Novel prognostic markers derived from cardiovascular magnetic resonance imaging in patients with stable chronic coronary artery disease

Background: In patients with coronary artery disease (CAD), risk stratification remains a challenge. Recently, epicardial adipose tissue (EAT) assessed by cardiovascular magnetic resonance imaging (CMRI) has emerged as a new marker in patients with CAD. Thus, we aimed to investigate the association...

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Hauptverfasser: Dösch, Christina (VerfasserIn) , Streitner, Florian (VerfasserIn) , Kuschyk, Jürgen (VerfasserIn) , Akın, Ibrahim (VerfasserIn) , Lehmann, Ralf (VerfasserIn) , Loßnitzer, Dirk (VerfasserIn) , Behnes, Michael (VerfasserIn) , Schönberg, Stefan (VerfasserIn) , Borggrefe, Martin (VerfasserIn) , Papavassiliu, Theano (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: November-December 2015
In: In vivo
Year: 2015, Jahrgang: 29, Heft: 6, Pages: 737-747
ISSN:1791-7549
Online-Zugang:Verlag, kostenfrei, Volltext: http://iv.iiarjournals.org/content/29/6/737
Volltext
Verfasserangaben:Christina Doesch, Jan Jochims, Florian Streitner, Juergen Kuschyk, Ibrahim Akin, Ralf Lehmann, Dirk Lossnitzer, Michael Behnes, Stefan O. Schoenberg, Martin Borggrefe and Theano Papavassiliu

MARC

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245 1 0 |a Novel prognostic markers derived from cardiovascular magnetic resonance imaging in patients with stable chronic coronary artery disease  |c Christina Doesch, Jan Jochims, Florian Streitner, Juergen Kuschyk, Ibrahim Akin, Ralf Lehmann, Dirk Lossnitzer, Michael Behnes, Stefan O. Schoenberg, Martin Borggrefe and Theano Papavassiliu 
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520 |a Background: In patients with coronary artery disease (CAD), risk stratification remains a challenge. Recently, epicardial adipose tissue (EAT) assessed by cardiovascular magnetic resonance imaging (CMRI) has emerged as a new marker in patients with CAD. Thus, we aimed to investigate the association of CMR parameters with all-cause and cardiac mortality in patients with CAD. Patients and Methods: CMRI examination was performed in 260 patients with CAD. Results: In the 40 patients who died, left ventricular (LV) ejection fraction, right ventricular fractioning shortening, LV remodeling index and indexed EAT were significantly reduced, whereas LV mass index, LV end-diastolic volume index, LV end-systolic volume index, LV end-diastolic diameter and the extent of late gadolinium enhancement expressed as a percentage of the maximum possible score to estimate the extent of LGE relative to LV mass (LGE %), were significantly elevated. Using multivariate analysis, age, LV mass index, extent of LGE % and indexed EAT proved to be independently associated with all-cause and cardiac mortality. Conclusion: Age, LV mass index, the extent of LGE % and indexed EAT are independent predictors of mortality that might contribute to a more accurate risk stratification of patients with CAD. 
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650 4 |a extent of late gamolinium enhancement 
650 4 |a left ventricular mass index 
650 4 |a prognostic markers 
650 4 |a stable coronary artery disease 
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