Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques最新文献

{"title":"Prognostic Value of Right Ventricular Function Assessed by Echocardiography in Patients With Acute Inferior ST Elevation Myocardial Infarction","authors":"Hesham Refaat,&nbsp;Mohamed Arab","doi":"10.1111/echo.70223","DOIUrl":"https://doi.org/10.1111/echo.70223","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Right ventricular (RV) infarction complicates one-third of inferior ST-segment elevation myocardial infarctions (STEMI). Our aim was to evaluate RV function to assess its in-hospital and long-term prognostic value.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We enrolled 247 patients with inferior STEMI treated with primary angioplasty. Echocardiography was performed within 48 h and after 6 months, including RV myocardial performance index (RVMPI), RV fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE), RV global longitudinal strain (RVGLS), and pulmonary artery systolic pressure (PASP). Major adverse cardiac events (MACE) were reported during the 6-month follow-up. The patients were categorized into MACE and non-MACE groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In patients with MACE, RV diastolic dysfunction occurred earlier as evidenced by lower E′ wave velocity (5.8 ± 1.03 vs. 9.1 ± 2.8 cm/s, <i>p</i> = 0.04) and higher E/E′ (10.1 ± 3.1 vs. 6.1 ± 2.3, <i>p</i> = 0.03). After 6 months, distorted RV geometry and RV systolic dysfunction, evidenced by lower RVFAC (32.2 ± 3.6% vs. 38.06 ± 3.9%, <i>p</i> = 0.04), lower TAPSE (14.6 ± 1.2 vs. 17.3 ± 1.7 mm, <i>p</i> = 0.02), higher RVGLS (−14.5 ± 2.6% vs. −17.5 ± 1.2%, <i>p</i> = 0.04), and higher PASP (29.8 ± 3.2 vs. 24.1 ± 2.2 mmHg, <i>p</i> = 0.01), were reported later on. Multivariate analysis documented E′ wave velocity, E/E′, RVFAC, and TAPSE as strong predictors of MACE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In inferior STEMI, RV diastolic dysfunction occurs earlier in patients with MACE. However, RV systolic dysfunction and impaired RV geometry develop later on. E′ wave velocity, E/E′, RVFAC, and TAPSE are strong independent predictors of MACE.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Microalbuminuria and Impaired Left Ventricular Systolic Function in Newly Diagnosed Hypertensive Individuals","authors":"Hinpetch Daungsupawong,&nbsp;Viroj Wiwanitkit","doi":"10.1111/echo.70233","DOIUrl":"https://doi.org/10.1111/echo.70233","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac Insights in Takayasu's Arteritis: Echocardiographic Differences in Active Takayasu Arteritis","authors":"Santiago Luna-Alcala,&nbsp;Laura Aline Martínez-Martínez,&nbsp;Jorge Luis Bermudez-Gonzalez,&nbsp;Pavel Martinez-Dominguez,&nbsp;Luis H. Silveira-Torres,&nbsp;Enrique C. Guerra,&nbsp;Aldo Cabello-Ganem,&nbsp;David Vera-Bustamante,&nbsp;Nilda Espinola-Zavaleta","doi":"10.1111/echo.70229","DOIUrl":"https://doi.org/10.1111/echo.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Takayasu arteritis mainly affects the aorta and its main branches. Several clinometric tools have been proposed for the assessment of disease activity. Echocardiography is a noninvasive imaging method useful in the study of cardiovascular manifestations. This study aimed to describe the differences in echocardiographic parameters between conventional and new modalities in patients with Takayasu arteritis with disease activity according to three real-life clinical scales.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective observational study was designed with patients meeting the ACR/EULAR 2022 criteria for Takayasu arteritis and a rheumatology outpatient clinic at a cardiovascular disease referral center. Disease activity was measured via the Dabague-Reyes (DR) score, National Institutes of Health score, and Indian Takayasu arteritis activity score. All patients underwent echocardiographic evaluation with conventional and new modalities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-two patients with a diagnosis of TAK were studied; 48 (92.3%) patients were female, with a mean age of 41 ± 17.6 years. Numano V classification was the most common (80%). Twenty-five patients had active disease according to any score, which was correlated with a significant reduction in tricuspid annular plane systolic excursion (TAPSE) (19.45 ± 1.9 mm), abnormal left ventricular (LV) end-diastolic diameter, abnormal deceleration time (DT), and abnormal left atrial (LA) volume.