Journal of Cardiovascular Imaging最新文献_第6页

Double Interatrial Septum: When Two Layers Aren't Enough. 双层间隔膜：当两层不够时。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0006

Maria Tamara Neves Pereira, Ana Margarida Ramada Oliveira, Ana Filipa Polónia de Brito Cordeiro, Maria Cristina Freire Araújo da Cruz, António Rodrigo Miranda Lourenço

引用次数: 0

Trileaflet Mitral Valve: An Unusual Contributor of Mitral Regurgitation in Hypertrophic Cardiomyopathy. 三叶二尖瓣：肥厚型心肌病二尖瓣反流的一个异常因素。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0042

Digvijay D Nalawade, Pratik Wadhokar, Ajitkumar Jadhav, Prakash Chaudhary, Anishkumar Khan

引用次数: 0

Utility of 3D Echocardiography for Device Sizing During Transcatheter ASD Closure: A Comparative Study. 三维超声心动图在经导管ASD封堵术中对装置尺寸的应用：一项比较研究。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0039

Avinash Mani, Sivadasanpillai Harikrishnan, Bijulal Sasidharan, Sanjay Ganapathi, Ajit Kumar Valaparambil

{"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":"Background: 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.Methods: 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.Results: 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).Conclusions: Device sizing based on 3D TEE parameters alone is equally effective for transcatheter ASD closure as compared to 2D TEE.","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}

引用次数: 1

Clinical Implication (Application) of Measurement of Device Size in Patients With Atrial Septal Defects (ASD) by 3-Dimensional Transesophageal Echocardiography (3D TEE). 三维经食管超声心动图（3D TEE）测量心房间隔缺损（ASD）患者装置尺寸的临床意义（应用）。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0077

Eun Jeong Cho

引用次数: 0

Enhancing Prognostication in Acute Heart Failure: Significance of RV-PA Coupling and the TAPSE/PASP Ratio. 提高急性心力衰竭的预后：RV-PA偶联和TAPSE/PASP比值的意义。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0076

Ju-Hee Lee

引用次数: 0

A Rare Case of Isolated Papillary Muscle Endocarditis. 一例罕见的孤立性乳头肌心内膜炎。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0013

Fernando Mané, Rui Flores, Catarina Vieira

{"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}

引用次数: 0

Clinical and Imaging Parameters Associated With Impaired Kidney Function in Patients With Acute Decompensated Heart Failure With Reduced Ejection Fraction. 射血分数降低的急性失代偿性心力衰竭患者肾功能受损的临床和影像学参数。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0004

In-Jeong Cho, Sang-Eun Lee, Dong-Hyeok Kim, Wook Bum Pyun

{"title":"Clinical and Imaging Parameters Associated With Impaired Kidney Function in Patients With Acute Decompensated Heart Failure With Reduced Ejection Fraction.","authors":"In-Jeong Cho, Sang-Eun Lee, Dong-Hyeok Kim, Wook Bum Pyun","doi":"10.4250/jcvi.2023.0004","DOIUrl":"10.4250/jcvi.2023.0004","url":null,"abstract":"Background: Acute worsening of cardiac function frequently leads to kidney dysfunction. This study aimed to identify clinical and imaging parameters associated with impaired kidney function in patients with acute decompensated heart failure with reduced ejection fraction (HFrEF).Methods: Data from 131 patients hospitalized with acute decompensated HFrEF (left ventricular ejection fraction, < 40%) were analyzed. Patients were divided into two groups according to the glomerular filtration rate (GFR) at admission (those with preserved kidney function [GFR ≥ 60 mL/min/1.73 m²] and those with reduced kidney function [GFR < 60 mL/min/1.73 m²]). Various echocardiographic parameters and perirenal fat thicknesses were assessed by computed tomography.Results: There were 71 patients with preserved kidney function and 60 patients with reduced kidney function. Increased age (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.04-1.12; p = 0.005), increased log N-terminal pro b-type natriuretic peptide (OR, 1.74; 95% CI, 1.14-2.66; p = 0.010), and increased perirenal fat thickness (OR, 1.19; 95% CI, 1.10-1.29; p < 0.001) were independently associated with reduced kidney function, even after adjusting for variable clinical and echocardiographic parameters. The optimal average perirenal fat thickness cut-off value of > 12 mm had a sensitivity of 55% and specificity of 83% for kidney dysfunction prediction.Conclusions: Thick perirenal fat was independently associated with impaired kidney function in patients hospitalized for acute decompensated HFrEF. Measurement of perirenal fat thickness may be a promising imaging marker for the detection of HFrEF patients who are more susceptible to kidney dysfunction.","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"1 1","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71000277","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}

引用次数: 1

Imaging Marker for Acute Kidney Dysfunction in Patients With Heart Failure. 心力衰竭患者急性肾功能不全的影像学标志物。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0054

Jin Young Kim

引用次数: 0

Prognostic Role of Right Ventricular-Pulmonary Artery Coupling Assessed by TAPSE/PASP Ratio in Patients With Acute Heart Failure. TAPSE/PASP比值评估右室-肺动脉耦合在急性心力衰竭患者预后中的作用。

Journal of Cardiovascular Imaging Pub Date : 2023-10-01 DOI: 10.4250/jcvi.2023.0055

