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

{"title":"Feasibility Study of Applying the Modified Hahn Nomenclature for Tricuspid Valve Leaflet Classification in Transthoracic Echocardiography Using the Subxiphoid Short-Axis View","authors":"Hua Wang,&nbsp;Xiatian Liu,&nbsp;Zhelan Zheng,&nbsp;Bei Wang","doi":"10.1111/echo.70094","DOIUrl":"https://doi.org/10.1111/echo.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to validate the feasibility of applying an adapted version of the Hahn tricuspid valve nomenclature to classify the leaflets of the tricuspid valve in the subxiphoid short-axis view (SSAV) using transthoracic echocardiography (TTE).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Referral patients from three medical institutions underwent TTE, with the requirement that the tricuspid valve structure be clearly visible in standard views (AC4 V, PSAV, RVIT, S4CV). The tricuspid valve leaflets were classified retrospectively based on the nomenclature proposed by Hahn et al.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between June 2023 and June 2024, 600 patients' SSAV images were analyzed, with 421 cases (70.2%) successfully classified, while 179 cases (29.8%) failed to be classified. The average age of patients was 58 ± 31 years (range: 27–79 years). There were 334 males (55.7%). The mean weight was 75.7 ± 13.5 kg, and the average BMI was 23.1 ± 3.8 kg/m². Of the patients, 52.2% had mild or moderate tricuspid regurgitation (TR), 24.3% had severe TR, 22.8% had massive TR, and 2.3% had torrential TR. In the morphological classification of the tricuspid valve, type I was the most common (32.0%), followed by type IIIB (29.8%). Additionally, 179 cases (29.8%) were not successfully classified or determined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SSAV, as an adjunctive imaging view in TTE for assessing the tricuspid valve, shows potential clinical value. Although there are challenges in classifying tricuspid valve leaflets, the method demonstrates certain feasibility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595198","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":"Multimodality Imaging Approach for a Transient Ischemic Stroke as a First Manifestation of Papillary Fibroelastoma","authors":"Mariana Garcia-Villarejo,&nbsp;Diego Araiza Garaygordobil,&nbsp;Hector Gonzalez Pacheco,&nbsp;Hugo Gerardo Rodríguez Zanella,&nbsp;Alberto Aranda Faustro,&nbsp;Rodrigo Gopar Nieto,&nbsp;Maria Alexandra Arias-Mendoza,&nbsp;Jorge Daniel Sierra-Lara Martinez","doi":"10.1111/echo.70113","DOIUrl":"https://doi.org/10.1111/echo.70113","url":null,"abstract":"<p><b>Take home messages</b></p><p>1. Despite being considered a benign tumor, the high reported incidence of embolic events increasingly warrants surgical resection, regardless of size, especially in patients with a history of cardiovascular risk factors.</p><p>2. Multimodal imaging evaluation plays a crucial role in distinguishing intracardiac masses, relying on the physician's ability to discern characteristic findings. Proper assessment leads to appropriate management decisions based on suggestive findings.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595201","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 Magnetic Resonance Imaging in Immune Checkpoint Inhibitor–Related Myocarditis","authors":"Matthew Hammer,&nbsp;Maciej Tysarowski,&nbsp;Cristina Fuss,&nbsp;Anna S. Bader","doi":"10.1111/echo.70131","DOIUrl":"https://doi.org/10.1111/echo.70131","url":null,"abstract":"<div>\u0000 \u0000 <p>Immune checkpoint inhibitors (ICIs) have revolutionized oncologic treatment, offering a novel and effective approach to personalized cancer immunotherapy. By targeting immune tolerance pathways, ICIs enhance T-cell-mediated tumor cytotoxicity. Despite their therapeutic efficacy, ICIs are associated with immune-related adverse events (irAEs), including severe cardiovascular complications like myocarditis, pericarditis, and vasculitis. ICI-related myocarditis, although uncommon, carries a high mortality rate of up to 50%, particularly in patients receiving combination therapies. This review examines the mechanisms of ICIs, highlights the clinical presentation of cardiac irAEs, and underscores the utility of cardiac magnetic resonance imaging (CMR) in the diagnosis of ICI-associated myocarditis. Through case studies, we illustrate the diagnostic and therapeutic strategies for ICI-related cardiac complications, highlighting the importance of multidisciplinary collaboration in mitigating morbidity and mortality.