Journal of the American Society of Echocardiography最新文献

{"title":"Echocardiographic Phenotypic Differences between Light Chain and Transthyretin Cardiac Amyloid and Relation to Outcome.","authors":"Izhan Hamza, Shriya Bavishi, Faysal Massad, Viral Desai, Christopher G Scott, Omar F AbouEzziddine, Angela Dispenzieri, Martha Grogan, Patricia A Pellikka","doi":"10.1016/j.echo.2025.08.017","DOIUrl":"https://doi.org/10.1016/j.echo.2025.08.017","url":null,"abstract":"<p><strong>Background and aims: </strong>Light chain cardiac amyloidosis (AL-CA), wild-type-transthyretin cardiac amyloidosis (ATTRwt-CA) and hereditary type-transthyretin cardiac amyloidosis (ATTRv-CA) have distinct presentations, clinical courses, and prognosis. To identify differentiating echocardiographic features and their prognostic significance, we investigated a large cohort of patients with CA.</p><p><strong>Methods: </strong>In this multi-site cohort study, CA diagnosis was verified according to guidelines. Echocardiographic and clinical variables at the time of diagnosis were retrospectively compared. Previously validated staging for prognosis was applied and Cox regression was utilized to identify additional echocardiographic variables independently associated with mortality.</p><p><strong>Results: </strong>Of 1968 CA patients, age 67.5 ± 11.4 years, 1456 (74%) male, 1128 (57.3%) had AL-CA, 624 (31.7%) had ATTRwt-CA, and 216 (11.0%) had ATTRv-CA. Patients with ATTRwt-CA were older, more often male, and had more comorbidities. Patients with ATTR-CA had greater left ventricular mass index and lower ejection fraction compared to AL-CA. Patients with ATTRwt-CA had larger left atrial volume index, and higher proportion of aortic stenosis compared to other types. During median follow up of 24 months, 953 patients died. During the first 3 years, patients with AL-CA had the highest mortality. Age and stroke volume index (SVi) were independently associated with mortality in both AL-CA and ATTR-CA; sex and right ventricular s' were also independently associated with mortality for AL-CA. Adding SVi to the staging prognostic model improved the C-statistic by 0.03 (95% confidence interval [CI]: 0.01- 0.04) and 0.04 (95% CI: 0.02-0.05) for ATTR-CA and AL-CA, respectively.</p><p><strong>Conclusions: </strong>Among types of CA, distinct echocardiographic features were present at the time of diagnosis. SVi was independently associated with mortality and had incremental discriminatory power for mortality when added to staging.</p>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994239","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":"Normal Values of Echocardiographic Left Atrioventricular Coupling Index and Left Atrial Stiffness Index Reflecting Left Ventricular Diastolic Function: A Multicenter Study","authors":"Tian-Xin Dong MD ,&nbsp;Shi-Wen Li MD ,&nbsp;Xiao-Fang Pan MD ,&nbsp;Chun-Feng Wang MD ,&nbsp;Ying Liu MD ,&nbsp;Jun Wu MD, PhD ,&nbsp;Xiang-Ping Guan MD ,&nbsp;Su-Li Zhang MD ,&nbsp;Peng-Fei Zuo MD ,&nbsp;Yi-Lin Liu MD ,&nbsp;Li-Yan Wang MD ,&nbsp;Lei Cui MD ,&nbsp;Yan Liu MD ,&nbsp;Yu-Qiong Lai MD ,&nbsp;Ming-Yan Ding MD ,&nbsp;Gui-Lin Lu MD ,&nbsp;Jing Tan MD ,&nbsp;Xin-Jian Yang MD ,&nbsp;Yi-Hong Li MD ,&nbsp;Yong-Huai Wang MD, PhD ,&nbsp;Chun-Yan Ma MD, PhD","doi":"10.1016/j.echo.2025.04.011","DOIUrl":"10.1016/j.echo.2025.04.011","url":null,"abstract":"<div><h3>Background</h3><div><span>The left atrioventricular coupling index (LACI) and left atrial stiffness index (LASI) have recently demonstrated significant correlations with left ventricular (LV) diastolic function. However, the </span>absence of reference values limits their widespread use. This study aimed to establish normal reference ranges for LACI and LASI.