ASE 2024 Research Spotlight 1

FOR IMMEDIATE RELEASE
Contact: Angie Porter
919-297-7152
APorter@ASEcho.org

Two Research Studies at ASE 2024 Examine Environmental Factors and Heart Health

(DURHAM, NC, June 14, 2024)—A number of factors can determine a person’s heart health—genetics, physical activity, diet, and even the environment. Two international research studies that will be presented during the American Society of Echocardiography’s (ASE) 35th Annual Scientific Sessions, June 14-16, 2024, in Portland, Oregon, examined the effects the latter on the heart.

The first study, titled “Maternal Exposure to Ambient Ozone and Fetal Conotruncal Congenital Heart Defects in China: A Large Multicenter Cohort Study,” delves into the effects of ozone (O3) pollution on fetal heart development. From January 2013 to December 2021, the study examined more than 24,000 pregnant women at Beijing Anzhen Hospital, Capital Medical University in China to investigate the association between maternal exposure to O3 and conotruncal heart defects (CTDs), which are congenital heart malformations that affect the heart’s outflow tracts and great arteries.

Fetal echocardiography was used to evaluate fetuses with CTDs, and the research findings revealed that maternal exposure to ambient O3 pollution during critical periods, especially during the periconception period, may increase the risk of CTDs in fetuses.

“To prevent this impact, pregnant women should adopt healthy lifestyles and avoid exposure to O3 pollution during peak hours, which can occur in traffic congested or industrial areas,” says the study’s lead author, Yihua He, an expert in fetal congenital heart disease and the Director of the Echocardiography Medical Center and Maternal-fetal Medicine Center in Fetal Heart Disease at Beijing Anzhen Hospital, Capital Medical University. “Additionally, governments and the public should implement measures to decrease O3 pollution, such as reducing emissions from industrial and transportation sources, promoting clean energy, and implementing air quality standards.”

Dr. He emphasized the need for further research to understand the impact of other environmental factors on fetal heart development and to develop appropriate preventive measures.

The second study, titled “Echocardiographic Assessment of Pulmonary and Right Chamber Parameters in Healthy Individuals Who Live More Than 8200 Feet Above the Sea Level: A Colombian Experience,” focused on long-term cardiopulmonary adjustments in individuals residing at high altitudes, specifically those living more than 8,200 feet above sea level (FASL).

The study, conducted in the Andean Mountains in Colombia, where over 35 million people live at such altitudes, examined the prevalence of high-altitude pulmonary hypertension and its implications on the right ventricle and clinical outcomes. Contrary to what was expected, the findings indicated that individuals living above 8200 FASL do not exhibit higher estimated systolic pulmonary artery pressure (sPAP) or significant differences in right ventricle dimensions and function.

However, findings did discover a significant difference between the study’s two Colombian cohorts from Bogota (8,612 FASL) and Aquitania (9,941 FASL). There was a surprisingly higher prevalence of Stage 2 hypertension and an increase in relative wall myocardium thickness in the Aquitania cohort. It was determined there is a need for further investigation into the long-term adaptive mechanisms in adults residing at high altitudes, as it may lead to adverse cardiovascular outcomes.

“The effects of pulmonary and arterial hypertension include capillary remodeling and permeability changes that result in pressure load on the right or left ventricle respectively. If uncontrolled, changes can lead to ventricular failure with a reduced exercise capacity and premature death. Therefore, if undiagnosed, high-altitude dwellers could be at risk of developing clinically relevant events,” says the study’s lead author Astrid Lorena Rodriguez, an internal medicine resident at Fundacion Santa Fe, Bogota in Colombia. “We expect our results to encourage global leaders and colleagues to further research long-term cardiopulmonary adjustments to better understand clinical outcomes in this population.”

Both research studies will be presented at the Oregon Convention Center during ASE 2024, which features more than 450 abstract presentations showcasing cutting-edge research on the latest advances in cardiovascular ultrasound and cases illustrating breakthroughs in patient care. Learn more about ASE 2024 and download the conference’s final event program at ASEScientificSessions.org.

About American Society of Echocardiography
The American Society of Echocardiography (ASE) is the Society for Cardiovascular Ultrasound Professionals™. ASE is the largest global organization for cardiovascular ultrasound imaging serving physicians, sonographers, nurses, veterinarians, and scientists and as such is the leader and advocate, setting practice standards and guidelines for the field. The Society is committed to advancing cardiovascular ultrasound to improve lives. For more information visit ASE’s website ASEcho.org or social media pages on Facebook, X (formerly Twitter), LinkedIn, or Instagram.

