Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_47_22
Alberto Cresti, Pasquale Baratta, Elio Aloia, Francesco De Sensi, Marco Solari, Ugo Limbruno
Background: Atrial tachyarrhythmias are the main cause of atrial thrombosis, and are usually in the left appendage. The prevalence and causes of endocavitarian thrombosis have not been investigated in recent large-scale studies. Aim of our work was to describe the epidemiology, the clinical characteristics and predisposing factors of "extra-appendicular" atrial thrombosis and to report a systematic review of recent literature.
Methods and results: 5,862 consecutive adult patients referred to a transesophageal echocardiographic exam, were enrolled. A total of 175 subjects with Atrial Thrombosis were found with a prevalence of 2.98%; among those 22 was found in left (0.38%) and 2 in the right (0.03%) atrium. Among the 22 patients with left atrial thrombosis, 8 were associated with prosthetic valves, 4 with mitral stenosis and the remaining with hypercoagulative conditions (cancer, septic shock, eosinophilic pneumonia, cardiogenic shock and warfarin under-dosage in permanent atrial fibrillation and decompensated heart failure). Cancer was associated in one of the two patients with a right atrial clot. The review of the literature from 2000 to December 2019 revealed conflicting results of 48 case reports of atrial cavity thrombosis; pooling this data proved the rarity of extra-appendage thrombosis and confirmed its association with a valvular heart disease or a systemic hypercoagulable state.
Conclusions: Atrial "extra-appendage" thrombosis is a rare condition usually associated to "valvular" atrial fibrillation (such as prosthetic valves and mitral stenosis). A minority, but significant, cases are secondary to a thrombophilic conditions. In absence of valvular heart disease an underlying condition should be sought.
{"title":"Frequency and Clinical Significance of Atrial Cavities <i>in situ</i> Thrombosis: A Large-Scale Study and Literature Review.","authors":"Alberto Cresti, Pasquale Baratta, Elio Aloia, Francesco De Sensi, Marco Solari, Ugo Limbruno","doi":"10.4103/jcecho.jcecho_47_22","DOIUrl":"10.4103/jcecho.jcecho_47_22","url":null,"abstract":"<p><strong>Background: </strong>Atrial tachyarrhythmias are the main cause of atrial thrombosis, and are usually in the left appendage. The prevalence and causes of endocavitarian thrombosis have not been investigated in recent large-scale studies. Aim of our work was to describe the epidemiology, the clinical characteristics and predisposing factors of \"extra-appendicular\" atrial thrombosis and to report a systematic review of recent literature.</p><p><strong>Methods and results: </strong>5,862 consecutive adult patients referred to a transesophageal echocardiographic exam, were enrolled. A total of 175 subjects with Atrial Thrombosis were found with a prevalence of 2.98%; among those 22 was found in left (0.38%) and 2 in the right (0.03%) atrium. Among the 22 patients with left atrial thrombosis, 8 were associated with prosthetic valves, 4 with mitral stenosis and the remaining with hypercoagulative conditions (cancer, septic shock, eosinophilic pneumonia, cardiogenic shock and warfarin under-dosage in permanent atrial fibrillation and decompensated heart failure). Cancer was associated in one of the two patients with a right atrial clot. The review of the literature from 2000 to December 2019 revealed conflicting results of 48 case reports of atrial cavity thrombosis; pooling this data proved the rarity of extra-appendage thrombosis and confirmed its association with a valvular heart disease or a systemic hypercoagulable state.</p><p><strong>Conclusions: </strong>Atrial \"extra-appendage\" thrombosis is a rare condition usually associated to \"valvular\" atrial fibrillation (such as prosthetic valves and mitral stenosis). A minority, but significant, cases are secondary to a thrombophilic conditions. In absence of valvular heart disease an underlying condition should be sought.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"61-68"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176236","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}
Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_71_22
Tengku Winda Ardini, Juang Idaman Zebua, Kamal Kharrazi Ilyas, Ali Nafiah Nasution
Postmyocardial infarction ventricular septal rupture (PI-VSR) is a rare but lethal complication of acute myocardial infarction (AMI). The diagnosis and management of AMI remain challenging. When VSR is suspected, transthoracic and/or transesophageal echocardiography at patient's bedside is a test of choice for early diagnosis and therapeutical guidance. We aim to discuss the management of patients with VSR due to AMI with the focus on transcatheter closure management guided by real-time three-dimensional (RT3D) transthoracic echocardiography (TTE). A 64-year-old male patient was diagnosed with recent anterolateral ST elevation myocardial infarction and complication intra VSR as its complication. After remeasurement of the defect by TTE, we found an 8-11 mm defect in VSR. We performed transcatheter closure for VSR guided by RT3D TTE using Septal Occluder device No. 14. Evaluation after the procedure by TTE revealed that the device was well-seated. Percutaneous closure of PI-VSR may be considered in hemodynamically unstable patients if the risk of surgery is deemed to be too high or the anatomy is amenable to device insertion. RT3D echocardiography allows better delineation of the size and shape of the rupture, while serves as a guide during percutaneous transcatheter PI-VSR closure.
