European heart journal. Imaging methods and practice最新文献

{"title":"Out of Africa: a rare case report of concurrent rupture of the right sinus of Valsalva aneurysm into the interventricular septum and the right atrium.","authors":"Mauer A A Gonçalves, Humberto Morais, Ana Feijão, Lorete Cardona","doi":"10.1093/ehjimp/qyae065","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae065","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121462","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":"Left atrial deformation analysis in patients with non-ischaemic dilated cardiomyopathy in atrial fibrillation.","authors":"Eduard Ródenas-Alesina, Jordi Lozano-Torres, Pablo Eduardo Tobías-Castillo, Clara Badia-Molins, Rosa Vila-Olives, Maria Calvo-Barceló, Guillem Casas, Toni Soriano-Colomé, Aleix Olivella San Emeterio, Rubén Fernández-Galera, Ana B Méndez-Fernández, José A Barrabés, Ignacio Ferreira-González, José Rodríguez-Palomares","doi":"10.1093/ehjimp/qyae063","DOIUrl":"10.1093/ehjimp/qyae063","url":null,"abstract":"<p><strong>Aims: </strong>Atrial fibrillation (AF) is a common comorbidity in non-ischaemic dilated cardiomyopathy (NIDCM) affecting conventional measures of left atrial (LA) function. We aimed to determine whether LA function analysis could identify patients at higher risk of major cardiovascular events (MACEs).</p><p><strong>Methods and results: </strong>A retrospective study of patients with NIDCM in AF referred to a single centre for transthoracic echocardiography (TTE) between 2015 and 2019. Peak atrial longitudinal strain (PALS) was measured along with LA emptying fraction and LA filling index (LAFI = E wave/PALS). Cox regression analysis was conducted. A total of 153 patients were included [median age 74 years, left ventricular ejection fraction (LVEF) 35%], and 57 (37.3%) had MACE after a median follow-up of 3.2 years. LAFI was the only independent TTE parameter associated with MACE after adjustment for age, diabetes, LVEF, left ventricular global longitudinal strain (LV-GLS), and LA volume index [adjusted hazard ratio (HR) = 1.02 per point increase, <i>P</i> = 0.024], with the best cut-off at ≥15. LAFI ≥15 predicted each of MACE components when separately analysed: MACE HR = 1.95, 95% confidence interval (CI) 1.16-3.30; cardiovascular death HR = 3.68, 95% CI 1.41-9.56, heart failure admission HR = 2.13, 95% CI 1.19-3.80, and ventricular arrhythmia HR = 4.72, 95% CI 1.52-14.67. Higher LAFI was associated with worsening LV-GLS, <i>E</i>/<i>e</i>', systolic pulmonary artery (PA) pressure, tricuspid annular plane systolic excursion, and right ventricular to PA coupling.</p><p><strong>Conclusion: </strong>LA deformation analysis is feasible in patients with NIDCM presenting with AF. LAFI may identify patients at higher risk of MACE and correlates with higher pulmonary pressures and worse right ventricular function, suggesting an elevation of left-sided ventricular pressures in patients with higher LAFI.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121461","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":"Unveiling the reliability of left atrial strain measurement: a dedicated speckle tracking software perspective in controls and cases.","authors":"G E Mandoli, M C Pastore, M C Procopio, A Pica, M Vigna, G Benfari, E E Diviggiano, L Martini, S Lunghetti, M Focardi, M Y Henein, M Cameli","doi":"10.1093/ehjimp/qyae061","DOIUrl":"10.1093/ehjimp/qyae061","url":null,"abstract":"<p><strong>Aims: </strong>Speckle tracking echocardiography increasingly supports left atrial (LA) strain (LAS) analysis for diagnosis and prognosis of various clinical conditions. Prior limitations, such as the absence of dedicated software, have been overcome by validated ventricular-based software. A newly automated real-time and offline LA-specific software have now become available on echocardiographs and dedicated workstations. This study aimed at comparing LA strain measures obtained from new fully automated software vs. traditional semi-automated ventricular-based methods in different groups of patients.</p><p><strong>Methods and results: </strong>Two operators acquired LA images in a mixed population of healthy individuals and patients with pressure overload (hypertension and aortic stenosis) or pressure-volume overload (mitral regurgitation and heart failure). Subjects with prosthetic valves, heart transplant, or atrial fibrillation were excluded. Strain analysis was performed twice by old semi-automated software and new LA dedicated. LAS was then measured online on the scanning echocardiograph. Overall, 100 patients were analysed (41 healthy subjects, 28 pressure overload, 31 volume overload). LAS proved to be highly reproducible with both software. The dedicated method exhibited slightly superior inter- and intra-operator reproducibility. The online software results showed a nearly perfect reproducibility with offline software [intraclass correlation coefficient = 0.99 [0.99; 1.00]] in addition to being able to save an average of ∼30 s.