</div></div><div><h3>Methods</h3><div>A total of 1,648 healthy participants from 55 centers were enrolled. The LACI was defined as the ratio of left atrial (LA) minimum volume to LV end-diastolic volume. The LASI was calculated as the ratio of the average E/e' ratio to LA reservoir strain.</div></div><div><h3>Results</h3><div>Both LACI and LASI increased with age in both sexes. The LACI was higher in women than in men (<em>P</em> &lt; .001), whereas no significant sex difference was observed for LASI (<em>P</em><span> = .868). Age, sex, LV global longitudinal strain (GLS), and LA reservoir strain independently predicted LACI. Age, body mass index, LV GLS, and LA volume index were independently associated with LASI. Elevated LACI and LASI were observed in participants with high-normal blood pressure, overweight status, and indeterminate LV diastolic function.</span></div></div><div><h3>Conclusions</h3><div>Sex- and age-stratified reference values for LACI and LASI were established. Left ventricular GLS, LA reservoir strain, and LA volume index should be considered when interpreting these parameters. Hypertension, obesity, and LV diastolic dysfunction may significantly affect LACI and LASI, suggesting their potential utility in identifying early cardiac dysfunction.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 794-803"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003492","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":"Using Deep Learning to Predict Cardiovascular Magnetic Resonance Findings From Echocardiographic Videos","authors":"Yuki Sahashi MD, MSc ,&nbsp;Milos Vukadinovic BS ,&nbsp;Grant Duffy BS ,&nbsp;Debiao Li PhD ,&nbsp;Susan Cheng MD, MMSc, MPH ,&nbsp;Daniel S. Berman MD ,&nbsp;David Ouyang MD ,&nbsp;Alan C. Kwan MD","doi":"10.1016/j.echo.2025.05.016","DOIUrl":"10.1016/j.echo.2025.05.016","url":null,"abstract":"<div><h3>Background</h3><div><span>Echocardiography is the most common modality for assessing cardiac structure and function. Although cardiac magnetic resonance (CMR) imaging is less accessible, it can provide unique tissue characterization, including late </span>gadolinium<span> enhancement (LGE), T1 and T2 mapping, and extracellular volume (ECV), which are associated with tissue fibrosis, infiltration, and inflammation. Deep learning has been shown to uncover findings not recognized by clinicians, but it is unknown whether CMR-based tissue characteristics can be derived from echocardiographic videos using deep learning. The aim of this study was to assess the performance of a deep learning model applied to echocardiography to detect CMR-specific parameters, including LGE presence and abnormal T1, T2, or ECV.</span></div></div><div><h3>Methods</h3><div>In a retrospective single-center study, adult patients with CMR and echocardiographic studies within 30 days were included. A video-based convolutional neural network was trained on echocardiographic videos to predict CMR-derived labels, including LGE presence and abnormal T1, T2, or ECV across echocardiographic views. The model was also trained to predict the presence or absence of wall motion abnormality (WMA) as a positive control for model function. The model performance was evaluated in a held-out test data set not used for training.</div></div><div><h3>Results</h3><div>The study population included 1,453 adult patients (mean age, 56 ± 18 years; 42% women) with 2,556 paired echocardiographic studies occurring at a median of 2 days after CMR (interquartile range, 2 days before to 6 days after). The model had high predictive capability for the presence of WMA (area under the curve [AUC] = 0.873; 95% CI, 0.816-0.922), which was used for positive control. However, the model was unable to reliably detect the presence of LGE (AUC = 0.699; 95% CI, 0.613-0.780) and abnormal native T1 (AUC = 0.614; 95% CI, 0.500-0.715), T2 (AUC = 0.553; 95% CI, 0.420-0.692), or ECV (AUC = 0.564; 95% CI, 0.455-0.691).