Journal of the American Society of Echocardiography最新文献

{"title":"Information for Readers","authors":"","doi":"10.1016/S0894-7317(25)00067-7","DOIUrl":"10.1016/S0894-7317(25)00067-7","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages A9-A10"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528902","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":"The Prognostic Value of Right Ventricular Dysfunction in Dilated Cardiomyopathy: Superiority of Three-Dimensional Right Ventricular Ejection Fraction Over Conventional Parameters and Over Right Ventriculoarterial Coupling","authors":"Aura Vîjîiac MD, PhD, Sebastian Onciul MD, PhD, Alina Scărlătescu MD, PhD, Cristian Vîjîiac MD, Maria Dorobanţu MD, PhD, Radu Vătășescu MD, PhD","doi":"10.1016/j.echo.2024.11.013","DOIUrl":"10.1016/j.echo.2024.11.013","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 286-288"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830524","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":"In Memory of James N. Kirkpatrick, MD, FASE","authors":"Susan E. Wiegers MD, FASE","doi":"10.1016/j.echo.2025.01.013","DOIUrl":"10.1016/j.echo.2025.01.013","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages A11-A12"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528898","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":"Are New Thresholds Required for the Assessment of Right Ventricular Function in Patients With and Without Tricuspid Regurgitation?","authors":"Xavier Galloo MD , Nina Ajmone Marsan MD, PhD","doi":"10.1016/j.echo.2024.12.001","DOIUrl":"10.1016/j.echo.2024.12.001","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 236-238"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803057","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":"Impact of Length Indexing of Deformation in Echocardiographic Evaluation of Right Ventricular Function","authors":"Weiting Huang MD ,&nbsp;James Hodovan RDCS, PhD ,&nbsp;Avneesh Sharma MD ,&nbsp;Matteo Morello MD ,&nbsp;Onur Varli MD ,&nbsp;Bethany Gholson RCS, ACS ,&nbsp;Jonathan R. Lindner MD","doi":"10.1016/j.echo.2024.11.011","DOIUrl":"10.1016/j.echo.2024.11.011","url":null,"abstract":"<div><h3>Background</h3><div>When assessing right ventricular (RV) function by echocardiography, some discordance between the deformational indices is predicted on the basis of the influence of RV length. RV free wall longitudinal strain (RVFWS) is relatively independent of RV length, whereas tricuspid annular plane systolic excursion (TAPSE) reflects the strain-length product. Systolic annular velocity (s′; distance over time) is also likely to be influenced by length. The aim of this study was to test the hypothesis that indexing TAPSE and s′ to RV length would lead to better congruency with RVFWS.</div></div><div><h3>Methods</h3><div>Two separate cohorts were identified from retrospective data: (1) subjects with normal cardiac function (<em>n</em> = 75) and (2) a cohort with high likelihood of potential RV dysfunction determined by the study indication of either pulmonary hypertension or pulmonary embolism (<em>n</em> = 50). RV functional indices of TAPSE, RV s′, RVFWS, and fractional area change were verified and remeasured by an expert. Correlations and concordance maps between RVFWS and either TAPSE or RV s′ were made with and without indexing the latter measurements to RV length. Predictive accuracy for detecting abnormal RVFWS were made using receiver operating characteristics analysis.</div></div><div><h3>Results</h3><div>In normal subjects, indexing either TAPSE or RV s′ to RV length led to an improvement in the correlation coefficient (from 0.59 to 0.68 for TAPSE, from 0.41 to 0.58 for RV s′) and the variance (<em>F</em> statistic from 64.9 to 105.3 for TAPSE from 24.7 to 63.9 for RV s′) for correlations with RVFWS. In all subjects, categorical concordance with RVFWS was improved by indexing TAPSE and s′ to RV length primarily because of correction of underperformance to detect abnormal RVFWS in subjects with long RV length and better discrimination as normal for subjects with short RV length. Indexing to RV length improved the C statistic for detecting abnormal RVFWS for both TAPSE (0.80 vs 0.87, <em>P</em> = .03) and RV s′ (0.65 vs 0.77, <em>P</em> = .002).</div></div><div><h3>Conclusions</h3><div>Indexing TAPSE and RV s′ to RV length improves concordance of these deformational measurements with RVFWS and their ability to classify those with RV dysfunction according to RVFWS. Indexing TAPSE and RV s′ to length is particularly effective for interpreting paradoxical information such as low TAPSE and s′ in normal patients with short RV length and those with increased RV length who have normal TAPSE and s′ values but other evidence of RV dysfunction.