JournalTOCs

European Heart Journal - Cardiovascular Imaging
Journal Prestige (SJR): 3.625

Citation Impact (citeScore): 3
Number of Followers: 10

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 2047-2404 - ISSN (Online) 2047-2412
Published by Oxford University Press

[413 journals]

The role of cardiovascular imaging for myocardial injury in hospitalized
COVID-19 patients
- Authors: Cosyns B; , Lochy S, et al.
  Pages: 709 - 714
  Abstract: AbstractRecent EACVI recommendations described the importance of limiting cardiovascular imaging during the COVID-19 pandemic in order to reduce virus transmission, protect healthcare professionals from contamination, and reduce consumption of personal protective equipment. However, an elevated troponin remains a frequent request for cardiac imaging in COVID-19 patients, partly because it signifies cardiac injury due to a variety of causes and partly because it is known to convey a worse prognosis. The present paper aims to provide guidance to clinicians regarding the appropriateness of cardiac imaging in the context of troponin elevation and myocardial injury, how best to decipher the mechanism of myocardial injury, and how to guide patient management.
  PubDate: Mon, 11 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa136
  Issue No: Vol. 21, No. 7 (2020)
How to do LA strain
- Authors: Voigt J; Mălăescu G, Haugaa K, et al.
  Pages: 715 - 717
  Abstract: AbstractModern speckle tracking allows the assessment of atrial strain in the clinic. The approach is new, lacks standardization and the user might encounter several problems in its routine use. This article provides guidance on how avoid pitfalls and how to perform reliable and reproducible atrial strain measurements according to current recommendations.
  PubDate: Wed, 17 Jun 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa091
  Issue No: Vol. 21, No. 7 (2020)
Association of aortic valve calcification and vitamin K antagonist
treatment
- Authors: Sønderskov P; Lindholt J, Hallas J, et al.
  Pages: 718 - 724
  Abstract: AbstractAims Vitamin K antagonists (VKAs) are suspected of causing aortic valve calcification (AVC). The objective of this study was to clarify whether patients undergoing VKA treatment have increased AVC scores compared to patients treated with new oral anticoagulants (NOACs) and patients who never have been treated with VKA/NOAC.Methods and results We included participants from the population-based DANCAVAS trial (n = 15 048). Information on confounders was collected, and the AVC scores were measured on non-contrast computed tomography scans. The participants’ medication data, including VKA and NOAC data, were collected from the Danish National Health Service Prescription Database. The final population consisted of 14 604 participants (67.4 years, 95% men) of whom 873 had been treated with VKA and 602 with NOAC. The association between AVC score and duration of anticoagulant use was investigated in an adjusted zero-inflated negative binomial regression model. For every year treated with VKA, the AVC score increased, on average, by 6% [ratio of expected counts (RECs) = 1.06; 95% confidence interval (CI) 1.02–1.10] compared to non-use. The results were consistent in sensitivity analyses excluding patients with known cardiovascular disease and statin users (REC = 1.07; 95% CI 1.02–1.11 and REC = 1.10; 95% CI 1.03–1.17, respectively). NOAC treatment was not significantly associated with AVC score in any of the corresponding models (REC = 1.03, 1.02, and 0.96).Conclusion Compared to no treatment with anticoagulants, VKA use was associated with increased AVC score, while a similar association could not be established for NOAC.
  PubDate: Sun, 03 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa065
  Issue No: Vol. 21, No. 7 (2020)
Aortic valve calcification: another reason to avoid vitamin K
antagonists'
- Authors: Chan K.
  Pages: 725 - 726
  Abstract: This editorial refers to ‘Association of aortic valve calcification and vitamin K antagonist treatment’ by P.S. Sønderskov et al., pp. 718–724.
  PubDate: Sat, 09 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa105
  Issue No: Vol. 21, No. 7 (2020)
Effect of bicuspid aortic valve phenotype on progression of aortic
stenosis
- Authors: Shen M; Tastet L, Capoulade R, et al.
