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Clinical Echocardiography: Advances and Practice Updates
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Clinical Echocardiography: Advances and Practice Updates

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

Deadline for manuscript submissions: 31 May 2025 | Viewed by 5570

Special Issue Editors

Dr. Andrea Sonaglioni

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Guest Editor
Division of Cardiology, MultiMedica IRCCS, 20123 Milan, Italy
Interests: echocardiography; heart failure; hypertension; clinical cardiology; cardiac function; atrial fibrillation; myocardial infarction; cardiovascular medicine; atherosclerosis; internal medicine
Special Issues, Collections and Topics in MDPI journals
Dr. Gian Luigi Nicolosi

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Guest Editor
Division of Cardiology, Policlinico San Giorgio, 33170 Pordenone, Italy
Interests: multimodality cardiology imaging; echocardiography; ischemic heart disease; valvular heart disease; hypertension; congenital heart disease; cardiomyopathies; athlete's heart; heart failure; senile heart
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Echocardiography has long been recognized as a remarkably versatile and accurate technique that plays a central role in the diagnosis and treatment of cardiovascular disease. New technologies are constantly being developed in terms of the diagnosis and treatment of non-ischemic cardiomyopathy, diastolic dysfunction, pulmonary hypertension, coronary artery disease, heart failure, vascular disease, structural heart disease (including valvular heart disease), systemic disease, and cardiac tumors.

The purpose of this Special Issue is to cover the topic of the echocardiography and cardiology of cardiovascular disease, with a particular focus on new techniques and findings. Papers submitted to this Special Issue may include reviews and research manuscripts. We believe this Special Issue is also an opportunity for surgeons, cardiologists, sonographers, researchers, and trainees to showcase their expertise in the field. We look forward to your contributions.

Dr. Andrea Sonaglioni
Dr. Gian Luigi Nicolosi
Guest Editors

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
  • M-mode echocardiography
  • 2D echocardiography
  • tissue Doppler imaging (TDI)
  • speckle tracking echocardiography
  • 3D echocardiography
  • cardiovascular
  • cardiology
  • ischemic and non-ischemic cardiomyopathy
  • diastolic dysfunction
  • pulmonary hypertension
  • coronary artery disease
  • heart failure
  • vascular disease
  • structural heart disease
  • systemic disease
  • cardiac tumors
  • cardiac function
  • atrial fibrillation
  • myocardial infarction
  • cardiology imaging
  • diagnosis
  • treatment

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Published Papers (4 papers)

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Research

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12 pages, 790 KiB  
Article
Prevalence and Burden of Musculoskeletal Pain among Cardiac Sonographers in Eastern Province of Saudi Arabia: A Cross-Sectional Study
by Lamia Al Saikhan and Ali M. Alshami
J. Clin. Med. 2024, 13(11), 3184; https://doi.org/10.3390/jcm13113184 - 29 May 2024
Viewed by 1218
Abstract
Background: Cardiac sonographers are at a high risk for work-related musculoskeletal pain (WMSP), a major occupational health problem. With limited research on WMSP prevalence among this population in Saudi Arabia, this study aimed to investigate the prevalence and impact of WMSP in [...] Read more.
Background: Cardiac sonographers are at a high risk for work-related musculoskeletal pain (WMSP), a major occupational health problem. With limited research on WMSP prevalence among this population in Saudi Arabia, this study aimed to investigate the prevalence and impact of WMSP in cardiac sonographers in the Eastern Province of Saudi Arabia compared to a control group of healthcare professionals. Methods: An electronic survey was administered to cardiac sonographers (study group) and other healthcare professionals (control group) exposed to different occupational hazards, including allied healthcare professionals, physicians, and nurses. Modified versions of the Nordic, QuickDASH, and QuickDASH work questionnaires were used. The χ2 test was performed for comparisons. Results: A total of 168 participants completed the survey (mean age: 31.6 ± 7.7 years). Among them, 127 (76.1%) were females, comprising 61 (36.3%) sonographers and 107 (63.7%) controls. Overall, WMSP was more common (82% versus 65%, p = 0.020) and severe (p = 0.041) in cardiac sonographers than in controls. The most affected body regions in cardiac sonographers were the shoulders (72.0% versus 29.0%), followed by the hands (56.0% versus 24.6%), compared to those of the control participants. Pain experienced by cardiac sonographers significantly interfered with social and work-related activities (p < 0.05 for all). A higher number of cardiac sonographers planned to change their profession than control participants (41% versus 15.2%; p < 0.0001) owing to pain. Conclusions: WMSP was more common and severe in cardiac sonographers than in control participants of other healthcare professions in the Eastern province of Saudi Arabia and interfered significantly with their social and work-related activities and future employment plans. Therefore, preventive interventional studies are required in the future. Full article
(This article belongs to the Special Issue Clinical Echocardiography: Advances and Practice Updates)
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Review

