Yogev Peri, Yan Topilsky, Mohammad Alnees, Haitham Abu Khadija
{"title":"Right ventricular function-pulmonary pressure interaction as a predictor of mortality in tricuspid regurgitation.","authors":"Yogev Peri, Yan Topilsky, Mohammad Alnees, Haitham Abu Khadija","doi":"10.1007/s10554-026-03753-2","DOIUrl":"10.1007/s10554-026-03753-2","url":null,"abstract":"<p><p>Right ventricular-pulmonary arterial (RV-PA) coupling reflects the ability of the right ventricle to adapt contractile performance to pulmonary afterload. Although TAPSE/PASP has been associated with outcomes across several cardiovascular conditions, its prognostic role in heterogeneous tricuspid regurgitation (TR) populations remains incompletely defined. To evaluate the association between RV-PA coupling, assessed by TAPSE/PASP, and mortality in patients with TR, and to explore whether a composite index integrating longitudinal and areal right ventricular function, (TAPSE × FAC)/PASP, provides incremental prognostic information. In this retrospective cohort study, 247 patients with any grade of TR and available echocardiographic measurements of TAPSE and PASP were included. RV-PA coupling was assessed using TAPSE/PASP, and patients were stratified according to the cohort median. A composite index, (TAPSE × FAC)/PASP, was also evaluated. The primary outcome was all-cause mortality. Cox proportional hazards regression and receiver-operating characteristic analysis were used to assess associations with mortality and discriminatory performance. A pre-specified subgroup analysis was performed in patients with moderate-to-severe TR, defined as EROA ≥ 0.30 cm². Among 247 patients, the median age was 80 years and 61% were female. Reduced TAPSE/PASP was associated with higher 1-year mortality compared with preserved TAPSE/PASP (41.9% vs. 16.3%, p < 0.001) and remained independently associated with mortality after multivariable adjustment (HR 2.15, 95% CI 1.35-3.43, p = 0.001). In the moderate-to-severe TR subgroup (n = 88), TAPSE/PASP retained prognostic significance (HR 2.74, 95% CI 1.42-5.28, p = 0.003). The composite index showed a modest improvement in discrimination compared with TAPSE/PASP alone (AUC 0.691 vs. 0.669). In this retrospective TR cohort, reduced TAPSE/PASP was independently associated with all-cause mortality, with consistent findings in patients with moderate-to-severe TR. The composite (TAPSE × FAC)/PASP index provided only modest incremental discrimination and should be considered exploratory and hypothesis-generating pending external validation.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"1881-1890"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148255309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing TI selection in LGE imaging: pharmacokinetically standardized synthetic LGE and clinical cohort validation of a fixed 400 ms TI for LGE quantification.","authors":"Yasutoshi Ohta, Tomoro Morikawa, Hare Ikeda, Yoshiaki Morita, Tatsuya Nishii, Akiyuki Kotoku, Hiroki Horinouchi, Midori Fukuyama, Emi Tateishi, Fukuda Tetsuya","doi":"10.1007/s10554-026-03761-2","DOIUrl":"10.1007/s10554-026-03761-2","url":null,"abstract":"<p><p>Purpose To evaluate the stability of late gadolinium enhancement (LGE) quantification across inversion times (TIs) around the null point (TInull) using pharmacokinetically generated synthetic LGE (sLGE) and to validate a fixed TI of 400 ms against conventional null-based LGE. Methods In the first cohort (n = 115), a two-compartment pharmacokinetic model was fitted to dynamic T1 maps acquired after gadolinium administration to predict T1 at 10 min, and sLGE images were simulated from the predicted T1 maps. LGE proportion (LGEp) was quantified from TInull - 60 to TInull + 100 ms, and LGEp was compared. In the second cohort (n = 80), LGEp with TI fixed at 400 ms (LGE400) was compared with conventional LGE using a Look-Locker-derived TI (LGEnull), and these images were visually compared. Results LGEp on sLGE was stable from TInull to TInull + 100 ms, with no significant differences across this range, and