giovanni Maria De Matteis,&nbsp;Simona De Vecchi,&nbsp;Carmen Del Giudice,&nbsp;Luca Dell'Angela,&nbsp;Lucrezia Delli Paoli,&nbsp;Ilaria Dentamaro,&nbsp;Paola Destefanis,&nbsp;Maria Di Fulvio,&nbsp;Renato Di Gaetano,&nbsp;Giovanna Di Giannuario,&nbsp;Angelo Di Gioia,&nbsp;Luigi Flavio Massimiliano Di Martino,&nbsp;Carmine Di Muro,&nbsp;Concetta Di Nora,&nbsp;Giovanni Di Salvo,&nbsp;Claudio Dodi,&nbsp;Sarah Dogliani,&nbsp;Federica Donati,&nbsp;Melissa Dottori,&nbsp;Giuseppe Epifani,&nbsp;Iacopo Fabiani,&nbsp;Francesca Ferrara,&nbsp;Luigi Ferrara,&nbsp;Stefania Ferrua,&nbsp;Gemma Filice,&nbsp;Maria Fiorino,&nbsp;Davide Forno,&nbsp;Alberto Garini,&nbsp;Gioachino Agostino Giarratana,&nbsp;Giuseppe Gigantino,&nbsp;Mauro Giorgi,&nbsp;Elisa Giubertoni,&nbsp;Cosimo Angelo Greco,&nbsp;Michele Grigolato,&nbsp;Walter Grosso Marra,&nbsp;Anna Holzl,&nbsp;Alessandra Iaiza,&nbsp;Andrea Iannaccone,&nbsp;Federica Ilardi,&nbsp;Egidio Imbalzano,&nbsp;Riccardo Inciardi,&nbsp;Corinna Antonia Inserra,&nbsp;Emilio Iori,&nbsp;Annibale Izzo,&nbsp;Giuseppe La Rosa,&nbsp;Graziana Labanti,&nbsp;Alberto Maria Lanzone,&nbsp;Laura Lanzoni,&nbsp;Ornella Lapetina,&nbsp;Elisa Leiballi,&nbsp;Mariateresa Librera,&nbsp;Carmenita Lo Conte,&nbsp;Maria Lo Monaco,&nbsp;Antonella Lombardo,&nbsp;Michelangelo Luciani,&nbsp;Paola Lusardi,&nbsp;Antonio Magnante,&nbsp;Alessandro Malagoli,&nbsp;Gelsomina Malatesta,&nbsp;Costantino Mancusi,&nbsp;Maria Teresa Manes,&nbsp;Fiore Manganelli,&nbsp;Francesca Mantovani,&nbsp;Vincenzo Manuppelli,&nbsp;Valeria Marchese,&nbsp;Lina Marinacci,&nbsp;Roberto Mattioli,&nbsp;Civelli Maurizio,&nbsp;Giuseppe Antonio Mazza,&nbsp;Stefano Mazza,&nbsp;Marco Melis,&nbsp;Giulia Meloni,&nbsp;Elisa Merli,&nbsp;Alberto Milan,&nbsp;Giovanni Minardi,&nbsp;Antonella Monaco,&nbsp;Ines Monte,&nbsp;Graziano Montresor,&nbsp;Antonella Moreo,&nbsp;Fabio Mori,&nbsp;Sofia Morini,&nbsp;Claudio Moro,&nbsp;Doralisa Morrone,&nbsp;Francesco Negri,&nbsp;Carmelo Nipote,&nbsp;Fulvio Nisi,&nbsp;Silvio Nocco,&nbsp;Luigi Novello,&nbsp;Luigi Nunziata,&nbsp;Alessandro Paoletti Perini,&nbsp;Antonello Parodi,&nbsp;Emilio Maria Pasanisi,&nbsp;Guido Pastorini,&nbsp;Rita Pavasini,&nbsp;Daisy Pavoni,&nbsp;Chiara Pedone,&nbsp;Francesco Pelliccia,&nbsp;Giovanni Pelliciari,&nbsp;Elisa Pelloni,&nbsp;Valeria Pergola,&nbsp;Giovanni Perillo,&nbsp;Enrica Petruccelli,&nbsp;Chiara Pezzullo,&nbsp;Gerardo Piacentini,&nbsp;Elisa Picardi,&nbsp;Giovanni Pinna,&nbsp;Massimiliano Pizzarelli,&nbsp;Alfredo Pizzuti,&nbsp;Matteo Maria Poggi,&nbsp;Alfredo Posteraro,&nbsp;Carmen Privitera,&nbsp;Debora Rampazzo,&nbsp;Carlo Ratti,&nbsp;Sara Rettegno,&nbsp;Fabrizio Ricci,&nbsp;Caterina Ricci,&nbsp;Cristina Rolando,&nbsp;Stefania Rossi,&nbsp;Chiara Rovera,&nbsp;Roberta Ruggieri,&nbsp;Maria Giovanna Russo,&nbsp;Nicola Sacchi,&nbsp;Antonino Saladino,&nbsp;Francesca Sani,&nbsp;Chiara Sartori,&nbsp;Virginia Scarabeo,&nbsp;Angela Sciacqua,&nbsp;Antonio Scillone,&nbsp;Pasquale Antonio Scopelliti,&nbsp;Alfredo Scorza,&nbsp;Angela Scozzafava,&nbsp;Francesco Serafini,&nbsp;Walter Serra,&nbsp;Sergio Severino,&nbsp;Beatrice Simeone,&nbsp;Domenico Sirico,&nbsp;Marco Solari,&nbsp;Gian Luca Spadaro,&nbsp;Laura Stefani,&nbsp;Antonio Strangio,&nbsp;Francesca Chiara Surace,&nbsp;Gloria Tamborini,&nbsp;Nicola Tarquinio,&nbsp;Eliezer Joseph Tassone,&nbsp;Isabella Tavarozzi,&nbsp;Bertrand Tchana,&nbsp;Giuseppe Tedesco,&nbsp;Monica Tinto,&nbsp;Daniela Torzillo,&nbsp;Antonio Totaro,&nbsp;Oreste Fabio Triolo,&nbsp;Federica Troisi,&nbsp;Maurizio Tusa,&nbsp;Federico Vancheri,&nbsp;Vincenzo Varasano,&nbsp;Amedeo Venezia,&nbsp;Anna Chiara Vermi,&nbsp;Bruno Villari,&nbsp;Giordano Zampi,&nbsp;Jessica Zannoni,&nbsp;Concetta Zito,&nbsp;Antonello Zugaro,&nbsp;Gianluca Di Bella,&nbsp;Scipione Carerj","doi":"10.4103/jcecho.jcecho_16_23","DOIUrl":"10.4103/jcecho.jcecho_16_23","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand better how different echocardiographic modalities are used and