{"title":"Real-Time Three-Dimensional Transthoracic Echocardiography as a Decision-Making Tool for the Management of Postmyocardial Infarction Ventricular Septal Rupture: Guiding the Percutaneous Transcatheter Closure.","authors":"Tengku Winda Ardini, Juang Idaman Zebua, Kamal Kharrazi Ilyas, Ali Nafiah Nasution","doi":"10.4103/jcecho.jcecho_71_22","DOIUrl":"10.4103/jcecho.jcecho_71_22","url":null,"abstract":"<p><p>Postmyocardial infarction ventricular septal rupture (PI-VSR) is a rare but lethal complication of acute myocardial infarction (AMI). The diagnosis and management of AMI remain challenging. When VSR is suspected, transthoracic and/or transesophageal echocardiography at patient's bedside is a test of choice for early diagnosis and therapeutical guidance. We aim to discuss the management of patients with VSR due to AMI with the focus on transcatheter closure management guided by real-time three-dimensional (RT3D) transthoracic echocardiography (TTE). A 64-year-old male patient was diagnosed with recent anterolateral ST elevation myocardial infarction and complication intra VSR as its complication. After remeasurement of the defect by TTE, we found an 8-11 mm defect in VSR. We performed transcatheter closure for VSR guided by RT3D TTE using Septal Occluder device No. 14. Evaluation after the procedure by TTE revealed that the device was well-seated. Percutaneous closure of PI-VSR may be considered in hemodynamically unstable patients if the risk of surgery is deemed to be too high or the anatomy is amenable to device insertion. RT3D echocardiography allows better delineation of the size and shape of the rupture, while serves as a guide during percutaneous transcatheter PI-VSR closure.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"88-91"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41127057","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}
Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_25_23
Stefano Sforna, Laura Padoan, Marco Del Papa, Egle Grikstaite, Mariagrazia Sardone, Ketty Savino
Right-sided infective endocarditis (IE), which represents a small but not negligible percentage of IE cases, can be observed in patients with congenital heart diseases. We discuss the case of a young woman with unrepaired perimembranous ventricular septal defect and repeated episodes of right ventricle and tricuspid valve IE with septic embolism.
{"title":"Ventricular Septal Defect and Right-Sided Infective Endocarditis.","authors":"Stefano Sforna, Laura Padoan, Marco Del Papa, Egle Grikstaite, Mariagrazia Sardone, Ketty Savino","doi":"10.4103/jcecho.jcecho_25_23","DOIUrl":"10.4103/jcecho.jcecho_25_23","url":null,"abstract":"<p><p>Right-sided infective endocarditis (IE), which represents a small but not negligible percentage of IE cases, can be observed in patients with congenital heart diseases. We discuss the case of a young woman with unrepaired perimembranous ventricular septal defect and repeated episodes of right ventricle and tricuspid valve IE with septic embolism.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"95-97"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41130212","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}
Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_19_23
Sima Narimani, Ali Hosseinsabet
{"title":"Double-Lobe Right Atrial Appendage in Transesophageal Echocardiography.","authors":"Sima Narimani, Ali Hosseinsabet","doi":"10.4103/jcecho.jcecho_19_23","DOIUrl":"10.4103/jcecho.jcecho_19_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"103-104"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178925","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}
Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_27_23
Mostafa Yahyazadeh Andevari, Reza Hali
{"title":"A Case of Perforated Infected Aneurysm of Mitral Valve Initially Misdiagnosed as a Tumoral Lesion.","authors":"Mostafa Yahyazadeh Andevari, Reza Hali","doi":"10.4103/jcecho.jcecho_27_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_27_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"105-107"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123072","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}
Objectives: The objectives of the study were to determine the association between global longitudinal strain right ventricle (GLS-RV) and mean pulmonary artery pressure (mPAP) on secundum atrial septal defect (ASD) with pulmonary hypertension (PH).