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Some conventional and novel echocardiographic parameters are associated with active BP. These alterations could add weight to the staging of disease activity. These echocardiographic findings may also be observed differently according to the clinical form of disease measurement. However, further studies are needed to confirm these differences via echocardiography.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Diabetes Mellitus and Left Atrial Strain in Individuals With Hypertension","authors":"Camila Mota Guida,&nbsp;Jonathan Batista Souza,&nbsp;Fernando Yue Cesena,&nbsp;Antônio Gabriele Laurinavicius,&nbsp;Márcio Gonçalves Sousa,&nbsp;Andrea de Andrade Vilela,&nbsp;Fernanda Marciano Consolim-Colombo,&nbsp;Jorge Eduardo Assef","doi":"10.1111/echo.70226","DOIUrl":"https://doi.org/10.1111/echo.70226","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Atrial remodeling is frequent in patients with diabetes and hypertension, linked to cardiovascular events and elevated left ventricular (LV) filling pressures. Speckle-tracking echocardiography detects these changes early, but data on left atrial (LA) strain in this specific population remain limited and controversial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Individuals with primary hypertension were divided into two groups: with diabetes DM(+) and without diabetes DM(−). All subjects underwent transthoracic echocardiography. Clinical and echocardiographic characteristics, including LA reservoir (S-LAr), LA conduit (S-LAc), and LA contractile (S-LAct) strains, were compared between the groups. The association between diabetes and LA strain was evaluated in models adjusted for sex, age, body mass index (BMI), ambulatory systolic blood pressure, and LV mass index (LVMI). A possible role of diastolic dysfunction and LV strain on the association between DM and LA strain was evaluated by mediation analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 64 patients were included: 29 (45.3%) had both diabetes and hypertension, while 35 (54.7%) had isolated hypertension. Standard echocardiographic parameters did not differ significantly between the DM(+) and DM(−) groups. S-LAr and S-LAc were lower in DM(+) compared to DM(−) (S-LAr: 27.8% ± 7.0% vs. 32.1% ± 6.4%, respectively, <i>p</i> = 0.013; S-LAc: 12.0% ± 4.8% vs. 16.0% ± 5.1%, respectively, <i>p</i> = 0.002). S-LAct was not significantly different between DM(+) and DM(−). After adjusting for multiple variables, diabetes remained significantly associated with lower S-LAr and S-LAc. In mediation analyses, the effect of DM on S-LAr and S-LAc was almost entirely attributed to a direct effect and not mediated by diastolic dysfunction or LV strain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Diabetes was associated with reduced S-LAr and S-LAc in individuals with hypertension. Speckle-tracking echocardiography may be a more sensitive tool for detecting early atrial dysfunction in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-Dimensional Speckle Tracking During Dobutamine Stress Echocardiography Versus Myocardial Perfusion Imaging by Single Photon Emission Computed Tomography in Patients With Suspected Coronary Artery Disease","authors":"Mostafa El Mokadem,&nbsp;Mohammad Noureldin,&nbsp;Talaat Saeed Badr,&nbsp;Yasser A. Abdelhady","doi":"10.1111/echo.70221","DOIUrl":"https://doi.org/10.1111/echo.70221","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coronary artery disease (CAD) is one of the causes of morbidity and death worldwide. Recently, speckle tracking technologies allowed the assessment of the strain of each myocardial segment in an automated method that may decrease inter-operator variability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To compare the effectiveness of two-dimensional speckle tracking global longitudinal strain (GLS) during dobutamine stress echocardiography (DSE) with myocardial perfusion imaging (MPI) using single photon emission computed tomography (MPI SPECT) in the diagnosis of CAD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted involving 103 patients with CAD suspicion. Each participant