accessed in Italy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved via an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Data were obtained from 228 echocardiographic laboratories: 112 centers (49%) in the northern, 43 centers (19%) in the central, and 73 (32%) in the southern regions. During the month of observation, we collected 101,050 transthoracic echocardiography (TTE) examinations performed in all centers. As concern other modalities there were performed 5497 transesophageal echocardiography (TEE) examinations in 161/228 centers (71%); 4057 stress echocardiography (SE) examinations in 179/228 centers (79%); and examinations with ultrasound contrast agents (UCAs) in 151/228 centers (66%). We did not find significant regional variations between the different modalities. The usage of picture archiving and communication system (PACS) was significantly higher in the northern (84%) versus central (49%) and southern (45%) centers (&lt;i&gt;P&lt;/i&gt; &lt; 0.001). Lung ultrasound (LUS) was performed in 154 centers (66%), without difference between cardiology and noncardiology centers. The evaluation of left ventricular (LV) ejection fraction was evaluated mainly using the qualitative method in 223 centers (94%), occasionally with the Simpson method in 193 centers (85%), and with selective use of the three-dimensional (3D) method in only 23 centers (10%). 3D TTE was present in 137 centers (70%), and 3D TEE in all centers where TEE was done (71%). The assessment of LV diastolic function was done routinely in 80% of the centers. Right ventricular function was evaluated using tricuspid annular plane systolic excursion in all centers, using tricuspid valve annular systolic velocity by tissue Doppler imaging in 53% of the centers, and using fractional area change in 33% of the centers. When we divided into cardiology (179, 78%) and noncardiology (49, 22%) centers, we found significant differences in the SE (93% vs. 26%, &lt;i&gt;P&lt;/i&gt; &lt; 0.001), TEE (85% vs. 18%), UCA (67% vs. 43%, &lt;i&gt;P&lt;/i&gt; &lt; 0001), and STE (87% vs. 20%, &lt;i&gt;P&lt;/i&gt; &lt; 0.001). The incidence of LUS evaluation was similar between the cardiology and noncardiology centers (69% vs. 61%, P = NS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This nationwide survey demonstrated that digital infrastructures and advanced echocardiography modalities, such as 3D and STE, are widely available in Italy with a notable diffuse uptake of LUS in the core TTE examination, a suboptimal diffusion of PACS recording, and conservative use of UCA, 3D, and strain. There are significant differences between northern and central-southern regions and echocardiographic laboratories that ","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"1-9"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814635","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":"Left Atrial Appendage Closure Device Embolization under the Anterior Leaflet of Mitral Valve: Echocardiographic Diagnosis and Management.","authors":"Fabrizio Ceresa,&nbsp;Aurora Leonardi,&nbsp;Filomena Bruna De Donno,&nbsp;Auguto Palermo,&nbsp;Liborio Francesco Mammana,&nbsp;Francesco Patanè","doi":"10.4103/jcecho.jcecho_56_22","DOIUrl":"10.4103/jcecho.jcecho_56_22","url":null,"abstract":"<p><p>A 76-year-old man with history of previous coronary artery bypass grafting, permanent atrial fibrillation in novel oral anticoagulation therapy, and gastrointestinal bleedings underwent percutaneous left atrial appendage closure. The procedure was complicated by intraoperative device embolization, which caused a dynamic obstruction of the left ventricular outflow tract leading to severe hemodynamic instability. Transesophageal echocardiography showed a device in the ventricle site of the mitral anterior leaflet. The coronary angiography showed also patency of both arterial grafts in stable coronary artery disease. After failing the percutaneous retrieval with a snare, emergent surgery was planned. A moderate calcified aortic valve stenosis was also found, but in consideration of the unstable clinical conditions of the patient, we thought of performing a transcatheter aortic valve replacement (TAVR) in a second time. We have carefully planned the surgical retrieval of the device embolized paying attention of his several comorbidities. The strategy to remove the device with cardiopulmonary bypass without cross-clamping the aorta through a right mini-thoracotomy has been preferred.