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528 Results Found

  • Article
  • Open Access
8 Citations
2,470 Views
13 Pages

Prognostic Role of Subclinical Congestion in Heart Failure Outpatients: Focus on Right Ventricular Dysfunction

  • Andrea Lorenzo Vecchi,
  • Silvia Muccioli,
  • Jacopo Marazzato,
  • Antonella Mancinelli and ,
  • Attilio Iacovoni and
  • Roberto De Ponti
  • + 1 author+ 0 author

20 November 2021

Background: subclinical pulmonary and peripheral congestion is an emerging concept in heart failure, correlated with a worse prognosis. Very few studies have evaluated its prognostic impact in an outpatient setting and its relationship with right-ven...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
29 Citations
3,621 Views
9 Pages

Subclinical Myocardial Dysfunction in Patients with Persistent Dyspnea One Year after COVID-19

  • Maria-Luiza Luchian,
  • Andreea Motoc,
  • Stijn Lochy,
  • Julien Magne and ,
  • Dries Belsack,
  • Johan De Mey,
  • Bram Roosens,
  • Karen Van den Bussche,
  • Sven Boeckstaens and
  • Bernard Cosyns
  • + 12 authors+ 7 authors

Long coronavirus disease 2019 (COVID-19) was described in patients recovering from COVID-19, with dyspnea being a frequent symptom. Data regarding the potential mechanisms of long COVID remain scarce. We investigated the presence of subclinical cardi...

(This article belongs to the Special Issue Echocardiography)
  • Article
  • Open Access
3 Citations
1,820 Views
14 Pages

Non-Invasive Cardiac and Vascular Monitoring in Systemic Sclerosis: Impact of Therapy on Subclinical Dysfunction

  • Ștefania Lucia Magda,
  • Ana Maria Gheorghiu,
  • Raluca Ileana Mincu,
  • Andrea Olivia Ciobanu and ,
  • Tudor Constantinescu,
  • Elisa Cristina Popa,
  • Carina Mihai and
  • Dragoș Vinereanu
  • + 3 authors+ 0 author

19 December 2024

Background and objectives: Systemic sclerosis (SSc) causes myocardial and microvascular impairment, with subclinical dysfunction and eventually permanent cardio-vascular damage. The long-term influence of SSc therapies on subclinical cardiovascular d...

(This article belongs to the Section Cardiology)
  • Systematic Review
  • Open Access
3 Citations
1,406 Views
29 Pages

When the Liver Echoes to the Heart: Assessing Subclinical Cardiac Dysfunction in NAFLD Using Speckle Tracking Echocardiography—A Systematic Review and Meta-Analysis

  • Micha Gruber,
  • Malaz Almasri,
  • Rania Abdulredha,
  • Iulia Tecar and ,
  • Daniel-Corneliu Leucuta,
  • Stefan-Lucian Popa,
  • Dan L. Dumitrascu and
  • Abdulrahman Ismaiel
  • + 3 authors+ 0 author

27 November 2025

Introduction: Worldwide, non-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disorder, strongly associated with increased cardiovascular morbidity and mortality. Although patients have a preserved left ventricular ejection f...

(This article belongs to the Special Issue Emerging Trends in Liver Diseases and Cirrhosis Research)
  • Article
  • Open Access
9 Citations
2,552 Views
15 Pages

Subclinical Left Ventricular Dysfunction over Seven-Year Follow-Up in Type 2 Diabetes Patients without Cardiovascular Diseases

  • Dariga Uaydinichna Akasheva,
  • Tatyana Gennadyevna Utina,
  • Olga Nikolaevna Dzhioeva and
  • Oxana Mikhailovna Drapkina

Subclinical left ventricular dysfunction (LVD) is common in asymptomatic patients with type 2 diabetes (T2D). This study aimed to define long-term structural and functional disorders of the left ventricle (LV) myocardium over a 7-year follow-up in pa...

(This article belongs to the Section Cell Biology and Pathology)
  • Review
  • Open Access
632 Views
18 Pages

Left and Right Atrial Strain Across the Heart Failure Continuum: Multifaceted Markers of Subclinical Mechanical Dysfunction and Haemodynamic Burden

  • Christos Mantzios,
  • Marino Basha,
  • Sotiria Iliopoulou,
  • Eleftheria Baltagianni and ,
  • Amalia Baroutidou,
  • Dimitrios Tavoularis,
  • Vasileios Anastasiou,
  • Matthaios Didagelos,
  • Antonios Ziakas and
  • Vasileios Kamperidis
  • + 5 authors+ 0 author

14 September 2026

Heart failure (HF) is increasingly recognized as a progressive syndrome that begins long before patients develop clinical signs or symptoms, during which conventional echocardiographic parameters may fail to detect early myocardial impairment. Atrial...

