Journal of the American Society of Echocardiography最新文献

{"title":"Safety of Transesophageal Echocardiography Guided Cardioversion Among Patients With Left Atrial Appendage Occlusion Without Anticoagulation","authors":"Sachin K. Aggarwal MD, M. Brett Bowling MD, Gregory G. Jackson MD, Tuna Ustunkaya MD, Edward Qian MD, MS, Christopher R. Ellis MD, T. Lee Richardson MD, Michael T. Baker MD","doi":"10.1016/j.echo.2025.03.015","DOIUrl":"10.1016/j.echo.2025.03.015","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 511-514"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054970","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":"Association With Outcome of the Regurgitant-Volume Adjusted Right Ventricular Ejection Fraction in Secondary Tricuspid Regurgitation","authors":"Alexandra Clement MD ,&nbsp;Michele Tomaselli MD ,&nbsp;Luigi P. Badano MD, PhD ,&nbsp;Diana R. Hadareanu MD, PhD ,&nbsp;Noela Radu MD ,&nbsp;Marco Penso BME ,&nbsp;Sergio Caravita MD, PhD ,&nbsp;Claudia Baratto MD, PhD ,&nbsp;Samantha Fisicaro RDCS ,&nbsp;Caterina Delcea MD, PhD ,&nbsp;Alessandra Rota MD ,&nbsp;Radu Sascau MD, PhD ,&nbsp;Denisa Muraru MD, PhD","doi":"10.1016/j.echo.2025.01.008","DOIUrl":"10.1016/j.echo.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>In patients with secondary tricuspid regurgitation (STR), right ventricular ejection fraction (RVEF) may not accurately reflect the actual RV systolic performance since a considerable amount of the RV stroke volume (SV) is regurgitated back into the right atrium. To overcome this limitation, we explored the association with the outcome of the effective RVEF (eRVEF), which accounts for the tricuspid regurgitant volume (RegVol).</div></div><div><h3>Methods</h3><div>Five hundred thirteen patients with STR (mean age 75 ± 13 years, 39% atrial STR, 58% severe) underwent complete two-, three-dimensional, and Doppler echocardiography. The eRVEF was computed as RV forward SV/RV end-diastolic volume, where forward SV was obtained by subtracting the tricuspid RegVol from the total RVSV. The end point was a composite of all-cause death and heart failure hospitalization.</div></div><div><h3>Results</h3><div>After a mean follow-up of 18 ± 15 months, 195 patients (38%) reached the composite end point. At time-dependent receiver operating characteristic analysis, eRVEF (area under the curve [AUC] = 0.72; 95% CI, 0.68-0.77) showed a stronger association with outcome than RVEF (AUC = 0.65; 95% CI, 0.59-0.70; <em>P</em> = .006), tricuspid annular plane systolic excursion (AUC = 0.64; 95% CI, 0.59-0.69; <em>P</em> = .01), RV free-wall longitudinal strain (AUC = 0.63; 95% CI, 0.58-0.68; <em>P</em> = .003), and RV fractional area change (AUC = 0.55; 95% CI, 0.50-0.60; <em>P</em> &lt; .001). The eRVEF cutoff associated with an excess event rate was 20% on spline curve modeling. Patients with eRVEF &lt;20% demonstrated a higher rate of events at 2 years (65% ± 6%) than those having an eRVEF ≥20% (22% ± 7%, log-rank &lt;0.0001). An eRVEF &lt;20% was associated with a 3-fold increased risk of experiencing the composite end point (hazard ratio = 3.54 [2.61-4.79], <em>P</em> &lt; .001). On different models of multivariable analysis, eRVEF as a continuous variable remained independently associated with the combined end point (hazard ratio = 0.96; 95% CI, 0.94-0.98; <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>In patients with STR, eRVEF was more closely associated with all-cause mortality and heart failure hospitalizations than RVEF and other conventional echocardiographic indices of RV function.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 451-464"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030098","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 AI Foundation Models Efficient for Segmentation of Echocardiograms?","authors":"Danielle L. Ferreira PhD,&nbsp;Rima Arnaout MD","doi":"10.1016/j.echo.2025.02.001","DOIUrl":"10.1016/j.echo.2025.02.001","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 514-516"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392357","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":"Leveraging Natural Language Processing for Echocardiographic Data Extraction in Hypoplastic Left Heart Syndrome","authors":"Zachary Girvin MD,&nbsp;Srushti Gangireddy MS,&nbsp;Andersen Coleman MD,&nbsp;Henry Ong PhD,&nbsp;Wei-Qi Wei MD, PhD,&nbsp;Prince J. Kannankeril MD, MSCI,&nbsp;Sudeep D. Sunthankar