Pub Date : 2026-02-13DOI: 10.1016/j.echo.2026.02.004
Clement Tan, Matteus Lim, Scott Eaves, Michael Mallouhi, William Vollbon, Liza Thomas, John J Atherton, Sandhir B Prasad
{"title":"Left Atrial Pressure Estimation Using Contemporary Guideline Algorithms in Patients with Atrial Fibrillation and Prognosis following Myocardial Infarction.","authors":"Clement Tan, Matteus Lim, Scott Eaves, Michael Mallouhi, William Vollbon, Liza Thomas, John J Atherton, Sandhir B Prasad","doi":"10.1016/j.echo.2026.02.004","DOIUrl":"10.1016/j.echo.2026.02.004","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-10DOI: 10.1016/j.echo.2026.02.002
Maria Chiara Meucci, Nina Ajmone Marsan
{"title":"Right Ventricular-Pulmonary Artery Coupling for Risk Stratification in Transcatheter Aortic Valve Replacement: Is It Time to Move Beyond Tricuspid Annular Plane Systolic Excursion/Pulmonary Artery Systolic Pressure?","authors":"Maria Chiara Meucci, Nina Ajmone Marsan","doi":"10.1016/j.echo.2026.02.002","DOIUrl":"10.1016/j.echo.2026.02.002","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-10DOI: 10.1016/j.echo.2026.02.001
Christian E Berg-Hansen, Nina Ajmone Marsan, Robert J M Klautz, Meindert Palmen, Jeroen J Bax, Nadeem Elmasry, Robert M Persson, Rune Haaverstad, Stig Urheim, Dana Cramariuc
<p><strong>Background: </strong>Among healthy subjects, women have smaller cardiac size than men even after indexing for body surface area (BSA), as well as higher left ventricular ejection fraction (LVEF) and left ventricular (LV) global longitudinal strain (GLS). Despite this, little is known about sex differences in LV remodeling in patients with mitral valve prolapse (MVP) undergoing mitral valve repair (MVr). The aim of this study was to assess pre- and post-MVr sex differences in LV size and function in patients with MVP.</p><p><strong>Methods: </strong>Patients with MVP who underwent surgery between 2007 and 2024 at two heart valve centers were included. Those with previous cardiac surgery, coronary artery disease, other concomitant procedures than tricuspid valve repair, nonsinus rhythm at baseline, and with significant postsurgical mitral regurgitation (grade ≥ 2) were excluded. LV size was evaluated before and after surgery using both end-systolic diameter (ESD) and end-systolic volume (ESV), while LV function was assessed using LVEF and GLS. Thresholds for normal sex-specific LV size and function were based on current recommendations. The primary outcome was postoperative LV damage, defined as the presence of increased LV ESV index, impaired LVEF, or impaired LV GLS. The ability of preoperative measures of LV size to discriminate outcomes was assessed using receiver operating characteristic curve analyses.</p><p><strong>Results: </strong>A total of 190 patients (37% women; mean age, 58 ± 12 years) were assessed 4 months (interquartile range, 1-6 months) before and 14 (interquartile range, 11-22 months) after surgery. Although men had significantly larger preoperative LV ESD (37 ± 5 vs 34 ± 5 mm), LV ESV (74 ± 20 vs 52 ± 13 mL), and LV ESV/BSA (36 ± 9 vs 30 ± 7 mL/m<sup>2</sup>) than women, LV ESD/BSA was higher in women (19 ± 3 vs 18 ± 2 mm/m<sup>2</sup>; P < .010 for all). Postoperatively, only men exhibited significantly lower LV ESV compared with the preoperative values, regardless of BSA indexing: LV ESV 62 ± 16 mL and LV ESV/BSA 31 ± 7 mL/m<sup>2</sup> in men (P < .001 for both) but LV ESV 50 ± 14 mL (P = .265) and LV ESV/BSA 29 ± 8 mL/m<sup>2</sup> (P = .216) in women. In multivariable logistic regression analysis, women were 6.3 (95% CI, 2.6-14.9; P < .001) times more likely than men to have a dilated left ventricle after MVr after adjusting for baseline characteristics (P < .001). LVEF was similar between sexes both before and after surgery. LV GLS was higher in women than in men before surgery (22.8 ± 2.6% vs 22.1 ± 2.2%, P = .038) but comparable after surgery (17.1 ± 2.6% vs 17.2 ± 2.2%, P = .715). Adjusting for age as well as preoperative LV GLS, LV size, and left atrial reservoir strain, women were 3.3 (95% CI, 1.5-7.3; P = .003) times more likely than men to have impaired LV GLS postoperatively (P < .001). The optimal cutoff of LV ESD/BSA to predict postoperative LV damage was 19 mm/m<sup>2</sup> in men and 16 mm/m<sup>2</