(This article belongs to the Special Issue Multimodality Cardiac Imaging: Enhancing Precision in Cardiology)
  • Article
  • Open Access
9 Citations
2,778 Views
14 Pages

Subclinical Myocardial Dysfunction in Type 2 Diabetes Mellitus: Insights from Left Ventricular Diastolic Function and Global Longitudinal Strain Assessment

  • Thao Phuong Nghiem,
  • Hoang Minh Tran,
  • Dung Ngoc Quynh Nguyen,
  • Liem Thanh Dao and ,
  • Cuong Cao Tran and
  • Tuan Minh Vo
  • + 1 author+ 0 author

21 October 2025

Background/Objectives: Diabetic cardiomyopathy in type 2 diabetes mellitus (T2DM) often progresses silently, manifesting as diastolic dysfunction or subtle systolic impairment despite preserved ejection fraction (EF). Detecting these changes early is...

  • Article
  • Open Access
5 Citations
4,056 Views
12 Pages

Significant Association between Subclinical Left Cardiac Dysfunction and Liver Stiffness in Metabolic Syndrome Patients with Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease

  • Alexandru Apostu,
  • Daniel Malita,
  • Sergiu-Florin Arnautu,
  • Mirela-Cleopatra Tomescu and ,
  • Dan Gaiță,
  • Alina Popescu,
  • Ruxandra Mare,
  • Ramona Gidea and
  • Diana-Aurora Arnautu
  • + 4 authors+ 0 author

9 February 2023

Background and Objectives: Diabetes mellitus (DM) is connected to both cardiovascular disease and non-alcoholic fatty liver disease (NAFLD), and is an important component of metabolic syndrome (MetS). NAFLD can be detected and quantified using the vi...

(This article belongs to the Special Issue Cardiovascular Diseases and Type 2 Diabetes)
  • Article
  • Open Access
1 Citations
870 Views
13 Pages

11 April 2026

Background: Metabolic syndrome (MetS) comprises coexisting risk factors enhancing the likelihood of developing cardiovascular disease (CVD). The aim of this study was to investigate the correlation between the number of MetS components and subclinica...

(This article belongs to the Special Issue Obesity-Related Metabolic and Cardiovascular Disorders)
  • Article
  • Open Access
1,309 Views
10 Pages

Evaluation of Subclinical Left Ventricular Dysfunction in HIV Patients Receiving Abacavir, Dolutegravir, and Lamivudine Therapy with Novel Tissue Doppler Imaging Techniques

  • Dogac Oksen,
  • Muzaffer Aslan,
  • Ebru Serin,
  • Muhammed Heja Gecit and ,
  • Yunus Emre Yavuz,
  • Esra Yerlikaya Zerdali and
  • Veysel Oktay
  • + 2 authors+ 0 author

25 February 2025

Background/Objectives: Highly active antiretroviral therapy (HAART) effectively suppresses viral load and aids immunological recovery in HIV patients, but may still lead to subclinical myocardial dysfunction. This study assesses left and right ventri...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
17 Citations
4,519 Views
13 Pages

Catecholamines Induce Left Ventricular Subclinical Systolic Dysfunction: A Speckle-Tracking Echocardiography Study

  • Jan Kvasnička,
  • Tomáš Zelinka,
  • Ondřej Petrák,
  • Ján Rosa and ,
  • Branislav Štrauch,
  • Zuzana Krátká,
  • Tomáš Indra,
  • Alice Markvartová,
  • Jiří Widimský and
  • Robert Holaj
  • + 5 authors+ 0 author

6 March 2019

Background: Pheochromocytomas (PHEO) are tumors arising from chromaffin cells from the adrenal medulla, having the ability to produce, metabolize and secrete catecholamines. The overproduction of catecholamines leads by many mechanisms to the impairm...

(This article belongs to the Special Issue Pheochromocytoma (PHEO) and Paraganglioma (PGL))
  • Article
  • Open Access
47 Citations
14,984 Views
11 Pages

Association between Sleep Duration and Subclinical Thyroid Dysfunction Based on Nationally Representative Data

  • Woojun Kim,
  • Jeongmin Lee,
  • Jeonghoon Ha,
  • Kwanhoon Jo and ,
  • Dong-Jun Lim,
  • Jung-Min Lee,
  • Sang-Ah Chang,
  • Moo-Il Kang and
  • Min-Hee Kim
  • + 4 authors+ 0 author

18 November 2019

Background: Sleep duration is an identified risk factor for adverse health outcomes. As the endocrine system is closely intertwined with sleep duration and quality, the association between endocrine dysfunction and sleep has been evaluated. Thyroid f...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
148 Views
14 Pages

21 October 2026

Background: Thyroid dysfunction is a relatively common condition; however, the clinical relevance and long-term effects of subclinical thyroid dysfunction on cardiovascular and cerebrovascular morbidity remain uncertain. This study evaluated the asso...

