{"title":"The usefulness of color Doppler images using epicardial echocardiography for diagnosis of coronary artery ostial stenosis in an infant.","authors":"Satoshi Koyama, Tsutomu Shinohara, Jun Sato, Kimihiro Yoshii, Shuichiro Yoshida, Takahisa Sakurai, Hiroshi Nishikawa","doi":"10.1007/s12574-024-00680-w","DOIUrl":"https://doi.org/10.1007/s12574-024-00680-w","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyungseop Kim, Jin-Gon Bae, Hee-Jeong Lee, Seonhwa Lee, In-Cheol Kim
{"title":"The implication of pericardial effusion in the third trimester for preeclampsia and heart failure in high-risk pregnant women.","authors":"Hyungseop Kim, Jin-Gon Bae, Hee-Jeong Lee, Seonhwa Lee, In-Cheol Kim","doi":"10.1007/s12574-024-00679-3","DOIUrl":"https://doi.org/10.1007/s12574-024-00679-3","url":null,"abstract":"<p><strong>Background: </strong>With the growing number of high-risk pregnant women, echocardiography frequently reveals pericardial effusion (PE). However, the clinical implications of PE are unknown.</p><p><strong>Method: </strong>We analyzed a cohort of 406 high-risk pregnant women who underwent echocardiography in the third trimester between November 2019 and December 2022. The association between PE and clinical outcomes was assessed: the primary endpoint was the occurrence of preeclampsia, and the secondary composite outcomes were defined as the occurrence of preeclampsia, heart failure (HF), and pleural effusion within three months after birth.</p><p><strong>Results: </strong>Of the 406 high-risk pregnant women, 99 (24.4%) had PE. Women with PE were more likely to be younger, have higher blood pressure and soluble suppression of tumorigenicity-2, and develop gestational diabetes mellitus. They had increased left atrial and ventricular volumes, a higher mitral inflow, a lower systolic tissue velocity of the septal mitral annulus, a higher E/e' ratio and pulmonary artery systolic pressure, and a higher frequency of ≥ mild to moderate mitral/tricuspid regurgitation. PE was mainly associated with gestational hypertension. During follow-up, preeclampsia, HF, isolated pleural effusion, and any composite outcome were significantly more prevalent in women with PE. In multivariate analysis, PE was the most significant factor for adverse composite outcomes.</p><p><strong>Conclusion: </strong>In high-risk pregnant women, PE during the third trimester may be a novel biomarker for preeclampsia and peripartum HF. The timely implementation of echocardiographic surveillance during the third trimester in high-risk pregnant women may be helpful for the earlier recognition of PE, preeclampsia, and HF.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sana Tantawi, Elio Issa, Kamal Matli, Raymond Farah, Christy Costanian, Steven Miner, Shafika Assaad, Georges Ghanem
{"title":"Diagnostic and prognostic potential of left atrial strain in cardiovascular disease: a narrative review.","authors":"Sana Tantawi, Elio Issa, Kamal Matli, Raymond Farah, Christy Costanian, Steven Miner, Shafika Assaad, Georges Ghanem","doi":"10.1007/s12574-024-00677-5","DOIUrl":"https://doi.org/10.1007/s12574-024-00677-5","url":null,"abstract":"<p><p>Left atrial strain (LAS) was recently introduced as a parameter that reflects on left atrial function. Consequently, changes in LAS can inform the development of cardiovascular diseases, hence providing a window for non-invasive and cost-effective testing of these diseases and their complications at early stages of development, potentially offering a segway towards preventive interventions. LAS has yet to be implemented into standard practice. Therefore, we aimed to synthesize the current evidence on the diagnostic and prognostic potentials of LAS in a variety of cardiovascular diseases. We attempted to elucidate sufficient evidence to support uptake into clinical practice. A systematic search of four databases (Medline, PubMed, Embase, CINAHL) was performed for articles published within the last 5 years, for inclusion in this narrative review. A total of 3921 articles were identified, among which only 43 articles were included. LAS showed diagnostic potential in detecting (1) paroxysmal atrial fibrillation in stroke patients, (2) left atrial appendage dysfunction in patients with nonvalvular atrial fibrillation and heart failure with reduced ejection fraction, and finally (3) diastolic dysfunction in patients with arrhythmias, valvulopathies, acute coronary syndrome, primary arterial hypertension, and heart failure. LAS was also prognostic for the development of (1) atrial fibrillation in hypertensive patients, cardiovascular events in patients with (2) valvular diseases and (3) ischemic heart diseases, and (4) heart failure in patients with and without diastolic dysfunction. This review highlights the potential of LAS in identifying certain cardiac pathologies and their repercussions on patient prognosis, which should prompt courageous integration into the clinical workup while emphasizing areas for future research to guarantee successful and safe implementation into clinical practice.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akira Hachiya, Kiyohiro Takigiku, Yuma Shibuya, Kosuke Yonehara, Yohei Akazawa, Kohta Takei, Ai Kojima, Takeshi Konuma
