Buchumschlag

Incremental benefit of late gadolinium cardiac magnetic resonance imaging for risk stratification in patients with hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) has a low risk for sudden cardiac death (SCD). The ESC clinical risk prediction model estimates the risk of SCD using clinical and echocardiographical parameters without taking into account cardiac magnetic resonance (CMR) parameters. Therefore, we compared the CMR...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Dösch, Christina (VerfasserIn) , Tueluemen, Erol (VerfasserIn) , Akın, Ibrahim (VerfasserIn) , Rudic, Boris (VerfasserIn) , Kuschyk, Jürgen (VerfasserIn) , El-Battrawy, Ibrahim (VerfasserIn) , Becher, Tobias (VerfasserIn) , Budjan, Johannes (VerfasserIn) , Smakic, Arman (VerfasserIn) , Schönberg, Stefan (VerfasserIn) , Borggrefe, Martin (VerfasserIn) , Papavassiliu, Theano (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 24 July 2017
In: Scientific reports
Year: 2017, Jahrgang: 7
ISSN:2045-2322
DOI:10.1038/s41598-017-06533-0
Online-Zugang:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1038/s41598-017-06533-0
Verlag, kostenfrei, Volltext: https://www.nature.com/articles/s41598-017-06533-0
Volltext
Verfasserangaben:Christina Doesch, Erol Tülümen, Ibrahim Akin, Boris Rudic, Juergen Kuschyk, Ibrahim El-Battrawy, Tobias Becher, Johannes Budjan, Arman Smakic, Stefan O. Schoenberg, Martin Borggrefe and Theano Papavassiliu
Beschreibung
Zusammenfassung:Hypertrophic cardiomyopathy (HCM) has a low risk for sudden cardiac death (SCD). The ESC clinical risk prediction model estimates the risk of SCD using clinical and echocardiographical parameters without taking into account cardiac magnetic resonance (CMR) parameters. Therefore, we compared the CMR characteristics of 149 patients with low, intermediate and high ESC risk scores. In these patients left and right ventricular ejection fraction and volumes were comparable. Patients with a high ESC risk score revealed a significantly higher extent of late gadolinium enhancement (LGE) compared to patients with intermediate or a low risk scores. During follow-up of 4 years an extent of LGE ≥20% identified patients at a higher risk for major adverse cardiac arrhythmic events in the low and intermediate ESC risk group whereas an extent of LGE <20% was associated with a low risk of major adverse cardiac arrhythmic events despite a high ESC risk score ≥6%. Hence, we hypothesize that the extent of fibrosis might be an additional risk marker.
Beschreibung:Gesehen am 22.05.2018
Beschreibung:Online Resource
ISSN:2045-2322
DOI:10.1038/s41598-017-06533-0

Ähnliche Einträge