背景：在健康受试者中，即使在体表面积（BSA）指数、左室射血分数（EF）和整体纵向应变（GLS）指数之后，女性的心脏尺寸也比男性小。尽管如此，对于二尖瓣脱垂（MVP）患者接受二尖瓣修复（MVr）时左室重构的性别差异知之甚少。目的：评估MVP患者在mvr前后左室大小和功能的性别差异。方法：选取2007-2024年间在两家心脏瓣膜中心行MVP手术的患者。我们排除了既往心脏手术、冠状动脉疾病、除三尖瓣修复外的其他伴随手术、基线时无窦性心律和术后二尖瓣返流明显（≥2级）的患者。术前和术后分别用收缩末期内径（ESD）和容积（ESV）评估左室大小，用EF和GLS评估左室功能。正常性别特异性左室大小和功能的阈值是基于目前的推荐值。主要终点是术后左室损伤，定义为左室ESVi增大、左室EF受损或左室GLS受损。术前测量左室大小对预后的判别能力采用受试者工作特征曲线分析进行评估。结果：共190例患者术前4[1-6]个月和术后14[11-22]个月接受评估，其中女性占37%，平均年龄58±12岁。男性术前LV ESD（37±5mm vs. 34±5mm）、LV ESV（74±20ml vs. 52±13ml）和LV ESV/BSA（36±9ml /m2 vs. 30±7ml /m2）明显大于女性，女性的LV ESD/BSA（19±3mm /m2 vs. 18±2mm /m2）高于女性(男性均为p 2（女性均为p 2 (p =0.216)）。在多变量logistic回归分析中，女性为6.3 (95% CI 2.6-14.9，男性为p 2)，女性为16 mm/m2， AUC为0.68。结论：在接受MVr的MVP患者中，女性通过ESD具有更高的bsa调整的左室大小，而男性的ESV仍然较大。只有男性在MVr后表现出明显的左室ESV减少，而女性更容易出现术后左室扩张和功能障碍。我们的研究结果表明，女性在疾病晚期进行手术，并支持在推荐患者进行二尖瓣手术时对术前左室大小进行性别特异性评估的必要性。
{"title":"Sex Differences in Left Ventricular Size and Function Before and After Mitral Valve Repair.","authors":"Christian E Berg-Hansen, Nina Ajmone Marsan, Robert J M Klautz, Meindert Palmen, Jeroen J Bax, Nadeem Elmasry, Robert M Persson, Rune Haaverstad, Stig Urheim, Dana Cramariuc","doi":"10.1016/j.echo.2026.02.001","DOIUrl":"10.1016/j.echo.2026.02.001","url":null,"abstract":"<p><strong>Background: </strong>Among healthy subjects, women have smaller cardiac size than men even after indexing for body surface area (BSA), as well as higher left ventricular ejection fraction (LVEF) and left ventricular (LV) global longitudinal strain (GLS). Despite this, little is known about sex differences in LV remodeling in patients with mitral valve prolapse (MVP) undergoing mitral valve repair (MVr). The aim of this study was to assess pre- and post-MVr sex differences in LV size and function in patients with MVP.</p><p><strong>Methods: </strong>Patients with MVP who underwent surgery between 2007 and 2024 at two heart valve centers were included. Those with previous cardiac surgery, coronary artery disease, other concomitant procedures than tricuspid valve repair, nonsinus rhythm at baseline, and with significant postsurgical mitral regurgitation (grade ≥ 2) were excluded. LV size was evaluated before and after surgery using both end-systolic diameter (ESD) and end-systolic volume (ESV), while LV function was assessed using LVEF and GLS. Thresholds for normal sex-specific LV size and function were based on current recommendations. The primary outcome was postoperative LV damage, defined as the presence of increased LV ESV index, impaired LVEF, or impaired LV GLS. The ability of preoperative measures of LV size to discriminate outcomes was assessed using receiver operating characteristic curve analyses.</p><p><strong>Results: </strong>A total of 190 patients (37% women; mean age, 58 ± 12 years) were assessed 4 months (interquartile range, 1-6 months) before and 14 (interquartile range, 11-22 months) after surgery. Although men had significantly larger preoperative LV ESD (37 ± 5 vs 34 ± 5 mm), LV ESV (74 ± 20 vs 52 ± 13 mL), and LV ESV/BSA (36 ± 9 vs 30 ± 7 mL/m<sup>2</sup>) than women, LV ESD/BSA was higher in women (19 ± 3 vs 18 ± 2 mm/m<sup>2</sup>; P < .010 for all). Postoperatively, only men exhibited significantly lower LV ESV compared with the preoperative values, regardless of BSA indexing: LV ESV 62 ± 16 mL and LV ESV/BSA 31 ± 7 mL/m<sup>2</sup> in men (P < .001 for both) but LV ESV 50 ± 14 mL (P = .265) and LV ESV/BSA 29 ± 8 mL/m<sup>2</sup> (P = .216) in women. In multivariable logistic regression analysis, women were 6.3 (95% CI, 2.6-14.9; P < .001) times more likely than men to have a dilated left ventricle after MVr after adjusting for baseline characteristics (P < .001). LVEF was similar between sexes both before and after surgery. LV GLS was higher in women than in men before surgery (22.8 ± 2.6% vs 22.1 ± 2.2%, P = .038) but comparable after surgery (17.1 ± 2.6% vs 17.2 ± 2.2%, P = .715). Adjusting for age as well as preoperative LV GLS, LV size, and left atrial reservoir strain, women were 3.3 (95% CI, 1.5-7.3; P = .003) times more likely than men to have impaired LV GLS postoperatively (P < .001). The optimal cutoff of LV ESD/BSA to predict postoperative LV damage was 19 mm/m<sup>2</sup> in men and 16 mm/m<sup>2</","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1016/j.echo.2026.01.009
Qian-Ying Yang, Jie Guo, Yong-Huai Wang, Si-Yan Wang, Si-Yao Qu, Wei He, Hong Wei, Tao Cong, Yun-Long Xia, Chun-Yan Ma
{"title":"Feasibility and Diagnostic Value of Tissue Mitral Annular Displacement as an Alternative to Global Longitudinal Strain for Detecting Cancer Therapy-Related Cardiac Dysfunction in Breast Cancer.","authors":"Qian-Ying Yang, Jie Guo, Yong-Huai Wang, Si-Yan Wang, Si-Yao Qu, Wei He, Hong Wei, Tao Cong, Yun-Long Xia, Chun-Yan Ma","doi":"10.1016/j.echo.2026.01.009","DOIUrl":"10.1016/j.echo.2026.01.009","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-05DOI: 10.1016/j.echo.2026.01.008
Matteo Castrichini, Ramin Garmany, Michael J Ackerman, Patricia A Pellikka, John R Giudicessi
{"title":"Domain-Specific Speckle-Tracking Longitudinal Strain in LMNA-Related Cardiomyopathy.","authors":"Matteo Castrichini, Ramin Garmany, Michael J Ackerman, Patricia A Pellikka, John R Giudicessi","doi":"10.1016/j.echo.2026.01.008","DOIUrl":"10.1016/j.echo.2026.01.008","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-04DOI: 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
{"title":"Left Ventricular Myocardial Work Index: The Impact of Including Ventricular Diastolic Pressure.","authors":"Joao F Fernandes, Otto A Smiseth, Pablo Lamata, Brett S Bernstein, Theodoros Kalos, Amanda Nio, Kazuaki Wakami, Kevin O'Gallagher, Alexandros Papachristidis, Nobuyuki Ohte","doi":"10.1016/j.echo.2026.01.005","DOIUrl":"10.1016/j.echo.2026.01.005","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-10-30DOI: 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
{"title":"Reply to Multiple Letters regarding the American Society of Echocardiography’s Recommendations for the Evaluation of Left Ventricular Diastolic Function","authors":"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","doi":"10.1016/j.echo.2025.10.010","DOIUrl":"10.1016/j.echo.2025.10.010","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 239-240"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-03DOI: 10.1016/j.echo.2025.12.001
{"title":"Continuing Education and Meeting Calendar","authors":"","doi":"10.1016/j.echo.2025.12.001","DOIUrl":"10.1016/j.echo.2025.12.001","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Page A15"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146098486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-10-20DOI: 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
{"title":"Comparison of the Latest American Society of Echocardiography and British Society of Echocardiography Guidelines for the Evaluation of Left Ventricular Diastolic Function","authors":"Tian-Xin Dong MD, Qian-Ying Yang MD, Yong-Huai Wang MD, PhD, Chun-Yan Ma MD, PhD","doi":"10.1016/j.echo.2025.09.022","DOIUrl":"10.1016/j.echo.2025.09.022","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 234-235"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-09-16DOI: 10.1016/j.echo.2025.08.027
Jamel Ortoleva MD, Andrew P. Notarianni MD
{"title":"Venous Cannula Positioning in Extracorporeal Membrane Oxygenation","authors":"Jamel Ortoleva MD, Andrew P. Notarianni MD","doi":"10.1016/j.echo.2025.08.027","DOIUrl":"10.1016/j.echo.2025.08.027","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Page 229"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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