Methods: This study was an analytic observational with the cross-sectional approach. This study was conducted with secundum ASD patients who underwent right heart catheterization (RHC) from February 2019 to July 2019 at Sardjito General Teaching Hospital Yogyakarta. Demographic data were collected and echocardiographic parameters were evaluated based on the standard examination. The results were statistically analyzed using the correlation hypothesis test. If the data were normally distributed, the Pearson's correlation test was used, if the data were not normally distributed, Spearman's correlation test was used to analyze the correlation.
Results: Thirty-four patients were enrolled in this study. There was strongly significant positive correlation between GLS-RV and mPAP found in patients with Secundum ASD (P = 0.0001, r = 90.5%).
Conclusions: This is the first study in Indonesia that analyzed the association between GLS-RV and mPAP in Secundum ASD patients. There was a strongly significant positive correlation between GLS-RV and mPAP in patients with Secundum ASD after RHC. We assume that the association is influenced by progressivity and degree of disease severity.
{"title":"Global Longitudinal Strain Right Ventricle (GLS RV) as a Predictor for Mean Pulmonary Artery Pressure (MPAP) on Secundum Atrial Septal Defect (ASD) with Pulmonary Hypertension.","authors":"Nia Dyah Rahmianti, Lucia Kris Dinarti, Hasanah Mumpuni, Fita Triastuti","doi":"10.4103/jcecho.jcecho_14_23","DOIUrl":"10.4103/jcecho.jcecho_14_23","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of the study were to determine the association between global longitudinal strain right ventricle (GLS-RV) and mean pulmonary artery pressure (mPAP) on secundum atrial septal defect (ASD) with pulmonary hypertension (PH).</p><p><strong>Methods: </strong>This study was an analytic observational with the cross-sectional approach. This study was conducted with secundum ASD patients who underwent right heart catheterization (RHC) from February 2019 to July 2019 at Sardjito General Teaching Hospital Yogyakarta. Demographic data were collected and echocardiographic parameters were evaluated based on the standard examination. The results were statistically analyzed using the correlation hypothesis test. If the data were normally distributed, the Pearson's correlation test was used, if the data were not normally distributed, Spearman's correlation test was used to analyze the correlation.</p><p><strong>Results: </strong>Thirty-four patients were enrolled in this study. There was strongly significant positive correlation between GLS-RV and mPAP found in patients with Secundum ASD (<i>P</i> = 0.0001, <i>r</i> = 90.5%).</p><p><strong>Conclusions: </strong>This is the first study in Indonesia that analyzed the association between GLS-RV and mPAP in Secundum ASD patients. There was a strongly significant positive correlation between GLS-RV and mPAP in patients with Secundum ASD after RHC. We assume that the association is influenced by progressivity and degree of disease severity.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"83-87"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133646","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}
Pub Date : 2023-04-01Epub Date: 2023-08-14DOI: 10.4103/jcecho.jcecho_26_23
Andrea Sonaglioni, Enzo Grasso, Gian Luigi Nicolosi, Roberta Trevisan, Gian Luca Martinelli, Michele Lombardo
Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design. A high right parasternal longitudinal view of the aorta in the right lateral decubitus allowed to suspect the acute aortic syndrome, thus accelerating the subsequent diagnostic and therapeutic iter.
{"title":"An Unusual Case of Ascending Aorta Dissection 4 Years after Perceval Sutureless Bioprosthesis Implantation: Easier Access to Diagnosis through the Right Parasternal Longitudinal Echocardiographic Window.","authors":"Andrea Sonaglioni, Enzo Grasso, Gian Luigi Nicolosi, Roberta Trevisan, Gian Luca Martinelli, Michele Lombardo","doi":"10.4103/jcecho.jcecho_26_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_26_23","url":null,"abstract":"<p><p>Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design. A high right parasternal longitudinal view of the aorta in the right lateral decubitus allowed to suspect the acute aortic syndrome, thus accelerating the subsequent diagnostic and therapeutic iter.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"98-101"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41122146","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}
Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.
{"title":"A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction.","authors":"Shibsankar Sarkar, Biswajit Majumder, Ratul Ghosh, Sougat Chakraborty","doi":"10.4103/jcecho.jcecho_3_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_3_23","url":null,"abstract":"<p><p>Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"92-94"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126900","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}
Purpose: The purpose of this study was to observe the influence of level physical training intensity on left ventricular (LV) adaptation in elite air force soldiers compared to regular basic military training.
Methods: The LV adaptation of special military physical training for elite air force soldiers was compared with basic military training for regular troops. A group of the nonmilitary subject was also evaluated as a control group. The presence of LV adaptation was evaluated using some echocardiography parameters, including LV mass index (LVMI), LV ejection fraction (LVEF), global longitudinal strain (GLS), and myocardial work index. The parameters of the myocardial work index include global constructive work (GCW), global wasted work (GWW), global work index (GWI), and global work efficiency (GWE).
