Echo Research and Practice最新文献

{"title":"The use of deformation imaging in the assessment of patients pre and post transcatheter aortic valve implantation.","authors":"Mark Coyle,&nbsp;Gerard King,&nbsp;Kathleen Bennett,&nbsp;Andrew Maree,&nbsp;Mark Hensey,&nbsp;Stephen O'Connor,&nbsp;Caroline Daly,&nbsp;Gregory Murphy,&nbsp;Ross T Murphy","doi":"10.1186/s44156-023-00017-w","DOIUrl":"https://doi.org/10.1186/s44156-023-00017-w","url":null,"abstract":"<p><strong>Background: </strong>Deformation imaging represents a method of measuring myocardial function, including global longitudinal strain (GLS), peak atrial longitudinal strain (PALS) and radial strain. This study aimed to assess subclinical improvements in left ventricular function in patients undergoing transcatheter aortic valve implantation (TAVI) by comparing GLS, PALS and radial strain pre and post procedure.</p><p><strong>Methods: </strong>We conducted a single site prospective observational study of 25 patients undergoing TAVI, comparing baseline and post-TAVI echocardiograms. Individual participants were assessed for differences in GLS, PALS and radial strain in addition to changes in left ventricular ejection fraction (LVEF) (%).</p><p><strong>Results: </strong>Our results revealed a significant improvement in GLS (mean change pre-post of 2.14% [95% CI 1.08, 3.20] p = 0.0003) with no significant change in LVEF (0.96% [95% CI - 2.30, 4.22], p = 0.55). There was a statistically significant improvement in radial strain pre and post TAVI (mean 9.68% [95% CI 3.10, 16.25] p = 0.0058). There was positive trend towards improvements in PALS pre and post TAVI (mean change of 2.30% [95% CI - 0.19, 4.80] p = 0.068).</p><p><strong>Conclusion: </strong>In patients undergoing TAVI, measuring GLS and radial strain provided statistically significant information regarding subclinical improvements in LV function, which may have prognostic implications. The incorporation of deformation imaging in addition to standard echocardiographic measurements may have an important role in guiding future management in patients undergoing TAVI and assessing response.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"10 1","pages":"3"},"PeriodicalIF":6.3,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9945603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10770064","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":"Two-dimensional echocardiographic and strain values of the proximal thoracic aorta in a normal sub-Saharan African population.","authors":"Ruchika Meel,&nbsp;Kelly Blair","doi":"10.1186/s44156-023-00016-x","DOIUrl":"https://doi.org/10.1186/s44156-023-00016-x","url":null,"abstract":"<p><strong>Background: </strong>There is limited data regarding reference ranges for aortic dimensions in African populations. This study aims to establish normal reference ranges for echocardiographic dimensions and circumferential strain (CS) of the proximal thoracic aorta in a healthy sub-Saharan African population.</p><p><strong>Methods: </strong>This was a secondary analysis of data from a prospective cross-sectional study of 88 participants conducted at Chris Hani Baragwanath Hospital (2017-2019). Aortic measurements were obtained as per the 2015 American Society of Echocardiography guidelines using a Philips iE33 system. Circumferential Strain was measured using Philips QLAB version 11.0 software offline semi-automated analysis of speckle-based strain 2-D speckle-tracking software (Amsterdam, The Netherlands).</p><p><strong>Results: </strong>Mean age was 37.22 ± 10.79 years (41% male). The mean diameter at the aortic annulus, sinuses, sino-tubular junction (STJ) and ascending aorta (AAO) were 19.11 ± 2.38 mm, 27.40 ± 6.11 mm, 25.32 ± 3.52 mm and 25.36 ± 3.38 mm, respectively. Males had larger absolute and indexed aortic diameters at all levels when compared to females. The mean aorta CS was 11.97 ± 5.05%. There was no significant difference in CS based on gender (12.19 ± 5.04% vs 11.51 ± 5.02%, P = 0.267). On multivariate linear regression analysis, male sex was the most significant predictor of increased diameter at the level of the aortic annulus (r = 0.17, P = 0.014), body surface area was the most significant predictor at the sinuses (r = 0.17, P = 0.014) and AAO (r = 0.30, P < 0.001), while age was the most significant predictor at the STJ (r = 0.27, P = 0.004). There was a negative correlation between age and aortic CS (r = - 0.12, P < 0.001). The most important predictor of aorta CS was age, on multivariate analysis (r = - 0.19, P = 0.024).</p><p><strong>Conclusions: </strong>This study provides normal reference ranges for dimensions of the proximal aorta and circumferential strain (CS) in a sub-Saharan African population according to age, sex, and body habitus. It serves as a platform for future larger studies and allows for risk stratification of cardiovascular disease in an African population.