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Left ventricular and atrial myocardial strain in heart failure with preserved ejection fraction: the evidence so far and prospects for phenotyping strategy Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2024-03-04 Mariane Higa Shinzato, Natasha Santos, Gustavo Nishida, Henrique Moriya, Jorge Assef, Fausto Feres, Renato A. Hortegal
Heart failure with preserved ejection fraction (HFpEF) represents a significant proportion of heart failure cases. Accurate diagnosis is challenging due to the heterogeneous nature of the disease and limitations in traditional echocardiographic parameters. This review appraises the application of Global Longitudinal Strain (GLS) and Left Atrial Strain (LAS) as echocardiographic biomarkers in the diagnosis
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Cardiac dimensions and hemodynamics in healthy juvenile Landrace swine Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2024-01-16 Michelle Costa Galbas, Hendrik Cornelius Straky, Florian Meissner, Johanna Reuter, Marius Schimmel, Sebastian Grundmann, Martin Czerny, Wolfgang Bothe
Swine are frequently used as animal model for cardiovascular research, especially in terms of representativity of human anatomy and physiology. Reference values for the most common species used in research are important for planning and execution of animal testing. Transesophageal echocardiography is the gold standard for intraoperative imaging, but can be technically challenging in swine. Its predecessor
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Evaluation of atherosclerosis as a risk factor in COPD patients by measuring the carotid intima-media thickness Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2024-01-10 Ali Firincioglulari, Hakan Erturk, Mujgan Firincioglulari, Cigdem Biber
This study aimed to evaluate atherosclerosis as comorbidity by measuring the carotid (bulb and common carotid artery) Carotid intima-media thickness in COPD-diagnosed patients and to evaluate the relationship of atherosclerosis with the prevalence of COPD, hypoxemia and hypercapnia. This study was conducted out between January 2019-December 2019 consisting of a total of 140 participants (70 COPD-diagnosed
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Signal-to-noise of linear and volume measures of left ventricular and left atrial size Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2024-01-03 Yunbo Duan, Nezar Amir, Guy P. Armstrong
Serial echocardiographic assessments are common in clinical cardiology, e.g., for timing of intervention in mitral and aortic regurgitation. When following patients with serial echocardiograms, each new measurement is a combination of true change and confounding noise. The current investigation compares linear chamber dimensions with volume estimates of chamber size. The aim is to assess which measure
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Cardiac imaging in athlete’s heart: current status and future prospects Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-12-14 Nurmakhan Zholshybek, Zaukiya Khamitova, Bauyrzhan Toktarbay, Dinara Jumadilova, Nail Khissamutdinov, Tairkhan Dautov, Yeltay Rakhmanov, Makhabbat Bekbossynova, Abduzhappar Gaipov, Alessandro Salustri
Physical activity contributes to changes in cardiac morphology, which are known as “athlete’s heart”. Therefore, these modifications can be characterized using different imaging modalities such as echocardiography, including Doppler (flow Doppler and Doppler myocardial imaging) and speckle-tracking, along with cardiac magnetic resonance, and cardiac computed tomography. Echocardiography is the most
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Feasibility and safety of reprocessing of intracardiac echocardiography catheters for electrophysiology procedures – a large single center experience Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-10-26 Vedran Velagic, Giacomo Mugnai, Ivan Prepolec, Vedran Pasara, Anica Milinković, Andrija Nekić, Jakov Emanuel Bogdanic, Jurica Putric Posavec, Davor Puljević, Carlo de Asmundis, Gian-Battista Chierchia, Davor Milicic
Intra-cardiac echocardiography (ICE) has become an important tool for catheter ablation. Adoption of ICE imaging is still limited because of its prohibitively high cost. Our aim was to study the safety and feasibility of ICE catheters reprocessing and its environmental and financial impact. This was a single center retrospective analysis of all consecutive electrophysiology procedures in which ICE
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Deep learning for automated left ventricular outflow tract diameter measurements in 2D echocardiography Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-10-13 Sigurd Zijun Zha, Magnus Rogstadkjernet, Lars Gunnar Klæboe, Helge Skulstad, Bjørn-Jostein Singstad, Andrew Gilbert, Thor Edvardsen, Eigil Samset, Pål Haugar Brekke
Measurement of the left ventricular outflow tract diameter (LVOTd) in echocardiography is a common source of error when used to calculate the stroke volume. The aim of this study is to assess whether a deep learning (DL) model, trained on a clinical echocardiographic dataset, can perform automatic LVOTd measurements on par with expert cardiologists. Data consisted of 649 consecutive transthoracic echocardiographic
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Prevalence, one-year-incidence and predictors of carcinoid heart disease Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-09-26 Isabel Mattig, Maximilian Richard Franke, Rene Pschowski, Anna Brand, Karl Stangl, Fabian Knebel, Henryk Dreger
Carcinoid heart disease (CHD) caused by neuroendocrine tumours (NET) is associated with an increased morbidity and mortality due to valvular dysfunction and right sided heart failure. The present study aimed to assess the prevalence and one-year-incidence of CHD in NET patients. Tumour characteristics, laboratory measurements, and echocardiographic findings were evaluated to identify predictors of
