Journal of Cardiovascular Echography最新文献

{"title":"APPENDICES.","authors":"","doi":"10.4103/jcecho.jcecho_183_25","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_183_25","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"434-440"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105543","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":"Baseline Echocardiographic Predictors of Outcomes in Low-to-intermediate Risk Acute Pulmonary Embolism and Integration with Electrocardiographic Findings: A Systematic Review and Meta-analysis.","authors":"Alivia Retra Kusumowardani, Narendra Lintang Yudhisthira, Revi Adheriyani, Citrawati Dyah Kencono Wungu","doi":"10.4103/jcecho.jcecho_70_25","DOIUrl":"10.4103/jcecho.jcecho_70_25","url":null,"abstract":"<p><strong>Background: </strong>Acute pulmonary embolism (APE) is a cardiovascular emergency with considerable morbidity and mortality. Echocardiography has been an essential tool for risk stratification in high-risk patients. However, its prognostic utility in low-to-intermediate risk cases remains underexplored. Electrocardiographic (ECG) findings may provide additional prognostic information but are infrequently assessed alongside echocardiography.</p><p><strong>Objective: </strong>To assess the prognostic value of baseline echocardiographic parameters in low-to-intermediate risk APE and to examine ECG findings as complementary tools in risk stratification.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. Literature searches were performed in Medline, Scopus, Google Scholar, and Semantics up to December 2024. Studies enrolling adult patients with confirmed APE categorized as low-to-intermediate risk classification were included. Primary outcomes were in-hospital mortality or clinical deterioration. Pooled estimates were analysed using fixed-or random-effects models, or analysis of <i>P</i> values.</p><p><strong>Results: </strong>Thirteen studies (<i>n</i> = 3073) were included. Echocardiographic parameters significantly associated with adverse outcomes included reduced tricuspid annular plane systolic excursion, RV fractional area change, and elevated pulmonary artery systolic pressure and tricuspid regurgitation velocity. ECG findings of T wave inversion and ischemic ST changes are strongly correlated with RV dysfunction and increased pulmonary pressures, supporting their adjunctive prognostic value.</p><p><strong>Conclusion: </strong>In low-to-intermediate risk APE, echocardiographic indicators of RV dysfunction and pulmonary pressure are predictive of adverse outcomes. ECG findings were correlated with echocardiographic abnormalities and may enhance risk stratification, especially in resource-limited settings.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"387-397"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105574","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":"Correlation between Myocardial Strain Imaging by Two-dimensional Speckle Tracking and Coronary Angiographic Profile in Patients with Chronic Coronary Syndrome.","authors":"Syed Imamuddin, Ravi Srinivas, Nagula Praveen, Sanjana R Badami, Manogna Ravi","doi":"10.4103/jcecho.jcecho_51_25","DOIUrl":"10.4103/jcecho.jcecho_51_25","url":null,"abstract":"<p><strong>Background: </strong>Chronic coronary syndrome (CCS) constitutes 20%-30% of cardiac causes of chest pain. Deformation/Strain imaging is a sensitive marker of coronary artery disease (CAD) which detects subtle forms of ischemia in the form of strain. We aim to correlate global longitudinal and segmental strain with angiographic profile by using two-dimensional speckle tracking echocardiography (2D-STE).</p><p><strong>Materials and methods: </strong>A prospective observational study was carried out on 150 subjects satisfying the inclusion criteria. Routine blood investigations, electrocardiogram, 2D echocardiography, and 2D-STE were performed. All subjects underwent coronary angiogram (CAG), and the severity of CAD was assessed by modified Gensini score (mGS). Global longitudinal strain (GLS) and segmental strain were correlated with mGS.</p><p><strong>Results: </strong>Mean age was 55.28 ± 8.94 years. Males constituted 67.3% of the study population. The most common symptom was angina (54%), and the most common risk factor was type 2 diabetes mellitus (37%). Mean left ventricular ejection fraction (LVEF) was 58.6%. The mean GLS in the Significant CAD group was -13.8% and in the Insignificant CAD group was -17.7% (<i>P</i> < 0.01). The Pearson correlation analysis between GLS and segmental strain had a strong negative correlation (<i>P</i> < 0.01). GLS cutoff for significant single vessel disease was -18.8 (sensitivity 98%, specificity 86%, area under the curve 0.93; <i>P</i> = 0.03).