  • Opinion
  • Open Access
3 Citations
2,876 Views
7 Pages

Joint Dysfunction as a Cause of Spontaneous Subclinical Bleeding in Infants with Hemophilia

  • Elena Anna Boccalandro,
  • Samantha Pasca,
  • Valentina Begnozzi,
  • Roberta Gualtierotti and
  • Pier Mannuccio Mannucci

22 October 2023

Hemophilia is an inherited hemorrhagic disorder; its main clinical manifestations being bleeding in muscles and joints. Ankles, knees, and elbows are the most frequently affected joints, followed by shoulders and hips. The clinical signs of joint inv...

(This article belongs to the Special Issue Haemophilia: Current Treatment and Clinical Outcomes, Challenges and Opportunities)
  • Feature Paper
  • Article
  • Open Access
8 Citations
3,663 Views
14 Pages

Cardiovascular Biomarker Profiles in Obesity and Relation to Normalization of Subclinical Cardiac Dysfunction after Bariatric Surgery

  • Sanne M. Snelder,
  • Nadine Pouw,
  • Yaar Aga,
  • Manuel Castro Cabezas and ,
  • L. Ulas Biter,
  • Felix Zijlstra,
  • Isabella Kardys and
  • Bas M. van Dalen
  • + 3 authors+ 0 author

26 January 2022

Aims: We aimed to gain insight into the underlying pathophysiology of cardiac dysfunction in obesity patients and the improvement of cardiac function after weight loss. Methods: This is a longitudinal study in which 92 cardiovascular biomarkers were...

(This article belongs to the Special Issue Adipose Tissue in Cardiovascular Health)
  • Article
  • Open Access
3 Citations
7,401 Views
16 Pages

Two Decades Later: Long-Term Multisystem Sequelae and Subclinical Organ Dysfunction in Sudan Ebola Virus (SUDV) Survivors of the 2000 Outbreak

  • Raymond Ernest Kaweesa,
  • Joseph Ssebwana Katende,
  • Geoffrey Odoch,
  • Annie Daphine Ntabadde and ,
  • Raymond Reuel Wayesu,
  • Deborah Mukisa,
  • Peter Ejou,
  • on behalf of the FiloStudy Team,
  • Pontiano Kaleebu and
  • Jennifer Serwanga
  • + 5 authors+ 0 author

23 October 2025

Background: Despite repeated re-emergence of Sudan ebolavirus (SUDV), its long-term human toll remains under-characterised. We assessed multisystem clinical, biochemical, and psychosocial outcomes ~25 years after the 2000 Gulu outbreak. Methods: We c...

(This article belongs to the Special Issue Advancing Understanding of Filoviruses)
  • Article
  • Open Access
1 Citations
1,946 Views
12 Pages

Subclinical Left Ventricular Systolic Dysfunction in Hospitalized Patients with COVID-19 by Strain: A 30-Day Echocardiographic Follow-Up

  • Pedro Morillas-Blasco,
  • Paula Guedes-Ramallo,
  • Nuria Vicente-Ibarra,
  • Marina Martínez-Moreno and ,
  • Andrea Romero-Valero,
  • Antonio García-Honrubia,
  • Elena Castilla-Cabanes,
  • José Antonio Viedma-Contreras,
  • Mar Masiá-Canuto and
  • Sandra Santos-Martínez
  • + 6 authors+ 1 author

23 November 2023

Background and Objectives: Available studies confirm myocardial injury and its association with mortality in patients with COVID-19, but few data have been reported from echocardiographic studies. The aim of this study was to identify subclinical lef...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
554 Views
14 Pages

Cardiovascular Complications and Subclinical Myocardial Dysfunction in Patients Undergoing Hematopoietic Stem Cell Transplantation

  • Sabina Caciolli,
  • Andrea Grasso Granchietti,
  • Francesco Vanni,
  • Meghi Murati and ,
  • Martina Vito,
  • Matteo Vannini,
  • Leandro Cosco,
  • Giacomo Coltro,
  • Andrea Pasquini and
  • Maurizio Pieroni
  • + 6 authors+ 1 author

8 June 2026

Background: Cardiovascular complications are increasingly recognized in patients undergoing hematopoietic stem cell transplantation (HSCT). Early detection of subclinical myocardial dysfunction may improve risk stratification, and global longitudinal...