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Three-dimensional analysis of the tricuspid annular geometry in healthy subjects and in patients with different grades of functional tricuspid regurgitation Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-09-15 Gintarė Bieliauskienė, Ieva Kažukauskienė, Rita Kramena, Aleksejus Zorinas, Antanas Mainelis, Diana Zakarkaitė
Accurate sizing of the tricuspid valve annulus is essential for determining the optimal timing of tricuspid valve (TV) intervention. Two-dimensional (2D) echocardiography has limitations for comprehensive TV analysis. Three-dimensional (3D) imaging of the valve provides a better understanding of its spatial anatomy and enables more accurate measurements of TV structures. The study aimed to analyze
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An alternative method of indexation in aortic stenosis: height-adjusted effective orifice area Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-08-22 Sergio Gamaza-Chulián, Fátima González-Testón, Enrique Díaz-Retamino, Francisco M. Zafra-Cobo, Eva González-Caballero
Although indexing effective orifice area (EOA) by body surface area (BSA) is recommended, this method has several disadvantages, since it corrects by acquired fatty tissue. Our aim was to analyze the value of EOA normalized by height for predicting cardiovascular outcome in patients with aortic stenosis (AS). Patients with AS (peak velocity > 2 m/s) evaluated in our echocardiography laboratory between
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Predictors of functional and morphological arterial wall properties in coronary artery disease patients with increased lipoprotein (a) levels before and after treatment with proprotein convertase subtilisin-kexin type 9 inhibitors Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-08-14 Andreja Rehberger Likozar, Miran Šebeštjen
In addition to proatherogenic properties, lipoprotein (a) (Lp(a)) has also pro-inflammatory, antifibrinolytic and prothrombogenic features. The aim of the current study was to identify the predictors of functional and morphological properties of the arterial wall in patients after myocardial infarction and increased Lp(a) levels at the beginning and after treatment with proprotein convertase subtilisin-kexin
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Is myocardial fibrosis appropriately assessed by calibrated and 2D strain derived integrated backscatter? Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-08-12 Maria Rita Lima, João Abecasis, Rita Reis Santos, Sérgio Maltês, Pedro Lopes, António Ferreira, Regina Ribeiras, Maria João Andrade, Miguel Abecasis, Victor Gil, Sância Ramos, Nuno Cardim
Increased collagen content of the myocardium modifies tissue reflectivity and integrated backscatter (IBS) indexes are suggested as markers of myocardial fibrosis (MF). We sought to assess the correlation between calibrated (c) IBS and bidimensional (2D) strain derived IBS with left ventricular (LV) MF in patients with severe aortic stenosis (AS). We made a prospective observational cohort study including
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Catheter navigation by intracardiac echocardiography enables zero-fluoroscopy linear lesion formation and bidirectional cavotricuspid isthmus block in patients with typical atrial flutter Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-08-03 Blerim Luani, Maksim Basho, Ammar Ismail, Thomas Rauwolf, Sven Kaese, Ndricim Tobli, Alexander Samol, Katharina Pankraz, Alexander Schmeisser, Marcus Wiemer, Rüdiger C. Braun-Dullaeus, Conrad Genz
One of the most helpful aspects of intracardiac echocardiography (ICE) implementation in electrophysiological studies (EPS) is the real-time visualisation of catheters and cardiac structures. In this prospective study, we investigated ICE-guided zero-fluoroscopy catheter navigation during radiofrequency (RF) ablation of the cavotricuspid isthmus (CTI) in patients with typical atrial flutter (AFL).
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Feasibility and reproducibility of semi-automated longitudinal strain analysis: a comparative study with conventional manual strain analysis Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-07-19 Gui-juan Peng, Shu-yu Luo, Xiao-fang Zhong, Xiao-xuan Lin, Ying-qi Zheng, Jin-feng Xu, Ying-ying Liu, Li-xin Chen
Conventional approach to myocardial strain analysis relies on a software designed for the left ventricle (LV) which is complex and time-consuming and is not specific for right ventricular (RV) and left atrial (LA) assessment. This study compared this conventional manual approach to strain evaluation with a novel semi-automatic analysis of myocardial strain, which is also chamber-specific. Two experienced
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Segmental and global myocardial work in hypertensive patients with different left ventricular geometry Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-06-27 Huimei Huang, Liyun Fu, Qinyun Ruan, Ziling You, Lei Yan
Myocardial work acquired by echocardiography has emerged as a novel method to evaluate myocardial function. We investigated global and segmental myocardial work in hypertension (HT) among patients with different patterns of left ventricular (LV) geometry in order to analyze the contribution of segmental myocardial work to global myocardial work. One hundred twenty-five patients with HT were divided
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Noninvasive right ventricular work in patients with atrial septal defects: a proof-of-concept study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-05-20 Jian Wu, Xinyi Huang, Weibin Chen, Yiruo Tang, Xu Chen, Xinyu Wang, Bo Jing, Yuanyuan Sun, Kunhui Huang, Qiumei Gao, Xueming Liu, Maolong Su