</p><p><strong>Conclusion: </strong>This study emphasizes the role of a simple, noninvasive transthoracic echocardiographic marker in predicting subclinical ischemia in CCS who have apparently normal LVEF. GLS correlates with the angiographic severity in CCS. The myocardial segmental strain correlates with angiographic territorial involvement. It is an independent predictor of significant CAD with good sensitivity and specificity.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"364-371"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105596","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":"Correlation of Serum Tumor Marker Carbohydrate Antigen 125 with Ankle-Brachial Index in Patients with Coronary Artery Disease.","authors":"Ibrahim Mohamed Elsayed Eltahan, Amany R M Serag, Mohamed Y Abd El Khalek, Hend M Abdou","doi":"10.4103/jcecho.jcecho_91_25","DOIUrl":"10.4103/jcecho.jcecho_91_25","url":null,"abstract":"<p><strong>Background: </strong>Peripheral arterial disease shares common pathophysiological mechanisms with coronary artery disease (CAD), including inflammation and atherosclerosis. Carbohydrate antigen 125 (CA-125), previously known as a tumor marker, has been suggested to be elevated in patients with heart failure and CAD.</p><p><strong>Aim: </strong>The aim of this study was to assess the correlation of serum tumor marker carbohydrate antigen 125 with ankle-brachial index (ABI) in patients with CAD.</p><p><strong>Materials and methods: </strong>A prospective study was conducted on 60 CAD patients. Based on ABI, they were grouped into low ABI (≤0.9) and normal ABI (1-1.4). Serum CA-125 and high-sensitivity C-reactive protein (hs-CRP) were measured, and transthoracic echocardiographic parameters were evaluated.</p><p><strong>Results: </strong>CA-125 was significantly higher in patients with low ABI compared to those with normal ABI (13.17 ± 4.48 vs. 10.03 ± 3.18 U/ml, <i>P</i> = 0.003). CA-125 was negatively correlated with ABI (<i>r</i> = -0.887, <i>P</i> < 0.001) and positively with hs-CRP (<i>r</i> = 0.696, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Serum CA-125 is a readily available biomarker that may have utility as a supplementary indicator of atherosclerotic burden and vascular risk in patients with CAD.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"381-386"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105627","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 Size Does Not Fit All: Echocardiography as a Decision-making Tool in Atrial Fibrillation Management - A Case Series.","authors":"Fulvio Cacciapuoti, Rossella Gottilla, Ilaria Caso, Salvatore Crispo, Ciro Pirozzi, Fabio Minicucci, Mario Volpicelli","doi":"10.4103/jcecho.jcecho_71_25","DOIUrl":"10.4103/jcecho.jcecho_71_25","url":null,"abstract":"<p><p>Atrial fibrillation can arise from a range of underlying mechanisms, including electrical triggers, structural remodeling, metabolic influences, and inflammatory substrates, each of which requires a tailored therapeutic strategy. Understanding the specific atrial substrate responsible for the arrhythmia is therefore essential to guide appropriate management. In this context, echocardiography serves not only as a diagnostic tool but also as a key decision-making instrument, enabling clinicians to noninvasively evaluate the structural, mechanical, and electrical properties of the left atrium. Parameters such as left atrial strain, conduction time (PA-tissue Doppler imaging), and left atrial volume index provide valuable insights into the extent of atrial remodeling and fibrosis, which directly influence therapeutic choices and expected outcomes. While the diagnostic role of echocardiography in atrial fibrillation is well recognized, its integration into therapeutic decision-making, particularly in guiding rhythm control strategies, remains underutilized. This case series aims to address that gap by illustrating how echocardiographic findings can inform the selection, timing, and modality of interventional versus conservative treatment. We present three patients with distinct clinical backgrounds: one with structurally normal atria, one with atrial remodeling due to epicardial adipose tissue infiltration, and one elderly patient with moderate substrate alteration, where comorbidities and minimal symptom burden led to a conservative management decision. Each case highlights how advanced echocardiographic assessment can support individualized treatment planning, from catheter ablation to optimal medical therapy, in alignment with precision medicine principles.