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Journal of the American Society of Echocardiography

Anne Ringle Griguer, Christophe Tribouilloy, Ariane Truffier, Anne-Laure Castel, François Delelis, Franck Levy, André Vincentelli, Yohann Bohbot, Sylvestre Maréchaux
BACKGROUND: Ejection dynamics parameters are useful in assessing prosthetic valve obstruction, but very limited data are available in the setting of native aortic stenosis (AS). The aim of this study was to evaluate and compare the prognostic value of acceleration time (AT) and the ratio of AT to ejection time (ET) in patients with AS. METHODS: AT and AT/ET were prospectively measured in 456 patients with AS (aortic valve area < 1.3 cm2; mean aortic valve area, 0...
January 3, 2018: Journal of the American Society of Echocardiography
Bart W De Boeck, Aurel Toma, Stephanie Kiencke, Christoph Dehnert, Stefanie Zügel, Christoph Siebenmann, Katja Auinger, Peter T Buser, Marco Maggiorini, Beat A Kaufmann
BACKGROUND: Changes in left ventricular (LV) torsion have been related to LV geometry in patients with concomitant long-standing myocardial disease or pulmonary hypertension (PH). We evaluated the effect of acute high altitude-induced isolated PH on LV geometry, volumes, systolic function, and torsional mechanics. METHODS: Twenty-three volunteers were prospectively studied at low altitude and after the second (D3) and third night (D4) at high altitude (4,559 m)...
January 3, 2018: Journal of the American Society of Echocardiography
Oliver Rothwell, Keith George, John Somauroo, Rachel Lord, Mike Stembridge, Rob Shave, Martin D Hoffman, Mathew Wilson, Euan Ashley, Francois Haddad, Thijs M H Eijsvogels, David Oxborough
BACKGROUND: It has been proposed that chronic exposure to prolonged strenuous exercise may result in maladaptation of the right ventricle (RV). The of this study aim was to establish RV structure and function, including septal insertion points, using conventional echocardiography and myocardial strain (ε) imaging in a veteran population of ultramarathon runners (UR) and age- and sex-matched controls. METHODS: A retrospective study design provided 40 UR (>35 years old; mean ± SD training experience, 18 ± 12 years) and 24 sedentary controls who had previously undergone conventional two-dimensional, tissue Doppler and speckle-tracking echocardiography to measure RV size and function...
January 3, 2018: Journal of the American Society of Echocardiography
Soo Jung Kang, Yoo Won Kwon, Seo Jung Hwang, Hyo Jin Kim, Bo Kyeong Jin, Dong Keon Yon
BACKGROUND: We aimed to evaluate the diagnostic utility of peak left atrial longitudinal strain (PALS) during left ventricular (LV) systole to differentiate children in the acute phase of Kawasaki disease (aKD) from controls. We also aimed to compare the diagnostic utility of PALS with those of conventional echocardiographic indices of diastolic function. METHODS: Retrospectively measured PALS, LV longitudinal peak systolic strain, and strain rate obtained via velocity vector imaging were compared in a derivation cohort comprising 95 aKD and 67 controls...
January 3, 2018: Journal of the American Society of Echocardiography
Timothy Colen, Shelby Kutty, Richard B Thompson, Edythe Tham, Andrew S Mackie, Ling Li, Dongngan T Truong, Michiko Maruyama, Jeffrey F Smallhorn, Nee Scze Khoo
BACKGROUND: Tricuspid regurgitation (TR) is an important risk factor for morbidity and mortality in hypoplastic left heart syndrome (HLHS), yet the evolution of tricuspid valve (TV) dysfunction in HLHS is poorly understood. This study sought to examine changes in TV function in HLHS between the first two stages of surgical palliation and to determine the mechanism of TR at the time of stage two surgery-bidirectional cavopulmonary anastomosis (BCPA). METHODS: We prospectively investigated 44 infants at two time points-prior to Norwood-Sano (T1 - median age 5...