MD, MSCI","doi":"10.1016/j.echo.2025.02.010","DOIUrl":"10.1016/j.echo.2025.02.010","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 529-531"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670162","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":"Intraoperative Transesophageal Echocardiography in Acute Type A Aortic Dissection: Contemporary Approach","authors":"Marta Kelava MD, MS ,&nbsp;Andrej Alfirevic MD ,&nbsp;Mariya Geube MD ,&nbsp;Andrew Bauer MD ,&nbsp;Nikolaos J. Skubas MD ,&nbsp;Luai Zakaria MD ,&nbsp;Eric E. Roselli MD ,&nbsp;Patrick R. Vargo MD ,&nbsp;Faisal G. Bakaeen MD ,&nbsp;Xiaoying Lou MD ,&nbsp;Lars G. Svensson MD ,&nbsp;Marijan Koprivanac MD, MS","doi":"10.1016/j.echo.2025.03.017","DOIUrl":"10.1016/j.echo.2025.03.017","url":null,"abstract":"<div><div>Acute type A aortic dissection represents a critical cardiac surgical emergency and carries a significant mortality risk. While computed tomography angiography is the standard for initial diagnosis, transesophageal echocardiography (TEE) is indispensable in the intraoperative setting. This article discusses intraoperative TEE findings in patients undergoing surgery for type A aortic dissection, emphasizing the necessity of real-time imaging to detect complications and guide surgical management. The use of TEE is important in confirming diagnoses, monitoring hemodynamics, evaluating the function of the aortic valve, pericardial, and pleural spaces, and potentially assessing abdominal branch vessel flow, thus ultimately facilitating informed surgical decisions. Moreover, intraoperative TEE use enables differentiation between true and false lumens and facilitates central aortic cannulation guidance via the Seldinger technique. Post–cardiopulmonary bypass, TEE is used to assess surgical results and guide further interventions if necessary. This comprehensive review aims to disseminate essential echocardiographic insights, advocating for greater awareness and utilization of TEE in the surgical management of aortic dissection to improve patient outcomes.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 498-508"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055628","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.2025.05.005","DOIUrl":"10.1016/j.echo.2025.05.005","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Page A17"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195803","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":"Mitral Annular Disjunction Is Associated With Ventricular Arrhythmias in Children With Marfan Syndrome","authors":"Carlos A. Sanchez Parra MD,&nbsp;Ruthie M. Vaughan MD,&nbsp;Alejandra Iturralde Chavez MD ,&nbsp;Christina Y. Miyake MD, MS,&nbsp;Santiago O. Valdes MD,&nbsp;Ricardo H. Pignatelli MD,&nbsp;Anitha Parthiban MD,&nbsp;Shaine A. Morris MD, MPH,&nbsp;Tam T. Doan MD, MS","doi":"10.1016/j.echo.2025.02.014","DOIUrl":"10.1016/j.echo.2025.02.014","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 525-526"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587867","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":"Left Ventricular Rotational Indices in Children With Hypertrophic Cardiomyopathy: Unique Characteristics in Children and Differences From Adults","authors":"Andrea E. Montero MD,&nbsp;Ryusuke Numata MD, PhD,&nbsp;Hunter Kauffman BS,&nbsp;Renzo Calderon-Anyosa MD, MSc, PhD,&nbsp;Putri Yubbu MBBS,&nbsp;Tomoyuki Sato MD, PhD,&nbsp;Anirban Banerjee MD","doi":"10.1016/j.echo.2025.03.003","DOIUrl":"10.1016/j.echo.2025.03.003","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 527-529"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631011","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":"Echocardiographic Machine Learning Model to Predict Outcomes in Intensive Cardiac Care Unit","authors":"Rohan G. Reddy BS,&nbsp;David A. Danford MD, MPH,&nbsp;Shelby Kutty MD, PhD, MHCM","doi":"10.1016/j.echo.2025.03.008","DOIUrl":"10.1016/j.echo.2025.03.008","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Page 533"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694262","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 “Right Ventricular Contractility Is Dynamic”","authors":"Lior Zornitzki MD,&nbsp;Yan Topilsky MD","doi":"10.1016/j.echo.2025.03.010","DOIUrl":"10.1016/j.echo.2025.03.010","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 6","pages":"Pages 534-535"},"PeriodicalIF":5.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694264","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}