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"403-409"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105608","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":"Don't Miss the Sword in the Lung: Unveiling a Previously Undiagnosed Congenital Syndrome in a Suspected Myocardial Infarction with Nonobstructive Coronary Arteries Patient.","authors":"Marianna Laurito, Michele Napolitano, Maria Cristina Turina, Teresa Grimaldi, Francesca Mantovani, Alessandro Navazio","doi":"10.4103/jcecho.jcecho_64_25","DOIUrl":"10.4103/jcecho.jcecho_64_25","url":null,"abstract":"<p><p>Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a working diagnosis encompassing a wide spectrum of ischemic and non-ischemic conditions. We report the case of a 57-year-old male admitted for exertional chest pain and elevated troponin levels, initially managed as suspected MINOCA. Coronary angiography excluded obstructive coronary artery disease, while subsequent multimodality imaging unexpectedly revealed Scimitar syndrome, a rare congenital heart disease. This case underscores the diagnostic complexity of MINOCA and the crucial role of advanced imaging in uncovering alternative, non-ischemic etiologies.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"413-415"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105622","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":"Horseshoe Lung Associated with Left-sided Scimitar Syndrome in an Infant with Complex Congenital Heart Disease.","authors":"Elia Spinelli, Domenico Sirico, Vladimiro Vida, Giovanni Di Salvo","doi":"10.4103/jcecho.jcecho_125_25","DOIUrl":"10.4103/jcecho.jcecho_125_25","url":null,"abstract":"<p><p>We report a unique case of left-sided scimitar syndrome associated with horseshoe lung (HL) in a newborn with a prenatal diagnosis, confirmed at birth, of complex congenital heart disease (CHD). The cardiac anomalies included right atrial isomerism, persistent left superior vena cava, unbalanced complete atrioventricular (AV) atrial septal defect with atresia of the left component of the AV valve and a hypoplastic left ventricle, double outlet right ventricle, malposition of the great arteries, and anomalous origin of left pulmonary artery (AOLPA) from the perihilar portion of the right pulmonary artery. The combination of echocardiography, cardiac computed tomography, three-dimensional virtual reconstruction, and diagnostic heart catheterization provided complementary insights, each contributing critically to the final diagnosis. This case represents the first reported association of HL with left-sided scimitar syndrome and pseudo-pulmonary sling in a neonate with complex CHD, emphasizing the role of multimodality imaging for accurate diagnosis and clinical decision-making.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"420-422"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105540","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":"Effect of Right Ventricular Dysfunction on Biventricular Remodeling after Successful Mitral Transcatheter Edge-to-edge Repair in Patients with Severe Mitral Regurgitation. An Echocardiographic Analysis after 1 Year of Repair.","authors":"Muhammad Azam Shah, Sameer Qannaf Qetab, Shatha Abdullah Hashem, Zainab Amin Khan, Alwaleed Talal Alotaibi","doi":"10.4103/jcecho.jcecho_17_25","DOIUrl":"10.4103/jcecho.jcecho_17_25","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to retrospectively utilize the echocardiographic analysis to assess the changes in the left ventricle (LV) and right ventricle (RV) size and function after 1 year of repair, in patients who underwent successful mitral transcatheter edge-to-edge repair (M-TEER), stratified by their baseline RV function.</p><p><strong>Methods: </strong>A total of 112 patients were enrolled. Sixteen patients (14.2%) died during the 1^st year postprocedure, so that they were excluded from the study due to the nonavailability of follow-up echocardiography. Ninety-six patients were included in a single-center, observational study with 67 (69.7%) males and a mean age of 61 ± 14 years. All patients who were selected (<i>n</i> = 96) had completed a 1-year follow-up after M-TEER therapy. Patients were stratified into two groups: right ventricular dysfunction (<i>RVdysf) group</i> (Tricsupid annular plane systolic excursion [TAPSE] <17 mm, [<i>n</i> = 59]) and <i>No-RVdysf group</i> (TAPSE < 17 mm, [<i>n</i> = 37]).