Results: Forty-three elite air force soldiers underwent special military training, 43 regular troops underwent basic military training, and 23 nonmilitary subjects as a control group. Age, heart rate, blood pressure, and Cooper test results significantly differed among the three groups. Multivariate analysis among all groups showed that the level of physical training was associated with the LVMI (coefficient β = 6.061; 95% confidence interval [CI] = 1.91-10.22; P = 0.005), LVEF (coefficient β = -1.409; 95% CI = -2.41-[-0.41]; P = 0.006), LVGLS (coefficient β = 1.726; 95% CI = 1.20-2.25; P < 0.001), GWW (coefficient β = -13.875; 95% CI = -20.88-[-6.87]; P < 0.001), GWE (coefficient β = 0.954; 95% CI = 0.62-1.26; P < 0.001), GCW (coefficient β = 176.128; 95% CI = 121.16-231.10; P < 0.001), and GWI (coefficient β = 196.494; 95% CI = 144.61-248.38; P < 0.001).
Conclusions: Higher intensity of physical training observed in a special military training is associated with higher LV GLS, GWE, GCW, GWI, and lower GWW value suggesting greater physiological adaptation than the lower intensity training.
{"title":"The Influence of Special Military Training on Left Ventricular Adaptation to Exercise in Elite Air Force Soldiers.","authors":"Iwan Junianto, Amiliana Mardiani Soesanto, Basuni Radi, Emir Yonas, Ario Soeryo Kuncoro, Celly Anantaria Atmadikoesoemah, Damba Dwisepto Aulia Sakti","doi":"10.4103/jcecho.jcecho_67_22","DOIUrl":"10.4103/jcecho.jcecho_67_22","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to observe the influence of level physical training intensity on left ventricular (LV) adaptation in elite air force soldiers compared to regular basic military training.</p><p><strong>Methods: </strong>The LV adaptation of special military physical training for elite air force soldiers was compared with basic military training for regular troops. A group of the nonmilitary subject was also evaluated as a control group. The presence of LV adaptation was evaluated using some echocardiography parameters, including LV mass index (LVMI), LV ejection fraction (LVEF), global longitudinal strain (GLS), and myocardial work index. The parameters of the myocardial work index include global constructive work (GCW), global wasted work (GWW), global work index (GWI), and global work efficiency (GWE).</p><p><strong>Results: </strong>Forty-three elite air force soldiers underwent special military training, 43 regular troops underwent basic military training, and 23 nonmilitary subjects as a control group. Age, heart rate, blood pressure, and Cooper test results significantly differed among the three groups. Multivariate analysis among all groups showed that the level of physical training was associated with the LVMI (coefficient β = 6.061; 95% confidence interval [CI] = 1.91-10.22; <i>P</i> = 0.005), LVEF (coefficient β = -1.409; 95% CI = -2.41-[-0.41]; <i>P</i> = 0.006), LVGLS (coefficient β = 1.726; 95% CI = 1.20-2.25; <i>P</i> < 0.001), GWW (coefficient β = -13.875; 95% CI = -20.88-[-6.87]; <i>P</i> < 0.001), GWE (coefficient β = 0.954; 95% CI = 0.62-1.26; <i>P</i> < 0.001), GCW (coefficient β = 176.128; 95% CI = 121.16-231.10; <i>P</i> < 0.001), and GWI (coefficient β = 196.494; 95% CI = 144.61-248.38; <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Higher intensity of physical training observed in a special military training is associated with higher LV GLS, GWE, GCW, GWI, and lower GWW value suggesting greater physiological adaptation than the lower intensity training.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"69-75"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132175","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}
Pub Date : 2023-01-01Epub Date: 2023-05-29DOI: 10.4103/jcecho.jcecho_16_23
Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Gianluca Di Bella, Scipione Carerj
<p><strong>Background: </strong>The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand better how different echocardiographic modalities are used and accessed in Italy.</p><p><strong>Methods: </strong>We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved via an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.</p><p><strong>Results: </strong>Data were obtained from 228 echocardiographic laboratories: 112 centers (49%) in the northern, 43 centers (19%) in the central, and 73 (32%) in the southern regions. During the month of observation, we collected 101,050 transthoracic echocardiography (TTE) examinations performed in all centers. As concern other modalities there were performed 5497 transesophageal echocardiography (TEE) examinations in 161/228 centers (71%); 4057 stress echocardiography (SE) examinations in 179/228 centers (79%); and examinations with ultrasound contrast agents (UCAs) in 151/228 centers (66%). We did not find significant regional variations between the different modalities. The usage of picture archiving and communication system (PACS) was significantly higher in the northern (84%) versus central (49%) and southern (45%) centers (<i>P</i> < 0.001). Lung ultrasound (LUS) was performed in 154 centers (66%), without difference between cardiology and noncardiology centers. The evaluation of left ventricular (LV) ejection fraction was evaluated mainly using the qualitative method in 223 centers (94%), occasionally with the Simpson method in 193 centers (85%), and with selective use of the three-dimensional (3D) method in only 23 centers (10%). 