Kamil Stankowski MD, Matteo Maurina MD, Francesco Cannata MD, PhD, Dario Donia MD, Francesco Tartaglia MD, Stefano Figliozzi MD, Gianluca Pontone MD, PhD, Renato Maria Bragato MD, Fabio Fazzari MD
{"title":"Natural History of Atrial Fibrillation–Induced Mitral Valve Remodeling in the Absence of Significant Mitral Regurgitation: A Three-Dimensional Echocardiographic Study","authors":"Kamil Stankowski MD, Matteo Maurina MD, Francesco Cannata MD, PhD, Dario Donia MD, Francesco Tartaglia MD, Stefano Figliozzi MD, Gianluca Pontone MD, PhD, Renato Maria Bragato MD, Fabio Fazzari MD","doi":"10.1016/j.echo.2025.02.013","DOIUrl":"10.1016/j.echo.2025.02.013","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 859-862"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934254","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":"Not There Yet: Rethinking the Path for Echocardiographic Tissue Characterization With Artificial Intelligence","authors":"Christina Luong MD, MHSc , Wendy Tsang MD, MS","doi":"10.1016/j.echo.2025.05.011","DOIUrl":"10.1016/j.echo.2025.05.011","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 816-819"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200704","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}
David H. Wiener MD, FASE, Patricia A. Pellikka MD, FASE
{"title":"JASE – The Powerhouse Echocardiography Journal","authors":"David H. Wiener MD, FASE, Patricia A. Pellikka MD, FASE","doi":"10.1016/j.echo.2025.07.002","DOIUrl":"10.1016/j.echo.2025.07.002","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Page A11"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933906","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":"2025 Arthur E. Weyman Young Investigator’s Award Competition Finalists","authors":"","doi":"10.1016/j.echo.2025.06.013","DOIUrl":"10.1016/j.echo.2025.06.013","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages e1-e154"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933908","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}
Alan S. Pearlman MD, FASE (Past-President, ASE, Editor-in-Chief, Emeritus, JASE), Victor Mor-Avi PhD, FASE (Deputy Editor, Emeritus, JASE), Michael H. Picard MD, FASE (Past-President, ASE, Editor-in-Chief, Emeritus, JASE)
{"title":"In Memoriam: Roberto M. Lang, MD, FASE","authors":"Alan S. Pearlman MD, FASE (Past-President, ASE, Editor-in-Chief, Emeritus, JASE), Victor Mor-Avi PhD, FASE (Deputy Editor, Emeritus, JASE), Michael H. Picard MD, FASE (Past-President, ASE, Editor-in-Chief, Emeritus, JASE)","doi":"10.1016/j.echo.2025.07.006","DOIUrl":"10.1016/j.echo.2025.07.006","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 870-872"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668875","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}
Chadi Ayoub MBBS, PhD , Isabel G. Scalia MD , S. Allen Luis MBBS, PhD , Juan A. Crestanello MD , William J. Mauermann MD , Thorvardur R. Halfdanarson MD , Heidi Connolly MD , Patricia A. Pellikka MD
{"title":"Echocardiographic Evaluation of Carcinoid Heart Disease","authors":"Chadi Ayoub MBBS, PhD , Isabel G. Scalia MD , S. Allen Luis MBBS, PhD , Juan A. Crestanello MD , William J. Mauermann MD , Thorvardur R. Halfdanarson MD , Heidi Connolly MD , Patricia A. Pellikka MD","doi":"10.1016/j.echo.2025.05.013","DOIUrl":"10.1016/j.echo.2025.05.013","url":null,"abstract":"<div><div>Carcinoid heart disease (CaHD) is a complication that occurs in patients with metastatic neuroendocrine tumors (usually to the liver) and carcinoid syndrome. Hormonal release causes endocardial thickening, typically affecting right-sided cardiac valves. Symptomatic patients with CaHD have a poor prognosis, and management of valvular heart disease is complicated by metastasis and other associated conditions and carries a higher risk than management of other acquired valve disease. Clinical and biomarker assessment are used for screening and echocardiography is the diagnostic imaging backbone used for identification of CaHD, as well as grading of severity of valvular lesions and associated chamber dysfunction. Echocardiography is critical in the evaluation for surgical intervention, as well as in guiding surgery and postoperative surveillance. This article reviews in detail applications of echocardiography in patients with CaHD.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 775-793"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200702","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}
