{"title":"Mitral stenosis and hockey stick, do not always mean rheumatic valve disease.","authors":"Eliana Rafael-Horna, Roberto Baltodano-Arellano","doi":"10.1007/s12574-021-00544-7","DOIUrl":"https://doi.org/10.1007/s12574-021-00544-7","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"21 1","pages":"48-49"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00544-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243166","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":"Measurement of pulmonary transit time and estimation of pulmonary blood volume after exercise using contrast echocardiography.","authors":"Ken Monahan, Evan Brittain, James J Tolle","doi":"10.1007/s12574-022-00582-9","DOIUrl":"https://doi.org/10.1007/s12574-022-00582-9","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary transit time (PTT) and pulmonary blood volume (PBV) derived from non-invasive imaging correlate with pulmonary artery wedge pressure. The response of PBV to exercise may be useful in the evaluation of cardiopulmonary disease but whether PBV can be obtained reliably following exercise is unknown. We therefore aimed to assess the technical feasibility of measuring PTT and PBV after exercise using contrast echocardiography.</p><p><strong>Methods: </strong>In healthy volunteers, PTT was calculated from time-intensity curves generated as contrast traversed the cardiac chambers before and immediately after participants performed sub-maximal exercise on the Standard Bruce Protocol. From the product of PTT and heart rate (HR) during contrast passage through the pulmonary circulation, PBV relative to systemic stroke volume (rPBV) was calculated.</p><p><strong>Results: </strong>The cohort consisted of 14 individuals (age: 46 ± 8 years; 2 female) without cardiopulmonary disease. Exercise time was 8 ¾ ± 1 ¾ minutes and participants reached 85 ± 9% of age-predicted maximal HR, which corresponded to a near-doubling of resting HR at the time of post-exercise contrast injection. Data sufficient to derive PTT and rPBV were obtained for all participants. With exercise, the change in PBV from baseline ranged from 56 to 138% of systemic stroke volume, consistent with rPBV and absolute PBV values obtained in prior studies.</p><p><strong>Conclusions: </strong>Acquisition of PTT and rPBV using contrast echocardiography after exercise is achievable and the results are physiologically plausible. As the next step towards clinical implementation, validation of this technique against hemodynamic exercise studies appears reasonable.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"21 1","pages":"16-22"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9244337","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}
Jeffrey Yim, Soohyun A Chang, Darwin F Yeung, Eric C Sayre, Ken Gin, John Jue, Parvathy Nair, Michael Y C Tsang, Christina Luong, Teresa S M Tsang
{"title":"Quantification of pleural effusions by two-dimensional transthoracic echocardiography.","authors":"Jeffrey Yim, Soohyun A Chang, Darwin F Yeung, Eric C Sayre, Ken Gin, John Jue, Parvathy Nair, Michael Y C Tsang, Christina Luong, Teresa S M Tsang","doi":"10.1007/s12574-022-00586-5","DOIUrl":"https://doi.org/10.1007/s12574-022-00586-5","url":null,"abstract":"<p><strong>Purpose: </strong>There is lack of validated methods for quantifying the size of pleural effusion from standard transthoracic (TTE) windows. The purpose of this study is to determine whether pleural effusion (Peff) measured from routine two-dimensional (2D) TTE views correlate with chest radiograph (CXR).</p><p><strong>Materials and methods: </strong>We retrospectively identified all inpatients who underwent a TTE and CXR within 2 days in a large tertiary care center. Peff was measured on TTE from parasternal long axis (PLAX), apical four-chamber (A4C), and subcostal views and on CXR. Logistic regression models were used determine optimal cut points to predict moderate or greater Peff.</p><p><strong>Results: </strong>In 200 patients (mean age 69.3 ± 14.3 years, 49.5% female), we found statistically significant associations between Peff size assessed by all TTE views and CXR, with weak to moderate correlation (PLAX length: 0.21 (95% CI [0.05, 0.35]); PLAX depth: 0.21 (95% CI [0.05, 0.35]); A4C left: 0.31 (95% CI [0.13, 0.46]); A4C right: 0.39 (95% CI [0.17, 0.57]); subcostal: 0.38 (95% CI [0.07, 0.61]). The best TTE thresholds for predicting moderate or greater left-sided Peff on CXR was PLAX length left > = 8.6 cm (sensitivity 78%, specificity 54%, PPV 26%, and NPV 92%). The best TTE thresholds for predicting moderate or greater right-sided Peff on CXR was A4C right > = 2.6 cm (sensitivity 87%, specificity 60%, PPV 37%, and NPV 94%).</p><p><strong>Conclusions: </strong>We identified statistically significant associations with Peff size measured on TTE and CXR. The predictive ability of TTE to identify moderate or large pleural effusion is limited.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"21 1","pages":"33-39"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243539","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}
Andrea Rueda Liñares, Alexander Felix Marschall, Hugo Del Castillo Carnevalli, Cristina Fraile Sanz, Diego Rodríguez Torres, David Martí Sánchez, Salvador Álvarez Antón
{"title":"Atrioesophageal fistula following pulmonary vein isolation presenting as uncommon infective endocarditis.","authors":"Andrea Rueda Liñares, Alexander Felix Marschall, Hugo Del Castillo Carnevalli, Cristina Fraile Sanz, Diego Rodríguez Torres, David Martí Sánchez, Salvador Álvarez Antón","doi":"10.1007/s12574-021-00536-7","DOIUrl":"https://doi.org/10.1007/s12574-021-00536-7","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"21 1","pages":"42-44"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00536-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9298046","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}
