Journal of the American Society of Echocardiography最新文献

{"title":"The Effect of Mavacamten on Left Atrial Strain Dynamics in Obstructive Hypertrophic Cardiomyopathy","authors":"Jaehyun Lim MD, Soongu Kwak MD, Min-Ha Jeong MD, Jae Yeong Cho MD, PhD, ChanSoon Park MD, PhD, Jiesuck Park MD, Hong-Mi Choi MD, Ga Hui Choi MD, Jihoon Kim MD, Jin-Oh Na MD, PhD, Sun Hwa Lee MD, PhD, Mi-Hyang Jung MD, PhD, Hae Ok Jung MD, PhD, Sang-Chol Lee MD, PhD, Hyung-Kwan Kim MD, PhD, Kye Hun Kim MD, PhD, Goo-Yeong Cho MD, PhD","doi":"10.1016/j.echo.2025.09.014","DOIUrl":"10.1016/j.echo.2025.09.014","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 220-222"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182284","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}

{"title":"Implementation of Modified Venous Excess Ultrasound in Clinical Practice","authors":"Yohei Masuda MD, Fumio Otsuka MD, PhD","doi":"10.1016/j.echo.2025.10.002","DOIUrl":"10.1016/j.echo.2025.10.002","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 229-230"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276396","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}

{"title":"Reply to “Optimizing Clinical Applicability of Left Atrial Strain Index in Patients with Heart Failure with Preserved Ejection Fraction”","authors":"Aileen Paula Chua MD, Nina Ajmone Marsan MD, PhD","doi":"10.1016/j.echo.2025.10.016","DOIUrl":"10.1016/j.echo.2025.10.016","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Page 231"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432860","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}

{"title":"Threshold Values of Vena Contracta Area for Grading Secondary Tricuspid Regurgitation and its Association with Outcomes","authors":"Giorgia Benzoni MD ,&nbsp;Michele Tomaselli MD, PhD ,&nbsp;Noela Radu MD ,&nbsp;Alexandra Clement MD ,&nbsp;Marco Penso BME ,&nbsp;Paolo Springhetti MD ,&nbsp;Daniel Ignacio Conforme Torres MD ,&nbsp;Tommaso Rinforzi MD ,&nbsp;Carlotta Tosi MD ,&nbsp;Alexandra Buta MD ,&nbsp;Yuka Kawada MD ,&nbsp;Denisa Muraru MD, PhD ,&nbsp;Luigi P. Badano MD, PhD","doi":"10.1016/j.echo.2025.10.015","DOIUrl":"10.1016/j.echo.2025.10.015","url":null,"abstract":"<div><h3>Background</h3><div>Three-dimensional echocardiographic planimetry of vena contracta area (VCA), which avoids geometric assumptions about the regurgitant orifice, has emerged as a promising method for grading secondary tricuspid regurgitation (STR). The aims of this study were to (1) define VCA threshold values to grade the severity of STR using a five-grade system, (2) identify the VCA cutoff value associated with adverse clinical outcomes, and (3) assess the incremental prognostic value of VCA compared with conventional quantitative parameters of tricuspid regurgitation severity.</div></div><div><h3>Methods</h3><div>Three-dimensional echocardiography was used to obtain VCA from 204 outpatients (mean age, 77 ± 12 years; 44% men) with mild to torrential STR (52% with severe or greater STR) according to current guidelines, and its association with a composite outcome of all-cause death and hospitalization for heart failure was assessed.</div></div><div><h3>Results</h3><div>The VCA threshold values for STR severity were &lt;0.43 cm² for mild, 0.43 to 0.67 cm² for moderate, 0.68 to 0.88 cm² for severe, 0.89 to 1.26 cm² for massive, and &gt;1.26 cm² for torrential STR. Spline curve analysis identified a VCA threshold of 0.65 cm² as the optimal cutoff associated with an increased risk for experiencing the composite end point. Although not yet severe, patients with VCA &gt; 0.65 cm² experienced an exponential increase in their risk. VCA &gt; 0.65 cm² was associated with a threefold risk increase for the composite end point regardless of effective regurgitant orifice area (EROA; log-rank <em>P</em> = .00068). In multivariate analysis, VCA remained independently associated with the composite end point (adjusted hazard ratio, 1.06; 95% CI, 1.02-1.10; <em>P</em> = .004). Adding VCA to baseline models incorporating clinical and echocardiographic variables, including either EROA or regurgitant volume, significantly improved the prognostic performance of the model (<em>P</em> = .007 and <em>P</em> = .018, respectively).</div></div><div><h3>Conclusions</h3><div>VCA obtained from color Doppler three-dimensional echocardiography is a robust parameter to grade STR severity, showing incremental prognostic value in comparison with both EROA and regurgitant volume.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 156-166"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432841","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}