</p><p><strong>Conclusion: </strong>The recently developed fully automated software for dedicated LAS analysis demonstrates excellent inter- and intra-operator reproducibility, making it a reliable and efficient strain calculation method in routine clinical practice. Another advantage of online LAS calculation is time efficiency.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121463","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":"Establishment and validation of an extracellular volume model without blood sampling in ST-segment elevation myocardial infarction patients.","authors":"Lei Chen, Zeqing Zhang, Xinjia Du, Jiahua Liu, Zhongxiao Liu, Wensu Chen, Wenliang Che","doi":"10.1093/ehjimp/qyae053","DOIUrl":"10.1093/ehjimp/qyae053","url":null,"abstract":"<p><strong>Aims: </strong>Recent studies have shown that extracellular volume (ECV) can also be obtained without blood sampling by the linear relationship between haematocrit (HCT) and blood pool R1 (1/T1). However, whether this relationship holds for patients with myocardial infarction is still unclear. This study established and validated an ECV model without blood sampling in ST-segment elevation myocardial infarction (STEMI) patients.</p><p><strong>Methods and results: </strong>A total of 398 STEMI patients who underwent cardiac magnetic resonance (CMR) examination with T1 mapping and venous HCT within 24 h were retrospectively analysed. All patients were randomly divided into a derivation group and a validation group. The mean CMR scan time was 3 days after primary percutaneous coronary intervention. In the derivation group, a synthetic HCT formula was obtained by the linear regression between HCT and blood pool R1 (<i>R</i> ² = 0.45, <i>P</i> < 0.001). The formula was used in the validation group; the results showed high concordance and correlation between synthetic ECV and conventional ECV in integral (bias = -0.12; <i>R</i> ² = 0.92, <i>P</i> < 0.001), myocardial infarction site (bias = -0.23; <i>R</i> ² = 0.93, <i>P</i> < 0.001), and non-myocardial infarction sites (bias = -0.09; <i>R</i> ² = 0.94, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>In STEMI patients, synthetic ECV without blood sampling had good consistency and correlation with conventional ECV. This study might provide a convenient and accurate method to obtain the ECV from CMR to identify myocardial fibrosis.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121540","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":"Verification of reprojected planar images generated from a ring-configured cadmium zinc telluride gamma camera in scintigraphy for diagnosing transthyretin cardiac amyloidosis.","authors":"Irma Cerić Andelius, Ragnheidur Fridriksdóttir, David Minarik, Fredrik Hedeer, Anna Stenvall, Elin Trägårdh, Jenny Oddstig","doi":"10.1093/ehjimp/qyae051","DOIUrl":"10.1093/ehjimp/qyae051","url":null,"abstract":"<p><strong>Aims: </strong>Non-invasive diagnosis of amyloid transthyretin (ATTR) cardiac amyloidosis using planar scintigraphy and single-photon emission computed tomography-computed tomography (SPECT-CT) with [^99mTc]Tc-3,3-diphosphono-1,2-propanodicarboxylic acid ([^99mTc]Tc-DPD) has high specificity and sensitivity. However, the introduction of ring-configured cadmium zinc telluride (CZT) gamma cameras warrants an update in the acquisition method since these systems are not able to perform planar scintigraphy. We aimed to verify the use of reprojected planar images from SPECT-CT as a replacement for planar scintigraphy in evaluating ATTR-amyloidosis.</p><p><strong>Methods and results: </strong>The study examined 30 patients referred for clinically indicated [^99mTc]Tc-DPD scintigraphy who were scanned with both a conventional gamma camera and a ring-configured CZT gamma camera. Planar scintigraphy from the conventional gamma camera was compared with reprojected planar images from the ring-configured CZT gamma camera. The images were evaluated in regard to image quality and Perugini visual score in a blinded fashion by three nuclear medicine physicians. Heart-to-contralateral (H/CL) ratios were calculated. There were 27 patients who had an identical Perugini score in planar and reprojected planar images, yielding a strong level of agreement and inter-rater reliability among the three readers. The H/CL ratios showed a strong correlation ratio (<i>r</i> = 0.98, <i>P</i> < 0.0001). A shift towards lower image quality was seen for the reprojected images.