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"10 1","pages":"2"},"PeriodicalIF":6.3,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10734516","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":"Evaluation of myocardial performance by serial speckle tracking echocardiography in diagnosis and follow-up of a patient with eosinophilic myocarditis.","authors":"Mohammadbagher Sharifkazemi,&nbsp;Gholamreza Rezaian,&nbsp;Mehrzad Lotfi","doi":"10.1186/s44156-022-00013-6","DOIUrl":"https://doi.org/10.1186/s44156-022-00013-6","url":null,"abstract":"<p><strong>Background: </strong>Speckle tracking echocardiography (STE) has been used as an adjunct diagnostic modality in patients with eosinophilic myocarditis. Its serial dynamic nature, however, has never been reported before.</p><p><strong>Case presentation: </strong>A 17-year-old boy presented in cardiogenic shock state. His full blood count revealed an absolute eosinophilic count of 11.18 × 10³/μL. An emergency 2D echocardiogram (2DE) showed global left ventricular hypokinesia with LVEF = 9.0% by Simpson's method and a large amount of pericardial effusion. STE showed a global longitudinal strain (GLS) of - 4.1%. Because of his poor clinical status and presence of marked hypereosinophilia and the possibility of eosinophilic myocarditis (EM), parenteral pulse therapy with methylprednisolone and inotropes was started with subsequent improvement within the next 48 h. Over the next few days, he had his first cardiovascular magnetic resonance imaging (CMR), which showed late gadolinium enhancement (LGE) in different cardiac regions. After two weeks of therapy, he left the hospital in a stable condition, with LVEF = 38.0%, and GLS = - 13.9%. He did well during his two months of outpatient follow-ups and was found to have an absolute eosinophil count of 0.0% on several occasions. Unfortunately, he was re-admitted because of treatment non-compliance with almost the same, albeit milder, symptoms. The WBC count was 18.1 × 10³ per microliter, and the eosinophilic count was 5.04 × 10³/μL (28%). Heart failure treatment and high-dose prednisolone were started. After 15 days of admission, he got better and was discharged. During both hospital admissions and several months of follow-up, he had multiple 2DEs, STE, and two CMR studies. None of his STEs were identical to the prior studies and were dynamic with frequent wax and wanes throughout the admissions and follow-ups. Thus a single admission-time STE study was not sufficient enough to properly predict the patient's outcome. Follow-up STEs showed new sites of myocardial involvement despite the absence of eosinophilia.</p><p><strong>Conclusion: </strong>The use of STE in this patient, proved to have an added value in the evaluation and stratification of the left ventricular function in patients with EM and can be used as a diagnostic adjunct to CMR for diagnosis of EM.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"10 1","pages":"1"},"PeriodicalIF":6.3,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9878865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632298","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":"Cardiac imaging findings in anomalous origin of the coronary arteries from the pulmonary artery; narrative review of the literature.","authors":"Ali Ajam,&nbsp;Zahra Rahnamoun,&nbsp;Mohammad Sahebjam,&nbsp;Babak Sattartabar,&nbsp;Yasaman Razminia,&nbsp;Seyed Hossein Ahmadi Tafti,&nbsp;Kaveh Hosseini","doi":"10.1186/s44156-022-00012-7","DOIUrl":"https://doi.org/10.1186/s44156-022-00012-7","url":null,"abstract":"<p><strong>Introduction: </strong>Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare coronary artery malformation with an incidence of 0.002% in patients undergoing coronary angiography. It can lead to an increased risk of myocardial infarction (MI) and sudden cardiac death, even in asymptomatic patients.</p><p><strong>Methods: </strong>We conducted a review of published cases of ARCAPA using PubMed and Scopus databases and included patients over 18 years old with adequate echocardiographic data.</p><p><strong>Results: </strong>We evaluated 28 patients with ARCAPA with a mean age of 42.8 from 1979 to 2021. Patients were diagnosed mostly by angiography and echocardiography, the most performed treatment was reimplantation (15, 53.6%) and the main echocardiographic findings were dilated coronary arteries (9, 32.1%), coronary collaterals (8, 28.6%), and retrograde flow from right coronary arteries to main pulmonary trunk (7, 25%).