Noninvasive right ventricular (RV) myocardial work (RVMW) determined by echocardiography is a novel indicator used to estimate RV systolic function. To date, the feasibility of using RVMW has not been verified in assessing RV function in patients with atrial septal defect (ASD). Noninvasive RVMW was analysed in 29 ASD patients (median age, 49 years; 21% male) and 29 age- and sex-matched individuals
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Peak left atrial longitudinal strain is associated with all-cause mortality in patients with ventricular functional mitral regurgitation Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-05-06 Daniel A. Gomes, Pedro M. Lopes, Pedro Freitas, Francisco Albuquerque, Carla Reis, Sara Guerreiro, João Abecasis, Marisa Trabulo, António M. Ferreira, Jorge Ferreira, Regina Ribeiras, Miguel Mendes, Maria J. Andrade
Chronic mitral regurgitation promotes left atrial (LA) remodeling. However, the significance of LA dysfunction in the setting of ventricular functional mitral regurgitation (FMR) has not been fully investigated. Our aim was to assess the prognostic impact of peak atrial longitudinal strain (PALS), a surrogate of LA function, in patients with FMR and reduced left ventricular ejection fraction (LVEF)
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The role of contractile dyssynchrony in pacing-induced cardiomyopathy: detailed assessment using index of contractile asymmetry Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-05-01 Patricia Zerlang Fruelund, Anders Sommer, Søren Lundbye-Christensen, Claus Graff, Peter Søgaard, Sam Riahi, Tomas Zaremba
The pathophysiological effects of chronic right ventricular pacing and the role of right ventricular lead position are not well understood. Therefore, we investigated the association between left ventricular contractile dyssynchrony and pacing-induced cardiomyopathy (PICM) in patients with chronic right ventricular pacing. Furthermore, we assessed the association between right ventricular lead location
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Global longitudinal strain assessment in contrast-enhanced echocardiography in breast cancer patients: a feasibility study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-04-20 Shichu Liang, Mei Liu, Zhiyue Liu, Xiaorong Zhong, Yupei Qin, Ting Liang, Xi Wang, Zhuoqin Tang, Qian Li, He Huang
Left ventricular global longitudinal strain (GLS) obtained from two-dimensional speckle-tracking echocardiography (2D-STE) can reflect cancer therapy-related cardiac dysfunction in breast cancer (BC) patients, however, the accuracy and reproducibility of 2D-STE are restricted due to poor image quality. Between January 2019 and October 2021, 160 consecutive BC patients aged ≥ 18 years were recruited
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Three-dimensional transesophageal echocardiographic evaluation of pulmonary vein anatomy prior to cryoablation: validation with cardiac CT scan Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-04-19 Laszlo Tibor Nagy, Csaba Jenei, Timea Bianka Papp, Reka Urbancsek, Rudolf Kolozsvari, Agnes Racz, Arnold Peter Raduly, Richard Veisz, Zoltan Csanadi
Anatomical characteristics of the left atrium and the pulmonary veins (PVs) may be relevant to the success rate of cryoballoon (CB)-ablation for atrial fibrillation (AF). Cardiac computed tomography (CCT) is considered as the gold standard for preablation imaging. Recently, three-dimensional transesophageal echocardiography (3DTOE) has been proposed for preprocedural assessment of cardiac structures
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Aorto-ventricular tunnel with three orifices: a unique case report diagnosed by transthoracic echocardiography Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-04-01 Canying Yang, Juesheng Yang, Xiaoning Huang, Jiwei Wang
Aorto-ventricular tunnel (AVT) is an abnormal communication channel between the ascending aorta and the ventricle. It commonly has two orifices, i.e., one aortic opening and one ventricular opening. In this study, we present a unique case of AVT with three orifices: one aortic opening, one LV opening, and one RV opening. A 64-year-old male presented with chest discomfort and dyspnea on exertion lasting
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Left atrial reservoir strain measurements derived from intracardiac echocardiography in patients with atrial fibrillation: comparison with transthoracic echocardiography Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-02-24 Jingru Lin, Yuqi Cai, Xu Meng, Shangyu Liu, Fengyang Wang, Limin Liu, Zhenhui Zhu, Mengyi Liu, Ligang Ding, Weichun Wu, Hao Wang, Yan Yao
Intracardiac echocardiography (ICE) provides accurate left atrial (LA) anatomical information in the procedure of atrial fibrillation (AF) ablation but lacks LA functional assessment. LA reservoir strain (LASr) is an excellent marker of LA reservoir function. This study aimed to assess the agreement between LASr derived from ICE and transthoracic echocardiography (TTE) in AF patients and analyze the
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Can transthoracic echocardiography be used to a greater extent in the diagnostics of infective endocarditis to avoid unnecessary transoesophageal examinations without jeopardising accuracy? Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-01-31 Anna Damlin, Maria J. Eriksson, Eva Maret
Infective endocarditis (IE) is a serious condition that requires prompt diagnosis and treatment. Transthoracic echocardiography (TTE) is usually the initial imaging modality, however transoesophageal echocardiography (TOE) is sometimes necessary because of its higher sensitivity for IE. Yet, TOE may imply an increased risk of complications. This project aims to evaluate whether TTE can be used to a
