"Echocardiography"

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults and Special Considerations in Pulmonary Hypertension: Recommendations from the American Society of Echocardiography GUIDELINES AND STANDARDSGuidelines for the EchocardiographicAssessment of the Right Heart in Adults andSpecial Considerations in PulmonaryHypertension: Recommendations from theAmerican Society disease. The World Symposium onPulmonary Hypertension recently redefined PH as a mean pulmonary arterial pressure >20 mm Hg, basedon a wealth of epidemiologic evidence underscoring the significant impact of even mildly elevated mean pul-monary artery pressures on major adverse clinical events. The lowered diagnostic threshold for PH has re-newed interest in echocardiography and its critical role

Guidelines for Performing a Comprehensive Pediatric Transthoracic Echocardiogram: Recommendations From the American Society of Echocardiography GUIDELINES AND STANDARDSGuidelines for Performing a ComprehensivePediatric Transthoracic Echocardiogram:Recommendations From the AmericanSociety of EchocardiographyLeo Lopez, MD, FASE (Chair), Daniel L. Saurers, RCS, RDCS, FASE (Co-Chair), Piers C of the American Society ofEchocardiography.https://doi.org/10.1016/j.echo.2023.11.015119TABLE OF CONTENTSIndications 120Operations 121General Principles 123Pediatric 2D and Doppler Echocardiography 123Standard Transthoracic Echocardiographic Views 124EchocardiographicZScores 127Agitated Saline and UEAs 128Three-Dimensional Echocardiography 128Strain Imaging 136Segmental Protocols 137Systemic

Guidelines and Recommendations for Performance of the Fetal Echocardiogram: An Update from the American Society of Echocardiography GUIDELINES AND STANDARDSGuidelines and Recommendations forPerformance of the Fetal Echocardiogram:An Update from the American Society ofEchocardiographyAnita J. Moon-Grady, MD (Co-Chair), Mary T. Donofrio, MD (Co-Chair), Sarah Gelehrter, MD,Lisa Hornberger, MD, Joe Optimization 9E. Standard Views and Imaging Planes 11F. Cardiac Biometry and Measurement Data 14G. Doppler Ultrasonography 14H. Complete Fetal Cardiac Assessment Using Segmental Analysis 16I. Alternative Ultrasound Modalities 16J. Fetal Echocardiography in Early Gestation (<15 Weeks) 16IV. Guidance for Disease-Specific Anatomic, Physiologic, and FunctionalFetal Echocardiographic Evaluation

Recommendations for Special Competency in Echocardiographic Guidance of Structural Heart Disease Interventions: From the American Society of Echocardiography GUIDELINES AND STANDARDSRecommendations for Special Competencyin Echocardiographic Guidance of StructuralHeart Disease Interventions: From theAmerican Society of EchocardiographyStephen H. Little, MD, FASE (Co-Chair), Vera H. Rigolin, MD disease continue to grow at a rapid pace, and echocardiography isthe primary imaging modality used to support such procedures. Transesophageal echocardiographic guidanceof structural heart disease procedures must be performed by highly skilled echocardiographers who can providerapid, accurate, and high-quality image acquisition and interpretation in real time. Training standards are neededto ensure

Guidelines and Recommendations for Targeted Neonatal Echocardiography and Cardiac Point-of-Care Ultrasound in the Neonatal Intensive Care Unit: An Update from the American Society of Echocardiography Guidelines and Recommendations forTargeted Neonatal Echocardiography andCardiac Point-of-Care Ultrasound in theNeonatal Intensive Care Unit: An Updatefrom the American Society , Iowa; Toronto, Ontario, Canada; Dublin, Ireland; Boston, Massachusetts;Atlanta, Georgia; Nijmegen, the Netherlands; New York, New York; Columbus, Ohio; Loma Linda, Los Angeles, andOrange, California; Chicago, Illinois; and London, United KingdomTargeted neonatal echocardiography (TNE) involves the use of comprehensive echocardiography to appraisecardiovascular physiology and neonatal hemodynamics

of subclinical disease needing prompt therapy or follow-up assessment. This documentprovides recommendations for the comprehensive use of echocardiography in the diagnosis and therapeutic inter-vention of RHD. Echocardiographic diagnosis of RHD is made when typical findings of valvular and subvalvular ab-normalities are seen, including commissural fusion, leafletthickening, and restricted leaflet mobility ) for diagnostic and strategic pre-treatment planning. Intraprocedural echocar-diographic guidance is critical during catheter-based or surgical treatment of RHD, as is echocardiographic surveil-lance for post-intervention complications or disease progression. The role of echocardiography is indispensable inthe entire spectrum of RHD management. (J Am Soc Echocardiogr 2023;36:3-28.)From Hoag Hospital, Newport

Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention: From the American Society of Echocardiography FOCUS TOPIC: ECHOCARDIOGRAPHIC IMAGING AND STRUCTURAL HEARTINTERVENTIONSGUIDELINES AND STANDARDSRecommended Standards for thePerformance of TransesophagealEchocardiographic Screening for StructuralHeart Intervention: From .2021.07.0061In the American Society ofEchocardiography (ASE) guidelinesfor performing a comprehensivetransesophageal echocardiographic(TEE) examination, a standard 28-view (Table 1) imaging protocol aswell as specific structural imagingassessments were introduced.1Interventional echocardiography isincreasingly recognized as a subspe-cialty requiring advanced trainingfor intraprocedural guidance.2-4However

/55Please cite this article in press as: Chong A, et al. 2024 CSANZ Position Statement on Indications, Assessment and Monitoringof Structural and Valvular Heart Disease With Transthoracic Echocardiography in Adults. Heart, Lung and Circulation (2024), 1Key echocardiographic parameters for assessment of the LV.ConditionRecommendationsParametersHeart failure withreduced ejectionfraction (HFrEF)Initial Structural/Valvular Heart Disease, Transthoracic Echocardiography Adults Heart, Lung and Circulation (2024)-,-–-1443-9506/24/$36.00 STATEMENT2024 CSANZ Position Statement onIndications, Assessment and Monitoring ofStructural and Valvular Heart Disease WithTransthoracic Echocardiography in AdultsAdrian Chong, MBBS, BPharm, FRACPa,Tony Stanton, MBChB, PhD, FRACPb,AndrewTaylor,MBBS,PhD,FRACPc,David

Guidelines for Performing Ultrasound-Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography GUIDELINES AND STANDARDSGuidelines for PerformingUltrasound-Guided Vascular Cannulation:Recommendations of the American Societyof EchocardiographyAnnette Vegas, MD, FRCPC, FASE, (Chair), Bryan Wells, MD, FASE, (Co-Chair),Paul Braum, BS, RDCS, RCS, FASE, Andre Denault, MD for incorporating ultrasound (US) intovascular access procedures. This update replaces the 2011 American Society of Echocardiography guidelinesfor US-guided vascular cannulation. It includes recommendations for US-guided access to central and periph-eral veins and arteries in adult and pediatric patients based on the strength of the scientific evidence present inthe literature. The major roles of US during

Guideline from the Japanese society of echocardiography: guidance for the management and maintenance of echocardiography equipment: 2022 focused update Echocardiography plays a pivotal role as an imaging modality in modern cardiology practice. Information derived from echocardiography is essential for patient care. The Japanese Society of Echocardiography has promoted echocardiography for routine clinical and research use. One of the missions of the Society is to provide information that is useful for high-quality examinations. To ensure this, we believe that maintaining equipment in good condition and providing a comfortable environment for the examination are important for both the patient and examiner. Thus, the Committee for Guideline Writing of the Japanese Society of Echocardiography

Support Devices and Patient SelectionConsiderationsPatients with CS should have a transthoracic echocardiogram (TTE)to guide selection considerations based on intracardiac findings.Transesophageal echocardiography (TEE) is recommended whenTTE is nondiagnostic and to guide device placement. Vascular ultra-sound is not routinely needed to assess cannulation sites prior todevice placement. Preimplantation masses or thrombus, detection of intracardiac shunts,and evaluation of baseline RV function, using recommended viewsand guidelines.24,37A preimplantation TEE checklist should beused by sonographers and/or echocardiographers (AppendixTable 1).Transesophageal Echocardiography During LVADImplantationIntraoperative TEE aids in the management of a very acutely ill andhemodynamically tenuous patient

Guidelines for the Evaluation of Prosthetic Valve Function With Cardiovascular Imaging: A Report From the American Society of Echocardiography Developed in Collaboration With the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovasc secure.jbs.elsevierhealth.comVerify you are human by completing the action below.secure.jbs.elsevierhealth.com needs to review the security

this document, we describethebestpracticesrecommendedforusebycommunitysonographerspre-dominantly trained in and practicing adult echocardiography but per-forming echocardiograms on newborns that have failed POS.Key PointsA common feature of C-CHD is hypoxemia leading to cyanosis; however,this can be difficult to detect in infants with pigmented skin.Based on recommendations from the Secretary’s Advisory of this document is to provide the adult sonographer, whodoes not typically screen for C-CHD, with the essential information andtools needed to detect C-CHD in newborns and aid in life-saving diagnosis.RECOMMENDED INFRASTRUCTUREIn order to use echocardiography correctly to screen for congenitalheart disease in the newborn, appropriate infrastructure is needed,both at the hospital performing the echocardiogram

Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography GUIDELINES AND STANDARDSRecommendations for CardiacPoint-of-Care Ultrasound in Children: AReport from the American Society ofEchocardiography*Jimmy C. Lu, MD, FASE, Alan Riley, MD, FASE, Thomas Conlon, MD, Jami C. Levine, MD,Charisse Kwan, MD, Wanda C. Miller-Hance, MD, FASE populations, and corresponding tech-nical aspects of performance. This document is the product of an American Society of Echocardiography taskforce composed of representatives from pediatric cardiology, pediatric critical care medicine, pediatric emer-gency medicine, pediatric anesthesiology, and others, assembled to provide expert guidance. This diversegroup aimed to identify common considerations across

lessons learned to echocardiography laboratory operations in future pandemics. This statementaddresses important areas specifically impacted by the current and future pandemics: (1) indications for echo-cardiography, (2) application of echocardiographic services in a pandemic, (3) infection/transmission mitiga-tion strategies, (4) role of cardiac point-of-care ultrasound/critical care echocardiography as usual’’ high stan-dards that form the basis of echocardiographic performance when re-sources are not limited or are not more limited than usual by externalthreats. Contingency care standards anticipate shortages and findways to conserve resources or to substitute with alternative tech-niques, without relaxing usual standards. For example, during theheight of the pandemic, echocardiography laboratories

,37whereasdata suggest that 3D echocardiography can reliably measure LVmass.38Temporal resolution can be problematic when acquiring3D echocardiographic images, especially in younger children withhigher heart rates.Recommendations and Key PointsSerial assessment of LV chamber size and wall thickness must be includedwhen evaluating children with cancer before, during, and after treat-ment.Linear dimensions largely replaced tissueDoppler imaging for assessing systolic function.1.1.3.2. Myocardial Deformation Imaging by STE.Speckle-tracking echocardiography is a grayscale imaging technique basedon identifying echocardiographic reflectors in the myocardium(speckles), whose motion can be tracked throughout the cardiac cyclein 2 or 3 dimensions.51The most commonly used method is 2D STE.Strain reflects how much

many individualsseeking certification in critical care echocardiography. These trainees’backgrounds, needs, objectives, and available time do not necessarilyfit into the standard pathways for training cardiology fellows and so-nographers. The presence of additional learners in the echocardiogra-phy laboratory will require additional resources, includingcompensation for echocardiographer ’’experiences—consisting of exposure to the workings of the echocardi-ography laboratory—can help clinicians better understand the indica-tion and limitations of echocardiography and get a first-hand glimpseinto what their patients undergo during an echocardiogram test.Learners may spend time shadowing echo lab staff and observingthe processes of transthoracic, stress and transesophageal echocardi-ography

). Mitral regurgitation related to DMVD can lead to left atrial (LA) dilation, which is associated with survival time. Left-atrial-to-aortic (LA:Ao) ratio assessed by two-dimensional echocardiography is commonly used to evaluate LA size. The objectives of this prospective observational study were therefore 1) to compare different echocardiographic methods (i.e., monoplane and biplane Simpson's methods Volumetric quantification identifies some left atrial dilations undetected by left atrium:aorta ratio measurements: A prospective echocardiographic study in 155 Cavalier King Charles Spaniels with and without degenerative mitral valve disease. Degenerative mitral valve disease (DMVD) is the most common canine heart disease with a high predisposition in Cavalier King Charles Spaniels (CKCSs

Two-Dimensional and Doppler trans-thoracic echocardiographic patterns of suspected pediatric heart diseases at Tibebe--Ghion specialized Teaching Hospital and Adinas General Hospital, Bahir Dar, North-west Ethiopia:-An experience from an LMIC. Transthoracic Echocardiography is the first-line, non-invasive, and accessible imaging modality to evaluate heart disease anatomy, physiology , and hemodynamics. We aim to describe the trans-thoracic echocardiography pattern of pediatric heart diseases and reasons for referral in children referred to Bahir Dar University Tibebe-Ghion Hospital and Adinas General Hospital. A descriptive cross-sectional study of the archived Transthoracic, Two Dimensional, and Doppler Echocardiography assessments of children from birth to fifteen years of age performed

Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography GUIDELINES AND STANDARDSGuidelines for Performance, Interpretation,and Application of Stress Echocardiographyin Ischemic Heart Disease: From theAmerican Society of EchocardiographyPatricia A. Pellikka, MD, FASE, Chair, Adelaide Arruda 3II. Methodology 3a. Imaging 3b. Format for Image Display 5c. Use of an Ultrasound Enhancing Agent 7III. Stress Testing Methods 8a. Exercise Stress Testing 8b. Pharmacologic Stress Testing 9This document is endorsed by the following ASE International Alliance Partners: Argentine Federation ofCardiology, Argentine Society of Cardiology, ASEAN Society of Echocardiography, Association