European Heart Journal - Imaging Methods and Practice最新文献

Assessing Cardiac Mechanics through Left Ventricular Hemodynamic Forces 通过左心室血流动力学力评估心脏机理

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-25 DOI: 10.1093/ehjimp/qyae077

Alberto Aimo, G. Panichella, I. Fabiani, Manuel Garofalo, Angela Ilaria Fanizzi, Maddalena Ragagnin, A. Milazzo, C. Zocchi, A. Del Franco, G. Pedrizzetti, I. Olivotto, M. Emdin

引用次数: 0

Tumor Resection and Coronary Artery Bypass Grafting for Right Ventricular Fibroma with Severe Calcification and Coronary Artery Stenosis 右心室纤维瘤伴严重钙化和冠状动脉狭窄的肿瘤切除术和冠状动脉旁路移植术

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-19 DOI: 10.1093/ehjimp/qyae076

Yoshito Ito, Takahide Yoshio, Masao Daimon, Shinsuke Aida, Shuichiro Takanashi

引用次数: 0

Epicardial Adipose Tissue and Diastolic Dysfunction: A Relationship With Unanswered Questions 心外膜脂肪组织与舒张功能障碍：悬而未决的关系

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-18 DOI: 10.1093/ehjimp/qyae072

S. Nistri, D. Mele

引用次数: 0

ESC Pre-Test Probability Estimates for Obstructive Coronary Artery Disease: Can they be used in Brazil? ESC 对阻塞性冠状动脉疾病的检测前概率估计：能否在巴西使用？

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-17 DOI: 10.1093/ehjimp/qyae075

Fernanda Erthal, Ronaldo Lima, F. Penna, Benjamin Chow, Ronaldo Gismondi

{"title":"ESC Pre-Test Probability Estimates for Obstructive Coronary Artery Disease: Can they be used in Brazil?","authors":"Fernanda Erthal, Ronaldo Lima, F. Penna, Benjamin Chow, Ronaldo Gismondi","doi":"10.1093/ehjimp/qyae075","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae075","url":null,"abstract":"\u0000 \u0000 \u0000 Cardiovascular disease, primarily coronary artery disease (CAD), is the leading cause of mortality worldwide. Accurate diagnosis of CAD often requires pre-test probability (PTP) estimation, traditionally performed using scoring systems like the Diamond-Forrester (DF) and European Society of Cardiology (ESC) models. However, the applicability of such models in specific population may vary. This study compares the performance of DF and PTP scores in the Brazilian context, using coronary computed tomography angiography (CCTA) as a reference standard.\u0000 \u0000 \u0000 \u0000 PTP for obstructive CAD was calculated using DF and ESC scores in 409 symptomatic patients without known CAD who underwent CCTA between 2019 and 2022. Predicted PTP was compared with actual CAD prevalence. DF overestimated CAD prevalence across age and symptom categories, while ESC showed better alignment with actual prevalence.\u0000 \u0000 \u0000 \u0000 Our study confirms that the ESC PTP model is more appropriate than the DF model for determining PTP in the Brazilian population.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"15 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Flow inefficiencies in non-obstructive HCM revealed by left ventricular kinetic energy and hemodynamic force analysis from 4D flow CMR 通过四维血流 CMR 的左心室动能和血流动力学力分析揭示非阻塞性 HCM 的血流效率低下问题

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-16 DOI: 10.1093/ehjimp/qyae074