LGEp decreased significantly to approximately zero below TInull (p < 0.05). LGEp on sLGE with TI = 400 ms showed strong agreement with that from TInull to TInull + 30 ms (r = 0.979 to 1.0). In the second cohort, LGEp correlated strongly between LGE400 and LGEnull (r = 0.85), with minimal bias on Bland-Altman analysis. In participants without amyloidosis, the correlation further improved (r = 0.96), and both imaging approaches showed similar LGE findings. Conclusion Pharmacokinetically standardized sLGE showed stable LGE proportion above the myocardial null point and reduced LGE proportion below it. Under the evaluated 10-min post-contrast 2D inversion recovery-LGE conditions, fixed TI = 400 ms provided LGE quantification comparable to Look-Locker-determined TI in most patients.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"1913-1924"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311176","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}
Fatih Batı, Nilüfer Bıçakcı, Musa Aydın, Zeki Kuş, Berna Kiraz
{"title":"Automated identification of cardiac amyloidosis using cross-modal neural networks on [Formula: see text]-Pyrophosphate SPECT imaging and clinical data.","authors":"Fatih Batı, Nilüfer Bıçakcı, Musa Aydın, Zeki Kuş, Berna Kiraz","doi":"10.1007/s10554-026-03778-7","DOIUrl":"10.1007/s10554-026-03778-7","url":null,"abstract":"<p><p>Accurate, early identification of transthyretin cardiac amyloidosis (ATTR-CA) is challenging yet critical for effective treatment. In this work, the modeled endpoint is scan positivity on [Formula: see text] scintigraphy, defined by the semi-quantitative Perugini visual grade (Grade 2-3 versus Grade 0-1). Two multimodal deep-learning frameworks, including Late Fusion (LF) and Cross-Modal Fusion Network (CMF-Net), are proposed to combine [Formula: see text] scintigraphy with clinical metadata for automated detection. On a curated cohort of 109 patients (62 positive, 47 negative), fusion models consistently outperformed image-only convolutional neural networks (CNNs): CMF-Net raised average accuracy by 6.9 percentage points and LF by 5.4. EfficientNet CMF-Net achieved peak accuracy 90.9% and F1-score 91.4%. Notable gains included a +30.8 percentage points sensitivity(recall) for ResNet-34 with CMF-Net and ResNet-50 LF sensitivity of 94.9%. These results show that integrating imaging and text/numeric clinical data yields superior, reproducible detection of [Formula: see text] scan positivity and may streamline scan interpretation.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"2011-2030"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551860","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}
Jan-Lucca Hennes, Kristina Krompaß, Henner Huflage, Pauline Pannenbecker, Ramin Saam Dazeh, Jan-Peter Grunz, Viktor Hartung, Thorsten Alexander Bley, Philipp Gruschwitz
{"title":"Retrospective assessment of low-dose and low-contrast agent protocols for photon-counting CT angiography of the aorta.","authors":"Jan-Lucca Hennes, Kristina Krompaß, Henner Huflage, Pauline Pannenbecker, Ramin Saam Dazeh, Jan-Peter Grunz, Viktor Hartung, Thorsten Alexander Bley, Philipp Gruschwitz","doi":"10.1007/s10554-026-03757-y","DOIUrl":"10.1007/s10554-026-03757-y","url":null,"abstract":"<p><p>Our objective was to assess dedicated low-dose (LD) and low-contrast (LC) scan protocols for aortic angiography, compared to standard protocols in photon-counting CT (PCD-CT) and energy-integrating CT (EID-CT). 57 patients (23 women) who underwent aortic PCD-CT angiography (Nov. 23 - July 24) were assessed retrospectively. 