</p>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595252","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":"Breathless Nights: How Obstructive Sleep Apnea Affects the Right Heart","authors":"Ewa Majos-Karwacka","doi":"10.1111/echo.70126","DOIUrl":"https://doi.org/10.1111/echo.70126","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595197","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":"Hydrops Fetalis Secondary to Left Ventricle Diastolic Collapse Caused by Giant Rhabdomyoma: Utility of 4D STIC and Fetal Heart Quantification Techniques","authors":"Balaganesh Karmegaraj,&nbsp;Gigi Selvan","doi":"10.1111/echo.70130","DOIUrl":"https://doi.org/10.1111/echo.70130","url":null,"abstract":"<p>This case image illustrates the utility of fetal HQ and 4D STIC echocardiography in a 24-week gestation fetus in understanding the hemodynamics responsible for the fetal heart failure due to LV rhabdomyoma.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595202","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":"Right Aortic Arch With Kommerell Diverticulum and a Rare Type of Isolated Left Subclavian Artery","authors":"Shuai Zhang,&nbsp;Yun Cui,&nbsp;Zhe Ren,&nbsp;Jiaoyang Chen,&nbsp;Xinjian He","doi":"10.1111/echo.70125","DOIUrl":"https://doi.org/10.1111/echo.70125","url":null,"abstract":"<div>\u0000 \u0000 <p>The isolated left subclavian artery is a rare congenital variation of the vascular structure. Herein, we report the case of a 10-year-old boy with a rare isolated left subclavian artery. The left subclavian artery evolved from stenosis to atresia, resulting in subclavian steal syndrome. In our case, the combination of echocardiography and computed tomography angiography provided a comprehensive assessment of the cardiovascular malformations, considered necessary for a definitive diagnosis.</p>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581826","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":"Predicting the Need for Pulmonary Venous Reintervention in Total Anomalous Pulmonary Venous Connection: The Role of Preoperative Echocardiographic Metrics","authors":"Helen M. Stanley,&nbsp;Jennifer A. Faerber,&nbsp;Meryl S. Cohen,&nbsp;Ryan Callahan,&nbsp;Stephanie M. Fuller,&nbsp;Brian R. White","doi":"10.1111/echo.70124","DOIUrl":"https://doi.org/10.1111/echo.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Development of postoperative obstruction in total anomalous pulmonary venous connection (TAPVC) is a major cause of morbidity and mortality. Although preoperative echocardiography has often been cited as prognostic of postoperative outcome, its predictive value has not been fully evaluated. Pulmonary venous variability index (PVVI) is an echocardiographic metric developed at our center and previously shown to correlate with preoperative clinical markers and catheterization findings of obstruction. We hypothesized that preoperative PVVI would be superior to maximum and mean velocity for prediction of postsurgical outcome in TAPVC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a retrospective review of TAPVC patients repaired at our center. Preoperative echocardiograms were reviewed for clinical read, and measures of pulmonary venous obstruction including maximum, mean, and minimum velocity and PVVI ([maximum velocity−minimum velocity]/mean velocity) were calculated from spectral Doppler of the pulmonary venous pathway. The outcome was time to surgical or catheter-based pulmonary vein reintervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 162 patients were included and 33 (20%) underwent reintervention. On univariate Cox proportional hazards model, single ventricle status, mixed-type TAPVC, and PVVI ≤ 0.5 were predictive of reintervention (hazard ratios of 2.7, <i>p </i>= 0.01; 3.2, <i>p </i>= 0.01; and 2.2, <i>p </i>= 0.03, respectively). Absolute echocardiographic velocities were not associated with the outcome. On multivariate analysis, single ventricle status and mixed-type TAPVC remained significant predictors of reintervention, while PVVI did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Though preoperative PVVI was associated with an increased risk of postoperative reintervention in TAPVC by univariate analysis, multivariate analysis suggests that single ventricle status and TAPVC subtype are the strongest drivers of postoperative outcomes. Preoperative velocities are not predictive of outcome in TAPVC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554762","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":"Top reviewers 2024 echo","authors":"","doi":"10.1111/echo.70123","DOIUrl":"https://doi.org/10.1111/echo.70123","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554761","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 Parameters of Right Ventricular Size and Function Associated With Right Heart Failure After Durable Left Ventricular Assist Device Implantation—A Systematic Review and Meta-Analysis","authors":"Jia Cheng Kevyn Chai,&nbsp;Jia Le Chew,&nbsp;Anjalee Amarasekera,&nbsp;Hatem Soliman Aboumarie,&nbsp;Timothy C. Tan","doi":"10.1111/echo.70119","DOIUrl":"https://doi.org/10.1111/echo.