Cardiovascular magnetic resonance myocardial feature tracking for the determination of left atrial strain in hypertensive left ventricular hypertrophy and hypertrophic cardiomyopathy.
Clin Radiol
; 78(5): e409-e416, 2023 05.
Article
en En
| MEDLINE
| ID: mdl-36746719
ABSTRACT
AIM:
To measure the left atrial (LA) function in patients with hypertrophic cardiomyopathy (HCM; with [OHCM] and without obstruction [NOHCM]) and hypertension-related left ventricular hypertrophy (H-LVH) using cardiovascular magnetic resonance imaging feature tracking (CMR-FT). MATERIALS ANDMETHODS:
Patients who met the criteria for HCM (n=68), H-LVH (n=46), and 30 healthy controls participated. Left atrial strain was analysed using CMR-FT in cine images with two and four chambers.RESULTS:
The strain rate and LA strain measurements showed that patients with HCM, and H-LVH had impaired conduit and reservoir functions (versus controls). These capacities were more severely impaired in OHCM than those seen in NOHCM and H-LVH. The LA volume parameters (LAVIpac, LAVImin and LAVImax) from the OHCM group were higher than both the NOHCM and H-LVH groups (all p<0.05). There were differences between the OHCM and H-LVH groups in terms of the parameters for LA reservoir function (εs), booster pump function (SRa), and conduit function (SRe, LA passive EF, εe; p<0.05). The strongest correlations included the associations between LA total EF and εs, εe and LA passive EF, and SRe and LA passive EF.CONCLUSION:
CMR-FT can reliably identify LA dysfunction and deformation in the early stages of HCM and H-LVH.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Cardiomiopatía Hipertrófica
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Hipertrofia Ventricular Izquierda
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Imagen por Resonancia Cinemagnética
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Atrios Cardíacos
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Clin Radiol
Año:
2023
Tipo del documento:
Article