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 187-194"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865891","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":"Mortality-Based Right Ventricle Functional Echocardiographic Cutoffs in Patients With Compared to Without Tricuspid Regurgitation","authors":"Lior Zornitzki MD ,&nbsp;Ophir Freund MD ,&nbsp;Shir Frydman MD ,&nbsp;Zach Rozenbaum MD ,&nbsp;Yoav Granot MD ,&nbsp;Shmuel Banai MD ,&nbsp;Yan Topilsky MD","doi":"10.1016/j.echo.2024.10.012","DOIUrl":"10.1016/j.echo.2024.10.012","url":null,"abstract":"<div><h3>Background</h3><div>Tricuspid annular plane systolic excursion (TAPSE) and peak lateral tricuspid annular systolic velocity (S’) are echocardiographic indices of right ventricle function. The abnormality thresholds for these parameters are based on data obtained from healthy adults rather than outcome data.</div></div><div><h3>Objectives</h3><div>We aimed to reexamine the abnormality thresholds for these parameters based on their association with mortality in consecutive patients, stratified to with or without significant tricuspid regurgitation (TR).</div></div><div><h3>Methods</h3><div>We performed a retrospective analysis of consecutive patients undergoing echocardiography between 2011 and 2021. Tricuspid regurgitation was assessed using a semiquantitative method. Cutoff values associated with excess mortality were assessed using spline curves in univariate and multivariate Cox analyses.</div></div><div><h3>Results</h3><div>A total of 24,717 subjects were included in the current analysis. A total of 1,143 (4.6%) subjects had clinically significant (moderate or more) TR. In the entire cohort, TAPSE &lt;20.9 mm and S’ &lt;10.9 cm/sec were associated with excess mortality. In subgroup analysis, among subjects with significant TR, TAPSE &lt;18.0 mm and S' &lt;10.0 cm/sec were the cutoffs associated with excess mortality, while subjects without TR had a higher cutoff of TAPSE &lt;21.5 mm and S' &lt;10.9 cm/sec. In a multivariate model adjusted for the presence of TR and baseline characteristics, TAPSE &lt;20.9 mm (hazard ratio = 1.16; 95% CI, 1.10-1.23; <em>P</em> &lt; .001) and S’ &lt;10.9 cm/sec (hazard ratio =1.09; 95% CI, 1.04-1.20; <em>P</em> = .01) were independently associated with mortality.</div></div><div><h3>Conclusions</h3><div>The TAPSE and S’ thresholds associated with excess mortality are higher than those reported in healthy adults. The TAPSE and S′ cutoffs associated with excess mortality were lower in patients with significant TR compared to patients without, suggesting that a personalized approach for their interpretation is needed.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 228-235"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564833","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":"Incremental Prognostic Value of Right Ventricular–Pulmonary Artery Coupling to a Clinical Risk Score in Tricuspid Regurgitation: The TRIO-RV Score","authors":"Sirichai Jamnongprasatporn MD ,&nbsp;Kyla M. Lara-Breitinger MD ,&nbsp;Sorin V. Pislaru MD, PhD ,&nbsp;Patricia A. Pellikka MD ,&nbsp;Garvan C. Kane MD, PhD ,&nbsp;Ratnasari Padang MBBS, PhD ,&nbsp;Vidhu Anand MBBS ,&nbsp;Jwan A. Naser MBBS ,&nbsp;Vuyisile T. Nkomo MD, MPH ,&nbsp;Mackram F. Eleid MD ,&nbsp;Mohamad Alkhouli MD ,&nbsp;Kevin L. Greason MD ,&nbsp;Jeremy J. Thaden MD","doi":"10.1016/j.echo.2024.11.006","DOIUrl":"10.1016/j.echo.2024.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>There are limited data evaluating the echocardiographic parameters of risk in tricuspid regurgitation (TR) patients. We sought to evaluate the incremental prognostic value of quantitative right ventricle (RV) function and RV–pulmonary artery (RV-PA) coupling to an established clinical risk score in TR patients.</div></div><div><h3>Methods</h3><div>We retrospectively identified patients with moderate or greater TR from January 1, 2019, to June 30, 2019. Univariable and multivariable Cox proportional hazards regressions were used to test the association of right ventricular free wall strain (RVFWS), RVFWS indexed to right ventricular systolic pressure (RVSP), and the Tricuspid Regurgitation Impact on Outcomes (TRIO) risk score with mortality. A novel TRIO-RV risk score was developed by incorporating RVFWS/RVSP into the clinical TRIO risk score.