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Late-onset Right Ventricular (RV) failure is an established complication of Durable Left-Ventricular Assist Device (D-LVAD) implantation. Transthoracic echocardiography (TTE) remains the primary imaging modality for serial monitoring in this population, but its interpretation remains challenging due to device-related changes in RV size and function and a lack of guidelines addressing this impact. This study aims to examine the diagnostic and prognostic utility of TTE parameters of RV size and function in the detection of late-onset RV failure post-implantation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>A systematic literature search of medical databases was performed to identify all relevant studies assessing TTE parameters in adult patients with D-LVADs (January 2003–August 2023; English only). Of the 350 studies identified, nine studies with a pooled cohort of 627 patients and three studies with a pooled cohort of 175 patients (40 Cases and 135 controls) were meta-analyzed across a range of structural and functional TTE parameters. Compared to World Alliance Societies of Echocardiography (WASE) reference values, this population had dilated RV size (as quantified by RVEDD) and reduced systolic function (as quantified by TAPSE, RVFAC, and RVEF). TAPSE was positively associated with the non-RVF group, while RVEDD was negatively associated with the non-RVF group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Based on the available studies, there was baseline RV dilatation and reduced systolic function in patients with D-LVADs. Additionally, TAPSE and RVEDD demonstrated a statistically significant association with the development of RVF post-implantation, indicating a potential role as prognostic markers. Further studies should also be conducted to establish post-implantation TTE reference values.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/echo.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myocardial Dysfunction and Risk of Long COVID in Patients Recovered From Mild and Moderate COVID-19","authors":"Binyu Zhou,&nbsp;Yiran Zhang,&nbsp;Shuang Han,&nbsp;Jiqing Zhang,&nbsp;Lin Song,&nbsp;Haiyan Wang","doi":"10.1111/echo.70120","DOIUrl":"https://doi.org/10.1111/echo.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Numerous recovered COVID-19 patients exhibit persistent cardiovascular symptoms. However, the degree of myocardial dysfunction and its associated risk factors remain unclear. This study aims to evaluate myocardial dysfunction in recovered patients and pinpoint predictors of persistent cardiovascular symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We reviewed the echocardiograms of patients who recovered from mild or moderate COVID-19 and presented with cardiovascular symptoms during the Omicron surge. Myocardial strain was analyzed in 546 patients before and after infection, and in 351 prepandemic healthy controls. Clinical follow-up at 12 months post-infection was used to evaluated symptom persistence, and multivariable logistic regression was used to identify independent predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Baseline characteristics showed no significant differences between patients and controls (all <i>p</i> &gt; 0.05). Although the left ventricle global longitudinal strain (LVGLS) remained stable post-infection, significant reductions emerged in regional left ventricle longitudinal strains (LVLS) and all left atrial strains (LAS) (all <i>p</i> &lt; 0.05). Persistent cardiovascular symptoms affected 16.5% (90/546) of patients at 1-year follow-up. Multivariate analysis showed that only LA conduit strain (OR = 0.919, 95% CI: 0.857, 0.985, <i>p</i> = 0.017) and basal inferoseptal LVLS (OR = 0.883, 95% CI: 0.792, 0.986, <i>p</i> = 0.026) correlated with persisting cardiovascular symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings demonstrate that subclinical but persistent COVID-19-associated myocardial dysfunction is characterized by regional LVLS impairment and LAS reduction. The identified strain parameters (LAScd and basal inferoseptal LVLS) serve as novel imaging markers for stratifying patients at risk of persistent cardiovascular symptoms. These results advocate for targeted echocardiographic surveillance and early intervention strategies in post-COVID care pathways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06170307</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/echo.70120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}