European heart journal. Imaging methods and practice最新文献

{"title":"Echocardiography for short-term mechanical circulatory support: a trans-Atlantic practical guide.","authors":"Hatem Soliman-Aboumarie, Christophe Vandenbriele, Luca Baldetti, Tim Balthazar, Sascha Ott, Jaime Hernandez-Montfort, Alina Nicoara","doi":"10.1093/ehjimp/qyaf067","DOIUrl":"10.1093/ehjimp/qyaf067","url":null,"abstract":"<p><p>Short-term mechanical circulatory support (stMCS) devices are increasingly utilized for haemodynamic stabilization in patients with cardiogenic shock. Echocardiography plays a pivotal role across the continuum of stMCS use-from patient selection and device implantation to monitoring, troubleshooting, and weaning. This review provides a comprehensive, practical guide for clinicians on the echocardiographic assessment of commonly used stMCS devices, including intra-aortic balloon pump, Impella, ProtekDuo, and veno-arterial extracorporeal membrane oxygenation. We outline device-specific contraindications, key imaging views for guiding placement, and parameters for monitoring device performance and detecting complications. The paper also introduces structured echocardiographic criteria to support decision-making during weaning and explantation. Finally, we explore emerging tools such as speckle-tracking echocardiography, 3D imaging, and artificial intelligence that may further optimize stMCS management. Through an international, multidisciplinary collaboration, this guide aims to standardize echocardiographic practice in stMCS and improve clinical outcomes in critically ill cardiac patients.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf067"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268337","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":"Radioprotection in interventional cardiology: a step-by-step 'call to action' to promote gender equity.","authors":"Chiara Bernelli, Stefania Angela Di Fusco, Roxana Mehran, Furio Colivicchi","doi":"10.1093/ehjimp/qyaf074","DOIUrl":"10.1093/ehjimp/qyaf074","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf074"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304252","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":"A case of missed stab wound to the right heart diagnosed by cardiac imaging.","authors":"Ruchika Meel, Ricardo Gonçalves","doi":"10.1093/ehjimp/qyaf078","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf078","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf078"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510214","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":"Feasibility of party balloon inflation manoeuvre for haemodynamic provocation: a pilot study in healthy volunteers.","authors":"Kento Kito, Akihisa Kataoka, Maki Okamoto, Satoshi Nakada, Kazuyo Shirakura, Hanako Kobayashi, Ikumi Chikuda, Junichi Nishikawa, Yosei Iseki, Taiga Katayama, Hideyuki Kawashima, Takeyuki Sajima, Hirosada Yamamoto, Yusuke Watanabe, Naoyuki Yokoyama, Ken Kozuma","doi":"10.1093/ehjimp/qyaf071","DOIUrl":"10.1093/ehjimp/qyaf071","url":null,"abstract":"<p><strong>Aims: </strong>Left ventricular outflow tract (LVOT) obstruction is a key feature of hypertrophic obstructive cardiomyopathy (HOCM), whereas patent foramen ovale (PFO) obstruction is associated with cryptogenic stroke and other conditions. The Valsalva manoeuvre (VM) is a standard technique for diagnosing these conditions; however, its inconsistent execution can limit diagnostic accuracy. We aimed to evaluate the party balloon inflation manoeuvre (PBIM) as an alternative to VM for diagnosing HOCM and PFO by comparing their haemodynamic effects.</p><p><strong>Methods and results: </strong>In this single-centre pilot study, we conducted <i>in vitro</i> and <i>in vivo</i> experiments. The pressure characteristics of the two balloon sizes were measured in the <i>in vitro</i> experiment. In the <i>in vivo</i> study, we assessed haemodynamic changes in 25 healthy volunteers using transthoracic echocardiography. The endpoints included the left ventricular diastolic dimension (LVDd) for HOCM and the right ventricular inflow velocity-time integral (RV inflow-VTI) for PFO. PBIM significantly reduced LVDd compared with VM, indicating greater LVOT obstruction provocation (<i>P</i> < 0.01). The RV inflow-VTI was also significantly higher with PBIM, suggesting increased venous return and enhanced right-to-left shunting (<i>P</i> < 0.01). The heart rate and perceived exertion scores were higher with the PBIM, reflecting a greater physiological load.</p><p><strong>Conclusion: </strong>PBIM is a simple, effective, and reliable alternative to VM for diagnosing HOCM and PFO, offering clear visual feedback and improved diagnostic performance. Further research in patient populations is required to confirm these findings. <b>Trial registration number:</b> UMIN000054423.(https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&recptno=R000062098&type=summary&language=J).</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf071"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311152","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":"Precision medicine and mitral valve assessment.","authors":"Edgar Argulian, Julia Grapsa","doi":"10.1093/ehjimp/qyaf073","DOIUrl":"10.1093/ehjimp/qyaf073","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf073"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304251","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":"False-positive phenomenon in microbubble testing: unveiling the underlying mechanism.","authors":"Yumi Yamamoto, Yasuhide Mochizuki, Saaya Ichikawa-Ogura, Rumi Hachiya, Hiroto Fukuoka, Toshiro Shinke","doi":"10.1093/ehjimp/qyaf056","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf056","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf056"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176266","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":"Artificial intelligence-derived coronary plaque features predict incident acute ischaemic stroke independent