</div></div><div><h3>Conclusions</h3><div>Deep learning applied to echocardiography accurately identified CMR-based WMA but was unable to predict tissue characteristics, suggesting that signal for these tissue characteristics may not be present within ultrasound videos and that the use of CMR for tissue characterization remains essential within cardiology.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 807-815"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200706","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":"Semi-Invasive Pressure-Flow Plots Obtained Using Exercise Echocardiography Relate to Clinical Status and Exercise Capacity in Patients With a Fontan Circulation","authors":"Aleksandra Cieplucha MD, PhD ,&nbsp;Hannah Van Belle MD ,&nbsp;William R. Miranda MD ,&nbsp;Youri Bekhuis MD ,&nbsp;Elise Decorte MSc ,&nbsp;Mathijs Michielsen MSc ,&nbsp;Pieter De Meester MD, PhD ,&nbsp;Els Troost MD ,&nbsp;Irene Cattapan MD ,&nbsp;Thomas Rosseel MD ,&nbsp;Jan Verwerft MD, PhD ,&nbsp;Guido Claessen MD, PhD ,&nbsp;Véronique A. Cornelissen PhD ,&nbsp;Kaatje Goetschalckx MD ,&nbsp;Marc Gewillig MD, PhD ,&nbsp;Werner Budts MD, PhD ,&nbsp;Alexander Van De Bruaene MD, PhD","doi":"10.1016/j.echo.2025.05.007","DOIUrl":"10.1016/j.echo.2025.05.007","url":null,"abstract":"<div><h3>Aims</h3><div>Exercise echocardiography<span><span> with peripheral venous pressure measurement (CPETecho-PVP) may provide superior insights into the </span>pathophysiology<span> of Fontan failure compared to standard cardiopulmonary exercise testing. Accordingly, we assessed (1) the clinical and hemodynamic correlates of pressure-flow plots obtained from CPETecho-PVP in Fontan patients and (2) the relationship between pressure-flow plots and exercise capacity.</span></span></div></div><div><h3>Methods</h3><div>Forty-one consecutive Fontan patients underwent CPETecho-PVP. Peripheral venous pressure was measured in the distal upper extremity using an 18- to 20-gauge intravenous line. A multipoint PVP/cardiac output (CO) slope was calculated as a linear approximation using linear regression analysis from individual pressure-flow plots. A PVP/CO &gt;3 mm Hg/L/min was considered elevated.</div></div><div><h3>Results</h3><div><span>Median age was 28 (range, 17-60) years; left ventricle dominance was present in 32 (78%) patients. Compared to patients with a PVP/CO slope ≤3 mm Hg/L/min (</span><em>n</em><span> = 29), those with a PVP/CO slope &gt;3 mm Hg/L/min were more likely to have New York Heart Association functional class III to IV (</span><em>P</em> = .005), lung pathology (<em>P</em><span> = .004), history of atrial arrhythmia (</span><em>P</em><span> = .009), or thromboembolism (</span><em>P</em><span> = .02). Additionally, a PVP/CO slope &gt;3 mm Hg/L/min was associated with higher N-terminal prohormone<span> of natriuretic peptide levels (325.0 [176.3-590.0] vs 150.5 [61.3-255.0] ng/L; </span></span><em>P</em> = .034), lower peak oxygen consumption (peak VO₂) 48.7% ± 13.3% vs 65.2% ± 15.3% predicted; <em>P</em><span> = .003), lower heart rate reserve (65% [42%-105%] vs 100% [75%-127%] predicted; </span><em>P</em> = .010), and lower peak cardiac index (3.8 ± 0.8 vs 6.3 ± 1.5 L/min.m²; <em>P</em> &lt; .001). Rest-to-peak change in heart rate (<em>P</em> &lt; .001) and cardiac index (<em>P</em><span> = .006), percentage predicted forced vital capacity (</span><em>P</em> = .044), and PVP/CO slope (<em>P</em> = .009) were all related to percentage predicted peak VO₂.