Youngnam Bok, Ji-Yeon Kim, Jae-Hyeong Park

{"title":"Prognostic Role of Right Ventricular-Pulmonary Artery Coupling Assessed by TAPSE/PASP Ratio in Patients With Acute Heart Failure.","authors":"Youngnam Bok, Ji-Yeon Kim, Jae-Hyeong Park","doi":"10.4250/jcvi.2023.0055","DOIUrl":"10.4250/jcvi.2023.0055","url":null,"abstract":"BACKGROUND Right ventricular (RV) dysfunction is a significant risk of major adverse cardiac events in patients with acute heart failure (AHF). In this study, we evaluated RV-pulmonary artery (PA) coupling, assessed by tricuspid annular plane systolic excursion (TAPSE)/pulmonary artery systolic pressure (PASP) and assessed its prognostic significance, in AHF patients. METHODS We measured the TAPSE/PASP ratio and analyzed its correlations with other echocardiographic parameters. Additionally, we assessed its prognostic role in AHF patients. RESULTS A total of 1147 patients were included in the analysis (575 men, aged 70.81 ± 13.56 years). TAPSE/PASP ratio exhibited significant correlations with left ventricular (LV) ejection fraction(r = 0.243, p < 0.001), left atrial (LA) diameter(r = −0.320, p < 0.001), left atrial global longitudinal strain (LAGLS, r = 0.496, p < 0.001), mitral E/E′ ratio(r = −0.337, p < 0.001), and right ventricular fractional area change (RVFAC, r = 0.496, p < 0.001). During the median follow-up duration of 29.0 months, a total of 387 patients (33.7%) died. In the univariate analysis, PASP, TAPSE, and TAPSE/PASP ratio were significant predictors of mortality. After the multivariate analysis, TAPSE/PASP ratio remained a statistically significant parameter for all-cause mortality (hazard ratio [HR], 0.453; p = 0.037) after adjusting for other parameters. In the receiver operating curve analysis, the optimal cut-off level of TAPSE/PASP ratio for predicting mortality was 0.33 (area under the curve = 0.576, p < 0.001), with a sensitivity of 65% and a specificity of 47%. TAPSE/PASP ratio < 0.33 was associated with an increased risk of mortality after adjusting for other variables (HR, 1.306; p = 0.025). CONCLUSIONS In AHF patients, TAPSE/PASP ratio demonstrated significant associations with RVFAC, LA diameter and LAGLS. Moreover, a decreased TAPSE/PASP ratio < 0.33 was identified as a poor prognostic factor for mortality.","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 4","pages":"200-206"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412389","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}

引用次数: 1

Echocardiography Core Laboratory Validation of a Novel Vendor-Independent Web-Based Software for the Assessment of Left Ventricular Global Longitudinal Strain. 超声心动图核心实验室验证的一个新的供应商独立的基于网络的软件评估左心室整体纵向应变。

Journal of Cardiovascular Imaging Pub Date : 2023-07-01 DOI: 10.4250/jcvi.2022.0130

Ernest Spitzer, Benjamin Camacho, Blaz Mrevlje, Hans-Jelle Brandendburg, Claire B Ren

{"title":"Echocardiography Core Laboratory Validation of a Novel Vendor-Independent Web-Based Software for the Assessment of Left Ventricular Global Longitudinal Strain.","authors":"Ernest Spitzer, Benjamin Camacho, Blaz Mrevlje, Hans-Jelle Brandendburg, Claire B Ren","doi":"10.4250/jcvi.2022.0130","DOIUrl":"https://doi.org/10.4250/jcvi.2022.0130","url":null,"abstract":"Background: Global longitudinal strain (GLS) is an accurate and reproducible parameter of left ventricular (LV) systolic function which has shown meaningful prognostic value. Fast, user-friendly, and accurate tools are required for its widespread implementation. We aim to compare a novel web-based tool with two established algorithms for strain analysis and test its reproducibility.Methods: Thirty echocardiographic datasets with focused LV acquisitions were analyzed using three different semi-automated endocardial GLS algorithms by two readers. Analyses were repeated by one reader for the purpose of intra-observer variability. CAAS Qardia (Pie Medical Imaging) was compared with 2DCPA and AutoLV (TomTec).Results: Mean GLS values were -15.0 ± 3.5% from Qardia, -15.3 ± 4.0% from 2DCPA, and -15.2 ± 3.8% from AutoLV. Mean GLS between Qardia and 2DCPA were not statistically different (p = 0.359), with a bias of -0.3%, limits of agreement (LOA) of 3.7%, and an intra-class correlation coefficient (ICC) of 0.88. Mean GLS between Qardia and AutoLV were not statistically different (p = 0.637), with a bias of -0.2%, LOA of 3.4%, and an ICC of 0.89. The coefficient of variation (CV) for intra-observer variability was 4.4% for Qardia, 8.4% 2DCPA, and 7.7% AutoLV. The CV for inter-observer variability was 4.5%, 8.1%, and 8.0%, respectively.Conclusions: In echocardiographic datasets of good image quality analyzed at an independent core laboratory using a standardized annotation method, a novel web-based tool for GLS analysis showed consistent results when compared with two algorithms of an established platform. Moreover, inter- and intra-observer reproducibility results were excellent.","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"31 3","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/7f/jcvi-31-135.PMC10374390.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888887","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}

引用次数: 1