</p><p><strong>Conclusion: </strong>Reprojected planar images generated from a ring-configured CZT gamma camera combined with SPECT-CT can be used to score ATTR amyloidosis and extract H/CL ratios in the same way as planar images and SPECT-CT from a conventional gamma camera.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121464","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":"Celebrating 1 year of <i>EHJ-IMP</i>: imaging an open world.","authors":"Alessia Gimelli, Gerald Maurer","doi":"10.1093/ehjimp/qyae031","DOIUrl":"10.1093/ehjimp/qyae031","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753775","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":"Correction to: Atrial function after percutaneous occluder device and suture-mediated patent fossa ovalis closure.","authors":"","doi":"10.1093/ehjimp/qyae033","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae033","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/ehjimp/qyae008.].</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753776","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":"Speckle tracking echocardiographic prediction of atrial fibrillation after patent foramen ovale closure: a challenging matter.","authors":"Antonio Vitarelli, Lidia Capotosto, Gaetano Tanzilli, Enrico Mangieri","doi":"10.1093/ehjimp/qyae032","DOIUrl":"10.1093/ehjimp/qyae032","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753780","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":"Fatal intramyocardial dissecting haematoma caused by coronary artery perforation during percutaneous coronary intervention.","authors":"Hiroki Yamanobe, Kensaku Nishihira, Mitsuhiro Yano, Yoshisato Shibata, Yujiro Asada","doi":"10.1093/ehjimp/qyae030","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae030","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753778","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 influence of transcatheter aortic valve replacement on left atrial mechanics: a systematic review and meta-analysis.","authors":"Thomas Meredith, Lauren Brown, Farhan Mohammed, Amy Pomeroy, David Roy, David W M Muller, Christopher Hayward, Michael Feneley, Mayooran Namasivayam","doi":"10.1093/ehjimp/qyae026","DOIUrl":"10.1093/ehjimp/qyae026","url":null,"abstract":"<p><strong>Aims: </strong>The morphology and function of the left atrium (LA) are intimately tied to left ventricular loading conditions. Data pertaining to the effect of transcatheter aortic valve replacement (TAVR) on LA function and geometry are scarce. The aim of the study was to quantify associations between TAVR and LA remodelling by pooling available data from published observational studies.</p><p><strong>Methods and results: </strong>A systematic review and meta-analysis were performed. Studies reporting serial LA speckle-tracking echocardiographic (STE) data, before and after TAVR, were included. Other outcome data included LA area and indexed volume (LAVi) and standard chamber measurements. Outcomes were stratified by timing of follow-up echocardiography: early (<6 months) or late (≥6 months). Twelve studies were included, comprising 1066 patients. The mean reduction in LAVi was 2.72 mL/m² [95% confidence interval (CI) 1.37-4.06, <i>P</i> < 0.01]. LA reservoir function improved overall by a mean difference (MD) of 3.71% (95% CI 1.82-5.6, <i>P</i> < 0.01), although there was significant heterogeneity within the pooled studies (<i>I</i> ² = 87.3%). Significant improvement in reservoir strain was seen in both early follow-up (MD 3.1%, <i>P</i> < 0.01) and late follow-up studies (MD 4.48%, <i>P</i> = 0.03), but heterogeneity remained high (<i>I</i> ² = 65.23 and 94.4%, respectively). Six studies reported a change in LA contractile function, which recovered in the early follow-up studies (MD 2.26, <i>P</i> < 0.01), but not in the late group (MD 1.41, <i>P</i> = 0.05). Pooled improvement in LA booster function was 1.96% (95% CI 1.11-2.8, <i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>TAVR is associated with significant negative LA remodelling, and an improvement in LA mechanics, quantified by STE. The prognostic implications of these findings require further study.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753782","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}