</div></div><div><h3>Conclusions</h3><div>A steeper PVP/CO plot is associated with worse clinical status, including lower exercise capacity. This supports the notion of implementing the CPETecho-PVP in the standard of care for Fontan patients.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 843-854"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133314","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":"Safe Sedation in the Echo Lab Using Intranasal Dexmedetomidine Does Not Require Fasting","authors":"Meaghan Boeker MD,&nbsp;Deborah Walbergh MSN RN,&nbsp;Sara Shreve RDCS,&nbsp;Sravya Bagli MHA,&nbsp;Peter Frommelt MD,&nbsp;David Saudek MD","doi":"10.1016/j.echo.2025.04.017","DOIUrl":"10.1016/j.echo.2025.04.017","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 865-867"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133309","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":"Information for Readers","authors":"","doi":"10.1016/S0894-7317(25)00423-7","DOIUrl":"10.1016/S0894-7317(25)00423-7","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages A9-A10"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934252","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":"Strain Reversus Sign: Diagnostic Role and Correlation With Cardiac Magnetic Resonance Findings in Constrictive Pericarditis","authors":"Fabio Fazzari MD ,&nbsp;Francesco Cannata MD, PhD ,&nbsp;Luigi Tassetti MD ,&nbsp;Davide Garattini MD ,&nbsp;Filippo Pensotti MD ,&nbsp;Romina Milanese MD ,&nbsp;Martina Cellamare MD ,&nbsp;Andrea Baggiano MD, PhD ,&nbsp;Fabrizio Celeste MD ,&nbsp;Alberico Del Torto MD ,&nbsp;Antonio Frappampina MD ,&nbsp;Laura Fusini MD ,&nbsp;Paola Gripari MD ,&nbsp;Sarah Ghulam Alì MD ,&nbsp;Andrea Igoren Guaricci MD, PhD ,&nbsp;Daniele Junod MD ,&nbsp;Anna Maltagliati MD ,&nbsp;Valentina Mantegazza MD, PhD ,&nbsp;Riccardo Maragna MD ,&nbsp;Saima Mushtaq MD ,&nbsp;Gianluca Pontone MD, PhD","doi":"10.1016/j.echo.2025.05.010","DOIUrl":"10.1016/j.echo.2025.05.010","url":null,"abstract":"<div><h3>Background</h3><div>A typical echocardiographic longitudinal strain (LS) pattern of the left ventricle called strain reversus (SR) has been described in patients with constrictive pericarditis (CP). The aim of this study was to evaluate the prevalence of SR among pericardial diseases, its diagnostic role in CP, and its correlation with pericardial involvement assessed using cardiac magnetic resonance (CMR).</div></div><div><h3>Methods</h3><div>Eighty-five patients (mean age, 57 ± 17 years; 32.8% women) with pericardial diseases who underwent clinically indicated echocardiography and CMR were retrospectively enrolled.</div></div><div><h3>Results</h3><div>According to right heart catheterization findings, CP and nonconstrictive pericarditis were found in 24 and 61 patients, respectively. The prevalence of SR was higher in patients with CP compared with those with nonconstrictive pericarditis (91% vs 25%, <em>P</em> &lt; .001) and was correlated with CP diagnosis (odds ratio [OR], 3.43; 95% CI, 1.39-5.49; <em>P</em> = .001). The addition of SR to the traditional Mayo Clinic criteria significantly improved the diagnostic accuracy of echocardiographic assessment of pericarditis, increasing the C statistic from 0.82 to 0.92 (<em>P</em> = .004), with a net reclassification improvement index of 0.198. SR was associated with pericardial thickening (OR, 2.30; 95% CI, 1.21-3.41; <em>P</em> = .001) and pericardial late gadolinium enhancement (OR, 1.55; 95% CI, 1.07-2.04; <em>P</em> = .036), but it was not linked to pericardial edema.</div></div><div><h3>Conclusions</h3><div>SR is an echocardiographic sign associated with CP and pericardial involvement detected on CMR that provides additional diagnostic value to the traditional Mayo Clinic criteria.