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"40-42"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814638","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":"An Aberrant Papillary Muscle Causes Bifid Shape of Cardiac Apex.","authors":"Mohammad Sahebjam,&nbsp;Neda Toofaninejad","doi":"10.4103/jcecho.jcecho_54_22","DOIUrl":"10.4103/jcecho.jcecho_54_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"57-58"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866308","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":"Correlate of Left Ventricular Systolic Function in Children with Human Immunodeficiency Virus Infection on Combined Highly Active Antiretroviral Medications in Aminu Kano Teaching Hospital, Kano State.","authors":"Nuhu Abubakar Garba,&nbsp;Ibrahim Aliyu,&nbsp;Fatimah Hassan-Hanga,&nbsp;Ibrahim Ahmadu,&nbsp;Muhammad Shakur Shakur Abubakar,&nbsp;Mustafa O Asani","doi":"10.4103/jcecho.jcecho_62_22","DOIUrl":"10.4103/jcecho.jcecho_62_22","url":null,"abstract":"<p><strong>Background: </strong>Human immunodeficiency virus (HIV) affects many organ systems in the body including the cardiovascular system, often manifesting as a subclinical left ventricular (LV) systolic dysfunction that may progress to heart failure.</p><p><strong>Aim: </strong>This study assessed the prevalence of LV systolic dysfunction in children on highly active antiretroviral therapy (HAART) with established clinical stage 1 HIV-disease.</p><p><strong>Materials and methods: </strong>The study was a cross-sectional comparative study conducted in Aminu Kano Teaching Hospital from April to August 2019 on 200. It involved study participants comprising 100 WHO clinical stage 1 HIV-infected children and 100 control subjects, aged between 1 and 18 years selected using systematic sampling method. Echocardiography was carried out on the study participants who had already completed a pretested questionnaire.</p><p><strong>Results: </strong>Out of 100 HIV-infected children studied, 49 were males and 51 females (Male: Female ratio; 0.96:1.0). The mean age at diagnosis of HIV infection was 2.6 (±2.6 years) and the median viral load was 35 copies/ml. The mean ejection and shortening fractions in HIV-infected children were 59.0% and 31.0%, respectively, compared to 64.4% and 34.0% in control subjects, respectively, and were statistically significant (<i>P</i> = 0.000). The prevalence of LV systolic dysfunction was 8.0% (8 out of 100) in HIV-infected children while the control groups had zero prevalence (<i>P</i> = 0.002). The age at diagnosis correlated negatively with LV systolic dysfunction (<i>r</i> = 0.23, <i>P</i> = 0.02).</p><p><strong>Conclusion: </strong>This study found a subclinical LV systolic dysfunction in an HAART-established clinical stage 1 HIV-infected children. The age at diagnosis was negatively correlated with the LV systolic function. This study, therefore, support the inclusion of routine echocardiography into the evaluation of HIV-infected children.