Mika Yamaguchi, Yosuke Nabeshima, Masaaki Takeuchi, Koichi Node
{"title":"Prognostic value of right ventricular free-wall longitudinal strain compared to conventional echocardiographic parameters in tricuspid regurgitation: a systematic review and meta-analysis.","authors":"Mika Yamaguchi, Yosuke Nabeshima, Masaaki Takeuchi, Koichi Node","doi":"10.1007/s12574-025-00715-w","DOIUrl":"10.1007/s12574-025-00715-w","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"170-178"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850659","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":"Impact of atrial fibrillation on left atrial reservoir function.","authors":"Yukie Ota, Shintaro Beppu, Tomoko Nishikage, Hiroyoshi Yamaoto","doi":"10.1007/s12574-026-00724-3","DOIUrl":"10.1007/s12574-026-00724-3","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"201-207"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391428","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":"2026 focsused update incorporated into the Japanese society of echocardiography 2023 practice guidance for the implementation of stress echocardiography \"stress echocardiography using the Valsalva maneuver\".","authors":"Yutaka Hirano, Hiroyuki Iwano, Takahiro Ohara","doi":"10.1007/s12574-026-00735-0","DOIUrl":"10.1007/s12574-026-00735-0","url":null,"abstract":"<p><p>In 2023, Based on the continued evidence of stress echocardiography, the new practical guideline that describes the safe and effective methodology of stress echocardiography is now created by Guideline Committee of the Japanese Society of Echocardiography and is designed to expand the use of stress echocardiography for valvular heart disease and heart failure with preserved ejection fraction (HFpEF), as well as ischemic heart disease, hypertrophic cardiomyopathy, and pulmonary hypertension. The Valsalva maneuver is essential for evaluating left ventricular diastolic function and diagnosing patent foramen ovale (PFO). Furthermore, in association with the recent insurance coverage for myocardial myosin inhibitors, a new drug for hypertrophic cardiomyopathy, the Valsalva maneuver has become increasingly important in the diagnosis of hypertrophic obstructive cardiomyopathy. Based on the above background, the Guideline Committee of the Japanese Society of Echocardiography prepared the practice guidance for \"Stress echocardiography using the Valsalva maneuver\" as the focused update incorporated into the \"Practice guidance for the implementation of stress echocardiography.\"</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"162-169"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13545062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200396","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":"Change in the prognostic utility of regional left ventricular longitudinal strain values in patients undergoing transcatheter aortic valve implantation.","authors":"Hiroki Usuku, Eiichiro Yamamoto, Mikuri Ryu, Ryudai Higashi, Atsushi Nozuhara, Fumi Oike, Yuichiro Shirahama, Kyoko Hirakawa, Masanobu Ishii, Shinsuke Hanatani, Tadashi Hoshiyama, Hisanori Kanazawa, Yuichiro Arima, Hiroaki Kawano, Yasuhiro Izumiya, Yasuhito Tanaka, Kenichi Tsujita","doi":"10.1007/s12574-026-00744-z","DOIUrl":"10.1007/s12574-026-00744-z","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the difference in prognostic utility of echocardiographic parameters between pre- and post-transcatheter aortic valve implantation (TAVI) periods.</p><p><strong>Methods and results: </strong>This study enrolled 189 patients who underwent TAVI at Kumamoto University Hospital between 2015 and 2023 and had available echocardiographic data for the pre- and post-TAVI periods. Thirty-seven deaths occurred within the follow-up period (median 574 [357-934] days after post-TAVI period). Apical longitudinal strain (LS) in the pre- and post-TAVI periods and mid LS in the post-TAVI period were significantly associated with all-cause death after adjusting for various factors (pre-TAVI apical LS, hazard ratio [HR] 0.92, 95% confidence interval [CI] 0.85-0.99, p<0.05; post-TAVI apical LS, HR 0.88, 95%CI 0.82-0.95, p<0.01; post-TAVI mid LS, HR 0.87, 95%CI 0.78-0.97, p<0.05). Receiver operating characteristics analysis showed that the area under the curve for mid LS was significantly higher post-TAVI than pre-TAVI (0.65 vs. 0.54, p<0.05). For prediction of all-cause death, the optimal post-TAVI cutoff value for mid LS was 12.5% (sensitivity 75%, specificity 51%). Kaplan-Meier survival analysis revealed significantly higher all-cause mortality in patients with low mid LS (<12.5%) than in those with high mid LS (≥12.5%) (p<0.01, log-rank test).</p><p><strong>Conclusion: </strong>Pre-TAVI apical LS was an important prognostic factor in patients undergoing TAVI. In contrast, mid LS and apical LS were significant prognostic factors in the post-TAVI period, indicating a change in the prognostic significance of left ventricular longitudinal strain parameters according to the timepoint in the TAVI procedure.