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Tiger stripe: an innocuous Doppler artifact

Biswaranjan Mishra

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Tiger stripes, parallel bands within regurgitant Doppler spectra, are often ascribed to oscillating intracardiac structures. Their frequency and clinical relevance are unclear. Methods We retrospectively reviewed 4,567 transthoracic echocardiograms (TTEs) in adults between 18…

Accuracy of 3-dimensional echocardiography in measuring right ventricular volumes and ejection fraction: a systematic review and meta-analysis

Mostafa Rafea; Ramy Kishk; Ramy Salmoun

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background and Aims The complex architecture of the right ventricle presents a significant challenge in determining its functional status. Three-dimensional echocardiography (3DE) is growing in prevalence as a faster and more convenient tool to evaluate Right Ventricular (RV) function…

Assessment of chronic aortic regurgitation using end-diastolic flow reversal in the upper descending aorta: diagnostic accuracy and prediction of aortic valve surgery in a prospective echocardiography and cardiac magnetic resonance imaging study

Knoll Katharina; Stefanie Rosner; Stefan Gross dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background This study aimed to assess the utility of end-diastolic flow reversal in the upper descending aorta (EFR) for echocardiographic grading of aortic regurgitation (AR) severity, using cardiac magnetic resonance imaging (CMRI) as the reference. Additionally, we evaluated the role of…

The diagnostic value of left atrial stiffness for heart failure with preserved ejection fraction in patients with paroxysmal atrial fibrillation

Jinzhi Lai; Xiaohan Qin; Dingding Zhang dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Aims Left atrial (LA) function is impaired in both atrial fibrillation (AF) and heart failure with preserved ejection fraction (HFpEF). Diagnosing HFpEF remains challenging, especially in AF patients. This study aims to evaluate whether LA stiffness (LAS) can facilitate the diagnosis of…

Supine bicycle exercise blood pressure, heart rate and rate pressure product in patients with normal stress echocardiograms in an unselected chest pain population

J. C. Flynn; B. L. Elliott; A. Macnab dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Reference ranges for exercise capacity during supine bicycle stress echocardiography (SBSE) are not well described. The aim of this study was to define supine bicycle exercise parameters in patients with normal stress echocardiograms in an unselected chest pain population…

Left ventricular and atrial strain and the risk of mortality and rehospitalization in heart failure

Haris Zilic; Hannes Holm; Linda S. Johnson dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Global longitudinal strain (GLS) and left atrial strain metrics, including reservoir (LAr), contraction (LAct), and conduit strain (LAcd), have emerged as key indicators of left ventricular (LV) function and filling pressures. However, the prognostic value of these markers for…

Agitated Saline Contrast Echocardiography in the diagnosis of right to left shunts: Guidance and recommendations from the British Society of Echocardiography

Bushra Rana; Shaun Robinson; Liam Ring dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Contrast echocardiography encompasses two forms of ultrasound contrast agents. This article focuses on agitated saline (AS-C) contrast, commonly called ‘bubble’ contrast. Its main application is in identifying the presence of a right to left shunt in a number of clinical syndromes, often…

Correction: Agitated Saline Contrast Echocardiography in the diagnosis of right to left shunts: Guidance and recommendations from the British Society of Echocardiography

Bushra Rana; Shaun Robinson; Liam Ring dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Clinical significance of resting and dobutamine stress myocardial work in cirrhotic cardiomyopathy

Jeyamani Ramachandran; Purendra Kumar Pati; Fadak Mohammadi dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Myocardial work (MW), an emerging measure of cardiac function, has not been assessed in cirrhotic cardiomyopathy (CCM) unlike global longitudinal strain (GLS). Aims To evaluate MW in cirrhosis with transthoracic echocardiography (TTE) and dobutamine stress echocardiography…

Reporting changes in right ventricular systolic pressure: insights from Classification and Regression Tree (CART) analysis

Shadi P. Bagherzadeh; Kartik S. Malunjkar; Neha M. Mantri dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Right ventricular systolic pressure (RVSP) is an echocardiographic metric to monitor pulmonary hypertension (PH). However, there is no recommendation on what constitutes a meaningful change. In this study, we aimed to gain insight into how physicians at our institution report…

Significance of echocardiographic metrics including TRV and TAPSE/SPAP in mild haemodynamic pulmonary hypertension – data from EVIDENCE-PAH UK

