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Quantitative perfusion imaging in cardiac allograft vasculopathy: unveiling the relevance of coronary microvascular dysfunction.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-13 DOI: 10.1093/ehjci/jeaf085
Alessia Gimelli, Danilo Neglia
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引用次数: 0
The masquerade of myocardial infarction: methamphetamine induced reverse Takotsubo syndrome.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-11 DOI: 10.1093/ehjci/jeaf082
Chonthicha Tanking, Varitta Lawsakul
{"title":"The masquerade of myocardial infarction: methamphetamine induced reverse Takotsubo syndrome.","authors":"Chonthicha Tanking, Varitta Lawsakul","doi":"10.1093/ehjci/jeaf082","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf082","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143614078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and Impact of Structural Valve Deterioration Following TAVI: a Multicenter Real-World Study.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-10 DOI: 10.1093/ehjci/jeaf083
Iria Silva, Alberto Alperi, Antonio Muñoz, Asim Cheema, Luis Nombela, Gabriela Veiga-Fernandez, Edgar Tay, Marina Urena, Lluis Asmarats, María Del Trigo, Yinghao Lim, Lola Gutierrez Alonso, Ander Regueiro, Francisco Campelo-Parada, Vicenç Serra, David Del Val, Henrique Barbosa Ribeiro, Julien Ternacle, Victoria Vilalta, Pablo Vidal, Yassin Belahnech, Fernando Alfonso, Jorge Nuche, Josep Rodes-Cabau, Philippe Pibarot

Aims: Valve durability becomes a major issue as transcatheter aortic valve implantation (TAVI) is expanding to populations with longer life expectancy. We sought to i) determine the incidence of structural valve deterioration (SVD), ii) compare the incidence of SVD between balloon-expandable (BE) and self-expandable (SE) valves, and iii) analyze the impact of SVD.

Methods and results: 2040 patients who underwent TAVI (2007-2020) from 9 centers were included. After inverse probability treatment weighting (IPTW), 1848 patients were selected (973 BE and 875 SE). SVD was defined using recent echocardiographic definitions according to VARC-3 criteria: Median follow-up was 4.2 (IQR: 2.5-5.7) years. The estimated incidence of SVD and bioprosthetic valve failure (BVF) at 8-years follow-up for the overall cohort were 13.3% (95%CI 9.8-18%) and 11.5% (95%CI 8.9-14.8%), respectively. After IPTW and a median follow-up of 4 years, the risk of SVD (5.25 % vs. 1.19%; HR 10.25, 95%CI 3.79-27.71, p <0.001), and all-cause BVF (6.41% vs. 3.2%; HR 2.1, 95%CI 1.27-3.47 p=0.004), was significantly higher for BE compared to SE recipients. Patients developing SVD had a trend towards a higher incidence of cardiovascular death (p=0.06), as well as a significantly higher risk of heart failure rehospitalization (p=0.048). After IPTW, there were no differences between BE and SE recipients in the combined endpoint of cardiovascular death, heart failure rehospitalization and valve reintervention (p=0.46).

Conclusions: In this real-world registry, the incidence of SVD at 8-years after TAVI was relatively low. The risk of SVD was higher among BE compared to SE valve recipients. SVD was associated with increased risk of heart failure rehospitalization and a trend towards a higher risk of cardiovascular death.

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引用次数: 0
Dynamic coronary obstruction causing myocardial malperfusion in aortic dissection.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-10 DOI: 10.1093/ehjci/jeaf084
Vinícius Cardoso Serra, André Vaz, Eduardo Kaiser Ururahy Nunes Fonseca
{"title":"Dynamic coronary obstruction causing myocardial malperfusion in aortic dissection.","authors":"Vinícius Cardoso Serra, André Vaz, Eduardo Kaiser Ururahy Nunes Fonseca","doi":"10.1093/ehjci/jeaf084","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf084","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of ascending aortic morphology: Cross-sectional deep learning-based analysis on 25,073 non-contrast-enhanced NAKO MRI studies.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-07 DOI: 10.1093/ehjci/jeaf081
Louisa Fay, Tobias Hepp, Moritz T Winkelmann, Annette Peters, Margit Heier, Thoralf Niendorf, Tobias Pischon, Beate Endemann, Jeanette Schulz-Menger, Lilian Krist, Matthias B Schulze, Rafael Mikolajczyk, Andreas Wienke, Nadia Obi, Bernard C Silenou, Berit Lange, Hans-Ulrich Kauczor, Wolfgang Lieb, Hansjörg Baurecht, Michael Leitzmann, Kira Trares, Hermann Brenner, Karin B Michels, Stefanie Jaskulski, Henry Völzke, Konstantin Nikolaou, Christopher L Schlett, Fabian Bamberg, Mario Lescan, Bin Yang, Thomas Küstner, Sergios Gatidis

Aims: Understanding determinants of thoracic aortic morphology is crucial for precise diagnostics and therapeutic approaches. This study aimed to automatically characterize ascending aortic morphology based on 3D non-contrast-enhanced magnetic resonance angiography (NC-MRA) data from the epidemiological cross-sectional German National Cohort (NAKO) and to investigate possible determinants of mid-ascending aortic diameter (mid-AAoD).