3D TTE was present in 137 centers (70%), and 3D TEE in all centers where TEE was done (71%). The assessment of LV diastolic function was done routinely in 80% of the centers. Right ventricular function was evaluated using tricuspid annular plane systolic excursion in all centers, using tricuspid valve annular systolic velocity by tissue Doppler imaging in 53% of the centers, and using fractional area change in 33% of the centers. When we divided into cardiology (179, 78%) and noncardiology (49, 22%) centers, we found significant differences in the SE (93% vs. 26%, <i>P</i> < 0.001), TEE (85% vs. 18%), UCA (67% vs. 43%, <i>P</i> < 0001), and STE (87% vs. 20%, <i>P</i> < 0.001). The incidence of LUS evaluation was similar between the cardiology and noncardiology centers (69% vs. 61%, P = NS).</p><p><strong>Conclusions: </strong>This nationwide survey demonstrated that digital infrastructures and advanced echocardiography modalities, such as 3D and STE, are widely available in Italy with a notable diffuse uptake of LUS in the core TTE examination, a suboptimal diffusion of PACS recording, and conservative use of UCA, 3D, and strain. There are significant differences between northern and central-southern regions and echocardiographic laboratories that
{"title":"Organization and Activity of Italian Echocardiographic Laboratories: A Survey of the Italian Society of Echocardiography and Cardiovascular Imaging.","authors":"Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Gianluca Di Bella, Scipione Carerj","doi":"10.4103/jcecho.jcecho_16_23","DOIUrl":"10.4103/jcecho.jcecho_16_23","url":null,"abstract":"<p><strong>Background: </strong>The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand better how different echocardiographic modalities are used and accessed in Italy.</p><p><strong>Methods: </strong>We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved via an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.</p><p><strong>Results: </strong>Data were obtained from 228 echocardiographic laboratories: 112 centers (49%) in the northern, 43 centers (19%) in the central, and 73 (32%) in the southern regions. During the month of observation, we collected 101,050 transthoracic echocardiography (TTE) examinations performed in all centers. As concern other modalities there were performed 5497 transesophageal echocardiography (TEE) examinations in 161/228 centers (71%); 4057 stress echocardiography (SE) examinations in 179/228 centers (79%); and examinations with ultrasound contrast agents (UCAs) in 151/228 centers (66%). We did not find significant regional variations between the different modalities. The usage of picture archiving and communication system (PACS) was significantly higher in the northern (84%) versus central (49%) and southern (45%) centers (<i>P</i> < 0.001). Lung ultrasound (LUS) was performed in 154 centers (66%), without difference between cardiology and noncardiology centers. The evaluation of left ventricular (LV) ejection fraction was evaluated mainly using the qualitative method in 223 centers (94%), occasionally with the Simpson method in 193 centers (85%), and with selective use of the three-dimensional (3D) method in only 23 centers (10%). 3D TTE was present in 137 centers (70%), and 3D TEE in all centers where TEE was done (71%). The assessment of LV diastolic function was done routinely in 80% of the centers. Right ventricular function was evaluated using tricuspid annular plane systolic excursion in all centers, using tricuspid valve annular systolic velocity by tissue Doppler imaging in 53% of the centers, and using fractional area change in 33% of the centers. When we divided into cardiology (179, 78%) and noncardiology (49, 22%) centers, we found significant differences in the SE (93% vs. 26%, <i>P</i> < 0.001), TEE (85% vs. 18%), UCA (67% vs. 43%, <i>P</i> < 0001), and STE (87% vs. 20%, <i>P</i> < 0.001). The incidence of LUS evaluation was similar between the cardiology and noncardiology centers (69% vs. 61%, P = NS).</p><p><strong>Conclusions: </strong>This nationwide survey demonstrated that digital infrastructures and advanced echocardiography modalities, such as 3D and STE, are widely available in Italy with a notable diffuse uptake of LUS in the core TTE examination, a suboptimal diffusion of PACS recording, and conservative use of UCA, 3D, and strain. There are significant differences between northern and central-southern regions and echocardiographic laboratories that ","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"1-9"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814635","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}
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