(This article belongs to the Special Issue The State of the Art in Cardio-Oncology)
  • Article
  • Open Access
2 Citations
2,551 Views
10 Pages

Isolated Subclinical Right Ventricle Systolic Dysfunction in Patients after Liver Transplantation

  • Emel Celiker Guler,
  • Mehmet Onur Omaygenc,
  • Deniz Dilan Naki,
  • Arzu Yazar and ,
  • Ibrahim Oguz Karaca and
  • Esin Korkut
  • + 1 author+ 0 author

15 March 2023

Although hemodynamic alterations in end-stage liver disease (ESLD) and its association with porto-pulmonary hypertension have been well-established, the long-term effects of ESLD on RV systolic function in patients without porto-pulmonary hypertensio...

(This article belongs to the Special Issue From "Stress Septal Sign" to Global "Heart Remodeling")
  • Review
  • Open Access
2 Citations
1,452 Views
22 Pages

23 March 2026

Background: Visceral adipose tissue (VAT) and epicardial adipose tissue (EAT) are increasingly recognized as relevant contributors to cardiometabolic alterations and subclinical myocardial dysfunction, independently of overall obesity. Their pathogen...

(This article belongs to the Section Nutrition and Metabolism)
  • Article
  • Open Access
4 Citations
3,192 Views
9 Pages

Subclinical Ocular Motility Dysfunction and Extraocular Muscle Changes in Inactive Graves’ Orbitopathy

  • Filippo Lixi,
  • Alberto Cuccu,
  • Giuseppe Giannaccare,
  • Matteo Onnis and ,
  • Mihaela Madalina Timofte Zorila,
  • Stefano Mariotti,
  • Rosanna Vacca,
  • Paola Elisa Meloni,
  • Michela Pisu and
  • Francesco Boi
  • + 6 authors+ 1 author

10 August 2024

This study aimed to investigate the presence of structural and functional changes in extraocular muscles (EMs) among patients with inactive Graves’ orbitopathy (GO) classified according to the Clinical Activity Score (CAS). Sixty-seven patients...

(This article belongs to the Special Issue New Advances and Perspectives in Ophthalmology: Progress and Modern Challenges)
  • Systematic Review
  • Open Access
10 Citations
2,641 Views
19 Pages

Anthracycline-Induced Subclinical Right Ventricular Dysfunction in Breast Cancer Patients: A Systematic Review and Meta-Analysis

  • Andrea Faggiano,
  • Elisa Gherbesi,
  • Chiara Giordano,
  • Giacomo Gamberini and ,
  • Marco Vicenzi,
  • Cesare Cuspidi,
  • Stefano Carugo,
  • Carlo M. Cipolla and
  • Daniela M. Cardinale
  • + 4 authors+ 0 author

20 November 2024

Aim: This meta-analysis aims to evaluate the impact of anthracycline chemotherapy on subclinical right ventricular (RV) dysfunction in breast cancer patients, using traditional echocardiographic parameters and strain-based measures, such as the RV gl...

(This article belongs to the Special Issue Clinical Research and Progress in the Treatment of Breast Cancer)
  • Article
  • Open Access
528 Views
14 Pages

Association of M2BPGi with Subclinical Atherosclerosis in Metabolic Dysfunction-Associated Steatotic Liver Disease

  • Yong Jun Choi,
  • Kyunghoon Lee,
  • Han-Ik Cho,
  • Jooheon Park and ,
  • Myung Geun Shin,
  • Ye Seol Lee,
  • Sun Cho and
  • Eun-Hee Nah
  • + 3 authors+ 0 author

Background/Objectives: Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasingly recognized as a systemic metabolic disorder associated with an elevated risk of cardiovascular disease. Mac-2 binding protein glycosylation isomer...

(This article belongs to the Special Issue Biomarkers and Metabolites in Clinical Practice and Research)
  • Feature Paper
  • Article
  • Open Access
2 Citations
1,299 Views
12 Pages

Unmasking Subclinical Right Ventricular Dysfunction in Type 2 Diabetes Mellitus: A Speckle-Tracking Echocardiographic Study

  • Laura-Cătălina Benchea,
  • Larisa Anghel,
  • Nicoleta Dubei,
  • Răzvan-Liviu Zanfirescu and ,
  • Gavril-Silviu Bîrgoan,
  • Radu Andy Sascău and
  • Cristian Stătescu
  • + 2 authors+ 0 author

23 August 2025

Background and Objectives: Type 2 diabetes (T2DM) substantially increases cardiovascular risk; beyond the well-recognized left-ventricular involvement in diabetic cardiomyopathy, emerging data indicate subclinical right-ventricular (RV) dysfunction m...