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Echocardiographic reference ranges for noninvasive left ventricular 18-segment myocardial work index and work efficiency in a healthy Asian population Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-01-23 Jian Wu, Xinyi Huang, Kunhui Huang, Yiruo Tang, Qiumei Gao, Xu Chen, Bo Jing, Xinyu Wang, Biqin Lin, Maolong Su
Left ventricular (LV) myocardial work index (WI) and work efficiency (WE) have become the latest indicators for assessing LV function. Reference ranges for normal LV segmental WI and WE have not been established. Four hundred eleven healthy Asian subjects (47% men, median age: 35 years) were enrolled prospectively. WI and WE were analysed using the LV pressure–strain loop (LVPSL) with specific software
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Pulmonary hypertension at admission predicts ICU mortality in elderly critically ill with severe COVID-19 pneumonia: retrospective cohort study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2023-01-18 Kurnik, Marko, Božič, Helena, Vindišar, Anže, Kolar, Petra, Podbregar, Matej
Point-of-care ultrasound (POCUS) is a useful diagnostic tool for non-invasive assessment of critically ill patients. Mortality of elderly patients with COVID-19 pneumonia is high and there is still scarcity of definitive predictors. Aim of our study was to assess the prediction value of combined lung and heart POCUS data on mortality of elderly critically ill patients with severe COVID-19 pneumonia
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Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-11-28 Rizza, Antonio, Negro, Francesco, Gasbarri, Tommaso, Arpesani, Roberto, Ferro, Baldassare, Roncucci, Paolo, Palmieri, Cataldo, Sorbo, Simone, Pasanisi, Emilio Maria, Solinas, Marco, Berti, Sergio
Venous thromboembolism represents the third most frequent acute cardiovascular syndrome worldwide. Its clinical manifestations are deep vein thrombosis and/or pulmonary embolism. Despite a considerable mortality, diagnosis is often missed. We report the management of a female patient with high-risk pulmonary thromboembolism treated initially with thromboaspiration, complicated by embolus jailing in
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Reduced left atrial contractile strain with speckle tracking analysis predicts abnormal plasma NTproBNP in an asymptomatic community population Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-11-26 Liu, Lin, Zhang, Baowei, Yang, Ying, Qi, Litong, Wang, Shuo, Meng, Lei, Ma, Wei, Huo, Yong
The left atrium (LA) is closely related to left ventricular diastolic function. Two-dimensional speckle tracking strain and strain rate (SR) imaging has been applied in the study of LA function. We intended to explore the relationship between global LA deformation parameters and plasma NTproBNP levels in asymptomatic community residents with normal ejection fraction and normal LA volume. A cross-sectional
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Medical student medium-term skill retention following cardiac point-of-care ultrasound training based on the American Society of Echocardiography curriculum framework Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-10-12 Jujo, Satoshi, Sakka, Brandan I., Lee-Jayaram, Jannet J., Kataoka, Akihisa, Izumo, Masaki, Kusunose, Kenya, Nakahira, Atsushi, Oikawa, Sayaka, Kataoka, Yuki, Berg, Benjamin W.
No studies have demonstrated medium- or long-term skill retention of cardiac point-of-care ultrasound (POCUS) curriculum for medical student. Based on the American Society of Echocardiography (ASE) curriculum framework, we developed a blended-learning cardiac POCUS curriculum with competency evaluation. The objective of this study was to investigate the curriculum impact on image acquisition skill
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Evaluation of left ventricular systolic function in patients with systemic lupus erythematosus using ultrasonic layer-specific strain technology and its association with cardiovascular events: a long-term follow-up study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-10-07 Zhang, Hebin, Yang, Cunxin, Gao, Feng, Hu, Shanting, Ma, Hui
Systemic lupus erythematosus (SLE) is a multisystem, autoimmune disease with potential cardiovascular involvement. Layer-specific strain (LSS) analysis is a new method that allows early detection of subtle left ventricular (LV) systolic dysfunction. The aim of this study was to evaluate LV systolic function in patients with SLE using conventional echocardiographic measurements and longitudinal strain
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Variable exposure to echocardiography core competencies when applying minimum recommended procedural numbers for cardiology fellows in training Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-09-20 Bierowski, Matthew J., Qureshi, Umer, Ramedani, Shayann, Grewal, Simran, Shah, Ravi, Park, Robert, Peterson, Brandon R.
The American College of Cardiology Core Cardiovascular Training Statement (COCATS) defined echocardiography core competencies and set the minimum recommend number of echocardiograms to perform (150) and interpret (300) for independent practice in echocardiography (level 2 training). Fellows may lack exposure to key pathologies that are relatively infrequent, however, even when achieving an adequate
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Myocardial contrast echocardiography assessment of perfusion abnormalities in hypertrophic cardiomyopathy Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-09-19 Roldan, Paola, Ravi, Sriram, Hodovan, James, Belcik, J. Todd, Heitner, Stephen B., Masri, Ahmad, Lindner, Jonathan R.