Methods and results: Deep learning (DL) automatically segmented the thoracic aorta and ascending aortic length, volume, and diameter was extracted from 25,073 NC-MRAs. Statistical analyses investigated relationships between mid-AAoD and demographic factors, hypertension, diabetes, alcohol, and tobacco consumption. Males exhibited significantly larger mid-AAoD than females (M:35.5±4.8mm, F:33.3±4.5mm). Age and body surface area (BSA) were positively correlated with mid-AAoD (age: male: r²=0.20, p<0.001, female: r²=0.16, p<0.001; BSA: male: r²=0.08, p<0.001, female: r²=0.05, p<0.001). Hypertensive and diabetic subjects showed higher mid-AAoD (ΔHypertension = 2.9 ± 0.5mm; ΔDiabetes = 1.5 ± 0.6mm). Hypertension was linked to higher mid-AAoD regardless of age and BSA, while diabetes and mid-AAoD were uncorrelated across age-stratified subgroups. Daily alcohol consumption (male: 37.4±5.1mm, female: 35.0±4.8mm) and smoking history exceeding 16.5 pack-years (male: 36.6±5.0mm, female: 33.9±4.3mm) exhibited highest mid-AAoD. Causal analysis (Peter-Clark algorithm) suggested that age, BSA, hypertension, and alcohol consumption are possibly causally related to mid-AAoD, while diabetes and smoking are likely spuriously correlated.

Conclusions: This study demonstrates the potential of DL and causal analysis for understanding ascending aortic morphology. By disentangling observed correlations using causal analysis, this approach identifies possible causal determinants, such as age, BSA, hypertension, and alcohol consumption. These findings can inform targeted diagnostics and preventive strategies, supporting clinical decision-making for cardiovascular health.

{"title":"Determinants of ascending aortic morphology: Cross-sectional deep learning-based analysis on 25,073 non-contrast-enhanced NAKO MRI studies.","authors":"Louisa Fay, Tobias Hepp, Moritz T Winkelmann, Annette Peters, Margit Heier, Thoralf Niendorf, Tobias Pischon, Beate Endemann, Jeanette Schulz-Menger, Lilian Krist, Matthias B Schulze, Rafael Mikolajczyk, Andreas Wienke, Nadia Obi, Bernard C Silenou, Berit Lange, Hans-Ulrich Kauczor, Wolfgang Lieb, Hansjörg Baurecht, Michael Leitzmann, Kira Trares, Hermann Brenner, Karin B Michels, Stefanie Jaskulski, Henry Völzke, Konstantin Nikolaou, Christopher L Schlett, Fabian Bamberg, Mario Lescan, Bin Yang, Thomas Küstner, Sergios Gatidis","doi":"10.1093/ehjci/jeaf081","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf081","url":null,"abstract":"<p><strong>Aims: </strong>Understanding determinants of thoracic aortic morphology is crucial for precise diagnostics and therapeutic approaches. This study aimed to automatically characterize ascending aortic morphology based on 3D non-contrast-enhanced magnetic resonance angiography (NC-MRA) data from the epidemiological cross-sectional German National Cohort (NAKO) and to investigate possible determinants of mid-ascending aortic diameter (mid-AAoD).</p><p><strong>Methods and results: </strong>Deep learning (DL) automatically segmented the thoracic aorta and ascending aortic length, volume, and diameter was extracted from 25,073 NC-MRAs. Statistical analyses investigated relationships between mid-AAoD and demographic factors, hypertension, diabetes, alcohol, and tobacco consumption. Males exhibited significantly larger mid-AAoD than females (M:35.5±4.8mm, F:33.3±4.5mm). Age and body surface area (BSA) were positively correlated with mid-AAoD (age: male: r²=0.20, p<0.001, female: r²=0.16, p<0.001; BSA: male: r²=0.08, p<0.001, female: r²=0.05, p<0.001). Hypertensive and diabetic subjects showed higher mid-AAoD (ΔHypertension = 2.9 ± 0.5mm; ΔDiabetes = 1.5 ± 0.6mm). Hypertension was linked to higher mid-AAoD regardless of age and BSA, while diabetes and mid-AAoD were uncorrelated across age-stratified subgroups. Daily alcohol consumption (male: 37.4±5.1mm, female: 35.0±4.8mm) and smoking history exceeding 16.5 pack-years (male: 36.6±5.0mm, female: 33.9±4.3mm) exhibited highest mid-AAoD. Causal analysis (Peter-Clark algorithm) suggested that age, BSA, hypertension, and alcohol consumption are possibly causally related to mid-AAoD, while diabetes and smoking are likely spuriously correlated.</p><p><strong>Conclusions: </strong>This study demonstrates the potential of DL and causal analysis for understanding ascending aortic morphology. By disentangling observed correlations using causal analysis, this approach identifies possible causal determinants, such as age, BSA, hypertension, and alcohol consumption. These findings can inform targeted diagnostics and preventive strategies, supporting clinical decision-making for cardiovascular health.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multimodality Imaging of Aortic Root Prosthesis Dehiscence in Prosthetic Valve Endocarditis.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-05 DOI: 10.1093/ehjci/jeaf080
Mario A J Leal-Villarreal, Aimée Mercado-Dominguez, César Gómez-Rodríguez, José Luis Morales-Arteaga, Álvaro Montañez-Orozco
{"title":"Multimodality Imaging of Aortic Root Prosthesis Dehiscence in Prosthetic Valve Endocarditis.","authors":"Mario A J Leal-Villarreal, Aimée Mercado-Dominguez, César Gómez-Rodríguez, José Luis Morales-Arteaga, Álvaro Montañez-Orozco","doi":"10.1093/ehjci/jeaf080","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf080","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging Assessment After Percutaneous Left Atrial Appendage Closure: From Immediate to Long-Term Follow-Up.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-04 DOI: 10.1093/ehjci/jeaf078
Pedro Cepas-Guillén, David R Holmes, Joao Cavalcante, Xavier Freixa, Gilles O Hara, Jonathan Beaudoin, Julio Farjat-Pasos, Benoit Labbé, Josep Rodés-Cabau, Erwan Salaun