Siddharth J. Trivedi BSc, BMedSci (Hons), MBBS (Hons), PhD , Richard G. Bennett BSc, MBChB , Karen Byth CStatRSS, PhD , Timothy Campbell BSc , Samual Turnbull BSc , Luke Stefani BBioMedSci , Saurabh Kumar BSc (Med)/MBBS, PhD , Liza Thomas MBBS, PhD
{"title":"Speckle-Tracking Echocardiography Parameters Associated With Ventricular Arrhythmia Recurrence–Free Survival After Ablation in Structural Heart Disease","authors":"Siddharth J. Trivedi BSc, BMedSci (Hons), MBBS (Hons), PhD , Richard G. Bennett BSc, MBChB , Karen Byth CStatRSS, PhD , Timothy Campbell BSc , Samual Turnbull BSc , Luke Stefani BBioMedSci , Saurabh Kumar BSc (Med)/MBBS, PhD , Liza Thomas MBBS, PhD","doi":"10.1016/j.echo.2025.05.004","DOIUrl":"10.1016/j.echo.2025.05.004","url":null,"abstract":"<div><h3>Background</h3><div><span><span>Catheter ablation (CA) is indicated for drug-refractory </span>ventricular arrhythmias (VAs). Predicting </span>adverse outcomes<span> (recurrent VA or mortality) after CA is important, but current tools are imperfect. Speckle-tracking echocardiography<span> quantifies global longitudinal strain (GLS), a measure of myocardial deformation, and mechanical dispersion (MD) and delta contraction duration (DCD) (measures of myocardial contraction heterogeneity). The aim of this study was to examine the associations between clinical, procedural, and echocardiographic parameters and subsequent VA recurrence or death.</span></span></div></div><div><h3>Methods</h3><div>One hundred eighty-one patients (ischemic cardiomyopathy, <em>n</em><span> = 82; nonischemic cardiomyopathy, </span><em>n</em><span> = 99) with VAs undergoing CA underwent echocardiography, including measurements of left ventricular GLS, MD, and DCD. Patients were longitudinally followed for first occurrence of VA recurrence or death; in the absence of VA recurrence or death, a patient was deemed to have VA recurrence–free survival.</span></div></div><div><h3>Results</h3><div>Median follow-up duration was 21.0 months. After the procedure, 20 patients (11%) died without any prior VA recurrence, and 77 patients (43%) experienced VA recurrence, of whom 11 subsequently died. Cox proportional-hazards regression analysis identified acute procedural failure, at least two inducible VAs, DCD, and the interaction between GLS and DCD as significant predictors of VA recurrence–free survival. When GLS and DCD were dichotomized by their median values (GLS ≤ −11.5% vs >−11.5%; DCD ≤ 190 vs >190 ms), DCD > 190 ms was a predictor of the composite endpoint irrespective of GLS status. MD was not as strong a predictor as DCD.</div></div><div><h3>Conclusions</h3><div>In patients undergoing CA for VAs, the only echocardiographic predictor of VA recurrence–free survival was prolonged DCD, irrespective of GLS and clinical and procedural factors. Hence, DCD may facilitate risk stratification before CA.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"38 9","pages":"Pages 820-831"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121265","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}
Ololade Akingbade, Tommy Chiou, Srisha Kotlo, Juan Cotella, Anthony Kanelidis, Nitasha Sarswat, Andrew Beaser, Rachel Campagna, Roberto M Lang, Jeremy Slivnick
{"title":"Age-Adjusted Echocardiographic Parameters for Differentiating Cardiac Amyloidosis and Hypertrophic Cardiomyopathy.","authors":"Ololade Akingbade, Tommy Chiou, Srisha Kotlo, Juan Cotella, Anthony Kanelidis, Nitasha Sarswat, Andrew Beaser, Rachel Campagna, Roberto M Lang, Jeremy Slivnick","doi":"10.1016/j.echo.2025.08.016","DOIUrl":"10.1016/j.echo.2025.08.016","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976888","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}