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685983","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":"Agreement of AI-assisted semi-automated right ventricular function analysis using 3D transthoracic echocardiography with artificial intelligence.","authors":"Noriko Shiokawa, Masaki Izumo, Yukio Sato, Nina Uenomachi, Motoki Miyauchi, Takanori Okamura, Yoshihiro J Akashi","doi":"10.1007/s12574-026-00749-8","DOIUrl":"https://doi.org/10.1007/s12574-026-00749-8","url":null,"abstract":"<p><strong>Background: </strong>Advances in three-dimensional (3D) transthoracic echocardiography (TTE) with artificial intelligence (AI) enable AI-assisted semi-automated right ventricular (RV) function analysis, including two-dimensional (2D) measurements. However, data on the agreement of these semi-automated analyses in routine clinical practice remain limited. This study evaluates the agreement of AI-based 3D TTE semi-automated measurements compared to manual 2D TTE measurements.</p><p><strong>Methods: </strong>We enrolled 201 patients who underwent both 2D and 3D TTE between July and November 2023. AI-assisted semi-automated measurements of right ventricular morphology and functional parameters were performed using 3D Auto RV software. While echocardiographic images were acquired manually by the operators in a conventional manner, the AI-assisted analysis was applied specifically during the post-acquisition offline processing stage.</p><p><strong>Results: </strong>The feasibility of RV measurement using the AI-based software was 84.8% (201/237) among patients with available 3D datasets, and the overall applicability was 67.4% (201/298) across all consecutive patients undergoing routine echocardiography. Among the 201 analyzed cases, fully automated analysis without manual correction was feasible in 10.9% (22/201), while the remaining 89.1% required manual adjustments of the endocardial borders to ensure clinical accuracy. Time for analysis was significantly shorter with the AI-assisted semi-automated method compared to the manual 2D method (30% reduction, p < 0.001).</p><p><strong>Conclusions: </strong>AI-based 3D TTE semi-automated measurement has the potential to enhance the efficiency and reproducibility of RV function assessment, reducing examiner workload and improving clinical workflow.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621880","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 imaging for transcatheter edge-to-edge repair: evaluation, guidance, and follow-up.","authors":"Yuji Itabashi","doi":"10.1007/s12574-026-00748-9","DOIUrl":"https://doi.org/10.1007/s12574-026-00748-9","url":null,"abstract":"<p><p>Transcatheter edge-to-edge repair (TEER) requires precise echocardiographic guidance because the operator cannot directly visualize the mitral valve. Intraprocedural transesophageal echocardiography (TEE) is indispensable for safe and accurate device positioning and manipulation, whereas transthoracic echocardiography (TTE) plays a central role in preprocedural evaluation and serial postprocedural follow-up as part of comprehensive echocardiographic assessment. Before the procedure, echocardiography is essential for assessing the underlying mechanism and severity of mitral regurgitation (MR), determining anatomical suitability for TEER, and estimating procedural difficulty. Measurements such as mitral valve area, transmitral pressure gradient, tethering height, coaptation length, prolapse width and gap, as well as lesion location, leaflet morphology, and calcification distribution are crucial for predicting feasibility and technical complexity. During TEER, TEE must rapidly provide optimal views to guide each procedural step-from transseptal puncture to leaflet grasping and device deployment. Although X-plane imaging and three-dimensional reconstruction are now standard in many centers, live multiplanar reconstruction allows optimal imaging planes to be reconstructed in real time from acoustically favorable probe positions chosen to minimize device-related shadowing, thereby facilitating accurate and efficient intraprocedural guidance. Intraprocedural TEE is also vital for the early detection of complications, including pericardial effusion, leaflet injury, and clinically significant iatrogenic atrial septal defect with right-to-left shunting, as well as for immediate post-deployment hemodynamic assessment. In the postprocedural period, TTE focuses on detection of residual MR, evaluation for iatrogenic mitral stenosis, identification of single-leaflet device attachment or leaflet perforation, and serial assessment of cardiac function. Recent risk scores for patient selection and prognostication underscore the importance of comprehensive, evidence-informed echocardiographic evaluation that integrates both morphological and hemodynamic information.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621960","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}