  Pages: 727 - 734
  Abstract: AbstractAimsTo compare the progression of aortic stenosis (AS) in patients with bicuspid aortic valve (BAV) or tricuspid aortic valve (TAV).Methods and resultsOne hundred and forty-one patients with mild-to-moderate AS, recruited prospectively in the PROGRESSA study, were included in this sub-analysis. Baseline clinical, Doppler echocardiography and multidetector computed tomography characteristics were compared between BAV (n = 32) and TAV (n = 109) patients. The 2-year haemodynamic [i.e. peak aortic jet velocity (Vpeak) and mean transvalvular gradient (MG)] and anatomic [i.e. aortic valve calcification density (AVCd) and aortic valve calcification density ratio (AVCd ratio)] progression of AS were compared between the two valve phenotypes. The 2-year progression rate of Vpeak was: 16 (−0 to 40) vs. 17 (3–35) cm/s, P = 0.95; of MG was: 1.8 (−0.7 to 5.8) vs. 2.6 (0.4–4.8) mmHg, P = 0.56; of AVCd was 32 (2–109) vs. 52 (25–85) AU/cm2, P = 0.15; and of AVCd ratio was: 0.08 (0.01–0.23) vs. 0.12 (0.06–0.18), P = 0.16 in patients with BAV vs. TAV. In univariable analyses, BAV was not associated with AS progression (all, P ≥ 0.26). However, with further adjustment for age, AS baseline severity, and several risk factors (i.e. sex, history of hypertension, creatinine level, diabetes, metabolic syndrome), BAV was independently associated with faster haemodynamic (Vpeak: β = 0.31, P = 0.02) and anatomic (AVCd: β = 0.26, P = 0.03 and AVCd ratio: β = 0.26, P = 0.03) progression of AS.ConclusionIn patients with mild-to-moderate AS, patients with BAV have faster haemodynamic and anatomic progression of AS when compared to TAV patients with similar age and risk profile. This study highlights the importance and necessity to closely monitor patients with BAV and to adequately control and treat their risk factors.Clinical trial registrationhttps://clinicaltrials.gov Unique identifier: NCT01679431.
  PubDate: Sat, 09 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa068
  Issue No: Vol. 21, No. 7 (2020)
Progression of aortic stenosis with bicuspid aortic valves: evidence and
intuition
- Authors: Namasivayam M; Dal-Bianco J.
  Pages: 735 - 736
  Abstract: This editorial refers to ‘Effect of bicuspid aortic valve phenotype on progression of aortic stenosis’ by M. Shen et al., pp. 727–734.
  PubDate: Mon, 22 Jun 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa141
  Issue No: Vol. 21, No. 7 (2020)
Progression of aortic stenosis and echocardiographic criteria for its
severity
- Authors: Kebed K; Sun D, Addetia K, et al.
  Pages: 737 - 743
  Abstract: AbstractAims Guidelines-recommended criteria for identifying severe aortic stenosis (AS) are based on small, homogenous cohorts of patients, leading to potentially inconsistent or missed diagnosis. We used a large cohort of patients with varying degrees of AS to (i) characterize its progression; (ii) evaluate the influence of demographic and echocardiographic variables; and (iii) derive haemodynamically consistent cut-off values.Methods and results We identified 916 patients with mild to severe AS who had undergone >1 echocardiographic study (N = 2547). For each study, aortic valve area (AVA), peak transaortic velocity (Vmax), and mean pressure gradient (ΔP) were extracted. Annual rates of AVA change were determined by a linear mixed-effects model. To determine the prevalence of inconsistent diagnosis of severe AS, AVA was plotted against ΔP and Vmax, with quadrants defined using guidelines-recommended cut-offs. The rate of AVA change was −0.070 ± 0.003 cm2/year and was more rapid in men than women and in Whites than African Americans. AVA = 1 cm2 corresponded to ΔP = 32 mmHg and Vmax = 3.7 m/s, causing discrepancies in defining severe AS in 480 (19%) and 458 (18%) studies, respectively. Conversely, ΔP = 40 mmHg corresponded to AVA = 0.89 cm2 and Vmax = 4.0 m/s corresponded to AVA = 0.92 cm2, confirming the inconsistency of the guidelines. Notably, discrepancy rate was higher in 206 patients with low flow (SVi < 35 mL/m2): 40% vs. 16% in the remaining patients.Conclusion Our findings demonstrated gender- and race-related differences in AS progression and underscored the need to refine the multiparametric criteria for diagnosis of severe AS to minimize internal inconsistencies, which are high with the current cut-offs and amplified in patients with low stroke volumes.
