Sandra Nóbrega, Catarina Martins da Costa, Ana Filipa Amador, Sofia Justo, Elisabete Martins
{"title":"Cardiovascular Magnetic Resonance Versus Histopathologic Study for Diagnosis of Benign and Malignant Cardiac Tumours: A Systematic Review and Meta-Analysis.","authors":"Sandra Nóbrega, Catarina Martins da Costa, Ana Filipa Amador, Sofia Justo, Elisabete Martins","doi":"10.4250/jcvi.2023.0028","DOIUrl":"10.4250/jcvi.2023.0028","url":null,"abstract":"<p><strong>Background: </strong>The gold standard for diagnosis of cardiac tumours is histopathological examination. Cardiovascular magnetic resonance (CMR) is a valuable non-invasive, radiation-free tool for identifying and characterizing cardiac tumours. Our aim is to understand CMR diagnosis of cardiac tumours by distinguishing benign vs. malignant tumours compared to the gold standard.</p><p><strong>Methods: </strong>A systematic search was performed in the PubMed, Web of Science, and Scopus databases up to December 2022, and the results were reviewed by 2 independent investigators. Studies reporting CMR diagnosis were included in a meta-analysis, and pooled measures were obtained. The risk of bias was assessed using the Quality Assessment Tools from the National Institutes of Health.</p><p><strong>Results: </strong>A total of 2,321 results was obtained; 10 studies were eligible, including one identified by citation search. Eight studies were included in the meta-analysis, which presented a pooled sensitivity of 93% and specificity of 94%, a diagnostic odds ratio of 185, and an area under the curve of 0.98 for CMR diagnosis of benign vs. malignant tumours. Additionally, 4 studies evaluated whether CMR diagnosis of cardiac tumours matched specific histopathological subtypes, with 73.6% achieving the correct diagnosis.</p><p><strong>Conclusions: </strong>To the best of our knowledge, this is the first published systematic review on CMR diagnosis of cardiac tumours. Compared to histopathological results, the ability to discriminate benign from malignant tumours was good but not outstanding. However, significant heterogeneity may have had an impact on our findings.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412384","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}
Estu Rudiktyo, Amiliana M Soesanto, Maarten J Cramer, Emir Yonas, Arco J Teske, Bambang B Siswanto, Pieter A Doevendans
{"title":"Global Left Ventricular Myocardial Work Efficiency in Patients With Severe Rheumatic Mitral Stenosis and Preserved Left Ventricular Ejection Fraction.","authors":"Estu Rudiktyo, Amiliana M Soesanto, Maarten J Cramer, Emir Yonas, Arco J Teske, Bambang B Siswanto, Pieter A Doevendans","doi":"10.4250/jcvi.2022.0124","DOIUrl":"10.4250/jcvi.2022.0124","url":null,"abstract":"<p><strong>Background: </strong>Assessment of left ventricular (LV) function plays a pivotal role in the management of patients with valvular heart disease, including those caused by rheumatic heart disease. Noninvasive LV pressure-strain loop analysis is emerging as a new echocardiographic method to evaluate global LV systolic function, integrating longitudinal strain by speckle-tracking analysis and noninvasively measured blood pressure to estimate myocardial work. The aim of this study was to characterize global LV myocardial work efficiency in patients with severe rheumatic mitral stenosis (MS) with preserved ejection fraction (EF).</p><p><strong>Methods: </strong>We retrospectively included adult patients with severe rheumatic MS with preserved EF (> 50%) and sinus rhythm. Healthy individuals without structural heart disease were included as a control group. Global LV myocardial work efficiency was estimated with a proprietary algorithm from speckle-tracking strain analyses, as well as noninvasive blood pressure measurements.</p><p><strong>Results: </strong>A total of 45 individuals with isolated severe rheumatic MS with sinus rhythm and 45 healthy individuals were included. In healthy individuals without structural heart disease, the mean global LV myocardial work efficiency was 96% (standard deviation [SD], 2), Compared with healthy individuals, median global LV myocardial work efficiency was significantly worse in MS patients (89%; SD, 4; p < 0.001) although the LVEF was similar.</p><p><strong>Conclusions: </strong>Individuals with isolated severe rheumatic MS and preserved EF, had global LV myocardial work efficiencies lower than normal controls.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"1 1","pages":"191-199"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71000271","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}
Nikolaos Papagiannis, Maria Moutafi, Dimitrios Afendoulis, Stefanos Garoufalis, Athanasios Kartalis
{"title":"\"From Heart to Toe\": The Lost Stent's Journey….","authors":"Nikolaos Papagiannis, Maria Moutafi, Dimitrios Afendoulis, Stefanos Garoufalis, Athanasios Kartalis","doi":"10.4250/jcvi.2023.0041","DOIUrl":"10.4250/jcvi.2023.0041","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"220-221"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412381","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":"Bone SPECT/CT Findings of Complications Resulting From Cardiopulmonary Resuscitation With Defibrillation.","authors":"Myoung Hyoun Kim, Dae-Weung Kim","doi":"10.4250/jcvi.2023.0016","DOIUrl":"10.4250/jcvi.2023.0016","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"214-216"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412383","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}
Maria Tamara Neves Pereira, Ana Margarida Ramada Oliveira, Ana Filipa Polónia de Brito Cordeiro, Maria Cristina Freire Araújo da Cruz, António Rodrigo Miranda Lourenço