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Calling All Future Leaders: ASE Leadership Academy Cohort 4 Application is NOW OPEN

Are you interested in becoming a future ASE leader or do you know someone who may be interested? Now is the time to apply for a position in the 2024-2026 class of the ASE Leadership Academy.
ASE is committed to the professional growth of its members, and this program provides a unique opportunity for ASE members to increase their knowledge and develop skills that will help them be successful leaders throughout their careers. During this 19-month program, participants will be matched with a senior adviser and receive access to high-quality, online tutorials on leadership topics valued at over $7,500.
Applications and recommendation letters will be accepted through August 1, 2024. Questions? Email LeadershipAcademy@ASEcho.org.

Jumpin’ for June JASE

The June issue of JASE includes, “Obstruction in Hypertrophic Cardiomyopathy: Many Faces.” Author Jeffrey B. Geske, MD, FASE, remarks, “Echocardiographic assessment of obstructive hypertrophic cardiomyopathy can be challenging due to vast phenotypic heterogeneity, complex hemodynamics, and variable findings dependent on loading conditions. However, accurate diagnostic assessment is needed for guidance of medical management, determination of septal reduction therapy candidacy, and intraprocedural assessment. In this JASE article, we present a visual Doppler atlas with many high-quality examples to guide interpretation and understanding of the many ways that obstruction can present in hypertrophic cardiomyopathy.”

In addition to the HCM report, readers can look forward to two other state-of-the-art reviews. Both center on the role of 3D echocardiography—in the perioperative assessment of the hemodynamic ventriculoarterial junction of the aortic root and in RV volume analysis in pediatric heart disease. This issue also hosts a variety of clinical investigations on topics ranging from left ventricular trabeculations in athletes to 3D echocardiography’s role in mitral regurgitation to congenital heart disease. Two editorial comments, five brief research communications, and two letters to the editor round out this issue.

In his final President’s Message, Dr. Eidem reflects on this past year as ASE President and the progress of his three key initiatives: ASE Matters, ASE Mentors, and ASE Educates. Be sure to check out June’s Author Spotlight to learn more from author Giuseppe Di Gioia, MD, on his recent paper, Left Ventricular Trabeculation: Arrhythmogenic and Clinical Significance in Elite Athletes.

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

Access the Latest Free CME/MOC JASE Article in the ASE Learning Hub

As a benefit of ASE membership, you have access to over 25 free CME/MOC activities in the ASE Learning Hub (ALH)! The latest JASE CME article available in the ALH is titled, Pulmonary Vein Flow Morphology After Transcatheter Mitral Valve Edge-to-Edge Repair as Predictor of Survival. Members can access this article for free in the ALH and earn up to 1.5 AMA PRA Category 1 Credits™.

Official Countdown: 16 Days until ASE 2024 Download the Final Program for Event Details

The ASE 2024 Schedule Details is now available! Already registered? Use the Whova app to begin planning your schedule. Not yet registered? View the Schedule Details to see the many education and networking opportunities offered at ASE 2024, and register today (on site prices rise by $125)!
The 35th Annual Scientific Sessions— taking place in Portland, Oregon, June 14-16—will provide an environment for engaged learning, share groundbreaking research, and explore the latest advancements in cardiovascular ultrasound. Both in-person and virtual registration options are available.
Highlights this year include:
  • Joint sessions with 17 partnering multimodality organizations.
  • Four featured special lectures.
  • Sonographer Career Day on Saturday where sonographer students are encouraged to attend and learn for the day.
  • Six Science & Technology Theater presentations by industry in the Echo Expo.
  • Eleven Poster Sessions and three Rapid Fire Abstract Presentations.
  • Exhibit Floor with over 50 booths, Bark Park sponsored by Siemens Healthineers, Coffee Carts, Charging Lounges, and Research Posters.
  • And more!

Now Available: 2024 Coding Connection Newsletter

ASE is committed to providing our members with the tools and resources they need to ensure coding accuracy and compliancy, and to maximize appropriate revenue. Log in to the ASE Member Portal and access the 2024 Coding Connection document under the “Advocacy” tab.

This free resource provides answers to echocardiography specific billing and assists you in coding accurately for the services you provide, especially in today’s environment of declining reimbursement and increased scrutiny. This newsletter includes information on recent coding updates for echocardiography services, evaluation and management services, Medicare split/shared visit changes, and ASE’s top 10 coding questions and answers.