K. Pola, Z. Ashkir, S. Myerson, H. Arheden, H. Watkins, S. Neubauer, P. Arvidsson, B. Raman

{"title":"Flow inefficiencies in non-obstructive HCM revealed by left ventricular kinetic energy and hemodynamic force analysis from 4D flow CMR","authors":"K. Pola, Z. Ashkir, S. Myerson, H. Arheden, H. Watkins, S. Neubauer, P. Arvidsson, B. Raman","doi":"10.1093/ehjimp/qyae074","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae074","url":null,"abstract":"\u0000 \u0000 \u0000 Patients with non-obstructive hypertrophic cardiomyopathy (HCM) exhibit myocardial changes which may cause flow inefficiencies not detectable on echocardiogram. We investigated whether left ventricular (LV) kinetic energy (KE) and hemodynamic forces (HDF) on 4D-flow CMR provide more sensitive measures of flow in non-obstructive HCM.\u0000 \u0000 \u0000 \u0000 90 participants (70 non-obstructive HCM and 20 healthy controls) underwent 4D-flow CMR. Patients were categorized as phenotype positive (P+) based on maximum wall thickness (MWT) ≥15mm or ≥13mm for familial HCM, or pre-hypertrophic sarcomeric variant carriers (P-). LV KE and HDF were computed from 4D-flow CMR. Stroke work was computed using a previously valdated non-invasive method.\u0000 \u0000 \u0000 \u0000 P+, P- and controls had comparable diastolic velocities and LV outflow gradients on echocardiography, LV ejection fraction and stroke volume on CMR. P+ had greater stroke work than P-, higher systolic KE compared to controls (5.8vs4.1mJ, p=0.0009), and higher late diastolic KE relative to P- and controls (2.6vs1.4vs1.9 mJ, p<0.0001 respectively). MWT was associated with systolic KE (r=0.5, p<0.0001) and diastolic KE (r=0.4, p=0.005), which also correlated with stroke work. Systolic HDF ratio was increased in P+ compared to controls (1.0vs0.8, p=0.03) and correlated with MWT (r=0.3, p=0.004). Diastolic HDF was similar between groups. Sarcomeric variant status was not associated with KE or HDF.\u0000 \u0000 \u0000 \u0000 Despite normal flow velocities on echocardiography, non-obstructive HCM exhibited greater stroke work, systolic KE and HDF ratio, and late diastolic KE relative to controls. 4D-flow CMR provides more sensitive measures of hemodynamic inefficiencies in HCM, holding promise for clinical trials of novel therapies and clinical surveillance of non-obstructive HCM.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"62 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141643796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term prognostic impact of fasting plasma glucose and myocardial flow reserve beyond other risk factors and heart disease phenotypes 超越其他风险因素和心脏病表型的空腹血浆葡萄糖和心肌血流储备对长期预后的影响

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-13 DOI: 10.1093/ehjimp/qyae070

E. Filidei, C. Caselli, Luca Menichetti, Michela Poli, D. Petroni, Letizia Guiducci, O. Sorace, Patrizia Pisani, Silvia Pardini, Danilo Bonora, A. Giorgetti, A. Gimelli, D. Neglia

{"title":"Long-term prognostic impact of fasting plasma glucose and myocardial flow reserve beyond other risk factors and heart disease phenotypes","authors":"E. Filidei, C. Caselli, Luca Menichetti, Michela Poli, D. Petroni, Letizia Guiducci, O. Sorace, Patrizia Pisani, Silvia Pardini, Danilo Bonora, A. Giorgetti, A. Gimelli, D. Neglia","doi":"10.1093/ehjimp/qyae070","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae070","url":null,"abstract":"\u0000 \u0000 \u0000 Cardiometabolic risk factors, including high fasting plasma glucose (hFPG), are emerging prognostic determinants in patients with coronary artery disease (CAD) or heart failure (HF). Coronary microvascular dysfunction might be a comprehensive risk predictor in these patients.\u0000 \u0000 \u0000 \u0000 To assess whether hFPG and global myocardial blood flow (MBF) reserve measured by positron emission tomography (PET), expressing global coronary function, predict long-term prognosis beyond other risk factors and presence of obstructive CAD or left ventricular (LV) dysfunction associated with HF.\u0000 \u0000 \u0000 \u0000 We retrospectively collected long-term follow-up data in 103 patients (mean age 61±10 years, 74 males) with stable chest pain or dyspnea who underwent cardiac PET/CT and coronary angiography. Disease phenotypes included obstructive CAD (35%), LV dysfunction without obstructive CAD (43%) or none (22%).\u0000 \u0000 \u0000 \u0000 At multivariable logistic regression analysis, MBF reserve lower than the median value (1.8, CI 1.5-2.2), was significantly associated with male gender (OR 3.45, 95% CI 1.21-9.83) and high FPG (OR 3.87, 95%CI 1.17-12.84) among all risk factors. In a median follow-up of 10.9 years (7.8-13.9 IQR), 39 patients (37.8%) died (13.6% cardiac death).\u0000 At multivariable Cox analyses including all risk factors and disease phenotypes, age (HR 1.07, 95% CI 1.02-1.12), high FPG (HR 2.18, 95% CI 1.02-4.63) and depressed MBF reserve (HR 4.47, 95% CI 1.96-10.18) were independent predictors of death (Global χ2 37.41, P=0.0004).\u0000 \u0000 \u0000 \u0000 These results suggest a strong long-term prognostic role of high FPG and depressed MBF reserve in a high risk population of patients with high prevalence of obstructive CAD or HF.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"64 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Left Atrial Function in Rheumatic Mitral Stenosis Patients: Addressing Prognostic Insights Beyond Atrial Fibrillation Prediction 风湿性二尖瓣狭窄患者的左心房功能：解决心房颤动预测之外的预后问题