December 29, 2017: Journal of the American Society of Echocardiography
Odd Bech-Hanssen, Christian L Polte, Frida Svensson, Åse A Johnsson, Kerstin M Lagerstrand, Ulf Cederbom, Sinsia A Gao
BACKGROUND: The pulsed-wave Doppler recording in the descending aorta (PWDDAO) is one of the parameters used in grading aortic regurgitation (AR) severity. The aim of the present study was to investigate the assessment of chronic AR by PWDDAO with insights from cardiovascular magnetic resonance (CMR). METHODS: This prospective study comprised 40 patients investigated with echocardiography and CMR within 4 hours either prior to valve surgery (n = 23) or as part of their follow-up (n = 17) due to moderate or severe AR...
December 29, 2017: Journal of the American Society of Echocardiography
Annika Ingvarsson, Anna Werther Evaldsson, Johan Waktare, Johan Nilsson, Gustav J Smith, Martin Stagmo, Anders Roijer, Göran Rådegran, Carl J Meurling
BACKGROUND: Heart function following heart transplantation (HTx) is influenced by numerous factors. It is typically evaluated using transthoracic echocardiography, but reference values are currently unavailable for this context. The primary aim of the present study was to derive echocardiographic reference values for chamber size and function, including cardiac mechanics, in clinically stable HTx patients. METHODS: The study enrolled 124 healthy HTx patients examined prospectively...
December 21, 2017: Journal of the American Society of Echocardiography
Rebecca T Hahn, Alina Nicoara, Samir Kapadia, Lars Svensson, Randolph Martin
Transcatheter aortic valve replacement has become an accepted alternative to surgery for patients with severe, symptomatic aortic stenosis who are inoperable or are at high surgical risk. Recent trials support the use of transcatheter aortic valve replacement also in patients at intermediate risk, and ongoing trials are assessing appropriateness in other patient groups. The authors review the key anatomic features integral to the transcatheter aortic valve replacement procedure and the echocardiographic imaging required for preprocedural, intraprocedural, and postprocedural assessment...
December 21, 2017: Journal of the American Society of Echocardiography
Robert O Bonow, Alan S Brown, Linda D Gillam, Samir R Kapadia, Clifford J Kavinsky, Brian R Lindman, Michael J Mack, Vinod H Thourani, Gregory J Dehmer, Robert O Bonow, Brian R Lindman, Thomas M Beaver, Steven M Bradley, Blase A Carabello, Milind Y Desai, Isaac George, Philip Green, David R Holmes, Douglas Johnston, Jonathon Leipsic, Stephanie L Mick, Jonathan J Passeri, Robert N Piana, Nathaniel Reichek, Carlos E Ruiz, Cynthia C Taub, James D Thomas, Zoltan G Turi, John U Doherty, Gregory J Dehmer, Steven R Bailey, Nicole M Bhave, Alan S Brown, Stacie L Daugherty, Larry S Dean, Milind Y Desai, Claire S Duvernoy, Linda D Gillam, Robert C Hendel, Christopher M Kramer, Bruce D Lindsay, Warren J Manning, Praveen Mehrotra, Manesh R Patel, Ritu Sachdeva, L Samuel Wann, David E Winchester, Joseph M Allen
The American College of Cardiology collaborated with the American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons to develop and evaluate Appropriate Use Criteria (AUC) for the treatment of patients with severe aortic stenosis (AS)...
December 16, 2017: Journal of the American Society of Echocardiography
Joe-Elie Salem, Lee S Nguyen, Nadjib Hammoudi, Gisèle Preud'homme, Jean-Sebastien Hulot, Monique Leban, Christian Funck-Brentano, Philippe Touraine, Richard Isnard, Anne Bachelot
BACKGROUND: Normal values of left ventricular ejection fraction (LVEF) and absolute values of global longitudinal strain (GLS) are lower in men than in women. Data concerning the association of sex hormone levels on these left ventricular systolic function surrogates are scarce. The aim of this study was to determine the association of sex hormones with systolic left ventricular function in healthy subjects and patients with congenital adrenal hyperplasia (CAH) as a model of testosterone dysregulation...
