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Domain-Specific Speckle Tracking Longitudinal Strain in LMNA-Related Cardiomyopathy. lmna相关心肌病的区域特异性斑点追踪纵向应变。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-05 DOI: 10.1016/j.echo.2026.01.008
Matteo Castrichini, Ramin Garmany, Michael J Ackerman, Patricia A Pellikka, John R Giudicessi
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引用次数: 0
Left Ventricular Myocardial Work Index: The Impact of Including Ventricular Diastolic Pressure. 左心室心肌工作指数:包括心室舒张压的影响。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-03 DOI: 10.1016/j.echo.2026.01.005
Joao F Fernandes, Otto A Smiseth, Pablo Lamata, Brett S Bernstein, Theodoros Kalos, Amanda Nio, Kazuaki Wakami, Kevin O'Gallagher, Alexandros Papachristidis, Nobuyuki Ohte
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引用次数: 0
Continuing Education and Meeting Calendar 继续教育和会议日程
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.12.001
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引用次数: 0
Reply to Multiple Letters regarding the American Society of Echocardiography’s Recommendations for the Evaluation of Left Ventricular Diastolic Function 回复多封关于ASE评价左室舒张功能的推荐信。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.10.010
Sherif F. Nagueh MD, Danita Y. Sanborn MD, Jae K. Oh MD, Bonita Anderson MApplSc, DMU, ACS, Kristen Billick BS, ACS, RCS, RDCS, Genevieve Derumeaux MD, PhD, Allan Klein MD, Konstantinos Koulogiannis MD, Carol Mitchell PhD, ACS, RDMS, RDCS, RVT, RT(R), Amil Shah MD, Kavita Sharma MD, Otto A. Smiseth MD, PhD, Teresa S.M. Tsang MD
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引用次数: 0
Comparison of the Latest American Society of Echocardiography and British Society of Echocardiography Guidelines for the Evaluation of Left Ventricular Diastolic Function 最新的ASE和BSE指南评价左室舒张功能的比较。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.09.022
Tian-Xin Dong MD, Qian-Ying Yang MD, Yong-Huai Wang MD, PhD, Chun-Yan Ma MD, PhD
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引用次数: 0
ASE Supports and Elevates Sonographers ASE支持和提升超声技师
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.12.002
David H. Wiener MD, FASE, Allyson B. Boyle MHA, ACS, RDCS, FASE
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引用次数: 0
Venous Cannula Positioning in Extracorporeal Membrane Oxygenation ECMO中的静脉插管定位。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.08.027
Jamel Ortoleva MD, Andrew P. Notarianni MD
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引用次数: 0
Comparison of the Right Atrial Expansion Index with Inferior Vena Cava Assessment for Echocardiographic Estimation of the Right Atrial Pressure 右心房扩张指数与下腔静脉评价在超声心动图估计右心房压力中的比较。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.09.005
Davide Genovese MD, PhD , Marco Previtero MD , Giacomo Prete MD , Michele Strosio MD , Carlo Cernetti MD , Luigi Paolo Badano MD, PhD , Denisa Muraru MD, PhD , Chiara Palermo RDCS , Giuseppe Tarantini MD, PhD , Martina Perazzolo Marra MD, PhD

Background

Evaluating right atrial pressure (RAP) is essential for managing cardiac diseases. Right heart catheterization (RHC) measures RAP directly but is invasive. In contrast, transthoracic echocardiography (TTE) provides a noninvasive estimate of RAP through inferior vena cava (IVC) assessment despite some limitations. The right atrial expansion index (RAEI) reflects right atrial compliance by measuring the relative increase in volume during the reservoir phase. This study aimed to validate RAEI as a noninvasive parameter for estimating RAP.

Methods

We retrospectively enrolled 1,020 patients (728 in the derivation and 292 in the validation cohort) with various chronic cardiac diseases who underwent clinically indicated RHC and TTE within 24 hours. Right atrial pressure was measured during the RHC and defined as elevated when above 10 mm Hg. Right atrial expansion index and other TTE parameters were measured offline and blinded to RHC results.

Results

In the derivation cohort, RAEI showed a logarithmic correlation with RAP (lnRAEI-RAP: r = −0.65, P < .001). The natural log of RAEI was an independent and additive predictor of RAP, outperforming clinical, hemodynamic, and echocardiographic parameters, including IVC assessment. The natural log of RAEI was more accurate than IVC assessment for identifying RAP ≥10 mm Hg (area under the curve lnRAEI, 0.840,;P < .001; optimal cutoff, lnRAEI <3.53); this finding was replicated in the validation cohort (area under the curve lnRAEI, 0.826; P < .001). Furthermore, lnRAEI <3.53 was confirmed as an optimal cutoff for identifying RAP ≥10 mm Hg in the validation cohort as well (sensitivity, 74%; specificity, 79%; accuracy, 78%). Finally, the equation RAP = 19.3 – (3.29 × lnRAEI) derived from the derivation cohort estimated RAP more accurately (−0.2 ± 3.1 mm Hg) than IVC assessment (1.5 ± 4.2 mm Hg) in the validation cohort.