</p><p><strong>Conclusion: </strong>Although ARCAPA is rare and not as deadly as the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) still there is a chance of serious outcomes, therefore surgical treatment should be performed upon diagnosis. Angiography is the gold standard for diagnosis, but echocardiography can be a convenient, non-invasive, and most reliable method as the primary step whenever ARCAPA is suspected.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"9 1","pages":"12"},"PeriodicalIF":6.3,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10327801","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":"Clinical indications and triaging for adult transthoracic echocardiography: a consensus statement by the British Society of Echocardiography in collaboration with British Heart Valve Society.","authors":"Sadie Bennett, Martin Stout, Thomas E Ingram, Keith Pearce, Timothy Griffiths, Simon Duckett, Grant Heatlie, Patrick Thompson, Judith Tweedie, Jo Sopala, Sarah Ritzmann, Kelly Victor, Judith Skipper, Shaun Robinson, Andrew Potter, Daniel X Augustine, Claire L Colebourn","doi":"10.1186/s44156-022-00003-8","DOIUrl":"10.1186/s44156-022-00003-8","url":null,"abstract":"<p><p>Transthoracic echocardiography (TTE) is widely utilised within many aspects of clinical practice, as such the demand placed on echocardiography services is ever increasing. In an attempt to provide incremental value for patients and standardise patient care, the British Society of Echocardiography in collaboration with the British Heart Valve Society have devised updated guidance for the indications and triaging of adult TTE requests for TTE services to implement into clinical practice.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"9 1","pages":"5"},"PeriodicalIF":3.2,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9078545","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":"The 35th annual advances in contrast ultrasound international bubble conference, Chicago 2021: synopsis and take-home messages","authors":"Michael Dunleavy, Alan B Goldberg, S. Feinstein, Stephanie Wilson, S. Mulvagh, P. Nihoyannopoulos","doi":"10.1186/s44156-022-00002-9","DOIUrl":"https://doi.org/10.1186/s44156-022-00002-9","url":null,"abstract":"","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48542242","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":"The assessment of mitral valve disease: a guideline from the British Society of Echocardiography.","authors":"Shaun Robinson,&nbsp;Liam Ring,&nbsp;Daniel X Augustine,&nbsp;Sushma Rekhraj,&nbsp;David Oxborough,&nbsp;Allan Harkness,&nbsp;Patrizio Lancellotti,&nbsp;Bushra Rana","doi":"10.1530/ERP-20-0034","DOIUrl":"https://doi.org/10.1530/ERP-20-0034","url":null,"abstract":"<p><p>Mitral valve disease is common. Mitral regurgitation is the second most frequent indication for valve surgery in Europe and despite the decline of rheumatic fever in Western societies, mitral stenosis of any aetiology is a regular finding in all echo departments. Mitral valve disease is, therefore, one of the most common pathologies encountered by echocardiographers, as both a primary indication for echocardiography and a secondary finding when investigating other cardiovascular disease processes. Transthoracic, transoesophageal and exercise stress echocardiography play a crucial role in the assessment of mitral valve disease and are essential to identifying the aetiology, mechanism and severity of disease, and for helping to determine the appropriate timing and method of intervention. This guideline from the British Society of Echocardiography (BSE) describes the assessment of mitral regurgitation and mitral stenosis, and replaces previous BSE guidelines that describe the echocardiographic assessment of mitral anatomy prior to mitral valve repair surgery and percutaneous mitral valvuloplasty. It provides a comprehensive description of the imaging techniques (and their limitations) employed in the assessment of mitral valve disease. It describes a step-wise approach to identifying: aetiology and mechanism, disease severity, reparability and secondary effects on chamber geometry, function and pressures. Advanced echocardiographic techniques are described for both transthoracic and transoesophageal modalities, including TOE and exercise testing.