{"title":"Usefulness of the \"En face view\" method for diagnosing perimembranous ventricular septal defects.","authors":"Akira Hachiya, Kiyohiro Takigiku, Yuma Shibuya, Kosuke Yonehara, Yohei Akazawa, Kohta Takei, Ai Kojima, Takeshi Konuma","doi":"10.1007/s12574-024-00678-4","DOIUrl":"https://doi.org/10.1007/s12574-024-00678-4","url":null,"abstract":"<p><strong>Background: </strong>Perimembranous ventricular septal defect (VSD) can be classified as having trabecular, inlet, or outlet extension. The surgical approach used in patch closure depends on the which valve of the tricuspid valve to suture around and the avoidance of the specialized conducting system. This retrospective study evaluated the usefulness of the \"En face view\" method for classifying perimembranous VSD.</p><p><strong>Methods: </strong>We divided 147 patients with perimembranous VSD into one group of 52 patients diagnosed using the Helmcke et al. method until 2001 and another group of 95 patients diagnosed by the En face view method and conventional method from 2002. A definitive diagnosis was made intraoperatively for patients in whom the extension of the defect was examined using the En face view method during preoperative echocardiography. When the VSD extended towards the anterior leaflet from the commissure between the antero-septal commissure, it was considered outlet extension, and when it extended towards the septal leaflet, it was judged as inlet extension.</p><p><strong>Results: </strong>Of the 52 patients in whom extension direction was diagnosed until 2001, the number of correct diagnoses was 39 (75.0%). Among the 95 patients who were diagnosed using En face view, a correct diagnosis was made in 84 (88.4%) patients (P = 0.035 vs. before En face view).</p><p><strong>Conclusions: </strong>En face view allows the tricuspid valve to be visualized from the front, making it possible to accurately estimate the position of the perimembranous VSD and the positional relationship with the antero-septal commissure.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myocardial work indices in the management of severe pediatric hypertension and left ventricular hypertrophy: a case report.","authors":"Shogo Tanno, Satoru Iwashima, Akinari Hayakawa","doi":"10.1007/s12574-024-00675-7","DOIUrl":"https://doi.org/10.1007/s12574-024-00675-7","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Echocardiographic findings of patients with transthyretin amyloid cardiomyopathy.","authors":"Hiroki Usuku, Fumi Oike, Naoto Kuyama, Kyoko Hirakawa, Seiji Takashio, Yasuhiro Izumiya, Kenichi Tsujita","doi":"10.1007/s12574-024-00672-w","DOIUrl":"https://doi.org/10.1007/s12574-024-00672-w","url":null,"abstract":"<p><p>Transthyretin amyloid cardiomyopathy (ATTR-CM) is becoming increasingly recognized with the aging population, advancements in understanding of disease pathobiology and the potential benefits of emerging therapies. Bone scintigraphy, including <sup>99m</sup>Tc-labeled pyrophosphate scintigraphy, is currently considered the first-line modality for identifying ATTR-CM. Therefore, it is important to increase the preset probability using inexpensive and simple tests including echocardiography. Although there were a lot of typical echocardiographic findings of amyloid cardiomyopathy, unexplained left ventricular (LV) wall thickness, LV apical sparing, and a discrepancy between LV wall thickness and QRS voltage were selected as red flags/clues for ATTR-CM in various current diagnostic algorithms. Although echocardiography is useful for ATTR-CM screening, there are several limitations. Therefore, it is important to perform echocardiography and combine it with physical examination, laboratory findings, and other imaging data.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determining pulmonary artery diameter on CT scans as basis for performing transthoracic echocardiography to screen for pulmonary hypertension in patients with pulmonary artery enlargement.","authors":"Kotaro Ouchi, Toru Sakuma, Ryo Akao, Ayumi Nojiri, Makoto Kawai, Hiroya Ojiri","doi":"10.1007/s12574-024-00674-8","DOIUrl":"https://doi.org/10.1007/s12574-024-00674-8","url":null,"abstract":"<p><strong>Background: </strong>The current guidelines recommend patient stratification based on transthoracic echocardiography (TTE) to identify individuals with potential pulmonary hypertension (PH). We validated the relationship between PH and the pulmonary artery diameter (PAD) on computed tomography (CT) with peak tricuspid regurgitant velocity (TRV) measured by TTE for referral of patients with suspected PH for TTE screening.