Perfusion defects during stress can occur in hypertrophic cardiomyopathy (HCM) from either structural or functional abnormalities of the coronary microcirculation. In this study, vasodilator stress myocardial contrast echocardiography (MCE) was used to quantify and spatially characterize hyperemic myocardial blood flow (MBF) deficits in HCM. Regadenoson stress MCE was performed in patients with septal-variant
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Global longitudinal strain for detection of cardiac iron overload in patients with thalassemia: a meta-analysis of observational studies with individual-level participant data Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-08-12 Attar, Armin, Hosseinpour, Alireza, Hosseinpour, Hamidreza, Rezaeian, Nahid, Abtahi, Firoozeh, Mehdizadeh, Fereshte, Parsaee, Mozhgan, Akiash, Nehzat, Behjati, Mohaddeseh, Meloni, Antonella, Pepe, Alessia
Although cardiac magnetic resonance (CMR) is the most reliable tool for assessment of CIO in patients with thalassemia, it is not always readily available. Recent studies have explored the potential of GLS as an alternative for diagnosis of CIO. We aimed to investigate the efficacy of global longitudinal strain (GLS) for detection of cardiac iron level (CIO). We searched SCOPUS, MEDLINE, and Embase
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Two-dimensional speckle tracking echocardiography in assessing the subclinical myocardial dysfunction in patients with gestational diabetes mellitus Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-08-09 Li, Wei, Li, Ziyao, Liu, Wei, Zhao, Peng, Che, Guoying, Wang, Xudong, Di, Zhixin, Tian, Jiawei, Sun, Litao, Wang, Zhenzhen
Gestational diabetes mellitus (GDM) may increase the risk of cardiovascular disease and accompany asymptomatic deterioration of the myocardial function. This study aims to identify the subclinical impact of GDM on maternal left ventricular function by two-dimensional speckle tracking echocardiography (2D-STE). We prospectively recruited 47 women with GDM and 62 healthy pregnant women who underwent
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A novel echocardiographic right ventricular dysfunction score can identify hemodynamic severity profiles in left ventricular dysfunction Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-08-02 Bech-Hanssen, Odd, Fredholm, Martin, Astengo, Marco, Bartfay, Sven-Erik, Bollano, Entela, Dellgren, Göran, Karason, Kristjan, Ricksten, Sven-Erik
Recognition of congestion and hypoperfusion in patients with chronic left ventricular dysfunction (LVD) has therapeutic and prognostic implications. In the present study we hypothesized that a multiparameter echocardiographic grading of right ventricular dysfunction (RVD) can facilitate the characterization of hemodynamic profiles. Consecutive patients (n = 105, age 53 ± 14 years, males 77%, LV ejection
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Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-07-25 Jiang, Wei, Xu, Lili, Guo, Xiaojuan, Li, Yidan, Lv, Xiuzhang
Fibrosing mediastinitis (FM) is considered a benign disease, but it can be fatal if progression leads to compression of the hilum of the lungs or invasion of the heart. Echocardiographic reports of this disease are very rare. We present a 14-year-old male patient whose non-enhanced chest computed tomography showed unclear soft-tissue dense lesions in the anterior superior mediastinum. Echocardiography
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Blood speckle imaging compared with conventional Doppler ultrasound for transvalvular pressure drop estimation in an aortic flow phantom Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-07-16 Dockerill, Cameron, Gill, Harminder, Fernandes, Joao Filipe, Nio, Amanda Q. X., Rajani, Ronak, Lamata, Pablo
Transvalvular pressure drops are assessed using Doppler echocardiography for the diagnosis of heart valve disease. However, this method is highly user-dependent and may overestimate transvalvular pressure drops by up to 54%. This work aimed to assess transvalvular pressure drops using velocity fields derived from blood speckle imaging (BSI), as a potential alternative to Doppler. A silicone 3D-printed
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Tissue Doppler derived biphasic velocities during the pre and post-ejection phases: patterns, concordance and hemodynamic significance in health and disease Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-07-14 Omar, Alaa Mabrouk Salem, Botero, Diana Maria Ronderos, Caraballo, Javier Arreaza, Kim, Ga Hee, Khachatoorian, Yeraz, Kliewer, Jaclyn, Rahman, Mohamed Ahmed Abdel, Rifaie, Osama, Bella, Jonathan N., Argulian, Edgar, Contreras, Johanna
Pre-(PRE) and post-ejection (POE) velocities by mitral annular tissue Doppler (TD) are biphasic and may be related to myocardial deformations. We investigated the predominance and concordance of TD-PRE and POE velocities and their effect on myocardial functions in controls and in heart failure (HF) patients. Retrospectively, 84 HF patients [57.6 years, 28(33%) females, NYHA: 2.3 ± 0.6, EF: 55 ± 15%
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Can prenatal diagnosis of parachute mitral valve be achieved? A case report of fetal parachute mitral valve Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-07-08 Dai, Xiaohui, Chen, Jiao, Liu, Hanmin, Wu, Lin, Zhao, Fumin
Parachute mitral valve (PMV) is a common form of congenital mitral stenosis and is difficult to diagnose prenatally. This report describes a fetal case of PMV with coarctation of the aorta that was diagnosed at 25 weeks’ gestation by echocardiography and confirmed at autopsy. We describe the ultrasonographic features in this case and present a useful sign for making a prenatal diagnosis of PMV.
