{"title":"Optimal left ventricular diameter measurement in subjects with sigmoid septum: comparison with three-dimensional left ventricular volume.","authors":"Kazunori Okada, Masahiro Nakabachi, Yasuhiro Hayashi, Masaaki Shinagawa, Ayaka Yoshikawa, Kosuke Tsujita, Yoichi Sakamoto","doi":"10.1007/s12574-023-00626-8","DOIUrl":"10.1007/s12574-023-00626-8","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to determine the most appropriate measurement of left ventricular (LV) end-diastolic diameter for subjects with the sigmoid septum (SS) by measuring the LV end-diastolic diameter at the base and mid-ventricle and by examining the relationship between these measurements and the three-dimensional (3D) echocardiographic LV end-diastolic volume.</p><p><strong>Methods: </strong>In 91 patients who underwent echocardiography for screening cardiovascular abnormalities, the aorto-septal angle (ASA) was measured as an index of the sigmoid septum. LV end-diastolic diameter was measured at the base and mid-ventricular level (DD<sub>base</sub> and DD<sub>mid</sub>, respectively), and their average value was calculated (DD<sub>avg</sub>). By using 3D echocardiography, LV end-diastolic volume (EDV<sub>3D</sub>) was measured.</p><p><strong>Results: </strong>Among 91 patients, 48 patients had narrow ASA (< 120 degrees) and were divided into the sigmoid septum (SS) group, and the remaining 43 patients were divided into the non-SS group. In the SS group, all DD<sub>base</sub>, DD<sub>mid</sub>, and DD<sub>avg</sub> were significantly correlated with EDV<sub>3D</sub> (r = 0.59, 0.80, and 0.76, respectively), and the correlation coefficient between DD<sub>base</sub> and EDV<sub>3D</sub> was significantly lower than that between DD<sub>mid</sub> and EDV<sub>3D</sub> (p < 0.01). On the other hand, in the non-SS group, all DD<sub>base</sub>, DD<sub>mid</sub>, and DD<sub>avg</sub> were significantly correlated with EDV<sub>3D</sub> (r = 0.77, 0.85, and 0.84, respectively), and the correlation coefficient between DD<sub>base</sub> and EDV<sub>3D</sub> was statistically comparable to that between DD<sub>mid</sub> and EDV<sub>3D</sub> (p = 0.12). ASA was significantly correlated with the difference of DD<sub>mid</sub> minus DD<sub>base</sub> (r = - 0.71, p < 0.001).</p><p><strong>Conclusions: </strong>In patients with SS, DD<sub>mid</sub> and DD<sub>avg</sub> were well reflected the 3D echocardiographic LV end-diastolic volume.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"41-47"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113182","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":"Correlation between energy loss index and B-type natriuretic peptide: a vector flow mapping study.","authors":"Sae Morita, Yukina Hirata, Susumu Nishio, Tomonori Takahashi, Yoshihito Saijo, Hirotsugu Yamada, Masataka Sata, Kenya Kusunose","doi":"10.1007/s12574-023-00623-x","DOIUrl":"10.1007/s12574-023-00623-x","url":null,"abstract":"<p><strong>Background: </strong>Vector Flow Mapping (VFM) and Energy Loss (EL) evaluation are emerging echocardiographic techniques that offer detailed insights into cardiac function. This study aimed to explore the relationship between EL parameters and B-type natriuretic peptide (BNP) levels, a well-established marker of heart failure severity.</p><p><strong>Methods: </strong>Our study prospectively enrolled 62 patients experiencing shortness of breath and suspected heart failure, who underwent echocardiography and had BNP levels measured between January 2018 and August 2020. Patients were stratified based on BNP levels, and their clinical and echocardiographic characteristics were evaluated. Univariate and multivariate regression analyses were performed to assess the correlation between BNP levels and various echocardiographic variables, including VFM parameters.</p><p><strong>Results: </strong>Patients were stratified into two groups based on their BNP levels: BNP < 200 pg/ml (n = 53) and BNP ≥ 200 pg/ml (n = 9). Patients with BNP ≥ 200 pg/ml presented significantly different clinical and echocardiographic characteristics, such as older age, larger left ventricular mass and volume indices, higher pulmonary artery systolic pressure, higher E/e' ratio, and larger EL parameters. Multivariate regression analysis demonstrated the E/e' ratio and ELA (EL during Atrial contraction phase/A wave ratio as significant determinants of logBNP. Receiver operating characteristic curve analysis showed ELA/A > 36.0 J/m<sup>2</sup> as a significant predictor of high BNP with 89% sensitivity and 85% specificity. ELA/A demonstrated an incremental diagnostic value over elevated left atrial pressure for predicting high BNP (C statistic = 0.98 vs 0.74, P = 0.006).