(This article belongs to the Special Issue Cardiovascular Diseases and Type 2 Diabetes: 2nd Edition)
  • Systematic Review
  • Open Access
744 Views
14 Pages

Subclinical Myocardial Dysfunction Post Kawasaki Disease: A Systematic Review and Meta-Analysis

  • Dafni Charisopoulou,
  • Sotiria Iliopoulou,
  • Stelina Al Kagiet,
  • Nikolaos Antoniou and ,
  • Parthena Theodoridou,
  • Kyriakos Tsantekidis,
  • Eftsathios Oflidis,
  • Christos Karakatsanis,
  • Panagiotis Theodorou and
  • George Koulaouzidis
  • + 5 authors+ 0 author

Background: Kawasaki disease (KD) is an acute childhood vasculitis with well-recognized coronary involvement, but subtle long-term myocardial dysfunction may persist despite preserved conventional systolic indices. Two-dimensional speckle-tracking ec...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
1 Citations
1,280 Views
17 Pages

Estimating the Contribution of Renal Function to Endothelial Dysfunction and Subclinical Inflammation with a Two-Cohort Study: Living Kidney Donors and Their Transplant Recipients

  • Irina B. Torres,
  • Carla Burballa,
  • José M. González-Posada,
  • Domingo Hernández and ,
  • Esteban Porrini,
  • Janire Perurena,
  • Vicente Cortina,
  • Manel Perelló,
  • Dolores Redondo-Pachón and
  • Francesc Moreso
  • + 11 authors+ 6 authors

29 September 2025

Living kidney transplantation offers the best results for end-stage renal disease patients, but concerns about cardiovascular risk after nephrectomy for kidney donors have been raised. We aimed to estimate the contribution of renal function to endoth...

(This article belongs to the Special Issue Diagnosis and Monitoring of Kidney Disease: From Biology to Biomarkers)
  • Article
  • Open Access
7 Citations
1,221 Views
20 Pages

Comprehensive Assessment of Biventricular and Biatrial Myocardial Strain Parameters at Six Years Postpartum in a Cohort of Women with Previous Hypertensive Disorders of Pregnancy

  • Andrea Sonaglioni,
  • Federico Napoli,
  • Rebecca Dell’Anna,
  • Gian Luigi Nicolosi and ,
  • Stefano Bianchi,
  • Michele Lombardo,
  • Sergio Harari and
  • Chiara Lonati
  • + 3 authors+ 0 author

5 July 2025

Background: Over the past decade, few echocardiographic investigations have assessed myocardial strain parameters in women with a history of hypertensive disorders of pregnancy (HDP), and their findings have been inconsistent. Moreover, no study has...

(This article belongs to the Special Issue Hypertension and Cardiovascular Disease: Clinical Updates and Perspectives)
  • Article
  • Open Access
1 Citations
1,552 Views
18 Pages

Reliability of the Second and Third Iterations of the Sensory–Motor Dysfunction Questionnaire in a Subclinical Neck Pain Population

  • Ushani Ambalavanar,
  • Heidi Haavik,
  • Nitika Kumari,
  • Imran Amjad and ,
  • Nooshin Khobzi Rotondi and
  • Bernadette Ann Murphy
  • + 1 author+ 0 author

14 January 2025

Background/Objectives: This study aimed to address limitations of the pilot reliability study on the Sensory–Motor Dysfunction Questionnaire (SMD-Q) in two parts. Part 1 evaluated the intra-rater reliability of SMD-Q version 2 (V2). Part 2 addr...

(This article belongs to the Special Issue Advances in Assessment and Training of Perceptual-Motor Performance)
  • Systematic Review
  • Open Access
2 Citations
2,598 Views
17 Pages

Subclinical Myocardial Dysfunction in Pediatric and Adolescent Celiac Disease Patients: A Systematic Review and Meta-Analysis

  • Elpida Emmanouilidou-Fotoulaki,
  • Maria Kavga,
  • Michail Delis,
  • Evangelia Farmaki and ,
  • Charalampos Agakidis and
  • Kyriaki Papadopoulou-Legbelou
  • + 1 author+ 0 author

30 March 2025

Background/Objectives: This is the first systematic review and meta-analysis investigating early myocardial dysfunction in children/adolescents with celiac disease and the effect of a gluten-free diet by comparing early echocardiographic markers betw...

(This article belongs to the Section Pediatric Cardiology)
  • Article
  • Open Access
7 Citations
3,185 Views
13 Pages

Subclinical Left Ventricular Systolic Dysfunction in HIV Patients: Prevalence and Associations with Carotid Atherosclerosis and Increased Adiposity

  • Eleni Athanasiadi,
  • Maria Bonou,
  • Dimitrios Basoulis,
  • Chris J. Kapelios and ,
  • Constantina Masoura,
  • Marina Skouloudi,
  • Sophie Mavrogeni,
  • Constantina Aggeli,
  • Mina Psichogiou and
  • John Barbetseas
  • + 5 authors+ 0 author

24 March 2022

Background: Human immunodeficiency virus (HIV) is mainly detected in young, otherwise healthy, individuals. Cardiomyopathy and peripheral artery disease affecting these patients appears to be multifactorial. Prompt and potentially more effective impl...