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"22-26"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814639","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 between Visual Assessment and Longitudinal Strain during Dobutamine Stress Echocardiography.","authors":"Wella Karolina,&nbsp;Amiliana Mardiani Soesanto,&nbsp;B R M Ario Soeryo Kuncoro,&nbsp;Rina Ariani,&nbsp;Estu Rudiktyo,&nbsp;Renan Sukmawan","doi":"10.4103/jcecho.jcecho_65_22","DOIUrl":"10.4103/jcecho.jcecho_65_22","url":null,"abstract":"<p><strong>Background: </strong>The relationship between visual assessment and longitudinal strain during dobutamine stress echocardiography (DSE) remains poorly investigated. This study assessed wall motion segments visually graded as normokinetic, hypokinetic, and akinetic at baseline and the peak of DSE and compared with longitudinal strain between segments with and without induced impaired contractility and improved contractility during DSE.</p><p><strong>Methods: </strong>This study included 112 patients examined by DSE, consisting of 58 patients referred for diagnostic study and 54 patients referred for viability study. Regional left ventricular (LV) contractility was assessed visually and longitudinal strain was measured using echocardiography transthoracic.</p><p><strong>Results: </strong>At baseline, the strain of LV segments was -16.33 ± 6.26 in visually normokinetic, 13.05 ± 6.44 in visually hypokinetic, and -8.46 ± 5.69 in visually akinetic segments. During peak dose, the strain of LV segments was -15.37 ± 6.89 in visually normokinetic, -11.37 ± 5.11 in visually hypokinetic, and -7.37 ± 3.92 in visually akinetic segments. In segments with visually observed impaired contractility, the median longitudinal strain was significantly lower than in segments without impaired contractility. For segments with visually observed improved contractility, the median longitudinal strain was significantly higher than for segments without improved contractility. In diagnostic study, sensitivity of visual assessment for absolute decrease of >2% longitudinal strain was 77%, respectively. In the viability study, the sensitivity was 82% for an absolute decrease of ≥2% longitudinal strain.</p><p><strong>Conclusions: </strong>There is good association between strain analysis value and visually assessed wall motion contractility.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"17-21"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814633","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":"Echocardiography in Coronavirus Disease 2019 Era: A Single Tool for Diagnosis and Prognosis.","authors":"Caterina Oriana Aragona,&nbsp;Gianluca Bagnato,&nbsp;Simona Tomeo,&nbsp;Daniela La Rosa,&nbsp;Marianna Chiappalone,&nbsp;Maria Concetta Tringali,&nbsp;Emanuele Balwinder Singh,&nbsp;Antonio Giovanni Versace","doi":"10.4103/jcecho.jcecho_11_23","DOIUrl":"10.4103/jcecho.jcecho_11_23","url":null,"abstract":"<p><p>Coronavirus disease 2019 (COVID-19) is characterized by multi-organ involvement, including respiratory and cardiac events. Echocardiography is widely considered the first-choice tool for the evaluation of cardiac structures and function because of its reproducibility, feasibility, easy to use at bedside, and for good cost-effectiveness. The aim of our literature review is to define the utility of echocardiography in the prediction of prognosis and mortality in COVID-19 patients with mild to critical respiratory illness, with or without known cardiovascular disease. Moreover, we focused our attention on classical echocardiographic parameters and the use of speckle tracking to predict the evolution of respiratory involvement. Finally, we tried to explore the possible relationship between pulmonary disease and cardiac manifestations.