Meta-analysis of the association between left ventricular late gadolinium enhancement on cardiac MRI and atrial fibrillation in hypertrophic cardiomyopathy patients.

The longitudinal and circumferential strain curves are displayed in the segmental model with a specific color. The fractional area change was automatically calculated via VVI software. A, Control group; B, OSAS group; C, OSAS+HT group. ALS, ACS, and FAC were significantly lower in the patient groups (OSAS, OSAS + HT) than in the control group.

Conventional-dose dobutamine stress echocardiography (DSE) showed superior diagnostic accuracy for myocardial viability in ischemic cardiomyopathy compared to low-dose DSE, with β-blockers further enhancing diagnostic performance. Optimal DSE dosing improves patient assessment.

The aim of this study is to develop and validate a combined model based on ultrasound radiomics in order to detect early CTRCD. By analyzing detailed medical images, radiomics extracts quantitative features to identify subtle cardiac changes, improving early diagnosis.

Left main coronary artery atresia (LMCAA) is a rare congenital coronary anomaly and sometimes presents with non-specific clinical symptoms that make the diagnosis challenging. We are presenting an interesting case that required multimodality imaging to establish the diagnosis.

Two-dimensional speckle tracking helped determine whether the tumor adjacent to the left ventricular apex had infiltrated the pericardium. The peak strain value remains unaffected, although the peak timing in the area adjacent to the tumor is delayed. Consequently, the tumor was determined not to have infiltrated the pericardium.

An elderly woman with rheumatoid arthritis presented with progressive dyspnea. Transoesophageal echocardiography revealed severe aortic regurgitation with perforation of the non-coronary and left coronary leaflet. After stabilization and a week of antibiotic therapy, aortic valve replacement was performed. The valve histology showed palisading granulomas typical of rheumatoid etiology.

Comprehensive Imaging Modalities in HCM

Roles of different imaging modalities in HCM diagnosis and management. ASA, alcohol septal ablation; CCT, cardiac computed tomography; CMR, cardiac magnetic resonance imaging; DF, diastolic function; EF, ejection fraction; HCM, hypertrophic cardiomyopathy; LGE, late gadolinium enhancement; LVH, left ventricular hypertrophy; LVOTO, left ventricular outflow tract obstruction; MR, mitral regurgitation; SAM, systolic anterior motion; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography .

Cardiac magnetic resonance (CMR) has significantly advanced over recent decades, becoming indispensable in various settings. In electrophysiology (EP), CMR plays a pivotal role in procedural planning, real-time guidance, and post-procedural evaluation. Its precise definition of myocardial scarring tailor's ablation processes, while the possibility of crafting 3D models of the heart and merging them into the EP lab is emerging. Additionally, specialized sequences assess ablation outcomes and predict arrhythmia recurrence, highlighting its prognostic value.

Myocardial work indices (GWI/GCW/GWE) detected cardiotoxicity earlier than LVEF in children receiving anthracyclines, with initial deterioration at 30–60 mg/m². GWI and GCW showed the largest decline, plateauing at 100–250 mg/m², while GLS and GWE declined consistently, highlighting myocardial work as a sensitive tool for assessing anthracycline-induced cardiotoxicity (AIC).

Image on the left shows the intraoperative image with the surgeon's electrosurgical unit pointing toward the aortopulmonary connection, and the corresponding image on the right is of the intraoperative transesophageal echocardiography showing the same communication, which has a width of 1 cm

With the aging of the population, the number of patients with tricuspid regurgitation (TR) is increasing. Severe TR is associated with global morbidity and mortality of cardiovascular events. In recent years, the rapid development of transcatheter interventions for tricuspid valve disease has made TR a current research hotspot. More preoperative information about the patient's tricuspid valve anatomy, the etiology leading to TR, and the severity of TR will aid in intraoperative maneuvers and postoperative prognosis assessments.

A prospective echocardiographic study monitored cardiac function following the initiation of immune checkpoint inhibitors in cancer patients. LVOT VTI and peak exercise stage achieved were reduced, but other biventricular structure/functional markers and LV/LA strain were unchanged .

TEE simultaneous orthogonal long axis and short axis views and MDCT of ascending aorta sagittal view demonstrate two complicated pseudoaneurysm (*) in anterior wall of ascending aorta and intramural hematoma (open arrow) extending proximally to aortic root and a large thrombus (solid arrow) protruding into the lumen of ascending aorta

Gestational diabetes mellitus (GDM) may profoundly influence both the short-term and long-term health of mothers and their offspring. Maternal hyperglycemia in gestational diabetes impairs fetal left ventricular function, particularly myocardial deformation, as assessed by fetal HQ imaging.

Study overview and main findings shown. The central figure illustrates the overall findings comparing systolic and diastolic function between sexes. The figure on the right shows a detailed breakdown of diastolic parameters that were independently associated with female sex.

CoA fetuses have significant alterations in the ultrasound parameters of the MCA, UA, heart, and MCA RI, ratios of LCO to fetal weight, and ventricular septal defect may significantly affect CoA presence.

While this syndrome is associated with bicuspid aortic valve, here we report a case presenting with Shone's syndrome complicated by unicuspid aortic valve.

In patients with suspected arrhythmogenic right ventricular cardiomyopathy, evaluation of the right ventricle by cardiac magnetic resonance imaging includes volumetric, functional, and morphological studies. This is because much of the information obtained from magnetic resonance imaging constitutes some of the criteria required for the diagnostic work-up of the disease and must therefore be included and considered alongside all other criteria. It is essential to be mindful of technical and interpretative pitfalls and to always consider possible alternative diagnoses for an accurate differential diagnosis.

Advanced non-invasive imaging modalities, such as coronary computed tomography angiography (CCTA) and cardiac magnetic resonance (CMR), are pivotal in improving diagnostic precision and guiding personalized management strategies for patients with chronic coronary syndrome (CCS). These technologies enable comprehensive assessments, including coronary stenosis, plaque characteristics, perivascular adipose tissue (PVAT), CT-derived fractional flow reserve (FFR), cardiac function, strain imaging, parametric mapping (including extracellular volume [ECV]), tissue characterization, stress myocardial perfusion, and myocardial viability.

CCTA has demonstrated high sensitivity compared to functional testing modalities and a substantial negative predictive value. Identifying high-risk plaque features through CCTA guides the initiation of preventive therapy, which has proven effective for plaque regression, particularly with statin therapy. CCTA has shown that anatomical assessments, such as plaque location and coronary artery severity, correlate with MACE. Tissue characterization through CMR is crucial for identifying cardiomyopathy subtypes, as LGE may be the sole indicator of the condition and carries prognostic significance. CCTA, coronary computed tomography angiography; CMR, cardiac magnetic resonance; CAD, coronary artery disease; MACE, Major adverse cardiac events; LGE, Late Gadolinium enhancement; SCD, sudden cardiac death; LVEF, left ventricular ejection fraction.