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Prenatal diagnosis of anomalous left brachiocephalic vein courses using high-definition flow render mode and spatiotemporal image correlation Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-06-28 Li, Tian-gang, Ma, Bin, Qi, Ping-an
This study aimed to examine the clinical value of high-definition (HD) flow render mode and spatiotemporal image correlation (STIC) to diagnose anomalous left brachiocephalic vein (LBCV) courses in fetuses. Seventeen cases of anomalous LBCV courses were diagnosed using two-dimensional (2D), HD-flow, and HD-flow combined with STIC images and retrospectively analyzed to examine the significance of using
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Echocardiographic characteristics of PRKAG2 syndrome: a research using three-dimensional speckle tracking echocardiography compared with sarcomeric hypertrophic cardiomyopathy Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-05-05 Tang, Lu, Li, Xuejie, Zhou, Nianwei, Jiang, Yingying, Pan, Cuizhen, Shu, Xianhong
PRKAG2 syndrome is a rare disease characterized as left ventricular hypertrophy (LVH), ventricular preexcitation syndrome, and sudden cardiac death. Its natural course, treatment, and prognosis were significantly different from sarcomeric hypertrophic cardiomyopathy (HCM). However, it is often clinically misdiagnosed as sarcomeric HCM. PRKAG2 patients tend to experience delayed treatment. The delay
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Left atrial morpho-functional remodeling in atrial fibrillation assessed by three dimensional speckle tracking echocardiography and its value in atrial fibrillation screening Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-05-03 Bao, Lilian, Cheng, Lei, Gao, Xiufang, Yan, Fangying, Fan, Huihua, Shan, Ying, Li, Yong, Shi, Haiming, Huang, Guoqian, Bao, Liwen
Three dimensional speckle tracking echocardiography (3D STE) is a novel technique combining 3D echocardiography and speckle tracking analysis. 3D STE software dedicated to the left atrium (LA) was recently available. Our study aimed to assess (1) atrial fibrillation (AF) related LA morpho-functional remodeling using 3D STE and (2) value of LA function parameters in identifying paroxysmal AF (PAF).
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Correction to: Left atrial contraction strain and controlled preload alterations, a study in healthy individuals Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-04-26 Gottfridsson, Peter, A’Roch, Roman, Lindqvist, Per, Law, Lucy, Myrberg, Tomi, Hultin, Magnus, A’Roch, Alexander, Haney, Michael
Correction to: Cardiovasc Ultrasound 20, 8 (2022) https://doi.org/10.1186/s12947-022-00278-1 Following the publication of the original article [1], the author reported that one of the co-authors name was misspelled. “Tomi Myberg“ should be “Tomi Myrberg“. The original article has been updated. Gottfridsson P, A’Roch R, Lindqvist P, et al. Left atrial contraction strain and controlled preload alterations
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Left ventricular high frame rate echo-particle image velocimetry: clinical application and comparison with conventional imaging Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-04-26 Strachinaru, Mihai, Voorneveld, Jason, Keijzer, Lana B. H., Bowen, Daniel J., Mutluer, Ferit O., Cate, Folkert ten, de Jong, Nico, Vos, Hendrik J., Bosch, Johan G., van den Bosch, Annemien E.
Echo-Particle Image Velocimetry (echoPIV) tracks speckle patterns from ultrasound contrast agent(UCA), being less angle-sensitive than colour Doppler. High frame rate (HFR) echoPIV enables tracking of high velocity flow in the left ventricle (LV). We aimed to demonstrate the potential clinical use of HFR echoPIV and investigate the feasibility and accuracy in patients. Nineteen patients admitted for
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Difference in cardiac remodeling between female athletes and pregnant women: a case control study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-04-13 Toncelli, Loira, Pasquini, Lucia, Masini, Giulia, Orlandi, Melissa, Paci, Gabriele, Mecacci, Federico, Pedrizzetti, Gianni, Galanti, Giorgio
The aim of this study was to detect possible differences in reversible cardiac remodeling occurring in sport training and twin pregnancy. Background: cardiac remodeling occurs in athletes and pregnant women due to training and fetal requirements, respectively. These changes could be apparently similar. 21 female elite athletes (23.2 ± 5.3 years), 25 women with twin pregnancies (35.4 ± 5.7 years) and
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Cardiac microstructural alterations in immune-inflammatory myocardial disease: a retrospective case-control study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-04-04 Kwan, Alan C., Salto, Gerran, Nguyen, Trevor-Trung, Kim, Elizabeth H., Luong, Eric, Hiremath, Pranoti, Ouyang, David, Ebinger, Joseph E., Li, Debiao, Berman, Daniel S., Kittleson, Michelle M., Kobashigawa, Jon A., Patel, Jignesh K., Cheng, Susan
Immune-inflammatory myocardial disease contributes to multiple chronic cardiac processes, but access to non-invasive screening is limited. We have previously developed a method of echocardiographic texture analysis, called the high-spectrum signal intensity coefficient (HS-SIC) which assesses myocardial microstructure and previously associated with myocardial fibrosis. We aimed to determine whether
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Left atrial contraction strain and controlled preload alterations, a study in healthy individuals Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-03-30 Gottfridsson, Peter, A’Roch, Roman, Lindqvist, Per, Law, Lucy, Myberg, Tomi, Hultin, Magnus, A’Roch, Alexander, Haney, Michael