(This article belongs to the Topic Infectious Diseases)
  • Article
  • Open Access
3 Citations
2,907 Views
14 Pages

Significance of Cardiac Magnetic Resonance Feature Tracking of the Right Ventricle in Predicting Subclinical Dysfunction in Patients with Thalassemia Major

  • Karuna M. Das,
  • Usama M. A. Baskaki,
  • Anisha Pulinchani,
  • Huthaifa M. Ali and ,
  • Taleb M. Almanssori,
  • Klaus Van Gorkom,
  • Amrita Das,
  • Hany Dewedar and
  • Sanjiv Sharma
  • + 4 authors+ 0 author

In patients with thalassemia major (TM), cardiac magnetic resonance feature-tracking (CMR-FT) has been shown to be an effective method for diagnosing subclinical left ventricular (LV) dysfunction. This study aimed to determine whether CMR-FT could de...

(This article belongs to the Special Issue Advanced Imaging in Cardiomyopathy: Impact on Diagnosis, Clinical Management and Prognosis)
  • Review
  • Open Access
33 Citations
7,026 Views
24 Pages

A Systematic Review of NAFLD-Associated Extrahepatic Disorders in Youths

  • Lucia Pacifico,
  • Francesco Massimo Perla,
  • Mario Roggini,
  • Gianmarco Andreoli and ,
  • Miriam D’Avanzo and
  • Claudio Chiesa
  • + 1 author+ 0 author

Background: There is growing evidence that non-alcoholic fatty liver disease (NAFLD) is a disease affecting not only the liver but also extrahepatic organs. Aim: To investigate whether in youths NAFLD is associated with extrahepatic complications suc...

(This article belongs to the Special Issue Non-Alcoholic Steatohepatitis (NASH))
  • Article
  • Open Access
4 Citations
1,455 Views
14 Pages

CMR-Derived Strain and Torsion Reveal Subclinical Dysfunction in Hypertrophic Cardiomyopathy: A Prospective Case–Control Study

  • Alexandru Zlibut,
  • Ioana Danuta Muresan,
  • Michael Bietenbeck,
  • Andrei Dan Radu and
  • Lucia Agoston-Coldea

Background: Hypertrophic cardiomyopathy (HCM) is frequently associated with preserved left ventricular ejection fraction (LVEF), yet subclinical myocardial dysfunction often escapes detection using conventional imaging. Cardiac magnetic resonance (CM...

(This article belongs to the Special Issue Cardiac and Vascular Diseases: Pathogenesis, Pharmacological Treatments, Advances in Therapies (3rd Edition))
  • Article
  • Open Access
1 Citations
2,551 Views
19 Pages

Prevalence, Spectrum, and Management of Thyroid Dysfunction in Children with Down Syndrome: A Retrospective Study from Southern Saudi Arabia

  • Youssef Ali Alqahtani,
  • Ayed A. Shati,
  • Ayoub Ali Alshaikh,
  • Ali Thamer Alshahrani and ,
  • Salwa Abdullah Bin Qaed,
  • Manar Ali Alqahtani,
  • Omar Ayidh Alotaibi,
  • Muteb Obaid Alharthi,
  • Mohamed Hassan Sarhan and
  • Ramy Mohamed Ghazy
  • + 6 authors+ 1 author

19 December 2025

Background: Down syndrome (DS) is strongly associated with a high prevalence of thyroid dysfunction. International guidelines recommend regular screening to ensure early detection and management. This study aimed to determine the prevalence, spectrum...

(This article belongs to the Section Pediatric Endocrinology & Diabetes)
  • Article
  • Open Access
403 Views
22 Pages

20 September 2026

Background/Objectives: As dietary and environmental exposures change, interacting with genetic susceptibility, the prevalence of thyroid function abnormality and subclinical thyroid dysfunction in children is rising, yet systematic research in this p...

(This article belongs to the Section Micronutrients and Human Health)
  • Article
  • Open Access
15 Citations
4,239 Views
12 Pages

The Utility of Intraventricular Pressure Gradient for Early Detection of Chemotherapy-Induced Subclinical Cardiac Dysfunction in Dogs

  • Katsuhiro Matsuura,
  • Kenjirou Shiraishi,
  • Ahmed S. Mandour,
  • Kotomi Sato and ,
  • Kazumi Shimada,
  • Seijirow Goya,
  • Tomohiko Yoshida,
  • Pitipat Kitpipatkun,
  • Lina Hamabe and
  • Ryou Tanaka
  • + 10 authors+ 5 authors

14 April 2021

Early detection of doxorubicin (DXR)-induced cardiomyopathy (DXR-ICM) is crucial to improve cancer patient outcomes and survival. In recent years, the intraventricular pressure gradient (IVPG) has been a breakthrough as a sensitive index to assess ca...