</div></div><div><h3>Results</h3><div>Among 417 patients, age 73 ± 11.5 years, 47% female, the TRIO score was 3.5 ± 2. The TRIO score was low risk in 213 (51%), intermediate risk in 162 (39%), and high risk in 42 (10%). During a median follow-up of 3.96 years (interquartile range, 1.66-4.34 years), death occurred in 157 patients (38%). The baseline TRIO risk category was associated with mortality (<em>P</em> &lt; .001). After adjustment by TRIO risk score, both RVFWS &lt;18.6% (adjusted hazard ratio, 3.08; 95% CI, 2.01-4.72; <em>P</em> &lt; .001) and RVFWS/RVSP &lt;0.43 %/mm Hg (adjusted hazard ratio, 2.76; 95% CI, 1.75-4.35, <em>P</em> &lt; .001) remained significantly correlated with mortality. With the addition of RVFWS/RVSP, 151 (40%) patients with low- and intermediate-risk TRIO scores were reclassified to a higher-risk TRIO-RV score. The chi-square value increased in sequential models predictive of mortality for the TRIO score alone, the TRIO score plus RVFWS &lt;18.6%, and the TRIO score plus RVFWS/RVSP &lt;0.43 %/mm Hg (model chi-square 38.3, 72.2, and 82.3, respectively).</div></div><div><h3>Conclusions</h3><div>Quantitative parameters of RV function are associated with mortality in TR patients even after correction for an existing clinical risk score. Incorporating RVFWS/RVSP into the TRIO clinical risk score, the TRIO-RV score, reclassifies a substantial number of low- and intermediate-risk patients into higher-risk categories and improves risk stratification.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 239-246"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755778","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":"Supine Bicycle Stress Echocardiography at Low Altitude for Identification of Susceptibility to Acute Mountain Sickness","authors":"Yi Wang MD, PhD ,&nbsp;Qingfeng Zhang MD ,&nbsp;Kai Wang MD ,&nbsp;Sijia Wang MD ,&nbsp;Yong Jing MD ,&nbsp;Shiyin Chen MD ,&nbsp;Lan Shang MD ,&nbsp;Chunmei Li MD ,&nbsp;Yan Deng MD ,&nbsp;Yun Xu MD ,&nbsp;Lixue Yin MD, PhD","doi":"10.1016/j.echo.2024.12.007","DOIUrl":"10.1016/j.echo.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to high altitude may unpredictably lead to acute mountain sickness (AMS). The purpose of this study was to identify the predictors of AMS at low altitude using exercise stress echocardiography (ESE).</div></div><div><h3>Methods</h3><div>A total of 40 healthy adults were enrolled and underwent comprehensive supine bicycle ESE at low altitude, including pulmonary vascular resistance (PVR), right ventricular area index at the end of diastole, B-lines, and inferior vena cava (IVC) diameter. All subjects ascended to 3,600 m within 24 hours. The risk factors for AMS were screened using least absolute shrinkage and selection operator regression analysis. A novel nomogram model was then established using multivariable logistic regression analysis, and a clinical impact curve was constructed.</div></div><div><h3>Results</h3><div>At the altitude of 3,600 m, 20 of 40 subjects had AMS (AMS group). On least absolute shrinkage and selection operator regression analyses, PVR, IVC, and B-lines at peak exercise were all independent factors influencing AMS. The nomogram built on the basis of these factors predicted AMS with sensitivity of 0.950 and specificity of 0.804, which outperformed the individual predictive C indexes of each indicator (nomogram: cutoff, 59.3; area under the curve [AUC], 0.90 [95% CI, 0.80-1.00]; PVR at peak exercise: cutoff, 1.55; AUC, 0.81 [95% CI, 0.70-0.91]; B-lines at peak exercise: cutoff, 1; AUC, 0.78 [95% CI, 0.69-0.92]; IVC at peak exercise: cutoff, 13.8; AUC, 0.74 [95% CI, 0.65-0.87]). The established model was validated by plotting the clinical decision curve analysis and clinical impact curve.</div></div><div><h3>Conclusions</h3><div>Supine bicycle ESE is a useful technique to identify subjects susceptible to AMS. This study established a nomogram to predict the development to AMS with high discrimination and accuracy.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 262-272"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantification of Lung Perfusion by a Novel Echocardiographic Approach in Pediatric Pulmonary Vein Stenosis","authors":"Joseph M. Stidham MD,&nbsp;Sarah LaBarge DNP,&nbsp;Jennifer H. Huang MD,&nbsp;Lars Grosse-Wortmann MD,&nbsp;Patrick D. Evers MD, MBA, MSc","doi":"10.1016/j.echo.2024.11.016","DOIUrl":"10.1016/j.echo.2024.11.016","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Pages 289-290"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878448","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":"Continuing Education and Meeting Calendar","authors":"","doi":"10.1016/j.echo.2025.01.009","DOIUrl":"10.1016/j.echo.2025.01.009","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 3","pages":"Page A13"},"PeriodicalIF":5.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}