In order to assess left atrial contractile function in disturbed circulatory conditions, it is necessary to have a clear understanding of how it behaves in a normal resting state with changes in loading conditions. However, currently the understanding of this relationship is incomplete. We hypothesize that in healthy individuals, left atrial contraction strain and its peak strain rate are increased
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Cardiac assessment accuracy by students using palm-held ultrasound compared to physical examination by skilled cardiologists: a pilot study with a single medical student Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-03-25 Sarig, Shirley, Or, Tsafrir, Moady, Gassan, Atar, Shaul
Despite the inherent limitations of the traditional cardiac physical examination (PE), it has not yet been replaced by a more accurate method. We hypothesized that a single medical student, following a brief training (two academic hours) with the PHU, will better identify abnormal findings including significant valvular diseases, pericardial effusion and reduced LV function, as compared to PE performed
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Biochemical but not imaging parameters are predictive of outcome in septic shock: a pilot study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-03-24 Belli, Oriana E., Campolo, Jonica, Vallerio, Paola, Musca, Francesco, Moreo, Antonella, Maloberti, Alessandro, Parolini, Marina, Bonacchini, Luca, Monti, Gianpaola, De Gasperi, Andrea, Fumagalli, Roberto, Giannattasio, Cristina
Septic shock is a severe form of sepsis marked by hypotension with an ominous outcome despite the introduction of modern intensive care. The aim of the present study is to obtain a panel with biomarkers, echocardiographic and vascular parameters to better risk stratify patients and identify those at higher risk of ominous outcome. Between May 2013 and April 2016, 35 consecutive patients admitted at
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Comparison of left atrial deformation parameters between renal transplant and hemodialysis patients Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-02-25 Yildirim, Ufuk, Akcay, Murat, Coksevim, Metin, Turkmen, Ercan, Gulel, Okan
Renal transplantation (RT) has been demonstrated to improve left ventricular systolic function. However, only few studies have attempted to reveal the effects of transplantation on left atrial (LA) function. In our study, we aimed to compare LA function between RT and hemodialysis patients. This cross-sectional study included 75 consecutive patients with RT, and 75 age- and gender-matched patients
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Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-02-21 Park, Suyeon, Won, Hye-Sung, Kim, Rina, Kim, Mijin, Yu, Jeong Jin, Park, Chun Soo, Yun, Tae-Jin, Jung, Yewon, Al Harbi, Usamah, Lee, Mi-Young
To assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF). Echocardiographic data obtained in the second and third trimesters were retrospectively reviewed for fetuses diagnosed with TOF between 2014 and 2018 at Asan Medical Center. The following fetal cardiac parameters were analyzed: 1) pulmonary valve annulus (PVA) z-score, 2) right pulmonary
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Comprehensive evaluation of left ventricular deformation using speckle tracking echocardiography in normal children: comparison of three-dimensional and two-dimensional approaches Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-01-27 Aly, Doaa, Madan, Nitin, Kuzava, Laura, Samrany, Alison, Parthiban, Anitha
Three-dimensional (3D) speckle tracking echocardiography (STE) can overcome some of the inherent limitations of two-dimensional (2D) STE; however, clinical experience is lacking. We aimed to assess and compare the feasibility, agreement, and reproducibility of left ventricular (LV) global longitudinal (GLS), and regional strain by 3D vs 2D STE in normal children. Healthy pediatric subjects (n = 105
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Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-01-19 Han, Jing, Yang, Xi, Xu, Wei, Jin, Ronghua, Liu, Weiyuan, Ding, Lei, Meng, Sha, Zhang, Yuan, Li, Jin, Zheng, Ying, Li, Haowen, Meng, Fankun
This study aimed to investigate the relationship between echocardiography results and lung ultrasound score (LUS) in coronavirus disease 2019 (COVID-19) pneumonia patients and evaluate the impact of the combined application of these techniques in the evaluation of COVID-19 pneumonia. Hospitalized COVID-19 pneumonia patients who underwent daily lung ultrasound and echocardiography were included in this
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Galectin-3 and sST2: associations to the echocardiographic markers of the myocardial mechanics in systemic sclerosis – a pilot study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2022-01-18 Vértes, Vivien, Porpáczy, Adél, Nógrádi, Ágnes, Tőkés-Füzesi, Margit, Hajdu, Máté, Czirják, László, Komócsi, András, Faludi, Réka
Progressive cardiac fibrosis is the central aspect of the myocardial involvement in systemic sclerosis (SSc). We hypothesized that circulating biomarkers of the cardiac fibrosis may be useful in the early diagnosis of the cardiac manifestation in this disease. Thus, we investigated the potential correlations between the levels of galectin-3, soluble suppression of tumorigenicity-2 (sST2) and the echocardiographic