(This article belongs to the Section Veterinary Clinical Studies)
  • Article
  • Open Access
2 Citations
749 Views
22 Pages

Effect of Immune Checkpoint Inhibitor Therapy on Biventricular and Biatrial Mechanics in Patients with Advanced Cancer: A Short-Term Follow-Up Study

  • Andrea Sonaglioni,
  • Emanuela Fossile,
  • Nicoletta Tartaglia,
  • Gian Luigi Nicolosi and ,
  • Michele Lombardo,
  • Massimo Baravelli,
  • Paola Muti and
  • Pier Francesco Ferrucci
  • + 3 authors+ 0 author

16 January 2026

Background: Immune checkpoint inhibitors (ICIs) improve cancer outcomes but may cause cardiovascular toxicity, including early subclinical myocardial injury. Conventional echocardiography has limited sensitivity, whereas speckle-tracking echocardiogr...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
5 Citations
1,226 Views
19 Pages

14 February 2025

Background/Objectives: No previous study has provided a comprehensive evaluation of all biventricular and biatrial myocardial strain parameters in women with previous gestational diabetes mellitus (pGDM). Accordingly, we aimed at investigating the st...

(This article belongs to the Special Issue Cardiometabolic Disease and Atherosclerosis: Epidemiology, Prevention, Diagnosis, and Clinical Treatment)
  • Feature Paper
  • Review
  • Open Access
37 Citations
6,585 Views
15 Pages

21 February 2024

Cardiac troponin serum concentration is the primary marker used for the diagnosis of acute coronary syndrome. Moreover, the measurement of cardiac troponin concentration is important for risk stratification in patients with pulmonary embolism. The ca...

(This article belongs to the Special Issue Cardiology and Vascular Health: Pathophysiology, Therapeutics and Epidemiology)
  • Review
  • Open Access
186 Citations
21,545 Views
18 Pages

Thyroid Hormone Diseases and Osteoporosis

  • Alessandro P. Delitala,
  • Angelo Scuteri and
  • Carlo Doria

6 April 2020

Thyroid hormones are essential for normal skeletal development and normal bone metabolism in adults but can have detrimental effects on bone structures in states of thyroid dysfunction. Untreated severe hyperthyroidism influences the degree of bone m...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
8 Citations
1,666 Views
14 Pages

19 November 2024

Background: Systemic lupus erythematosus (SLE) is characterized by inflammation and cardiovascular complications. Our study aimed to investigate subclinical and early indicators of systolic myocardial dysfunction in SLE patients using advanced echoca...

(This article belongs to the Special Issue Identification and Validation of New Biomarkers to Help the Creation of Clinical Diagnostics in Autoimmune and Cancer Diseases)
  • Article
  • Open Access
1 Citations
1,428 Views
14 Pages

Early Detection of Subclinical Myocardial Dysfunction in Familial Dilated Cardiomyopathy Using Myocardial Work Analysis

  • Apostolos Vrettos,
  • Ricardo Prista Monteiro,
  • Miltiadis Triantafyllou,
  • Uzma Gul and ,
  • Sanjeev Bhattacharyya,
  • Luís R. Lopes,
  • Alexios Antonopoulos,
  • Alexandros Protonotarios,
  • Guy Lloyd and
  • Konstantinos Savvatis
  • + 6 authors+ 1 author

17 September 2025

Background/Objectives: Early detection of familial dilated cardiomyopathy (DCM) is crucial for initiating timely interventions. Myocardial work (MW) analysis, which integrates strain imaging and blood pressure, shows promise in identifying subclinica...

(This article belongs to the Special Issue Insights into Imaging Diagnosis of Heart Disease)
  • Review
  • Open Access
3 Citations
2,045 Views
14 Pages

16 April 2026

Thyroid hormones regulate a complex and interconnected network of metabolic signaling. Thyroid dysfunction is, at present, defined and monitored through circulating thyroid-stimulating hormone (TSH) and free thyroid hormones. However, biochemical nor...