  PubDate: Sun, 26 Apr 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa075
  Issue No: Vol. 21, No. 7 (2020)
Definition of severe aortic stenosis: ‘A wise man points at the moon,
the fool looks at the finger’ (Chinese proverb)
- Authors: Donal E; Dweck M, Galli E.
  Pages: 744 - 746
  Abstract: This editorial refers to ‘Progression of aortic stenosis and echocardiographic criteria for its severity’ by K. Kebed et al., pp. 737–743.
  PubDate: Thu, 18 Jun 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa087
  Issue No: Vol. 21, No. 7 (2020)
How to improve tissue Doppler imaging sensitivity to detect the
Pickelhaube sign
- Authors: Lauretta L; Casalino G, Amzulescu M, et al.
  Pages: 746 - 746
  PubDate: Wed, 05 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa015
  Issue No: Vol. 21, No. 7 (2020)
Understanding tricuspid valve remodelling in atrial fibrillation using
three-dimensional echocardiography
- Authors: Ortiz-Leon X; Posada-Martinez E, Trejo-Paredes M, et al.
  Pages: 747 - 755
  Abstract: AbstractAimsAtrial fibrillation (AF) has been associated with tricuspid annulus (TA) dilation in patients with severe functional tricuspid regurgitation (TR); however, the impact of AF is less clear in patients without severe TR. Our aim was to characterize TA remodelling in patients with AF in the absence of severe TR using 3D transoesophageal echocardiography (TOE).Methods and resultsNinety patients underwent clinically indicated transthoracic and TOE: non-structural (NS)-AF (n = 30); AF with left heart disease (LHD) (n = 30), and controls in sinus rhythm (n = 30). Three-dimensional TOE datasets were analysed to measure TA dimensions using novel dedicated tricuspid valve software. The NS-AF group showed biatrial dilatation and normal right ventricular (RV) size with decreased longitudinal function compared to controls, whereas the LHD-AF group showed biatrial dilatation, RV enlargement, decreased biventricular function, and higher systolic pulmonary artery pressure compared with the other groups. Indexed TA area, minimum diameter, maximum diameter, and total perimeter were significantly larger in the NS-AF group than in controls (measurements in end-diastole: 6.4 ± 1.1 vs. 5.0 ± 0.6 cm2/m2, 1.8 ± 0.3 vs. 1.6 ± 0.2 cm/m2, 2.1 ± 0.3 vs. 1.9 ± 0.2 cm/m2, and 6.6 ± 0.9 vs. 5.9 ± 0.7 cm/m2, respectively, all P < 0.05). There was no significant difference in any indexed TA parameter between AF groups. TA circularity index (ratio between minimum and maximal diameters) and TA fractional area change between end-diastole and end-systole were no different among the three groups.ConclusionAF is associated with right atrial and tricuspid annular remodelling independent of the presence of LHD in patients with intrinsically normal tricuspid leaflets without severe TR.
  PubDate: Tue, 05 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa058
  Issue No: Vol. 21, No. 7 (2020)
Does atrial fibrillation affect the tricuspid annulus 3D geometry in
patients without severe valve regurgitation'
- Authors: Muraru D; Parati G, Badano L.
  Pages: 756 - 758
  Abstract: This editorial refers to ‘Understanding tricuspid valve remodelling in atrial fibrillation using three-dimensional echocardiography’, by X.A. Ortiz-Leon et al., pp. 747–755.
  PubDate: Wed, 13 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa082
  Issue No: Vol. 21, No. 7 (2020)
Myocarditis revealing COVID-19 infection in a young patient
- Authors: Paul J; Charles P, Richaud C, et al.