David S Majdalany, Reza Arsanjani, Tasneem Z Naqvi
{"title":"Light on valvular bumps.","authors":"David S Majdalany, Reza Arsanjani, Tasneem Z Naqvi","doi":"10.1007/s12574-021-00543-8","DOIUrl":"10.1007/s12574-021-00543-8","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"21 1","pages":"45-47"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00543-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10755788","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":"Left atrial thrombus resembling myxoma during sinus rhythm in a patient with mitral stenosis.","authors":"Yu Morishita, Yoshinori Yasuoka, Yoshihiko Hoshida","doi":"10.1007/s12574-021-00522-z","DOIUrl":"https://doi.org/10.1007/s12574-021-00522-z","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"20 4","pages":"238-239"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00522-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25411076","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}
Azin Alizadehasl, Azam Soleimani, Mohammad Mehdi Peighambari, Atousa Mostafavi
{"title":"Biventricular apical ballooning in patient with COVID-19.","authors":"Azin Alizadehasl, Azam Soleimani, Mohammad Mehdi Peighambari, Atousa Mostafavi","doi":"10.1007/s12574-021-00530-z","DOIUrl":"https://doi.org/10.1007/s12574-021-00530-z","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"20 4","pages":"243-244"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00530-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38976712","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":"Aggravating dyspnea in a 62-year-old man.","authors":"Maryam Shojaeifard, Shirin Habibi Khorasani, Zahra Rahnamoun","doi":"10.1007/s12574-021-00518-9","DOIUrl":"https://doi.org/10.1007/s12574-021-00518-9","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"20 4","pages":"236-237"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00518-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406282","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}
Tomonori Takahashi, Kenya Kusunose, Robert Zheng, Natsumi Yamaguchi, Yukina Hirata, Susumu Nishio, Yoshihito Saijo, Takayuki Ise, Koji Yamaguchi, Shusuke Yagi, Hirotsugu Yamada, Takeshi Soeki, Tetsuzo Wakatsuki, Masataka Sata
{"title":"Association between cardiovascular risk factors and left ventricular strain distribution in patients without previous cardiovascular disease.","authors":"Tomonori Takahashi, Kenya Kusunose, Robert Zheng, Natsumi Yamaguchi, Yukina Hirata, Susumu Nishio, Yoshihito Saijo, Takayuki Ise, Koji Yamaguchi, Shusuke Yagi, Hirotsugu Yamada, Takeshi Soeki, Tetsuzo Wakatsuki, Masataka Sata","doi":"10.1007/s12574-022-00576-7","DOIUrl":"10.1007/s12574-022-00576-7","url":null,"abstract":"<p><strong>Background: </strong>Some cardiovascular (CV) risk factors, such as hypertension and diabetes mellitus, have been reported to reduce left ventricular (LV) longitudinal strain (LS) even in patients with preserved LV ejection fraction. We hypothesized that multiple CV risk factors might cause changes in myocardial strain. Our study aimed to assess the association between multiple CV risk factors and strain in patients without previous CV disease (CVD).</p><p><strong>Methods: </strong>We retrospectively evaluated 137 patients without CVD, who underwent echocardiography at our institution between May 2017 and February 2020. They were divided into four groups based on the number of risk factors (group 0: no risk factor, group 1: one risk factor, group 2: two risk factors, and groups 3: three or four risk factors). Risk factors were hypertension, dyslipidemia, diabetes mellitus, and chronic kidney disease. Absolute values of global LS (GLS) and relative apical LS ratio (RALSR) defined using the equation: average apical LS/(average basal LS + average mid LS) and was used as a marker of strain distribution.</p><p><strong>Results: </strong>Out of 137 patients, group 0 had 35 patients, group 1 had 35 patients, group 2 had 32 patients, and group 3 had 35 patients. GLS was 22.4 ± 2.0%, 21.7 ± 2.1%, 21.3 ± 1.8%, 20.7 ± 2.2%, and RALSR was 0.64 ± 0.06, 0.66 ± 0.06, 0.68 ± 0.08, 0.69 ± 0.07 in groups 0-3, respectively. The one-way ANOVA detected significant differences between groups in GLS (p = 0.005) and RALSR (p = 0.037), respectively. Group 3 had a significantly lower GLS and higher RALSR than group 0 (p < 0.05).</p><p><strong>Conclusion: </strong>In patients without previous CVD, LS decreased especially from the basal segment as the number of cardiovascular risks increased. The segmental LS may be markers of occult LV dysfunction in patients with CV risk factors.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"20 1","pages":"208-215"},"PeriodicalIF":1.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48094204","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 combination of pulmonary atresia with ventricular septal defect and congenital aortic stenosis with rheumatic mitral disease in an adolescent.","authors":"Gaurav Kumar Arora, A Shaheer Ahmed","doi":"10.1007/s12574-021-00526-9","DOIUrl":"https://doi.org/10.1007/s12574-021-00526-9","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":"20 4","pages":"240-242"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12574-021-00526-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25577928","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}