(This article belongs to the Special Issue Exploring Metabolomic Signatures and the Metabolic Impact of Thyroid Dysfunction)
  • Feature Paper
  • Article
  • Open Access
6 Citations
2,190 Views
11 Pages

Subclinical Dysfunction of Left Atrial Compliance after Cryoballoon versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation

  • Ewa Pilichowska-Paszkiet,
  • Agnieszka Sikorska,
  • Ilona Kowalik,
  • Krzysztof Smarż and ,
  • Małgorzata Sikora-Frąc,
  • Jakub Baran,
  • Roman Piotrowski,
  • Tomasz Kryński,
  • Piotr Kułakowski and
  • Beata Zaborska
  • + 5 authors+ 0 author

28 July 2023

It has been suggested that cryoballoon (CB) ablation for paroxysmal atrial fibrillation (PAF) may lead to more extensive left atrial (LA) injury than radiofrequency (RF) ablation; however, results are conflicting. We sought to address this issue usin...

(This article belongs to the Special Issue Current Practice and Future Perspectives in Ablation of Atrial Fibrillation—Volume II)
  • Article
  • Open Access
3 Citations
1,824 Views
14 Pages

Evaluation of Subclinical Cancer Therapy-Related Cardiac Dysfunction in Patients Undergoing Hematopoietic Stem Cell Transplantation: An Echocardiography Study

  • Audrone Vaitiekiene,
  • Migle Kulboke,
  • Monika Bieseviciene,
  • Austeja Kaunaite and ,
  • Auste Markeviciute,
  • Agne Bartnykaite,
  • Benas Kireilis,
  • Diana Rinkuniene,
  • Antanas Jankauskas and
  • Jolanta Justina Vaskelyte
  • + 9 authors+ 4 authors

12 November 2024

Background: Hematopoietic stem cell transplantation (HSCT) is a potentially curative procedure that is used in various hematological malignancies. However, among an increasing number of HSCT, the amount of cancer therapy-related cardiac dysfunction (...

(This article belongs to the Section Transplant Oncology)
  • Review
  • Open Access
9 Citations
4,229 Views
15 Pages

Early Echocardiographic Markers in Heart Failure with Preserved Ejection Fraction

  • Annamaria Tavernese,
  • Vincenzo Rizza,
  • Valeria Cammalleri,
  • Rocco Mollace and ,
  • Cristina Carresi,
  • Giorgio Antonelli,
  • Nino Cocco,
  • Luca D’Antonio,
  • Martina Gelfusa and
  • Gian Paolo Ussia
  • + 7 authors+ 2 authors

Heart failure with preserved ejection fraction (HFpEF) represents nearly half of all heart failure cases and remains diagnostically challenging due to its heterogeneous pathophysiology and often subtle myocardial dysfunction. Conventional echocardiog...

(This article belongs to the Special Issue Role of Cardiovascular Imaging in Heart Failure)
  • Article
  • Open Access
8 Citations
2,188 Views
17 Pages

23 August 2025

Background: High-sensitivity cardiac troponin T serum concentration (hs-cTnT) measurement is a well-established tool in the diagnosis of acute cardiovascular (CV) disease. It remains unclear whether resting hs-cTnT could be useful for screening the s...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
44 Citations
8,131 Views
11 Pages

6 August 2021

The thyroid gland plays a significant role in the metabolism and proliferation of blood cells; hematological disorders are frequently observed in patients with thyroid disorders, and the most frequent problem is anemia. The main objective of this res...

  • Article
  • Open Access
16 Citations
11,408 Views
9 Pages

Lymphoscintigraphy versus Indocyanine Green Lymphography—Which Should Be the Gold Standard for Lymphedema Imaging?

  • Brian A. Figueroa,
  • Jacob D. Lammers,
  • Mazen Al-Malak,
  • Sonia Pandey and
  • Wei F. Chen

Early detection and treatment can slow the progression of lymphedema. To diagnose lymphedema in the subclinical phase, a sensitive imaging modality is required. Radioisotope-based lymphoscintigraphy (LSG) has been the “gold standard” for...

  • Article
  • Open Access
6 Citations
3,253 Views
11 Pages

Cranial Irradiation in Childhood Acute Lymphoblastic Leukemia Is Related to Subclinical Left Ventricular Dysfunction and Reduced Large Artery Compliance in Cancer Survivors

  • Joanna Sulicka-Grodzicka,
  • Bernadeta Chyrchel,
  • Justyna Totoń-Żurańska,
  • Ewelina Nowak and ,
  • Paweł P. Wołkow,
  • Andrzej Surdacki and
  • Tomasz Grodzicki
  • + 2 authors+ 0 author

13 November 2019

Long-term survivors of acute lymphoblastic leukemia (ALL), the most common childhood malignancy, are at remarkably increased risk of heart failure (HF) in middle age, most likely due anthracycline cardiotoxicity. The role of cranial radiation therapy...

(This article belongs to the Special Issue Early Diagnosis, Monitoring, Prevention and Treatment of Cardiotoxicity)

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