December 13, 2017: Journal of the American Society of Echocardiography
Flavio D'Ascenzi, Francesca Anselmi, Marta Focardi, Sergio Mondillo
Intensive training is associated with hemodynamic changes that typically induce an enlargement of cardiac chambers, involving not only the ventricles but also the atria. The hearts of competitive athletes are characterized by increases in left and right atrial dimensions that have been interpreted as a physiologic adaptation to training. Conversely, some authors have hypothesized maladaptive remodeling; furthermore, the extent of left atrial dimensional remodeling may overlap atrial dilation observed in patients with cardiac disease, representing a challenge for clinicians...
December 12, 2017: Journal of the American Society of Echocardiography
Elena Galli, Christophe Leclercq, Maxime Fournet, Arnaud Hubert, Anne Bernard, Otto A Smiseth, Philippe Mabo, Eigil Samset, Alfredo Hernandez, Erwan Donal
BACKGROUND: Cardiac resynchronization therapy (CRT) in heart failure is plagued by too many nonresponders. The aim of the present study is to evaluate whether the estimation of myocardial performance by pressure-strain loops (PSLs) is useful for the selection of CRT candidates. METHODS: Ninety-seven patients undergoing CRT were included in the study. Bidimensional and speckle-tracking echocardiography were performed before CRT and at the 6-month follow-up (FU). Conventional dyssynchrony parameters were evaluated...
December 12, 2017: Journal of the American Society of Echocardiography
Serkan Ünlü, Oana Mirea, Jürgen Duchenne, Efstathios D Pagourelias, Stéphanie Bézy, James D Thomas, Luigi P Badano, Jens-Uwe Voigt
BACKGROUND: Despite standardization efforts, vendors still use information from different myocardial layers to calculate global longitudinal strain (GLS). Little is known about potential advantages or disadvantages of using these different layers in clinical practice. The authors therefore investigated the reproducibility and accuracy of GLS measurements from different myocardial layers. METHODS: Sixty-three subjects were prospectively enrolled, in whom the intervendor bias and test-retest variability of endocardial GLS (E-GLS) and midwall GLS (M-GLS) were calculated, using software packages from five vendors that allow layer-specific GLS calculation (GE, Hitachi, Siemens, Toshiba, and TomTec)...
December 12, 2017: Journal of the American Society of Echocardiography
Joana O Miranda, Rui J Cerqueira, Carla Ramalho, José Carlos Areias, Tiago Henriques-Coelho
BACKGROUND: Intrauterine exposure to a diabetic environment is associated with adverse fetal myocardial remodeling. The aim of this study was to assess the biventricular systolic and diastolic function of fetuses exposed to maternal diabetes (MD) compared with control subjects, using a comprehensive cardiac functional assessment and exploring the role of speckle-tracking to assess myocardial deformation. The authors hypothesized that fetuses exposed to MD present signs of biventricular dysfunction, which can be detected by deformation analysis...
December 12, 2017: Journal of the American Society of Echocardiography
Shahryar M Chowdhury, Ryan J Butts, Anthony M Hlavacek, Carolyn L Taylor, Karen S Chessa, Varsha M Bandisode, Girish S Shirali, Arni Nutting, G Hamilton Baker
BACKGROUND: Pediatric heart transplant recipients are at risk for increased left ventricular (LV) diastolic stiffness. However, the noninvasive evaluation of LV stiffness has remained elusive in this population. The objective of this study was to compare novel echocardiographic measures of LV diastolic stiffness versus gold-standard measures derived from pressure-volume loop (PVL) analysis in pediatric heart transplant recipients. METHODS: Patients undergoing left heart catheterization were prospectively enrolled...
