A Jam Packed June JASE

The June issue of JASE includes an original investigation titled, “Stress Echocardiography in Patients With Moderate or Severe Myocardial Ischemia: Insights From the ISCHEMIA Trial.” Lead author Michael H. Picard, MD, FASE, remarks, “We studied over 1,000 subjects from the ISCHEMIA Trial with chronic coronary disease and at least moderate myocardial ischemia who had stress echocardiography and assessment of coronary anatomy by coronary CT angiography.  Stress echo features associated with at least 1 coronary lesion > 70% were the number of ischemic or infarcted myocardial segments, 3 or more abnormal segments in the anterior territory and/or the inability to augment LV ejection fraction by at least 10 percentage points during stress.  In terms of risk stratification, for every 0.1 increase in the Wall Motion Score Index there was a 12% increase in risk of cardiovascular death or MI over a greater than 3-year observation period.”

An editorial comment accompanies this report on the ISCHEMIA Trial. Additional original investigations in this issue address RV function in tricuspid regurgitation and prognosis as well as ventricular and atrial strain in lupus erythematosus. A paper in the Imaging Strategies category describes a contemporary approach for intraoperative TEE in acute type A aortic dissection. This issue contains a hearty nine brief research communications spanning an interesting variety of topics. Rounding out this issue are four letters to the editor regarding mitral annular dynamics after transcatheter edge-to-edge repair for functional mitral regurgitation, an echocardiographic machine learning model to predict outcomes in the intensive cardiac care unit, and right ventricular contractility.

In this month’s President’s Message, Dr. Theodore Abraham reflects on the progress made toward his “ASE Creates, ASE Secures, ASE Partners” vision this year.

A focus issue on chamber quantification is set for publication in 2026. Papers that address any aspect of echocardiography in quantitative assessment of the cardiac chambers should be submitted by August 1, 2025. Please direct questions to JASE managing editor Debbie Meyer at [email protected].

Tune into our Author Spotlight page for interviews between JASE Editor-in-Chief Patricia Pellikka, MD, FASE, and authors of recently published papers. May’s interview features Kathleen A. Young, MD, discussing her report titled, “Association of Impaired Relaxation Mitral Inflow Pattern (Grade 1 Diastolic Function) With Long-Term Noncardiovascular and Cardiovascular Mortality.”

Please see the June ASE Education Calendar for a listing of educational opportunities far and wide.