19 received a low-contrast protocol (LC; 14 mg iodine, image quality level IQ64), 18 a low-dose protocol (LD; 21 mg iodine, IQ42), and 20 a combined low-dose/low-contrast protocol (LD/LC) according to defined patient characteristics. In addition, two groups of 20 BMI-matched patients were created, one of which underwent CTA using the standard PCD-CT protocol and the other using EID-CT, and these were compared with the new protocols. CNR was calculated. Overall quality, luminal contrast, vessel sharpness, and artifacts were rated by four radiologists. LD enabled ~ 40% dose-reduction compared to EID-CT (3.3 ± 0.8 versus 5.3 ± 0.4mGy; p < 0.01) but higher CNR (33.5 ± 6.1 vs. 25.1 ± 6.4; p < 0.01). CNR of LC (26.3 ± 5.6) and LD/LC (25.6 ± 9.1) did not differ significantly to EID-CT (25.1 ± 6.4; p > 0.99). Image quality of LC was deemed superior to EID-CT (5 [5-5] vs. 4 [4-4]; p < 0.01). LD (4 [4-5]) and LD/LC (4 [4-4]) demonstrated comparable image quality to EID-CT (p = 0.52/0.94). In conclusion even the LD/LC protocol provided image quality comparable to EID-CT despite substantial reduction of radiation and contrast agent dose. Special dose-reduced and contrast-reduced protocols are feasible without compromising diagnostic image quality.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"1891-1901"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Molecular imaging of atherosclerotic plaque vulnerability: a narrative review.","authors":"Victoria To, Jason Ha","doi":"10.1007/s10554-026-03724-7","DOIUrl":"10.1007/s10554-026-03724-7","url":null,"abstract":"<p><p>Atherosclerotic plaque rupture or erosion underlies most acute coronary and cerebrovascular events. Risk stratification currently relies on luminal stenosis, which poorly predicts thrombotic risk because many events arise from biologically vulnerable plaques with only mild-to-moderate narrowing. Molecular imaging enables non-invasive assessment of the biological processes that drive plaque instability. A structured narrative review of experimental and clinical studies published between 2000 and 2024 was conducted using PubMed and Ovid Embase. Searches related to atherosclerosis, vulnerable plaque, molecular imaging, inflammation, microcalcification, matrix remodelling, angiogenesis, and carotid or coronary disease identified 2,627 records, of which 38 studies were included after screening. Imaging of inflammation and microcalcification shows the greatest clinical maturity, primarily using positron emission tomography (PET). Inflammation is assessed with ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG), reflecting macrophage metabolic activity, while active microcalcification is detected with ¹⁸F-sodium fluoride (¹⁸F-NaF), which binds to hydroxyapatite in early calcific deposits. Imaging of fibrous cap degeneration and angiogenesis remains less clinically mature with limited human validation, including matrix metalloproteinase-targeted single-photon emission computed tomography (SPECT) and integrin-targeted magnetic resonance imaging (MRI) approaches. Translation is limited by technical complexity, cost, and scarce outcome-based validation. Molecular imaging provides biologically informed assessment of plaque vulnerability beyond stenosis alone. Imaging of inflammation and microcalcification currently show the greatest potential for risk stratification, although further validation and multimodal integration are required before routine clinical use.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"1835-1844"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luca Arcari, Giovanni Camastra, Federica Ciolina, Matteo Sclafani, Emanuela Belmonte, Domenico De Santis, Teresa Castiello, Marco Francone, Massimiliano Danti, Stefano Sbarbati, Viviana Maestrini, Luca Cacciotti
{"title":"Cardiac Troponin release, myocardial function and inflammation in patients with takotsubo syndrome: a cardiac magnetic resonance study.","authors":"Luca Arcari, Giovanni Camastra, Federica Ciolina, Matteo Sclafani, Emanuela Belmonte, Domenico De Santis, Teresa Castiello, Marco Francone, Massimiliano Danti, Stefano Sbarbati, Viviana Maestrini, Luca Cacciotti","doi":"10.1007/s10554-026-03760-3","DOIUrl":"10.1007/s10554-026-03760-3","url":null,"abstract":"<p><p>Background Takotsubo syndrome (TTS) is an acute heart failure phenotype characterized by transient left ventricular dysfunction and modest Troponin release. Mechanisms of myocardial injury remain unclear. We aimed to investigate relationships between Troponin T release, myocardial