December 12, 2017: Journal of the American Society of Echocardiography
Sothinathan Gurunathan, Asrar Ahmed, Anastasia Vamvakidou, Ihab S Ramzy, Mohammed Akhtar, Aamir Ali, Nikos Karogiannis, Spiros Zidros, Gothandaraman Balaji, Grace Young, Ahmed Elghamaz, Roxy Senior
BACKGROUND: The ischemic consequences of coronary artery stenosis can be assessed by invasive fractional flow reserve (FFR) or by noninvasive imaging. We sought to determine (1) the concordance between wall thickening assessment during clinically indicated stress echocardiography (SE) and FFR measurements and (2) the factors associated with hard events in these patients. METHODS: Two hundred twenty-three consecutive patients who underwent SE and invasive FFR measurements in close succession were analyzed retrospectively for diagnostic concordance and clinical outcomes...
December 12, 2017: Journal of the American Society of Echocardiography
Yi-Chia Wang, Chi-Hsiang Huang, Yu-Kang Tu
BACKGROUND: Measuring mean pulmonary artery pressure by right-heart catheterization is the gold standard for pulmonary hypertension (PH) diagnosis. However, its invasiveness and complication leads to its limited use. The aim of this study was to determine whether echocardiography-derived pulmonary artery acceleration time (PAAT) possesses adequate diagnostic performance for PH, using right-heart catheterization as a reference standard. METHODS: MEDLINE, Embase, PubMed, and the Cochrane Central Register of Controlled Trials were searched through July 2016 for studies evaluating PAAT for the diagnosis of PH...
December 8, 2017: Journal of the American Society of Echocardiography
Assami Rösner, Tigran Khalapyan, Håvard Dalen, Doff B McElhinney, Mark K Friedberg, George K Lui
BACKGROUND: Previous studies have suggested the presence of dyssynchrony in the functionally single ventricle. The aim of this study was to investigate the presence of classic-pattern dyssynchrony (CPD), characterized by typical early and late deformation of opposite walls, and its relation to QRS duration and myocardial function in patients with single-ventricle physiology after Fontan palliation. METHODS: In a retrospective cross-sectional study, 101 adolescent and adult patients with single-ventricle physiology after the Fontan procedure were investigated...
December 8, 2017: Journal of the American Society of Echocardiography
Denisa Muraru, Antonella Cecchetto, Umberto Cucchini, Xiao Zhou, Roberto M Lang, Gabriella Romeo, Mani Vannan, Sorina Mihaila, Marcelo Haertel Miglioranza, Sabino Iliceto, Luigi P Badano
BACKGROUND: Intervendor consistency of left ventricular (LV) volume measurements using three-dimensional transthoracic echocardiography (3DTTE) has never been reported. Accordingly, we designed a prospective study to (1) compare head-to-head the accuracy of three three-dimensional echocardiography (3DE) systems in measuring LV volumes and ejection fraction (EF) against cardiac magnetic resonance (CMR); (2) assess the intervendor variability of LV volumes and EF; and (3) compare the accuracy of fully automated versus semiautomated (i...
December 8, 2017: Journal of the American Society of Echocardiography
Sunil J Ghelani, David W Brown, Joseph D Kuebler, Douglas Perrin, Divya Shakti, David N Williams, Gerald R Marx, Steven D Colan, Tal Geva, David M Harrild
BACKGROUND: Assessment of left atrial (LA) size and function is important in a number of pediatric cardiac conditions including those affecting the diastolic performance of the left ventricle. Measurements of LA volume and strain by two-dimensional echocardiography rely upon inaccurate geometric assumptions and are hampered by out-of-plane motion. The objective of this study was to characterize LA volumes and strain by three-dimensional echocardiography in healthy children. METHODS: LA volumes and strain were retrospectively measured by three-dimensional echocardiography in healthy children with no known structural or functional heart disease using a commercial speckle-tracking package applied to the LA to compute maximum volume (Vmax), minimum volume (Vmin), ejection volume (LAEV), ejection fraction (LAEF), and the following components of global strain: 3D principal (3DS), longitudinal (GLS), and circumferential (GCS)...
December 2, 2017: Journal of the American Society of Echocardiography
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