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-12 DOI: 10.1093/ehjimp/qyae067

Fernanda de Azevedo Figueiredo, William Antonio M Esteves, J. Hung, N. F. A. Gomes, C. Taconeli, A. Pantaleão, Matheus Assunção Rabello de Oliveira, Silvio Mendes de Magalhães, L. Chavez, Timothy C Tan, Aditya Bhat, Robert A Levine, M. Nunes

{"title":"Left Atrial Function in Rheumatic Mitral Stenosis Patients: Addressing Prognostic Insights Beyond Atrial Fibrillation Prediction","authors":"Fernanda de Azevedo Figueiredo, William Antonio M Esteves, J. Hung, N. F. A. Gomes, C. Taconeli, A. Pantaleão, Matheus Assunção Rabello de Oliveira, Silvio Mendes de Magalhães, L. Chavez, Timothy C Tan, Aditya Bhat, Robert A Levine, M. Nunes","doi":"10.1093/ehjimp/qyae067","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae067","url":null,"abstract":"\u0000 \u0000 \u0000 Rheumatic mitral stenosis (MS) frequently leads to impaired left atrial (LA) function due to pressure overload, highlighting underlying atrial pathology. Two-dimensional speckle tracking echocardiography (2D-STE) offers early detection of LA dysfunction, potentially improving risk assessment in MS patients. This study aimed to evaluate the predictive value of LA function assessed by 2D-STE for clinical outcomes in MS patients.\u0000 \u0000 \u0000 \u0000 Between 2011 and 2021, MS patients underwent LA function assessment using 2D-STE, focusing on the reservoir phase (LASr). Atrial fibrillation (AF) development constituted the primary outcome, with death or valve replacement as secondary. Conditional inference trees were employed for analysis, validated through sample splitting. The study included 493 MS patients (mean valve area 1.1 ± 0.4 cm2, 84% female). At baseline, 166 patients (34%) had AF, with 62 patients (19%) developing AF during follow-up. LASr emerged as the primary predictor for new-onset AF, with a threshold of 17.9%. Over a mean 3.8-year follow-up, 125 patients (25%) underwent mitral valve replacement, and 32 patients (6.5%) died. Decision tree analysis identified key predictors such as age, LASr, severity of tricuspid regurgitation (TR), net atrioventricular compliance (Cn), and early percutaneous mitral valvuloplasty, especially in patients aged ≤ 49 years, where LASr, with a threshold of 12.8%, significantly predicted adverse outcomes.\u0000 \u0000 \u0000 \u0000 LASr emerged as a significant predictor of cardiovascular events in this MS cohort, validated through decision tree analysis. Patients were stratified into low or high-risk categories for adverse outcomes, taking into account LASr, age, TR severity, and Cn.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"95 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Torrential tricuspid regurgitation in Ebstein's Anomaly, never seen so clear! 从未见过如此清晰的埃布斯坦氏畸形三尖瓣急剧反流！