{"title":"Reply to “Intraoperative Factors Should Be Considered in Assessing the Association between Three-Dimensional Right Ventricular Ejection Fraction and Early Postoperative Outcomes”","authors":"Edith L. Posada-Martinez MD,&nbsp;Juan B. Ivey-Miranda MD, PhD","doi":"10.1016/j.echo.2025.09.011","DOIUrl":"10.1016/j.echo.2025.09.011","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 232-233"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180333","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}

{"title":"Information for Readers","authors":"","doi":"10.1016/S0894-7317(26)00005-2","DOIUrl":"10.1016/S0894-7317(26)00005-2","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages A10-A11"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146098897","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}

{"title":"Optimizing Clinical Applicability of Left Atrial Strain Index in Patients with Heart Failure with Preserved Ejection Fraction","authors":"Chuanwei Zhao MS","doi":"10.1016/j.echo.2025.08.030","DOIUrl":"10.1016/j.echo.2025.08.030","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 230-231"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214302","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}

{"title":"Performance of Early Fetal Echocardiography: An Expert Statement from the Fetal Heart Society","authors":"Miwa K. Geiger MD ,&nbsp;Angela McBrien MB BCh, MD ,&nbsp;Lisa K. Hornberger MD ,&nbsp;Anita J. Moon-Grady MD ,&nbsp;Nitin Madan MD ,&nbsp;Julene S. Carvalho MD, PhD ,&nbsp;Liat Gindes MD ,&nbsp;Leila Rittey MBChB, MSc ,&nbsp;Joyce T. Johnson MD, MSCI ,&nbsp;Mary T. Donofrio MD ,&nbsp;Sheetal Patel MD","doi":"10.1016/j.echo.2025.09.020","DOIUrl":"10.1016/j.echo.2025.09.020","url":null,"abstract":"<div><div>Congenital heart defects (CHDs) are the most common lethal congenital anomalies. Fetal echocardiography is the mainstay for the diagnosis and subsequent serial assessment of fetal cardiovascular disease. Ideal timing for fetal echocardiography has traditionally been cited as between 18 and 22 weeks of gestation, although many centers now offer evaluations at 16 weeks of gestation and onward. Improved ultrasound resolution and a better understanding of early fetal cardiac development have enabled experienced specialists to diagnose major CHD as early as 11 to 15 weeks of gestation. An earlier diagnosis of CHD allows families to make time-sensitive decisions regarding the continuation of pregnancy while also providing time for additional prenatal testing and thoughtful perinatal planning. Reassuring early fetal echocardiography (eFE) can reduce anxiety in families with elevated risk for fetal CHD, such as those with a prior fetus or child with CHD. Given the benefits of early detection, the American Society of Echocardiography's 2023 <em>Guidelines and Recommendations for Performance of the Fetal Echocardiogram</em> included a section on eFE, which reviewed suggested elements, benefits, and limitations. However, there are challenges regarding the technical aspects of imaging a smaller heart as well as prognosticating during the late first and early second trimester. Most pediatric cardiologists have not had specific training in these skills and, therefore, often do not offer fetal echocardiography before 16 weeks of gestation. To overcome these challenges, the Program Leaders' Committee of the Fetal Heart Society developed this document, in which we review potential indications, propose an imaging protocol for early transabdominal and adjunct transvaginal (or endovaginal) fetal echocardiography, discuss unique findings in early gestation fetal heart morphology and hemodynamics, consider limitations, and discuss important aspects of patient counseling for eFE.</div></div>","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 188-205"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287572","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}

{"title":"Intraoperative Factors Should Be Considered in Assessing the Association between Three-Dimensional Right Ventricular Ejection Fraction and Early Postoperative Outcomes","authors":"Aibek E. Mirrakhimov MD","doi":"10.1016/j.echo.2025.08.029","DOIUrl":"10.1016/j.echo.2025.08.029","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Page 232"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180302","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}

{"title":"Diagnosing Mitral Annular Disjunction in Patients ≤21 Years in a Large Pediatric and Congenital Echocardiographic Laboratory","authors":"Derek M. Norton MD,&nbsp;Alejandra Iturralde Chavez MD,&nbsp;Ricardo H. Pignatelli MD,&nbsp;Lance W. Patterson BS,&nbsp;Christina Y. Miyake MD, MS, MPH,&nbsp;Tam T. Doan MD","doi":"10.1016/j.echo.2025.10.008","DOIUrl":"10.1016/j.echo.2025.10.008","url":null,"abstract":"","PeriodicalId":50011,"journal":{"name":"Journal of the American Society of Echocardiography","volume":"39 2","pages":"Pages 225-228"},"PeriodicalIF":6.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146098842","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}