ASE provides member-only access to coding information and a coding expert who is available to answer individual coding questions free of charge.

Join an ASE Council or Specialty Interest Group

ASE is an organization that is open to all echo enthusiasts, and a diverse and active membership not only makes ASE stronger, but also the field of cardiovascular ultrasound. As a free member benefit, members can choose to join one (or more) of ASE’s six Councils or four Specialty Interest Groups (SIGs).

ASE’s Councils provide members with an opportunity to be involved with one or more subspecialty group to enhance their careers and knowledge, and Council membership is free. The 2024 Scientific Sessions in Portland, Oregon, offers multiple opportunities to engage with Council members, including Council Business Meetings (see Whova App for schedule).

  • Cardiovascular Sonography
  • Circulation & Vascular Ultrasound
  • Critical Care Echocardiography
  • Interventional Echocardiography
  • Pediatric and Congenital Heart Disease
  • Perioperative Echocardiography

SIGs support members who have a common interest in specialized areas with growth potential in cardiovascular ultrasound. There are currently four SIGs that members can join for free. Meet members of SIG leadership at a Networking Event on Friday, June 14 during the President’s Welcome Reception.

  • Cardio-Oncology
  • Emerging Echo Enthusiasts
  • Neonatal Hemodynamics TnECHO
  • Veterinary

Join an ASE Council or SIG, by logging in to your ASE Member Portal. Contact Suzanne Morris at smorris@ASEcho.org with questions about Councils, and email SIGs@ASEcho.org with questions about joining a SIG.

Registration is Open for Advanced Echo 2024

Did you miss Echo Hawaii or State-of-the-Art Echocardiography (SOTA) earlier this year? Or maybe you are looking for unlimited on-demand access to the latest education on established and emerging cardiovascular ultrasound technologies? Register for ASE’s Advanced Echo 2024 online course and access 28 presentations compiled from the 2024 Echo Hawaii and SOTA courses. Expert faculty discuss the latest technologies with a particular focus on how they can be effectively applied in a clinical setting.

Registration includes access to course materials until April 16, 2025; up to 13.75 AMA PRA Category 1 Credits™, and ASE members receive reduced registration fees as a benefit of membership.

New Volunteer Opportunity: Echo Magazine Physician Co-Editor

Deadline to Apply: May 31, 2024

ASE is seeking applications for a new volunteer opportunity—Echo magazine Physician Co-EditorEcho magazine is a highly regarded publication that has featured hundreds of unique and interesting articles from ASE members over the past several years.

The selected individual will start on July 1 and serve a three-year term. The main responsibilities include proofreading each issue, suggesting article content, reviewing submitted articles, among other duties. Learn more about this volunteer opportunity and the criteria to apply!

May We Present JASE: Precision Imaging in Echo

The May issue of JASE includes, “Coronary Artery Tortuosity and Spontaneous Coronary Artery Dissection: Association With Echocardiography and Global Longitudinal Strain, Fibromuscular Dysplasia, and Outcomes.” Author Marysia S. Tweet, MD, MS, remarks, “Our recent publication describes detailed echocardiography findings of 116 patients after spontaneous coronary artery dissection.  Left ventricular ejection fraction and global longitudinal strain were of normal range in the majority of patients, although approximately half of the patients had persistent left ventricular regional wall motion abnormalities. While coronary artery tortuosity (TCA) was not associated with specific echocardiographic parameters, TCA was associated with older age, fibromuscular dysplasia and a trend towards larger mid-ascending aortic size.”

This issue emphasizes precision imaging in echocardiography and includes various novel applications of echocardiography to guide patient care. Clinical investigation topics range from stress echocardiographic markers of ischemia, echo vs. CMR for prediction of wedge pressure, and diastolic phenotypes in pediatric HCM, to spontaneous coronary artery dissection, pulmonary vein flow in the assessment of mitral regurgitation severity, and endurance training and LV mechanics in children. An editorial comment complements a clinical investigation on right atrial remodeling and outcome in patients with secondary tricuspid regurgitation. Readers can also look forward to a state-of-the-art review on the advances in the application of artificial intelligence in fetal echocardiography. Two letters to the editor and five brief research communications round out this issue.

Dr. Eidem’s President’s Message highlights ASE’s international efforts and impact as the largest global organization for cardiovascular ultrasound. Be sure to check out May’s Author Spotlight to learn more from author Minh B. Nguyen, MD, on his recent paper, Modeling the Relationship Between Diastolic Phenotype and Outcomes in Pediatric Hypertrophic Cardiomyopathy.

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