{"title":"Double Interatrial Septum: When Two Layers Aren't Enough.","authors":"Maria Tamara Neves Pereira, Ana Margarida Ramada Oliveira, Ana Filipa Polónia de Brito Cordeiro, Maria Cristina Freire Araújo da Cruz, António Rodrigo Miranda Lourenço","doi":"10.4250/jcvi.2023.0006","DOIUrl":"10.4250/jcvi.2023.0006","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"209-210"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412386","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":"Trileaflet Mitral Valve: An Unusual Contributor of Mitral Regurgitation in Hypertrophic Cardiomyopathy.","authors":"Digvijay D Nalawade, Pratik Wadhokar, Ajitkumar Jadhav, Prakash Chaudhary, Anishkumar Khan","doi":"10.4250/jcvi.2023.0042","DOIUrl":"10.4250/jcvi.2023.0042","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"217-219"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412390","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":"Utility of 3D Echocardiography for Device Sizing During Transcatheter ASD Closure: A Comparative Study.","authors":"Avinash Mani, Sivadasanpillai Harikrishnan, Bijulal Sasidharan, Sanjay Ganapathi, Ajit Kumar Valaparambil","doi":"10.4250/jcvi.2023.0039","DOIUrl":"10.4250/jcvi.2023.0039","url":null,"abstract":"<p><strong>Background: </strong>Two-dimensional (2D) transesophageal echocardiography (TEE) is commonly used for assessing patients undergoing transcatheter atrial septal defect (ASD) device closure. 3D TEE, albeit providing high resolution en-face images of ASD, is used in only a fraction of cases. We aimed to perform a comparative analysis between 3D and 2D TEE assessment for ASD device planning.</p><p><strong>Methods: </strong>This was a prospective, observational study conducted over a period of one year. Patients deemed suitable for device closure underwent 2D and 3D TEE at baseline. Defect characteristics, assessed separately in both modalities, were compared. Using regression analysis, we aimed to derive an equation for predicting device size using 3D TEE parameters.</p><p><strong>Results: </strong>Thirty patients were included in the study, majority being females (83%). The mean age of the study population was 40.5 ± 12.05 years. Chest pain, dyspnea and palpitations were the common presenting complaints. All patients had suitable rims on 2D TEE. A good agreement was noted between 2D and 3D TEE for measured ASD diameters. 3D TEE showed that majority of defects were circular in shape (60%). The final device size used had high degree of correlation with 3D defect area and circumference. An equation was devised to predict device size using 3D defect area and circumference. The mean device size obtained from the equation was similar to the actual device size used in the study population (p = 0.31).</p><p><strong>Conclusions: </strong>Device sizing based on 3D TEE parameters alone is equally effective for transcatheter ASD closure as compared to 2D TEE.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"180-187"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412391","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":"Clinical Implication (Application) of Measurement of Device Size in Patients With Atrial Septal Defects (ASD) by 3-Dimensional Transesophageal Echocardiography (3D TEE).","authors":"Eun Jeong Cho","doi":"10.4250/jcvi.2023.0077","DOIUrl":"10.4250/jcvi.2023.0077","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"188-190"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412385","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":"Enhancing Prognostication in Acute Heart Failure: Significance of RV-PA Coupling and the TAPSE/PASP Ratio.","authors":"Ju-Hee Lee","doi":"10.4250/jcvi.2023.0076","DOIUrl":"10.4250/jcvi.2023.0076","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"207-208"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412387","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 Rare Case of Isolated Papillary Muscle Endocarditis.","authors":"Fernando Mané, Rui Flores, Catarina Vieira","doi":"10.4250/jcvi.2023.0013","DOIUrl":"10.4250/jcvi.2023.0013","url":null,"abstract":"A septuagenarian woman, who had recently undergone ureteral stenting, presented with 3 days of malaise and altered mental status. Physical examination revealed a febrile patient with normal blood pressure, heart and respiratory rate. Skin inspection exhibited maculopapular lesions on the extremities and splinter hemorrhages. Laboratory results were remarkable for a white-cell count of 15,400 /mm 3 and a C-reactive protein level of 237 mg/L. Abdominal computed tomographic scan exposed multiple spleen infarcts and brain magnetic resonance imaging showed multiple small diffusion defects ( Figure 1 ). A transesophageal echocardiogram (TOE) was performed and revealed a large vegetation (29 × 14 mm), protruding into the left ventricular outflow tract, attached to the posteromedial papillary muscle without affecting mitral valve function ( Figures 2 and 3 , Movies 1 and 2 ). Blood and urine cultures isolated methicillin-resistant Staphylococcus aureus (MRSA). Endocarditis associated with urosepsis was diagnosed, appropriate antibiotherapy was initiated and the patient underwent urgent cardiac surgery with preservation of the mitral valve. Histological and microbiological analysis of the resected material from the subvalvular apparatus confirmed endocarditis by MRSA. Staphylococcus aureus is highly virulent, linked to hospital care, and frequently related to non-valvular endocarditis. 1)","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"211-213"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412382","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}