of cardioembolic risk factors.","authors":"Robert Luceri, Francesca Calicchio, Fatima Amin, Livia De Sousa Domingues Da Silva, Eric Hu, Najah Khan, Gavin Cobb, Elizabeth Epstein, Melody Hermel, Shawn Newlander, Mary Kalafut, Austin Robinson, Jorge Gonzalez, George Wesbey Iii","doi":"10.1093/ehjimp/qyaf069","DOIUrl":"10.1093/ehjimp/qyaf069","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf069"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277272","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":"Changes in afterload and contractility in patients with severe aortic stenosis after transcatheter aortic valve replacement.","authors":"Kristian B Laursen, Rasmus Carter-Storch, Patricia A Pellikka, Mulham Ali, Nils S B Mogensen, Kristian A Øvrehus, Marie-Annick Clavel, Jordi S Dahl","doi":"10.1093/ehjimp/qyaf063","DOIUrl":"10.1093/ehjimp/qyaf063","url":null,"abstract":"<p><strong>Aims: </strong>In aortic stenosis (AS), estimation of left ventricular (LV) contractility is difficult as most markers of systolic LV function are load-dependent. The ratio of LV ejection fraction (LVEF) to end-systolic wall stress (ESWS), has been widely accepted as a marker of contractility. However, no studies have evaluated if this ratio is affected by loading conditions. The study describes changes in ESWS and ESWS corrected LVEF after transcatheter aortic valve replacement (TAVR).</p><p><strong>Methods and results: </strong>In this prospective study, 41 patients with severe AS underwent echocardiography, LV catheterisation, and computed tomography (CT) before and immediately after TAVR. ESWS was estimated from echocardiography alone (ESWS_Echo), combining CT LV dimensions and echocardiographic gradients (ESWS_CT  ₊  _echo) and combining CT LV dimensions and invasively measured LV end-systolic pressure (ESWS_CT  ₊  _Invasive). ESWS_echo, ESWS_CT  ₊  _echo and ESWS_CT  ₊  _Invasive all decreased significantly after TAVR (89 ± 48 vs. 57 ± 37 Kdynes/cm², <i>P</i> < 0.01; 69 ± 8 vs. 51 ± 8 Kdynes/cm², <i>P</i> < 0.01, and 197 ± 69 vs. 137 ± 48 Kpa/cm², <i>P</i> < 0.01, respectively). We observed weak to moderate associations between the methods. After TAVR, LVEF corrected to ESWS_echo, ESWS_CT  ₊  _echo and ESWS_CT  ₊  _Invasive increased (0.93 ± 0.07 vs. 1.91 ± 2.1, <i>P</i> = 0.013; 0.36 ± 0.19 vs. 0.58 ± 0.33, <i>P</i> < 0.01, and 0.3 ± 0.02 vs. 2.5 ± 1.5, <i>P</i> < 0.01, respectively).</p><p><strong>Conclusion: </strong>ESWS_echo, ESWS_CT  ₊  _echo and ESWS_CT  ₊  _Invasive decreased significantly after TAVR suggesting they reflect afterload, but independent of method, ESWS corrected LVEF increased slightly post-TAVR, indicating load dependency.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf063"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251772","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":"The effects of cytisinicline for smoking cessation on arterial stiffness, endothelial function, and myocardial performance: a pilot study.","authors":"Ignatios Ikonomidis, John Thymis, Gavriella Kostelli, Konstantinos Katogiannis, Dimitrios Vlastos, Eleni Gatourtzidou, Kallirhoe Kourea","doi":"10.1093/ehjimp/qyaf062","DOIUrl":"10.1093/ehjimp/qyaf062","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf062"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228219","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":"Seeing through the leak: a global perspective on aortic regurgitation assessment.","authors":"Christina Binder, Lena Marie Schmid, Johanna Schlein, Christian Hengstenberg, Thomas Binder","doi":"10.1093/ehjimp/qyaf064","DOIUrl":"10.1093/ehjimp/qyaf064","url":null,"abstract":"<p><strong>Aims: </strong>Despite established guidelines, the echocardiographic quantification of aortic regurgitation (AR) remains challenging in clinical practice. While artificial intelligence (AI) solutions are being developed to support diagnostic assessment using echocardiography, their successful implementation will depend on understanding both current diagnostic challenges and clinician attitudes towards AI adoption. This study aimed to evaluate current practices in AR assessment, identify key challenges, and assess educational needs in AR diagnostics, while also investigating how healthcare professionals perceive AI assistance compared with human expert assessment.</p><p><strong>Methods and results: </strong>We conducted a global online survey among sonographers and physicians. Participants answered questions about their current AR quantification practices, perceived limitations, and willingness to seek assistance from experienced colleagues or AI tools. Additionally, they were asked to grade AR severity in three sample echocardiographic cases. Among 1032 participants from 104 countries, 42% considered AR the most challenging valve lesion to assess. While guidelines recommend a multi-parameter approach, most practitioners relied primarily on visual colour jet assessment (51.5%) and basic measurements, with advanced quantitative parameters being notably underutilized (21.7%). Main limitations included eccentric jets (61.3%) and poor image quality (49.8%). Case-based assessments revealed significant variability in AR grading across experience levels (<i>P</i> < 0.001). Participants showed high confidence in both experienced colleagues and validated AI models (median confidence score of 7/10 for both) but less trust in newly developed AI tools (median confidence score 5/10).</p><p><strong>Conclusion: </strong>This study demonstrates a substantial gap between guideline recommendations and clinical practice in AR quantification, with significant grading variability across and within expertise levels. While practitioners remain sceptical of newly developed AI tools, their openness to validated AI models suggests a potential pathway for improving the consistency of AR assessment.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf064"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228218","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}