Tian-Xin Dong, Qian-Ying Yang, Yong-Huai Wang, Chun-Yan Ma
{"title":"Comparison of the Latest ASE and BSE Guidelines for the Evaluation of Left Ventricular Diastolic Function.","authors":"Tian-Xin Dong, Qian-Ying Yang, Yong-Huai Wang, Chun-Yan Ma","doi":"10.1016/j.echo.2025.09.022","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.022","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to \"Could Sex Differences Refine Risk Stratification in Pulmonary Hypertension?\"","authors":"Nicola Benjamin, Veronika Schiffer, Ekkehard Grünig","doi":"10.1016/j.echo.2025.10.004","DOIUrl":"https://doi.org/10.1016/j.echo.2025.10.004","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra Mihai, Tommaso Recchioni, Giovanna Manzi, Carmine Dario Vizza
{"title":"Could Sex Differences Refine Risk Stratification in Pulmonary Hypertension?","authors":"Alexandra Mihai, Tommaso Recchioni, Giovanna Manzi, Carmine Dario Vizza","doi":"10.1016/j.echo.2025.09.021","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.021","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miwa K Geiger, Angela McBrien, Lisa K Hornberger, Anita J Moon-Grady, Nitin Madan, Julene S Carvalho, Liat Gindes, Leila Rittey, Joyce T Johnson, Mary T Donofrio, Sheetal Patel
{"title":"Performance of Early Fetal Echocardiography: An Expert Statement from the Fetal Heart Society.","authors":"Miwa K Geiger, Angela McBrien, Lisa K Hornberger, Anita J Moon-Grady, Nitin Madan, Julene S Carvalho, Liat Gindes, Leila Rittey, Joyce T Johnson, Mary T Donofrio, Sheetal Patel","doi":"10.1016/j.echo.2025.09.020","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.020","url":null,"abstract":"<p><p>Congenital heart defects (CHD) are the most common lethal congenital anomalies. Fetal echocardiography is the mainstay for the diagnosis and subsequent serial assessment of fetal cardiovascular disease. Ideal timing for fetal echocardiography has traditionally been cited as between 18-22 weeks gestation, though many centers now offer evaluations at 16 weeks gestation and onward. Improved ultrasound resolution and a better understanding of early fetal cardiac development have enabled experienced specialists to diagnose major CHD as early as 11-15 weeks gestation. An earlier diagnosis of CHD allows families to make time-sensitive decisions regarding the continuation of pregnancy while also providing time for additional prenatal testing and thoughtful perinatal planning. Reassuring early fetal echocardiography (eFE) can reduce anxiety in families with elevated risk for fetal CHD, such as those with a prior fetus or child with CHD. Given the benefits of early detection, the American Society of Echocardiography's 2023 Guidelines and Recommendations for Performance of the Fetal Echocardiogram included a section on eFE, which reviewed suggested elements, benefits, and limitations. However, there are challenges regarding the technical aspects of imaging a smaller heart as well as prognosticating during the late first and early second trimester. Most pediatric cardiologists have not had specific training in these skills and, therefore, often do not offer fetal echocardiography before 16 weeks gestation. To overcome these challenges, the Program Leaders' Committee of the Fetal Heart Society developed this document, in which we review potential indications, propose an imaging protocol for early transabdominal and adjunct transvaginal (or endo-vaginal) fetal echocardiography, discuss unique findings in early gestation fetal heart morphology and hemodynamics, consider limitations, and discuss important aspects of patient counseling for eFE. Figures and videos of both normal and abnormal eFE are included in the Appendix/Supplementary Media.</p>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paolo Springhetti, Michele Tomaselli, Leonardo Portolan, Marco Penso, Jessica Pizzini, Denis Leonardi, Alexandra Clement, Luca Ciceri, Noela Radu, Giorgia Benzoni, Roberto Scarsini, Flavio Ribichini, Denisa Muraru, Giovanni Benfari, Luigi P Badano