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"10-16"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866309","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":"Sinus of Valsalva Pseudoaneurysm Complicating Infective Endocarditis Causing Right Ventricular Inflow Obstruction.","authors":"Shing Ching,&nbsp;Chiu Sun Yue","doi":"10.4103/jcecho.jcecho_64_22","DOIUrl":"10.4103/jcecho.jcecho_64_22","url":null,"abstract":"<p><p>Sinus of Valsalva pseudoaneurysm (SVpA) is a rare cause of right ventricular inflow obstruction. We report such a case presented with atrial flutter and cardiogenic shock caused by tricuspid valve obstruction by a narrow-necked right SVpA complicating aortic valve infective endocarditis demonstrated on transesophageal echocardiography and cardiac computed tomography. Despite restoration of sinus rhythm, the patient ran a fatal course due to aneurysmal rupture. We show the value of transesophageal echocardiography in evaluating unstable patients with cardiogenic shock, and the need of urgent surgery in selected patients to avoid a dismal outcome.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"33-35"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9811986","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":"Rapid Onset Idiopathic Pulmonary Hypertension: A Case Report with a Review of Echocardiographic Parameters.","authors":"Lorenzo Pistelli,&nbsp;Maurizio Cusmà Piccione,&nbsp;Francesca Parisi,&nbsp;Gianluca Di Bella,&nbsp;Antonio Micari,&nbsp;Giampaolo Vetta,&nbsp;Antonio Parlavecchio,&nbsp;Agustin Ezequiel Molinero,&nbsp;Armando Lo Savio,&nbsp;Concetta Zito","doi":"10.4103/jcecho.jcecho_13_23","DOIUrl":"10.4103/jcecho.jcecho_13_23","url":null,"abstract":"<p><p>Pulmonary hypertension (PHT) is an emerging issue. The prognosis in PHT is usually poor, independently from the etiology, with progressive right ventricle failure. Despite right Heart Catheterism is the gold standard for diagnosis of PHT, echocardiography provides important information about prognosis and is helpful in both follow-up and first evaluation of PHT patients, showing a good correlation with invasively measured parameters by right heart catheterization. However, it is important to understand the limits of this method, particularly in some settings, where transthoracic echocardiography has shown a lack of accuracy. In this case report we documented a case of rapid onset (3 months) idiopathic PHT and we provided a critical analysis of echocardiographic role in PHT.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"43-48"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168756","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 Unique Case of Aortic Valve Leaflet's Aneurysm Detected by Cardiac Computed Tomographic Angiography.","authors":"Valeria Pergola,&nbsp;Giulio Cabrelle,&nbsp;Raffaella Motta","doi":"10.4103/jcecho.jcecho_59_22","DOIUrl":"10.4103/jcecho.jcecho_59_22","url":null,"abstract":"<p><p>Heart valve leaflet's aneurysm is a rare finding, and literature about this topic is sparse. Early recognition is important because their rupture can lead to catastrophic valve regurgitation. An 84-year-old male with chronic ischemic cardiomyopathy was admitted to the coronary intensive care unit for non-ST elevation myocardial infarction. Baseline transthoracic echocardiography showed normal biventricular function with inhomogeneous thickening of aortic leaflets with moderate aortic regurgitation. Because the acoustic window was limited, a transesophageal echocardiography was performed, detecting a small mass in the right aortic coronary cusp with moderate regurgitation (orifice regurgitation area: 0.54 cm²; med/max gradient: 16/32 mmHg). Endocarditis was ruled out. Because of the rapid worsening of the patient's conditions, requiring mechanical ventilation and hemofiltration, and the potential hazard of an urgent coronary angiography, a cardiac computed tomographic angiography was performed. Detailed spatial reconstructions highlighted a bilobed cavitation in the aortic leaflets. Diagnosis of aortic leaflets' aneurysm was made. A \"wait and see\" strategy was chosen, and the patient's general conditions gradually improved and now he is stable and uneventful. To date, no aortic leaflet's aneurysm was described in literature.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"30-32"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814636","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}