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18 pages, 5008 KiB  
Review
The Use of 3D-Echo in Edge-to-Edge Percutaneous Tricuspid Valve Repair
by Giulia Passaniti, Lucy M. Safi, Yoav Niv Granot, Filippo M. Sarullo, Tulio Caldonazo, Lisa Q. Rong, Corrado Fiore and Antonino Di Franco
J. Clin. Med. 2025, 14(3), 684; https://doi.org/10.3390/jcm14030684 - 22 Jan 2025
Viewed by 1190
Abstract
The tricuspid valve (TV) is a complex anatomical entity. As surgical treatment for isolated tricuspid regurgitation has traditionally been associated with high peri- and post-operative mortality, advances in percutaneous transcatheter techniques of repair and replacement of the TV are emerging as safe and [...] Read more.
The tricuspid valve (TV) is a complex anatomical entity. As surgical treatment for isolated tricuspid regurgitation has traditionally been associated with high peri- and post-operative mortality, advances in percutaneous transcatheter techniques of repair and replacement of the TV are emerging as safe and effective alternatives. This review summarizes the current evidence on the use of three-dimensional echocardiography to assist transcatheter-edge-to-edge repair (TEER) in patients with tricuspid regurgitation. Full article
(This article belongs to the Special Issue Clinical Echocardiography: Advances and Practice Updates)
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19 pages, 5548 KiB  
Review
Could Pulsed Wave Tissue Doppler Imaging Solve the Diagnostic Dilemma of Right Atrial Masses and Pseudomasses? A Case Series and Literature Review
by Andrea Sonaglioni, Gian Luigi Nicolosi, Giovanna Elsa Ute Muti-Schünemann, Michele Lombardo and Paola Muti
J. Clin. Med. 2025, 14(1), 86; https://doi.org/10.3390/jcm14010086 - 27 Dec 2024
Cited by 3 | Viewed by 798
Abstract
Even if rarely detected, right atrial (RA) masses represent a diagnostic challenge due to their heterogeneous presentation. Para-physiological RA structures, such as a prominent Eustachian valve, Chiari’s network, and lipomatous atrial hypertrophy, may easily be misinterpreted as pathological RA masses, including thrombi, myxomas, [...] Read more.
Even if rarely detected, right atrial (RA) masses represent a diagnostic challenge due to their heterogeneous presentation. Para-physiological RA structures, such as a prominent Eustachian valve, Chiari’s network, and lipomatous atrial hypertrophy, may easily be misinterpreted as pathological RA masses, including thrombi, myxomas, and vegetations. Each pathological mass should always be correlated with adequate clinical, anamnestic, and laboratory data. However, the differential diagnosis between pathological RA masses may be challenging due to common constitutional symptoms, as in the case of vegetations and myxoma, which present with fever and analogous complications such as systemic embolism. The implementation of transthoracic echocardiography (TTE) with pulsed wave (PW) tissue Doppler imaging (TDI) may improve the visualization and differentiation of intracardiac masses through different color coding of the pathological structure compared to surrounding tissue. More remarkably, PW-TDI can provide a detailed assessment of the specific pattern of motion of each intracardiac mass, with important clinical implications. Specifically, a TDI-derived pattern of incoherent motion is typical of right-sided thrombi, myxomas, and vegetations, whereas right-sided pseudomasses are generally associated with a TDI pattern of concordant motion synchronous with the cardiac cycle. An increased TDI-derived mass peak antegrade velocity may represent an innovative marker of the embolic potential of mobile right-sided pathological masses. During the last two decades, only a few authors have used TTE implemented with PW-TDI for the characterization of intra-cardiac masses’ morphology and mobility. Herein, we report two clinical cases of totally different right-sided cardiac masses diagnosed using a multimodality imaging approach, including PW-TDI, followed at our institution. The prevalence and physiopathological characteristics of the most relevant RA masses and pseudomasses encountered in clinical practice are described in the present narrative review. In addition, we will discuss the principal clinical applications of PW-TDI and its potential value in improving the differential diagnosis of pathological and para-physiological right-sided cardiac masses. Full article
(This article belongs to the Special Issue Clinical Echocardiography: Advances and Practice Updates)
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20 pages, 4536 KiB  
Review
A Comprehensive Excursus of the Roles of Echocardiography in Heart Transplantation Follow-Up
by Daniela Bacich, Chiara Tessari, Giulia Ciccarelli, Giovanni Lucertini, Alessia Cerutti, Nicola Pradegan, Giuseppe Toscano, Giovanni Di Salvo, Antonio Gambino and Gino Gerosa
J. Clin. Med. 2024, 13(11), 3205; https://doi.org/10.3390/jcm13113205 - 29 May 2024
Cited by 1 | Viewed by 1755
Abstract
Current guidelines for the care of heart transplantation recipients recommend routine endomyocardial biopsy and invasive coronary angiography as the cornerstones in the surveillance for acute rejection (AR) and coronary allograft vasculopathy (CAV). Non-invasive tools, including coronary computed tomography angiography and cardiac magnetic resonance, [...] Read more.
Current guidelines for the care of heart transplantation recipients recommend routine endomyocardial biopsy and invasive coronary angiography as the cornerstones in the surveillance for acute rejection (AR) and coronary allograft vasculopathy (CAV). Non-invasive tools, including coronary computed tomography angiography and cardiac magnetic resonance, have been introduced into guidelines without roles of their own as gold standards. These techniques also carry the risk of contrast-related kidney injury. There is a need to explore non-invasive approaches providing valuable information while minimizing risks and allowing their application independently of patient comorbidities. Echocardiographic examination can be performed at bedside, serially repeated, and does not carry the burden of contrast-related kidney injury and procedure-related risk. It provides comprehensive assessment of cardiac morphology and function. Advanced echocardiography techniques, including Doppler tissue imaging and strain imaging, may be sensitive tools for the detection of minor myocardial dysfunction, thus providing insight into early detection of AR and CAV. Stress echocardiography may offer a valuable tool in the detection of CAV, while the assessment of coronary flow reserve can unravel coronary microvascular impairment and add prognostic value to conventional stress echocardiography. The review highlights the role of Doppler echocardiography in heart transplantation follow-up, weighting advantages and limitations of the different techniques. Full article
(This article belongs to the Special Issue Clinical Echocardiography: Advances and Practice Updates)
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