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Myocardial strain measured via two-dimensional speckle-tracking echocardiography in a family diagnosed with arrhythmogenic left ventricular cardiomyopathy Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-12-20 Ma, Changsheng, Fan, Jiali, Zhou, Bingyuan, Zhao, Caiming, Zhao, Xin, Su, Bo, Miao, Yuzhu, Liao, Yuping, Wang, Li
Arrhythmogenic cardiomyopathy is a myocardial disorder characterized by ventricular arrhythmias, right and/or left ventricular involvement, and fibrofatty infiltrations in the myocardium. We report a family diagnosed with arrhythmogenic left ventricular cardiomyopathy (ALVC) and depict their echocardiographic characteristics. Fifteen family members were divided into three groups based on whether they
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The effectiveness of a blended POCUS curriculum on achieving basic focused bedside transthoracic echocardiography (TTE) proficiency. A formalized pilot study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-12-09 Kline, Jonathan, Golinski, Mary, Selai, Brian, Horsch, Jeremy, Hornbaker, Katie
The study objective is to evaluate the effeteness of an existing educational platform blending didactic presentation and hands-on simulation for university doctoral SRNAs in the area of basic, 4 view identification and performance of transthoracic echocardiography (TTE). Following IRB approval, SRNAs were exposed to a pre test to evaluate existing skills, then they were exposed to a graphic rich, live
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Evaluation of intraventricular flow by multimodality imaging: a review and meta-analysis Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-12-08 Mutluer, Ferit Onur, van der Velde, Nikki, Voorneveld, Jason, Bosch, Johan G., Roos-Hesselink, Jolien W., van der Geest, Rob J., Hirsch, Alexander, van den Bosch, Annemien
The aim of this systematic review was to evaluate current inter-modality agreement of noninvasive clinical intraventricular flow (IVF) assessment with 3 emerging imaging modalities: echocardiographic particle image velocimetry (EPIV), vector flow mapping (VFM), and 4-dimensional flow cardiovascular magnetic resonance imaging (4D flow CMR). We performed a systematic literature review in the databases
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Predictors of worsening TR severity after right ventricular lead placement: any added value by post-procedural fluoroscopy versus three –dimensional echocardiography? Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-11-21 Poorzand, Hoorak, Tayyebi, Mohammad, Hosseini, Sara, Bakavoli, Alireza Heidari, Keihanian, Faeze, Jarahi, Lida, Hamadanchi, Ali
The effect of right ventricular (RV) leads on tricuspid valve has been already raised concerns, especially in terms of prognostic implication. For such assessment, three-dimensional transthoracic echocardiography (3D-TTE) has been used previously but there was no data on the use of post-procedural fluoroscopy in the literature. We prospectively enrolled 59 patients who underwent clinically indicated
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Moderately trained male football players, compared to sedentary male adults, exhibit anatomical but not functional cardiac remodelling, a cross-sectional study Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-11-11 Engvall, Jan E., Aneq, Meriam Åström, Nylander, Eva, Brudin, Lars, Maret, Eva
Elite athletes have been the subject of great interest, but athletes at an intermediate level of physical activity have received less attention in respect to the presence of cardiac enlargement and/or hypertrophy. We hypothesized that playing football, often defined as demanding less endurance components than running or cycling, would still induce remodelling similar to sports with a dominating endurance
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2D-echocardiography vs cardiac MRI strain: a prospective cohort study in patients with HER2-positive breast cancer undergoing trastuzumab Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-11-09 Bouwer, Nathalie I., Liesting, Crista, Kofflard, Marcel J. M., Brugts, Jasper J., Kock, Marc C. J., Kitzen, Jos J. E. M., Levin, Mark-David, Boersma, Eric
We aimed to study the predictive value of early two-dimensional echocardiography (2DE) speckle tracking (ST) for left ventricular ejection fraction (LVEF) changes during trastuzumab treatment for HER2-positive breast cancer. HER2-positive breast cancer patients receiving trastuzumab, with or without anthracycline, underwent 2DE-ST at baseline and after 3 and 6 months (m) trastuzumab. Cardiac magnetic
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In-hospital COVID-19 infection echocardiographic analysis: a Brazilian, tertiary single-centre experience Cardiovasc. Ultrasound (IF 1.9) Pub Date : 2021-10-23 Vieira, Marcelo Luiz Campos, Afonso, Tania Regina, Oliveira, Alessandra Joslin, Stangenhaus, Carolina, Dantas, Juliana Cardoso Dória, de França, Lucas Arraes, Daminelo, Edgar, Cordovil, Adriana, Martins, Lara A. S., Meirelles, Rodrigo A. C., Piveta, Rafael B., Barros-Gomes, Sérgio, Aguiar, Miguel O. D., Roveri, Patrícia O., Oliveira, Wércules A., Lianza, Alessandro C., Ponchirolli, Andrea P. L., Silva
Information is lacking concerning in-hospital echocardiography analysis of COVID-19 infection in Brazil. We evaluated echocardiographic parameters to predict a composite endpoint of mortality, pulmonary thromboembolism or acute renal failure. A prospective full echocardiographic study of consecutive patients hospitalized with COVID-19, single tertiary centre in Brazil. We correlated echocardiographic