{"title":"Reply to \"Transaortic Flow Rate and Risk Stratification in Moderate Aortic Stenosis\".","authors":"Paolo Springhetti, Michele Tomaselli, Leonardo Portolan, Marco Penso, Jessica Pizzini, Denis Leonardi, Alexandra Clement, Luca Ciceri, Noela Radu, Giorgia Benzoni, Roberto Scarsini, Flavio Ribichini, Denisa Muraru, Giovanni Benfari, Luigi P Badano","doi":"10.1016/j.echo.2025.10.003","DOIUrl":"https://doi.org/10.1016/j.echo.2025.10.003","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor: \"Transaortic Flow Rate and Risk Stratification in Moderate Aortic Stenosis\".","authors":"Mengxuan Yuan","doi":"10.1016/j.echo.2025.09.019","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.019","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementation of Modified VExUS in Clinical Practice.","authors":"Yohei Masuda, Fumio Otsuka","doi":"10.1016/j.echo.2025.10.002","DOIUrl":"https://doi.org/10.1016/j.echo.2025.10.002","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tricuspid Regurgitation Grading: Time to Harmonization.","authors":"Julien Dreyfus, David Messika-Zeitoun","doi":"10.1016/j.echo.2025.10.001","DOIUrl":"https://doi.org/10.1016/j.echo.2025.10.001","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Azin Vakilpour, Michael G Levin, Emeka C Anyanwu, Srinivas Denduluri, Krishna Ravindra, Ellen Boakye, Estherland Duqueney, Jamey A Cutts, Liam C Giffin, Ian K Weber, Jennifer N Lee, Srinath Adusumalli, Juan Lopez-Mattei, Jesse Chittams, David B Jones, Kathleen Weiss, Carlton Hartwell, Michael Bolooki, Jamieson M Bourque, Marielle Scherrer-Crosbie
{"title":"Surveillance Echocardiography in Severe Asymptomatic Aortic Stenosis: Guideline Adherence and Practice Patterns in a Multicenter Cohort.","authors":"Azin Vakilpour, Michael G Levin, Emeka C Anyanwu, Srinivas Denduluri, Krishna Ravindra, Ellen Boakye, Estherland Duqueney, Jamey A Cutts, Liam C Giffin, Ian K Weber, Jennifer N Lee, Srinath Adusumalli, Juan Lopez-Mattei, Jesse Chittams, David B Jones, Kathleen Weiss, Carlton Hartwell, Michael Bolooki, Jamieson M Bourque, Marielle Scherrer-Crosbie","doi":"10.1016/j.echo.2025.09.018","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.018","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lytfi Krasniqi, Christian Juhl Terkelsen, Henrik Nissen, Philip Freeman, Christian Alcaraz Frederiksen, Henrik Vase, Kristian Hejlesen, Christian Byskov Fur, Troels Thim, Ashkan Eftekhari, Frederik Uttenthal, Julia Ellert, Nils Sofus Borg Mogensen, Amal Haujir, Evald Høj Christiansen, Jordi Sanchez Dahl
{"title":"Impact of Flow-status on Effective Orifice Area in Transcatheter Heart Valves: a COMPARE-TAVI 1 Substudy.","authors":"Lytfi Krasniqi, Christian Juhl Terkelsen, Henrik Nissen, Philip Freeman, Christian Alcaraz Frederiksen, Henrik Vase, Kristian Hejlesen, Christian Byskov Fur, Troels Thim, Ashkan Eftekhari, Frederik Uttenthal, Julia Ellert, Nils Sofus Borg Mogensen, Amal Haujir, Evald Høj Christiansen, Jordi Sanchez Dahl","doi":"10.1016/j.echo.2025.09.017","DOIUrl":"https://doi.org/10.1016/j.echo.2025.09.017","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to study the impact of flow-status on Effective Orifice Area (EOA) in patients treated with the balloon-expandable Myval and Sapien transcatheter heart valves (THVs).</p><p><strong>Methods: </strong>We collected the core laboratory measured effective orifice area (EOA), mean and peak gradients, Doppler velocity index (DVI) and stroke volume index (SVi) from the 30-day echocardiograms in patients treated with the balloon-expandable Myval and Sapien THVs in the COMPARE-TAVI 1 trial. Patients were stratified according to flow in low-flow (SVi <35 ml/m<sup>2</sup>) normal-flow (SVi 35-50 ml/m<sup>2</sup>) and high-flow (SVi >50 ml/m<sup>2</sup>).</p><p><strong>Results: </strong>A total of 1031 patients were included in COMPARE-TAVI 1. Myval THVs (20.0mm to 32.0mm) exhibited overall higher mean EOA and lower mean gradients (1.99 ± 0.55 cm<sup>2</sup>, 9.46 ± 3.84 mmHg) compared to Sapien THVs (20-29 mm) (1.81 ± 0.56 cm<sup>2</sup>, 11.47 ± 4.47 mmHg). Compared to normal-flow patients, low-flow exhibited smaller EOA (p<0.001) and lower DVI (p<0.001) in all valve sizes irrespective of THV platform, while high-flow patients had larger EOA (p<0.001) and higher DVI (p<0.001). Female sex was associated with lower stroke volume resulting in lower mean and peak gradients independent of valve size and platform (p<0.001).</p><p><strong>Conclusion: </strong>The study indicates that EOA may be underestimated after TAVI in patients with low-flow status which can impact assessment of prosthesis patient mismatch.</p>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}