edema by cardiac magnetic resonance (CMR) T2 mapping, and systemic inflammatory biomarkers in TTS. Methods N = 94 patients with acute TTS underwent CMR (median 4 days after admission) and serial blood sampling during the index hospitalization. Patients were stratified by a previously defined prognostic relevant peak high-sensitivity Troponin T cut-off (≥ 28.8× upper limit of normal [ULN] vs. <28.8× ULN). Full blood count was obtained at admission and on the day of CMR. Results Mean age of the study population was 74 years, 7% male. Patients with higher Troponin release presented with more severe left ventricular systolic dysfunction (admission LVEF 36% vs. 41%, p = 0.005) and higher T2 mapping values (60 vs. 57 ms, p < 0.05). On the CMR day, higher NLR (3.7 ± 2.4 vs. 2.7 ± 1.4, p = 0.020) and lymphocyte-to-monocyte ratio (LMR) (3.2 ± 1.0 vs. 3.9 ± 1.6, p = 0.020) were observed in the high-Troponin release subgroup. Multivariable linear regression analysis identified admission LVEF (β=-0.524, p < 0.001), T2 mapping (β = 0.171, p = 0.045), NLR (β = 0.262, p = 0.032), and LMR (β=-0.282, p = 0.033) as independent correlates of Troponin release as a continuous variable. Conclusions Troponin release in TTS reflects an interplay between ventricular dysfunction, myocardial edema, and systemic inflammatory activation, supporting a non-ischemic pattern of myocardial injury. Troponin may serve as a simple surrogate marker of myocardial and systemic inflammation.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"1903-1912"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148348063","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}
Eshan Momin, Jaret Barr, Gabrielle Gershon, Brian Zhou, Anurag Mehta, Saikiran Rapaka, Athira Jacob, Carlo N De Cecco, Marly van Assen
{"title":"AI-enabled left atrial volume quantification from CAC CT: comparison with echocardiography.","authors":"Eshan Momin, Jaret Barr, Gabrielle Gershon, Brian Zhou, Anurag Mehta, Saikiran Rapaka, Athira Jacob, Carlo N De Cecco, Marly van Assen","doi":"10.1007/s10554-026-03832-4","DOIUrl":"https://doi.org/10.1007/s10554-026-03832-4","url":null,"abstract":"<p><p>Left atrial (LA) volume is a powerful prognostic factor in cardiovascular disease with emerging AI-driven quantification from non-contrast coronary artery calcium (CAC) CT. The accuracy and agreement of such volume quantification with echocardiography, however, is not well studied. This study compares LA volumes captured from CAC CT and transthoracic two-dimensional echocardiography (2DE). This retrospective cohort included 220 patients undergoing both echocardiography and CAC CT within a 1-year period. CAC CT images were analyzed using a deep learning-based autoencoder model to derive chamber volumes. LA volume measurements were compared using Pearson correlation and Bland-Altman plots. Sub analysis was performed based on CT cardiac phase, body mass index, and sex with LA volume indexed to body-surface area (BSA). Mean LA volume differed significantly between 2DE and CAC CT with volumes of 32.2 ± 13.7 mL/m2 and 45.7 ± 15.9 mL/m2 (P < 0.001), respectively. CAC CT-derived LA volume correlated strongly with 2DE-measured LA volume (r = 0.82, ICC = 0.57, P < 0.001) and substantially with clinical severity (Cohen's κ = 0.70, P < 0.001). 2D-echo systematically underestimated LA volume with CAC-CT, with bias of 13.5 mL/m2 [95% CI, 12.3-14.7]. Agreement remained consistent for patients with (r = 0.83, ICC = 0.66, P < 0.001) and without (r = 0.77, ICC = 0.62, P < 0.001) heart failure. Inter-modality agreement for chamber volumes remained robust across sex, BMI, cardiac phase, and vendor sub-analyses. AI-derived LA volume from CAC CT demonstrated strong correlations with 2DE measurements and severity regardless of cardiac phase, BMI, and sex. Despite systematic differences in absolute volume compared to 2DE, CAC CT revealed relative LA remodeling, supporting the use of CAC CT as a modality for chamber quantification.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077282","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}