Conclusions

In this patient cohort, lnRAEI was more accurate than IVC assessment for noninvasive RAP estimation.
背景:评估右心房压(RAP)对心脏疾病的治疗至关重要。右心导管(RHC)直接测量RAP,但有创性。相比之下,经胸超声心动图(TTE)通过下腔静脉(IVC)评估提供了RAP的无创评估,尽管存在一些局限性。右心房扩张指数(RAEI)通过测量储层期容积的相对增加来反映RA顺应性。本研究旨在验证RAEI作为估算RAP的无创参数。方法:我们回顾性地纳入1020例患有各种慢性心脏病的患者(衍生组728例,验证组292例),这些患者在24小时内接受了临床指示的RHC和TTE。在RHC期间测量RAP,当高于10 mmHg时定义为升高。RAEI和其他TTE参数离线测量,不考虑RHC结果。结果:在衍生队列中,RAEI与RAP呈对数相关(lnRAEI-RAP: r=-0.65)。结论:在该患者队列中,lnRAEI对无创RAP的估计比IVC评估更准确。
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引用次数: 0
Right and Left Atrial Strain by Speckle-Tracking Echocardiography: Sex Differences and Correlation with Cardiorespiratory Fitness in Olympic Athletes 斑点跟踪超声心动图右心房和左心房应变:奥运会运动员的性别差异及其与心肺健康的相关性。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.09.002
Giuseppe Di Gioia MD , Armando Ferrera MD , Maria Rosaria Squeo MD , Francesco Raffaele Spera MD , Viviana Maestrini MD, PhD , Sara Monosilio MD , Federica Mango MD , Giulia Paoletti DMS , Andrea Serdoz MD , Antonio Pelliccia MD

Introduction

Physiological cardiac remodeling in elite athletes has been extensively described for the ventricles, but less is known regarding atrial function and its relationship with cardiorespiratory fitness.

Objectives

This study aimed to evaluate right (RA) and left atrial (LA) strain in Olympic athletes, exploring sex and sport-specific differences and correlations with VO2 max.

Methods

We enrolled 657 Olympic athletes (mean age, 25.5 ± 5.3 years; 51.7% male). All athletes underwent transthoracic echocardiography, including atrial strain analysis by two-dimensional speckle-tracking echocardiography and cardiopulmonary exercise test. Atrial reservoir (S_R), conduit (S_Cd) and contraction (S_Co) strain were measured. Athletes were grouped by sport discipline (skill, power, mixed, endurance).

Results

Endurance athletes exhibited the largest atrial dimensions and the highest VO2 max (P < .0001) and showed reduced RA S_R (34.9% ± 9.1%, P < .0001), S_Cd (−25.7% ± 8.1%, P = .0001), S_Co (−9%±4.4%, P = .0006), and LA S_R (38% ± 7.5%, P = .048) compared to skill, power, and mixed. No differences in LA S_Cd (P = .07) and S_Co emerged (P = .111). Right atrial strain inversely correlated with VO2 max (P < .0001), while no such relationship was observed for LA. Sex differences were observed, with male athletes displaying larger atria (LA volume index 23.9 ± 7.8 mL/m2 vs 22.3 ± 6.3 mL/m2, P = .004) but lower S_R and S_Cd compared to female athletes (P < .05).

Conclusions

Functional atrial indexes (S_R, S_Cd, and S_Co) appear more markedly altered in the atria of the less remodeled ventricles (more in skill than in endurance athletes) and even more in RA than in LA. Furthermore, male athletes demonstrated higher reservoir and conduit strain values, while female athletes exhibited enhanced contractile function. Our results should be viewed in conjunction with the extent of ventricular remodeling, that is, the more enlarged and performant (suction and contraction) the ventricular cavity is, the less relevant the atrial contribution to filling is.
导读:关于优秀运动员心室的生理性心脏重构已经有了广泛的报道,但关于心房功能及其与心肺健康的关系却知之甚少。目的:本研究旨在评估奥运会运动员右心房(RA)和左心房(LA)劳损,探讨性别和运动特异性差异及其与VO2 max的相关性。方法:入选657名奥运会运动员,平均年龄25.5±5.3岁,男性51.7%。所有运动员都接受了经胸超声心动图检查,包括2D-STE心房应变分析和心肺运动试验(CPET)。测量心房贮液(S_R)、导管(S_Cd)和收缩(S_Co)应变。运动员按运动项目(技术、力量、混合、耐力)分组。结果:耐力运动员表现出最大的心房尺寸和最高的VO2 max (p2 max (p2 vs. 22.3±6.3 ml/m2, p=0.004),但与女性相比,S_R和S_Cd更低(p结论:功能心房指数(S_R, S_Cd和S_Co)在心室重构较少的心房中表现出更明显的变化(技能运动员比耐力运动员更明显),RA比LA更明显。此外,男性运动员表现出更高的水库和管道应变值,而女性运动员表现出增强的收缩功能。我们的研究结果应该与心室重构的程度结合起来看,即,心室腔越大、表现越好(吸引和收缩),心房对充盈的贡献就越小。
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引用次数: 0
2025 American Society of Echocardiography Recommendations for Evaluation of Left Ventricular Diastolic Function: Rearranging the Algorithms and Unshuffling the Patients 2025年ASE关于左室舒张功能评估的建议:重新安排算法并对患者进行分类。
IF 6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-02-01 DOI: 10.1016/j.echo.2025.10.013
Vinicius Leite Gonzalez MD, MSc, Angela Barreto Santiago Santos MD, PhD, Murilo Foppa MD, PhD
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Journal of the American Society of Echocardiography
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