  Pages: 776 - 776
  PubDate: Mon, 27 Apr 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa107
  Issue No: Vol. 21, No. 7 (2020)
Varicose cardiac veins in a case of persistent left superior vena cava and
stenosis of the coronary sinus ostium
- Authors: Löbig S; Seitz A, Feuerstein M, et al.
  Pages: 786 - 786
  PubDate: Fri, 06 Mar 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa029
  Issue No: Vol. 21, No. 7 (2020)
Corrigendum
- Pages: 804 - 804
  Abstract: Corrigendum to: The evaluation of aortic stenosis, how the new guidelines are implemented across Europe: a survey by EACVI [Eur Heart J Cardiovasc Imaging 2020;21:357–362]
  PubDate: Tue, 19 May 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa153
  Issue No: Vol. 21, No. 7 (2020)
Severe regurgitation of a double-orifice left atrioventricular valve in a
patient with repaired atrioventricular septal defect: added value of 3D
echocardiography
- Authors: Mushemi-Blake S; Surkova E, Hatipoglu S, et al.
  Pages: 814 - 814
  PubDate: Wed, 05 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa005
  Issue No: Vol. 21, No. 7 (2020)
Multiple left atrium diverticula and mitral regurgitation in a child
- Authors: Tao C; Xu M, Ma X, et al.
  Pages: 815 - 815
  PubDate: Fri, 07 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa011
  Issue No: Vol. 21, No. 7 (2020)
Primary cardiac lymphoma
- Authors: Meyer M; Huellner M, Reser D, et al.
  Pages: 816 - 816
  PubDate: Fri, 07 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa014
  Issue No: Vol. 21, No. 7 (2020)
Longitudinal interventricular septal rupture: a rare complication after
TAVR
- Authors: Pérez-Cervera J; Fuentes-Cañamero M.
  Pages: 817 - 817
  PubDate: Wed, 12 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa016
  Issue No: Vol. 21, No. 7 (2020)
Hypoplasia of the posterior mitral leaflet accurately diagnosed by 3D
transoesophageal echocardiography
- Authors: Kataoka A; Chikuda I, Mitsui M, et al.
  Pages: 818 - 818
  PubDate: Mon, 17 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa017
  Issue No: Vol. 21, No. 7 (2020)
Deformation of left pulmonary vein ridge closely resembles device-related
thrombus after Watchman implantation
- Authors: Mo B; Yu Y, Wang Q, et al.
  Pages: 819 - 819
  PubDate: Fri, 14 Feb 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa021
  Issue No: Vol. 21, No. 7 (2020)
Mid-diastolic tricuspid regurgitation: a novel echocardiographic marker
for an athlete’s heart'
- Authors: Schindler M; Schoenfeld J, Halle M, et al.
  Pages: 820 - 820
  PubDate: Fri, 06 Mar 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa027
  Issue No: Vol. 21, No. 7 (2020)
3D-printing for planning an intrapericardial ventricular assist device
placement in case of complex anatomy
- Authors: Stepanenko A; Redondo Diéguez A, Di Stefano S, et al.
  Pages: 821 - 821
  PubDate: Thu, 16 Apr 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa032
  Issue No: Vol. 21, No. 7 (2020)
Heart failure in isolated cor bifidus: the role of cardiac magnetic
resonance
- Authors: Cano-Zarate R; Alvarez-Santana R, Garcia-Diaz J, et al.
  Pages: 822 - 822
  Abstract: RA: right atrium; LA: left atrium; RV: right ventricle; LV: left ventricle
  PubDate: Mon, 02 Mar 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa033
  Issue No: Vol. 21, No. 7 (2020)
Discrete subaortic stenosis in an elderly woman: value of transoesophageal
and 3D echocardiography
- Authors: Casalino G; de Cannière D, de Hemptinne Q, et al.
  Pages: 823 - 823
  PubDate: Wed, 15 Apr 2020 00:00:00 GMT
  DOI: 10.1093/ehjci/jeaa069
  Issue No: Vol. 21, No. 7 (2020)