Application of Echocardiography in the Diagnosis of Cardiovascular Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 25 August 2024 | Viewed by 499

Special Issue Editor


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Guest Editor
Echo Lab, Clinica Montevergine, GVM Care and Research, Mercogliano, Italy
Interests: valvular heart disease; echocardiography; interventional echocardiography; structural heart intervention; cardiac surgery

Special Issue Information

Dear Colleagues,

It is with a great pleasure that we present this Special Issue of the Journal of Clinical Medicine, entitled “Application of Echocardiography in the Diagnosis of Cardiovascular Diseases”. Echocardiography represents the cornerstone imaging modality for the diagnosis of different cardiovascular diseases. New diagnostic tools such as 3D-echo, speckle tracking, and myocardial work assessment may provide further contributions to the diagnosis, identification of subclinical cardiac involvement, and prognosis stratification.

In this Special Issue, we aim to collect manuscripts, original articles, and reviews focusing on the role of echocardiography for the diagnosis of different cardiovascular diseases, varying from valvular heart disease to heart failure, cardiomyopathies, and ischemic heart disease. Manuscripts focusing on the application of new imaging techniques and their potential added value in identifying the early signs of disease are welcomed.

I look forward to receiving your submissions.

Dr. Francesco Melillo
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • echocardiography
  • 3D-echo
  • speckle tracking
  • diagnosis
  • subclinical myocardial disease

Published Papers (1 paper)

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Research

16 pages, 1826 KiB  
Article
Echocardiography-Derived Hemodynamic Forces Are Associated with Clinical Outcomes in Patients with Non-Ischemic Dilated Cardiomyopathy
by Marco Cesareo, Eduard Ródenas-Alesina, Andrea Guala, Jordi Lozano-Torres, Guillem Casas, Fabrizio Vallelonga, Lorenzo Airale, Ignacio Ferreira-González, Alberto Milan and Jose F. Rodriguez-Palomares
J. Clin. Med. 2024, 13(13), 3862; https://doi.org/10.3390/jcm13133862 - 30 Jun 2024
Viewed by 336
Abstract
Introduction: Non-ischemic dilated cardiomyopathy (NIDCM) is characterized by a reduced left ventricular (LV) ejection fraction (LVEF, <50%) and a high risk for heart failure (HF) and death. Echocardiography-derived hemodynamic forces (HDFs) may provide important information on LV mechanics, but their prognostic value [...] Read more.
Introduction: Non-ischemic dilated cardiomyopathy (NIDCM) is characterized by a reduced left ventricular (LV) ejection fraction (LVEF, <50%) and a high risk for heart failure (HF) and death. Echocardiography-derived hemodynamic forces (HDFs) may provide important information on LV mechanics, but their prognostic value is unknown. Aim: To explore the features of echocardiography-derived HDFs in NIDCM and their association with clinical endpoints. Methods: Asymptomatic, non-hospitalized NIDCM patients free from coronary artery disease and moderate or severe valvular heart disease were included in this single-center observational retrospective longitudinal study. Those with atrial fibrillation and a follow-up <12 months were excluded. Major adverse cardiovascular events (MACE) were defined as a composite of all-cause death, HF hospitalization, and ambulatory intravenous diuretics administration. LV HDFs were analyzed with a prototype software. Apex-base (HDFs-ab), lateral-septal (HDFs-ls), and HDFs-angle were computed. Results: Ninety-seven patients were included, sixty-seven (69%) were males, mean age was 62 ± 14 years, and mean LVEF was 39.2 ± 8.6%. During a median follow-up of 4.2 (3.1–5.1) years, 19 (20%) patients experienced MACE. These patients had a higher HDFs-angle (71.0 (67.0–75.0) vs. 68.0 (63.0–71.0)°, p = 0.005), lower HDFs-ls (1.36 (1.01–1.85) vs. 1.66 ([1.28–2.04])%, p = 0.015), but similar HDFs-ab (5.02 (4.39–6.34) vs. 5.66 (4.53–6.78)%, p = 0.375) compared to those without MACE. in a Cox regression analysis, HDFs-angle (HR 1.16 (95%-CI 1.04–1.30), p = 0.007) was associated with MACE, while other conventional echocardiography parameters, including LVEF and LV longitudinal strain, were not. Conclusions: HDFs-angle is associated with clinical endpoints in NIDCM. A higher HDFs-angle may be a marker of impaired myocardial performance in patients with reduced LVEF. Full article
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