underwent MPI SPECT and GLS measurements at rest and during peak dobutamine stress. The outcomes from GLS-DSE and MPI SPECT were then compared against the results of ICA as the reference standard for diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of included patients was 57.79 ± 8.08 years. The MPI-SPECT defect size results demonstrated a highly significant (<i>p</i> value &lt; 0.001) and strong positive correlation with the number of affected vessels in invasive coronary angiography (ICA). The sensitivity and specificity of the MPI SPECT were 90.62% and 92.96%, respectively, with a PPV of 85.29% and an NPV of 95.65%. Additionally, a highly significant (<i>p</i> value &lt; 0.001) and strong negative correlation was observed between GLS values at peak DSE and the number of affected vessels in ICA. GLS at peak DSE had 78.12% sensitivity and 88.73% specificity with PPV 75.76% and NPV 90%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>GLS at peak DSE looks to be another noninvasive tool for the assessment of patients with suspected CAD, with the benefits of being a quick, non-expensive, and radiation-free test.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echocardiographic Assessment of the Maternal Heart: A Review of the Structural and Functional Changes During Pregnancy","authors":"Lan Lan,&nbsp;Chunhua Zhang,&nbsp;Jing Geng,&nbsp;Qiao Li","doi":"10.1111/echo.70220","DOIUrl":"https://doi.org/10.1111/echo.70220","url":null,"abstract":"<div>\u0000 \u0000 <p>To accommodate the growing needs of the developing fetus during pregnancy, the female cardiovascular system undergoes substantial changes, including increases in blood volume, heart rate (HR), and cardiac output (CO), as well as decreases in systemic vascular resistance (SVR). These alterations typically emerge early in pregnancy, last until the third trimester, and eventually return to baseline approximately 6 months after delivery. Accordingly, the maternal heart has undergone remodeling and postpartum-induced reverse remodeling. Most pregnant women possess a high cardiac reserve; however, if the cardiovascular changes exceed a mother's ability to adapt, it may lead to cardiovascular diseases (CVDs) during pregnancy. Echocardiography is widely employed to evaluate the maternal heart during pregnancy. Advances in speckle-tracking echocardiography (STE) and non-invasive myocardial work (myW) quantification technologies facilitate the early detection of cardiac remodeling and dysfunction. This review summarizes the physiological changes in the maternal cardiovascular system during pregnancy and discusses recent advancements in imaging techniques used for cardiac evaluation in healthy women, those with cardiovascular risk (CVR) factors such as simple obesity, gestational diabetes mellitus, and preeclampsia, and women with structural heart diseases.</p>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Implications of Lesion Morphology on CT-Derived FFR for Predicting Revascularization","authors":"Ioannis Skalidis,&nbsp;Jerome Garot,&nbsp;Panagiotis Antiochos,&nbsp;Antoinette Neylon,&nbsp;Thomas Hovasse","doi":"10.1111/echo.70228","DOIUrl":"https://doi.org/10.1111/echo.70228","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is It Time to Shift From Two-Dimensional Left Ventricular Ejection Fraction to Myocardial Work?","authors":"Rita Pavasini","doi":"10.1111/echo.70227","DOIUrl":"https://doi.org/10.1111/echo.70227","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Segmental Strain Imaging as a Window Into Preclinical Cardiac Dysfunction in LGMDR9","authors":"Noriaki Iwahashi,&nbsp;Tomohiro Yoshii,&nbsp;Kiyoshi Hibi","doi":"10.1111/echo.70219","DOIUrl":"https://doi.org/10.1111/echo.70219","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Saw-Tooth” Cardiomyopathy in an Infant","authors":"Vineeta Ojha,&nbsp;Aprateem Mukherjee,&nbsp;Debanjan Nandi,&nbsp;Sataroopa Misra,&nbsp;Saurabh kumar Gupta,&nbsp;Priya Jagia","doi":"10.1111/echo.70222","DOIUrl":"https://doi.org/10.1111/echo.70222","url":null,"abstract":"<div>\u0000 \u0000 <p>We hereby describe a case of saw tooth cardiomyopathy, which is a rare type of LV dysplasia, in an infant. We describe the multimodality imaging features that help to diagnose this entity.</p>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}