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 832-842"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934253","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.2025.07.004","DOIUrl":"10.1016/j.echo.2025.07.004","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Page A12"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933907","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":"Guidelines for the Standardization of Adult Echocardiography Reporting: Recommendations From the American Society of Echocardiography","authors":"Cynthia C. Taub MD, MBA, FASE (Chair) ,&nbsp;Raymond F. Stainback MD, FASE (Co-Chair) ,&nbsp;Theodore Abraham MD, FASE ,&nbsp;Daniel Forsha MD, FASE ,&nbsp;Enrique Garcia-Sayan MD, FASE ,&nbsp;Jeffrey C. Hill MSc, ACS, FASE ,&nbsp;Judy Hung MD, FASE ,&nbsp;Carol Mitchell PhD, RDMS, RDCS, RVT, ACS, FASE ,&nbsp;Vera H. Rigolin MD, MS, FASE ,&nbsp;Vandana Sachdev MD, FASE ,&nbsp;Partho P. Sengupta MD, FASE ,&nbsp;Vincent L. Sorrell MD, FASE ,&nbsp;Jordan Strom MD, FASE","doi":"10.1016/j.echo.2025.06.001","DOIUrl":"10.1016/j.echo.2025.06.001","url":null,"abstract":"<div><div>The American Society of Echocardiography (ASE) plays a vital role in establishing practice standards and guidelines within the echocardiography field. Its influence is comprehensive, covering training, image acquisition, nomenclature, measurements, diagnosis, and quality improvement. This report focuses on the final phases of the diagnostic imaging process, specifically reporting and communicating exam results. It provides updates to previously published guidelines on the required components of a comprehensive echocardiography report. Standardization within echocardiography reports is essential to uphold quality, consistency, and interoperability across various echocardiography (echo) labs, institutions, and healthcare systems, as well as over different time points. Additionally, standardized reporting is crucial for facilitating big data analysis, aligning with the current emphasis on machine learning and artificial intelligence. This document delineates core measurements and statements applicable to transthoracic, transesophageal, and stress echocardiography. It also elucidates abbreviations, acronyms, terminology, and definitions to enhance communication. The path from preliminary report to final submission is clarified, alongside examples of critical, urgent, and significant findings. Recommendations include comparison of serial echocardiograms and, when clinically relevant, comparisons with other imaging modalities. The document addresses the integration of simple congenital heart disease (CHD) findings appropriate for an adult echo lab. Standardization facilitates clinical and research endeavors by ensuring clear and consistent data reporting, thereby enabling seamless data sharing and reusability.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 735-774"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934251","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":"Evaluating the J Wave as a Marker of Diastolic Dysfunction in Heart Failure With Preserved Ejection Fraction","authors":"Tooba Alwani MD,&nbsp;Ashley P. Akerman PhD,&nbsp;Nora Al-Roub MBBS,&nbsp;Constance Angell-James MPH,&nbsp;Madeline A. Cassidy BS,&nbsp;Rasheed Thompson BS,&nbsp;Lorenzo Bosque MSc, MPH,&nbsp;Katharine Rainer MD,&nbsp;William Hawkes PhD,&nbsp;Hania Piotrowska BA,&nbsp;Paul Leeson MB,&nbsp;Gary Woodward PhD,&nbsp;Patricia A. Pellikka MD,&nbsp;Ross Upton PhD,&nbsp;Jordan B. Strom MD, MSc","doi":"10.1016/j.echo.2025.05.015","DOIUrl":"10.1016/j.echo.2025.05.015","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 862-865"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200703","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}