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"8 1","pages":"G87-G136"},"PeriodicalIF":6.3,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cb/7e/ERP-20-0034.PMC8495880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39054913","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":"Transthoracic echocardiography of hypertrophic cardiomyopathy in adults: a practical guideline from the British Society of Echocardiography.","authors":"Lauren Turvey,&nbsp;Daniel X Augustine,&nbsp;Shaun Robinson,&nbsp;David Oxborough,&nbsp;Martin Stout,&nbsp;Nicola Smith,&nbsp;Allan Harkness,&nbsp;Lynne Williams,&nbsp;Richard P Steeds,&nbsp;William Bradlow","doi":"10.1530/ERP-20-0042","DOIUrl":"https://doi.org/10.1530/ERP-20-0042","url":null,"abstract":"<p><p>Hypertrophic cardiomyopathy (HCM) is common, inherited and characterised by unexplained thickening of the myocardium. The British Society of Echocardiography (BSE) has recently published a minimum dataset for transthoracic echocardiography detailing the core views needed for a standard echocardiogram. For patients with confirmed or suspected HCM, additional views and measurements are necessary. This guideline, therefore, supplements the minimum dataset and describes a tailored, stepwise approach to the echocardiographic examination, and echocardiography's position in the diagnostic pathway, before advising on the imaging of disease complications and invasive treatments.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"8 1","pages":"G61-G86"},"PeriodicalIF":6.3,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/07/ERP-20-0042.PMC8243716.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25433242","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":"The role of the Tei index in assessing for cardiotoxicity from anthracycline chemotherapy: a systematic review.","authors":"Sadie Bennett,&nbsp;Arzu Cubukcu,&nbsp;Chun Wai Wong,&nbsp;Timothy Griffith,&nbsp;Cheryl Oxley,&nbsp;Diane Barker,&nbsp;Simon Duckett,&nbsp;Duwarakan Satchithananda,&nbsp;Ashish Patwala,&nbsp;Grant Heatlie,&nbsp;Chun Shing Kwok","doi":"10.1530/ERP-20-0013","DOIUrl":"https://doi.org/10.1530/ERP-20-0013","url":null,"abstract":"<p><strong>Background: </strong>Anthracycline agents are known to be effective in treating tumors and hematological malignancies. Although these agents improve survival, their use is associated with cardiotoxic effects, which most commonly manifests as left ventricular systolic dysfunction (LVSD). As such, guidelines recommend the periodic assessment of left ventricular ejection fraction (LVEF). However, as diastolic dysfunction likely proceeds systolic impairment in this setting, the role of Tei index may offer additional benefit in detecting subclinical LVSD.</p><p><strong>Methods: </strong>We conducted a systematic review to investigate the evidence for the use of Tei index in assessing subclinical cardiotoxicity in patients receiving anticancer agents. A search of Medline and EMBASE was performed and relevant studies were reviewed and narratively synthesized.</p><p><strong>Results: </strong>A total of 13 studies were included with a total of 800 patients (mean age range 46-62 years, percentage of male participants ranged from 0-86.9%). An increase in Tei index was observed in 11 studies, which suggested a decline in cardiac function following chemotherapy. Out of these, six studies indicated that the Tei index is a useful parameter in predicting cardiotoxic LVSD. Furthermore, five studies indicated Tei index to be superior to LVEF in detecting subclinical cardiotoxicity.</p><p><strong>Conclusions: </strong>Though there are some studies that suggest that Tei index may be a useful indicator in assessing subclinical anthracycline-related cardiotoxicity, the findings are inconsistent and so more studies are needed before the evaluation of Tei index is performed routinely in patients receiving chemotherapy.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"8 1","pages":"R1-R11"},"PeriodicalIF":6.3,"publicationDate":"2021-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/15/ERP-20-0013.PMC8185452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25539169","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":"Echocardiographic assessment of aortic stenosis: a practical guideline from the British Society of Echocardiography.","authors":"Liam Ring, Benoy N Shah, Sanjeev Bhattacharyya, Allan Harkness, Mark Belham, David Oxborough, Keith Pearce, Bushra S Rana, Daniel X Augustine, Shaun Robinson, Christophe Tribouilloy","doi":"10.1530/ERP-20-0035","DOIUrl":"10.1530/ERP-20-0035","url":null,"abstract":"<p><p>The guideline provides a practical step-by-step guide in order to facilitate high-quality echocardiographic studies of patients with aortic stenosis. In addition, it addresses commonly encountered yet challenging clinical scenarios and covers the use of advanced echocardiographic techniques, including TOE and Dobutamine stress echocardiography in the assessment of aortic stenosis.</p>","PeriodicalId":45749,"journal":{"name":"Echo Research and Practice","volume":"8 1","pages":"G19-G59"},"PeriodicalIF":3.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/ab/ERP-20-0035.PMC8115410.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25470008","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}