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-02 DOI: 10.1093/ehjimp/qyae066

Torres-Araujo Laura Victoria, Silva-Estrada Jorge Alberto, Jiménez-Santos Moisés, Rosas-Vázquez Ana María, García-Cruz Edgar

引用次数: 0

Intravital Imaging of Cardiac Tissue Utilizing Tissue-stabilized Heart Window Chamber in Live Animal Model 在活体动物模型中利用组织稳定的心脏窗腔对心脏组织进行显微成像

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-07-01 DOI: 10.1093/ehjimp/qyae062

Soyeon Ahn, Jung-yeon Yoon, Pilhan Kim

引用次数: 0

The Adipose Tissue Confined in the Atrio-Ventricular Groove can be used to Assess Atrial Epicardial Adipose Tissue and Atrial Dysfunction during Cardiac Magnetic Resonance Imaging 在心脏磁共振成像中，封闭在心房沟中的脂肪组织可用于评估心房心外膜脂肪组织和心房功能障碍

European Heart Journal - Imaging Methods and Practice Pub Date : 2024-06-14 DOI: 10.1093/ehjimp/qyae057

J. Bialobroda, K. Bouazizi, M. Ponnaiah, N. Kachenoura, Etienne Charpentier, Mohamed Zarai, Karine Clement, Fabrizio Andreelli, J. Aron‐Wisnewsky, Stéphane N. Hatem, Alban Redheuil

{"title":"The Adipose Tissue Confined in the Atrio-Ventricular Groove can be used to Assess Atrial Epicardial Adipose Tissue and Atrial Dysfunction during Cardiac Magnetic Resonance Imaging","authors":"J. Bialobroda, K. Bouazizi, M. Ponnaiah, N. Kachenoura, Etienne Charpentier, Mohamed Zarai, Karine Clement, Fabrizio Andreelli, J. Aron‐Wisnewsky, Stéphane N. Hatem, Alban Redheuil","doi":"10.1093/ehjimp/qyae057","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae057","url":null,"abstract":"\u0000 \u0000 \u0000 The growing interest in epicardial adipose tissue (EAT) as a biomarker of atrial fibrillation (AF) is limited by the difficulties in isolating EAT from other paracardial adipose tissues. We tested the feasibility and value of measuring the pure EAT contained in the atrio-ventricular groove (GEAT) using cardiovascular magnetic resonance imaging (CMR) in patients with distinct metabolic disorders.\u0000 \u0000 \u0000 \u0000 CMR was performed on 100 patients from the MetaCardis cohort: obese (n=18), metabolic syndrome (MSD) (n=25), type-2 diabetes (T2D) (n=42), and age and gender matched healthy controls (n=15). GEAT volume measured from long axis views was obtained in all patients with a strong correlation between GEAT and atrial EAT (r=0.95; P<0.0001). GEAT volume was higher in the 3 groups of patients with metabolic disorders and highest in the MSD group compared to controls. GEAT volume as well as body mass and body fat, allowed obese, T2D, and MSD patients to be distinguished from controls. GEAT T1 relaxation and peak longitudinal left atrial (LA) strain in CMR were decreased in T2D patients. Logistic regression and Random Forest machine-learning methods were used to create an algorithm combining GEAT volume, GEAT T1, and peak LA strain to identify T2D patients from other groups with an AUC of 0.81 (Se: 77%, Spe: 80%; 95%-CI 0.72–0.91, p<0.0001).\u0000 \u0000 \u0000 \u0000 Atrio-ventricular groove adipose tissue measured during routine CMR can be used as a proxy of atrial EAT and integrated in a multiparametric CMR biomarker for early identification of atrial cardiomyopathy.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141338575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0