Growing evidence has demonstrated the clinical benefit of percutaneous left atrial appendage closure (LAAC) in patients with atrial fibrillation. Although procedural complication rates have declined with increasing experience, post-procedural device-related complications persist, impacting prognosis and reducing the long-term benefits of the procedure. Given the potential impact of these complications, surveillance imaging after LAAC is mandatory. Currently, different imaging modalities offer unique advantages to manage these complications which warrants a combined approach to optimize both short- and long-term follow-up. The aims of this review are to explore the distinct characteristics of each imaging modality, highlighting the primary findings to be assessed during each imaging follow-up. Additionally, we propose an optimized clinical imaging surveillance roadmap from discharge to long-term follow-up.

{"title":"Imaging Assessment After Percutaneous Left Atrial Appendage Closure: From Immediate to Long-Term Follow-Up.","authors":"Pedro Cepas-Guillén, David R Holmes, Joao Cavalcante, Xavier Freixa, Gilles O Hara, Jonathan Beaudoin, Julio Farjat-Pasos, Benoit Labbé, Josep Rodés-Cabau, Erwan Salaun","doi":"10.1093/ehjci/jeaf078","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf078","url":null,"abstract":"<p><p>Growing evidence has demonstrated the clinical benefit of percutaneous left atrial appendage closure (LAAC) in patients with atrial fibrillation. Although procedural complication rates have declined with increasing experience, post-procedural device-related complications persist, impacting prognosis and reducing the long-term benefits of the procedure. Given the potential impact of these complications, surveillance imaging after LAAC is mandatory. Currently, different imaging modalities offer unique advantages to manage these complications which warrants a combined approach to optimize both short- and long-term follow-up. The aims of this review are to explore the distinct characteristics of each imaging modality, highlighting the primary findings to be assessed during each imaging follow-up. Additionally, we propose an optimized clinical imaging surveillance roadmap from discharge to long-term follow-up.</p>","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: The role of multi-modality imaging in multiple valvular heart diseases: a clinical consensus statement of the European Association of Cardiovascular Imaging of the European Society of Cardiology.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-04 DOI: 10.1093/ehjci/jeaf075
{"title":"Correction to: The role of multi-modality imaging in multiple valvular heart diseases: a clinical consensus statement of the European Association of Cardiovascular Imaging of the European Society of Cardiology.","authors":"","doi":"10.1093/ehjci/jeaf075","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf075","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary-pulmonary collateral as major pulmonary blood sources in tetralogy of Fallot with absent left pulmonary artery. 在左肺动脉缺失的法洛氏四联症患者中,冠状动脉-肺动脉侧支是主要的肺血来源。
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-03 DOI: 10.1093/ehjci/jeae303
Leizhi Ku, Yuhang Wang, Zheng Liu, Xiaojing Ma
{"title":"Coronary-pulmonary collateral as major pulmonary blood sources in tetralogy of Fallot with absent left pulmonary artery.","authors":"Leizhi Ku, Yuhang Wang, Zheng Liu, Xiaojing Ma","doi":"10.1093/ehjci/jeae303","DOIUrl":"10.1093/ehjci/jeae303","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":"585"},"PeriodicalIF":6.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aneurysm of the sinus of Valasalva dissecting into the interventricular septum and non-compaction of the left ventricle.
IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-03-03 DOI: 10.1093/ehjci/jeaf079
Humberto Morais, Mauer A A Gonçalves
{"title":"Aneurysm of the sinus of Valasalva dissecting into the interventricular septum and non-compaction of the left ventricle.","authors":"Humberto Morais, Mauer A A Gonçalves","doi":"10.1093/ehjci/jeaf079","DOIUrl":"https://doi.org/10.1093/ehjci/jeaf079","url":null,"abstract":"","PeriodicalId":12026,"journal":{"name":"European Heart Journal - Cardiovascular Imaging","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
European Heart Journal - Cardiovascular Imaging
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