{"title":"Comment on \"Automated analysis of echocardiographic images: do different artificial intelligence tools provide concordant measurements?\"","authors":"J Gitanjali, C Ronald Darwin, Shabi Ruskin","doi":"10.1007/s10554-026-03810-w","DOIUrl":"https://doi.org/10.1007/s10554-026-03810-w","url":null,"abstract":"","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077218","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}
Amely Walser, Olivier F Clerc, Constantin Mork, Andreas J Flammer, Peder L Myhre, Rahel Schwotzer, Christoph Gräni, Frank Ruschitzka, Felix C Tanner, Dominik C Benz
{"title":"Automated echocardiographic measurements for longitudinal monitoring of ATTR cardiomyopathy: agreement and repeatability analysis.","authors":"Amely Walser, Olivier F Clerc, Constantin Mork, Andreas J Flammer, Peder L Myhre, Rahel Schwotzer, Christoph Gräni, Frank Ruschitzka, Felix C Tanner, Dominik C Benz","doi":"10.1007/s10554-026-03835-1","DOIUrl":"https://doi.org/10.1007/s10554-026-03835-1","url":null,"abstract":"<p><p>Detection of disease progression is key to personalize treatment strategies in transthyretin cardiomyopathy (ATTR-CM), particularly with emerging therapies. Echocardiography can detect subtle longitudinal changes but is limited by operator dependence. This study evaluates agreement and reproducibility of fully automated, AI-assisted echocardiographic measurements under real-world conditions. This retrospective study included 62 patients with ATTR-CM undergoing 178 serial annual echocardiograms assessed by a reference human reader, a second cardiologist (cardiologist 2), a novice reader, and a fully automated AI algorithm (Us2.ai). Interrater agreement was assessed using Bland-Altman analysis and intraclass correlation coefficients (ICCs). Intrarater variability for human readers was derived from repeated blinded measurements, with limits of agreement (LoA = mean difference ± 1.96 × SD) defining the minimal detectable change. AI repeatability was assessed using within-study automated pipeline variability across available acquisitions. AI showed moderate agreement with the reference human reader for IVSd and LVEDV (ICC 0.65 and 0.51), with biases of - 1.9 mm and - 39 mL, respectively. Interrater agreement between cardiologists was good (ICC 0.79 and 0.84) with minimal bias (- 0.2 mm and + 3 mL). Intrarater variability was moderate to excellent for both cardiologists (LoA 3.0 mm and 43 mL for the reference human reader; 2.7 mm and 44 mL for cardiologist 2). AI demonstrated comparable repeatability (LoA 3.6 mm and 37 mL), while the novice showed higher variability (5.1 mm and 61 mL). Fully automated measurements showed within-study variability of similar magnitude to the intrarater variability of experienced readers, although obtained with different experimental designs, supporting further prospective evaluation for serial assessment. Agreement in absolute terms was moderate for wall thickness and LV volumes, indicating expert oversight remains necessary in advanced disease.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077226","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}
Enrique Carlos García Pretelt, Pamela Romanque, Julia Alegría Bobadilla, Cristobal Ramos Gomez
{"title":"Peripartum cardiomyopathy presenting as postpartum cardiogenic shock: a multimodality imaging approach.","authors":"Enrique Carlos García Pretelt, Pamela Romanque, Julia Alegría Bobadilla, Cristobal Ramos Gomez","doi":"10.1007/s10554-026-03831-5","DOIUrl":"https://doi.org/10.1007/s10554-026-03831-5","url":null,"abstract":"<p><p>Peripartum cardiomyopathy (PPCM) is a rare but potentially life-threatening cause of heart failure that requires prompt recognition and exclusion of alternative etiologies. This case highlights the complementary roles of computed tomography and cardiac magnetic resonance (CMR) in the peripartum patient with acute heart failure.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032428","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}