</p><p><strong>Conclusion: </strong>This study provides novel insights into the potential utility of EL parameters as auxiliary indicators of cardiac load, thereby enhancing our understanding of heart failure.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"25-33"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236582","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":"Posterior perspective of three-dimensional transesophageal echocardiogram in evaluating the superior rim in a patient with ostium secundum atrial septal defect: a case report.","authors":"Manabu Nitta","doi":"10.1007/s12574-023-00597-w","DOIUrl":"10.1007/s12574-023-00597-w","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"48-50"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10732739","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}
Masaaki Nakase, Jun Tanaka, Masahiko Asami, Kazuyuki Yahagi, Kota Komiyama, Jiro Aoki, Kengo Tanabe
{"title":"Mitral annulus disjunction detected by left ventriculography.","authors":"Masaaki Nakase, Jun Tanaka, Masahiko Asami, Kazuyuki Yahagi, Kota Komiyama, Jiro Aoki, Kengo Tanabe","doi":"10.1007/s12574-023-00599-8","DOIUrl":"10.1007/s12574-023-00599-8","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"53-55"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10917823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9214338","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":"Rapid progressive right atrial mass: a rare case of angiosarcoma.","authors":"Azam Soleimani","doi":"10.1007/s12574-023-00598-9","DOIUrl":"10.1007/s12574-023-00598-9","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"51-52"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10759214","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":"Practice guidance for stress echocardiography.","authors":"Yutaka Hirano, Masashi Amano, Masaru Obokata, Masaki Izumo, Hiroto Utsunomiya","doi":"10.1007/s12574-024-00643-1","DOIUrl":"10.1007/s12574-024-00643-1","url":null,"abstract":"<p><p>Stress echocardiography has been one of the most promising methods for the diagnosis of ischemic heart disease, hypertrophic cardiomyopathy, and pulmonary hypertension. The Japanese Society of Echocardiography produced practical guidance for the implementation of stress echocardiography in 2018. At that time, stress echocardiography was not yet widely disseminated in Japan; therefore, the 2018 practical guidance for the implementation of stress echocardiography included a report on stress echocardiography and a specific protocol to promote its use at many institutions in Japan in the future. And now, an era of renewed interest and enthusiasm surrounding the diagnosis and treatment of valvular heart disease and heart failure with preserved ejection fraction (HFpEF) has come, which are driven by emerging trans-catheter procedures and new recommended guideline-directed medical therapy. 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 the Guideline Development Committee of the Japanese Society of Echocardiography and is designed to expand the use of stress echocardiography for valvular heart disease and HFpEF, as well as ischemic heart disease, hypertrophic cardiomyopathy, and pulmonary hypertension. The readers are encouraged to perform stress echocardiography which will enhance the diagnosis and management of these patients.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736336","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":"Esophageal varices seen in cardiac surgery.","authors":"Sameer Patel, Matthew Levin","doi":"10.1007/s12574-023-00596-x","DOIUrl":"10.1007/s12574-023-00596-x","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"181-183"},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10668920","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}