Vegard Holmstrøm, Erik Smistad, Stian Stølen, Espen Holte, Lasse Løvstakken, Håvard Dalen, Andreas Østvik, Bjørnar Grenne
{"title":"Real-Time Global Longitudinal Strain During Echocardiography: A Deep Learning Platform for Improved Workflow.","authors":"Vegard Holmstrøm, Erik Smistad, Stian Stølen, Espen Holte, Lasse Løvstakken, Håvard Dalen, Andreas Østvik, Bjørnar Grenne","doi":"10.1016/j.echo.2025.08.015","DOIUrl":"10.1016/j.echo.2025.08.015","url":null,"abstract":"<p><strong>Background: </strong>Left ventricular (LV) global longitudinal strain (GLS) offers advantages over LV ejection fraction, including improved diagnostic sensitivity, reproducibility, and prognostic value. However, current semiautomatic analyses are time-consuming and operator dependent, impeding widespread adoption of GLS in routine clinical practice.</p><p><strong>Objectives: </strong>We aimed to assess the feasibility, precision, and time efficiency of GLS measurements using a deep learning (DL) platform that performs real-time GLS analysis during image acquisition and incorporates DL tools to support standardization, to evaluate whether DL-assisted acquisitions can enhance image quality metrics relevant to strain analyses.</p><p><strong>Methods: </strong>A DL platform was developed for fully automated real-time GLS analysis, including tools that detect and alert the operator to foreshortening or baseline drift. In this controlled prospective study, 50 patients (mean age, 56 years; 64% male) were included. Two image sets were acquired by different operators using the DL platform and a conventional workflow, and GLS and image quality were compared.</p><p><strong>Results: </strong>Overall feasibility of DL-based GLS measurements was 94%. Absolute GLS was 14.8 ± 3.2 using the DL platform workflow and 16.2 ± 3.3 with manual reference measurements, with a bias of -1.3 and limits of agreement ranging from -3.5 to 0.8. Correlation was excellent (r = 0.94). Images acquired with the DL platform showed significantly less baseline drift and borderline improved territorial strain agreement than the reference acquisition. The median time obtaining GLS with the DL platform was reduced by 57% compared to the conventional workflow, from 4 minutes and 48 seconds to 2 minutes and 4 seconds.</p><p><strong>Conclusion: </strong>The DL platform for fully automated real-time GLS measurements was feasible, precise, and time efficient. Real-time DL-based feedback allows operators to optimize images during acquisition, thus improving quality metrics relevant to GLS analyses. Implementing this method in clinical practice could streamline workflow and improve efficiency in the echocardiographic laboratory.</p>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976901","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}
James D Thomas, Thor Edvardsen, Theodore Abraham, Vinesh Appadurai, Luigi Badano, Jose Banchs, Goo-Yeong Cho, Bernard Cosyns, Victoria Delgado, Erwan Donal, Maurizio Galderisi, Roberto M Lang, Thomas H Marwick, Luc Mertens, Margaret Park, Bogdan A Popescu, Zoran Popovic, Marielle Scherrer-Crosbie, Partho P Sengupta, Sanjiv Shah, Peter Søgaard, Masaaki Takeuchi, Frank Weidemann, Jens-Uwe Voigt
{"title":"Clinical Applications of Strain Echocardiography: A Clinical Consensus Statement From the American Society of Echocardiography Developed in Collaboration With the European Association of Cardiovascular Imaging of the European Society of Cardiology.","authors":"James D Thomas, Thor Edvardsen, Theodore Abraham, Vinesh Appadurai, Luigi Badano, Jose Banchs, Goo-Yeong Cho, Bernard Cosyns, Victoria Delgado, Erwan Donal, Maurizio Galderisi, Roberto M Lang, Thomas H Marwick, Luc Mertens, Margaret Park, Bogdan A Popescu, Zoran Popovic, Marielle Scherrer-Crosbie, Partho P Sengupta, Sanjiv Shah, Peter Søgaard, Masaaki Takeuchi, Frank Weidemann, Jens-Uwe Voigt","doi":"10.1016/j.echo.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.echo.2025.07.007","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976847","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}