Nina Karia; Daniel Murphy; Luke Howard dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background The 2022 ESC/ERS guidelines redefined pulmonary hypertension (PH) as a mean pulmonary artery pressure (mPAP) >20 mmHg on right heart catheterisation (RHC). Echocardiography, using metrics such as tricuspid regurgitation velocity (TRV), tricuspid annular plane systolic excursion…

The impact of right ventricular free wall strain on current international echocardiography guidelines for the assessment of pulmonary hypertension

C. J. B. Wild; G. Coghlan; A. Charalampopoulos dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Current guidelines define pulmonary hypertension (PH) as a mean pulmonary artery pressure (mPAP) >20mmHg at right heart catheterisation (RHC). International transthoracic echocardiography (TTE) PH guidelines recommend a multi-parameter assessment to estimate PH probability…

Echocardiographic characterization of combined postcapillary and precapillary pulmonary hypertension in systemic sclerosis with preserved ejection fraction

Ahmad Daoud; Garrett Goldin; Lea Goren dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Systemic sclerosis (SSc) is a multisystem autoimmune disease frequently complicated by pre- and post-capillary pulmonary hypertension (PH). Within SSc, progressive diastolic dysfunction and heart failure with preserved ejection fraction (HFpEF) are key contributors, often…

International practices and variability in right heart echocardiography: results from the RVNet(Work) international survey

Harry Magunia; Daniel X. Augustine; Attila Kovács dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background The assessment of the right heart (RH) plays a central role in the diagnosis and management of cardiovascular and pulmonary diseases. Although current guidelines have improved standardization, there is anecdotal evidence suggesting that there is significant variability in…

Impact of guideline definitions on right ventricular diameter in echocardiography: an automated analysis in controls and patients with pulmonary hypertension

Frida N. Hermansson; Bettia E. Celestin; Shadi P. Bagherzadeh dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background To improve standardization, the 2025 American Association of Echocardiography (ASE) guidelines revised the definitions of right ventricular (RV) basal and mid diameters, revising the 2010 ASE and European Society of Cardiology (ESC) definitions. Objectives (1) To quantify…

High-density contrast echocardiography for patent foramen ovale assessment: sensitivity and relationship with invasively measured shunt severity and atrial septum morphology

Karel Medilek; Tomas Ondrus; Tomas Mraz dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Transthoracic contrast echocardiography (cTTE) is a first-line method for patent foramen ovale (PFO) assessment, but its sensitivity is reported as low and inconsistent. We aimed to investigate the sensitivity of high-density cTTE for PFO detection, and the relationship between…

Unravelling the grey zone: submaximal-to-peak stress echocardiography enhances diagnostic accuracy in differentiating early dilated cardiomyopathy from physiological adaptation

Sarandeep K. Marwaha; Joyee Basu; Raghav Bhatia dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Participation in regular endurance exercise may be associated with physiological left ventricular (LV) dilatation and concomitant low resting LV ejection fraction (LVEF), a phenotype indistinguishable from early dilated cardiomyopathy (DCM) on resting imaging alone and termed…

First we feast: a narrative review of postprandial assessment of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy

Mahesh Chandrasekhar; Carolyn Park; Pamela Burgess dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Dynamic left ventricular outflow tract (LVOT) obstruction is a common and consequential feature of hypertrophic cardiomyopathy (HCM), present in a majority of patients at rest or with provocation, and it directly influences symptom burden and eligibility for therapy. When…

Artificial intelligence-based prediction of procedural success in transcatheter mitral valve edge-to-edge repair

Mathias Claeys; Neil Fam; Xiaojiao Xiao dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Background Patient selection for transcatheter mitral valve edge-to-edge repair (MTEER) remains challenging, particularly in individuals with complex mitral valve anatomy. Conventional risk scores incorporate limited clinical variables and do not adequately account for detailed…

Echocardiography in duchenne muscular dystrophy: a call for consistency and standardisation of reporting

Lynne Williams; Sadie Bennett; Charlotte Atkinson dkk.

Echo Research and Practice, Vol. 13 No. 1 · 2026 · Inggris · DOAJ Scopus

Abstract Duchenne muscular dystrophy (DMD) is a genetically determined, neuromuscular disorder occurring predominantly in males with a prevalence of 1:3,500 to 1:5,000 live male births. It is a life limiting condition with average life expectancy of only 28.1 years in the United Kingdom. A dilated…