</p><p><strong>Methods: </strong>We performed a retrospective analysis of CT-based PAD of 2356 patients who underwent TTE from February 2, 2013 to December 25, 2019 at our institution. The thresholds for suspected PH based on TRV were determined using receiver operating characteristic curves based on PAD. Pearson's rank correlation coefficient was used to assess the relationship between PAD and TRV.</p><p><strong>Results: </strong>The area under the curve (AUC) of the PAD for suspected PH was statistically greater or comparable to others. The sex-specific PAD threshold for high PH probability were 29.4 mm (male: AUC, 0.86; sensitivity, 84.9%; specificity, 72.3%) and 27.8 mm (female: AUC, 0.83; sensitivity, 78%; specificity, 75.6%). Pearson's rank correlation coefficient showed a correlation between the PAD and TRV (male: ρ = 0.40, P < 0.001, female: ρ = 0.43, P < 0.001).</p><p><strong>Conclusions: </strong>The main PAD on CT findings served as a suitable marker for referral of patients with suspected PH for TTE screening. Patients exceeding the CT-derived PAD threshold, even incidentally, should undergo additional TTE for a comprehensive PH assessment.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of anatomical regurgitant orifice area of the tricuspid valve measurements in patients with beyond severe tricuspid regurgitation.","authors":"Michito Murayama, Suguru Ishizaka, Keita Sakaguchi, Rion Ando, Hisao Nishino, Sanae Kaga, Toshihisa Anzai","doi":"10.1007/s12574-024-00676-6","DOIUrl":"https://doi.org/10.1007/s12574-024-00676-6","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparisons of echocardiographic findings of COVID-19 patients in intensive care units before and after the omicron variant propagation.","authors":"Tomoo Nagai, Hitomi Horinouchi, Koichiro Yoshioka, Yuji Ikari","doi":"10.1007/s12574-024-00673-9","DOIUrl":"https://doi.org/10.1007/s12574-024-00673-9","url":null,"abstract":"<p><strong>Purpose: </strong>Few investigational reports have evaluated the status of cardiovascular manifestations of coronavirus disease 2019 (COVID-19) during the Omicron dominance period. In this study, we aimed to investigate the cardiac function parameters and clinical outcomes of patients with COVID-19 before and after the Omicron variant (OV) propagation.</p><p><strong>Methods: </strong>We retrospectively analyzed the data of 88 adult patients with COVID-19 who underwent clinically indicated standard transthoracic echocardiography (TTE) in intensive care wards. Patient backgrounds and information on laboratory tests, diagnostic imaging (including TTE), cardiovascular complications, and treatment were reviewed from digitalized medical records.</p><p><strong>Results: </strong>In the raw data, post-OV patients (n = 39) were relatively older, lighter in body weight, had a more frequent history of hypertension, had worse serum creatinine levels, and a lesser frequency of lung involvement and composite events (in-hospital death and extracorporeal membrane oxygenation installation), with more cardiac complications, compared with pre-OV patients (n = 49). Post-OV patients had worse left ventricular diastolic function than that of pre-OV patients, with better right ventricular function. However, in the propensity-matched adjusted data, no differences were found except lung involvement. Cumulative survival probability plots using the Kaplan-Meier method as to composite events revealed better outcome in post-OV patients when compared with pre-OV patients by the log-rank test (p = 0.027). However, this difference was not observed after background adjustment using propensity-matched data (p = 0.256).</p><p><strong>Conclusion: </strong>Although the frequencies of some clinical events and hemodynamic abnormalities seemed to vary after OV propagation in critically ill patients with COVID-19, these findings disappeared except lung involvement after the background adjustment.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Synchronized motion of intracardiac thrombus with preserved left ventricular contraction in a patient with eosinophilic granulomatosis with polyangiitis.","authors":"Osamu Sasaki, Toshihiko Nishioka","doi":"10.1007/s12574-023-00634-8","DOIUrl":"10.1007/s12574-023-00634-8","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"213-215"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}