</p><p><strong>Results: </strong>Procedural success was reported in 94.8% and at baseline <i>RV-dysf group</i> showed greater LV end-systolic dimension (left ventricular end-systolic diameter 53 mm vs. 48 mm, <i>P</i> = 0.022), LV end-systolic volume (LVESV 142 ml vs. 89 ml, <i>P</i> = 0.028), and significantly lower LV ejection fraction (LVEF 29.7% vs. 35.8%, <i>P</i> = 0.038). In the <i>RVDysf group,</i> RV dimensions did not change significantly at follow-up but TAPSE showed improvement in RV function after mitral TEER therapy (TAPSE at baseline 14 vs. follow-up 16 mm, <i>P</i> = 0.010). The right ventricular systolic pressure (RVSP) also decreased significantly in the <i>RVdysf group</i> (RVSP 55 vs. 42.5 mmHg, <i>P</i> = 0.000). The left atrial volume decreased significantly (54 ml/m² vs. 47 ml/m², <i>P</i> = 0.002), but no significant change was seen in the right atrial volume in this group of patients. When comparing the median differences of both groups at baseline and follow-up, some parameters show slight numerical differences between the groups, the <i>P</i> values generally indicate a lack of statistically significant differences.</p><p><strong>Conclusions: </strong>Patients with preexistent RV dysfunction showed greater biventricular enlargement and impaired systolic function compared to those with normal RV function. At 1-year follow-up, the M-TEER therapy resulted in positive left ventricular remodeling and improvement in right ventricular systolic function in patients with baseline RV dysfunction, but the magnitude of these improvements was not statistically different from those observed in patients with normal RV function.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"352-363"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105548","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":"Prognostic Value of Speckle-tracking Echocardiography in Assessing Outcomes of Transcatheter Edge-to-edge Repair for Mitral Regurgitation.","authors":"Amirreza Taherkhani, Yasaman Zarinfar, Isa Khaheshi","doi":"10.4103/jcecho.jcecho_44_25","DOIUrl":"10.4103/jcecho.jcecho_44_25","url":null,"abstract":"<p><p>Mitral regurgitation (MR) is a valvular heart disease with high morbidity and mortality. Transcatheter edge-to-edge repair (TEER) presents a viable treatment option for severe MR in high-risk surgical patients. This review aims to assess the prognostic significance of speckle-tracking echocardiography (STE) in predicting outcomes after TEER and its potential role in patient management. A systematic literature review was done on PubMed for studies until November 2024. The search incorporated keywords of STE and TEER, including original research on STE's predictive value in TEER patients. Studies concerning surgical mitral valve repair or unrelated imaging techniques were excluded. Twenty-nine articles were included, indicating that STE metrics, especially global longitudinal strain (GLS), correlate with clinical outcomes like heart failure progression and mortality. Baseline GLS was determined as predictive of hospitalization and mortality, while post-TEER GLS improvements were associated with better functional capacity. Furthermore, left atrial function metrics were significant in predicting arrhythmia recurrence. This study highlights the utility of STE in predicting outcomes for TEER patients. While findings are encouraging, additional research is essential to elucidate the long-term effects of TEER on cardiac function, thereby enhancing patient selection and management approaches. This review highlights the relevance of STE in prognosticating outcomes for patients undergoing TEER. Further investigations are essential to clarify the long-term repercussions of TEER on cardiac functionality, thereby refining patient selection and management strategies.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"336-343"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105561","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-outlet Right Ventricle with Subaortic Ventricular Septal Defect and Severe Pulmonary Valve Stenosis, but Only Minimal Cyanosis and No Murmur: A Paradox?","authors":"Matteo Patti, Alice Pozza, Giovanni Di Salvo, Ornella Milanesi","doi":"10.4103/jcecho.jcecho_36_25","DOIUrl":"10.4103/jcecho.jcecho_36_25","url":null,"abstract":"<p><p>We report the case of a complex congenital heart disease that accounts for unusual clinical presentation: subtle cyanosis and absence of murmur in a pediatric patient with double-outlet right ventricle, subaortic ventricular septal defect and severe pulmonary stenosis. Echocardiography revealed a large aorto-pulmonary window supplying the pulmonary arteries at systemic pressure.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"35 4","pages":"410-412"},"PeriodicalIF":1.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105593","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}