Clinical Medicine II. Posters
Dr. Horváth, Márton
Heart and Vascular Center of Semmelweis University
+36308360024
horvathma@gmail.com
Different Imaging Modalities for the Follow Up of Patients with Noncompaction Cardiomyopathy: Which One to Use?
Márton Horváth, Heart and Vascular Center of Semmelweis University, Budapest
Dorottya Kiss, Heart and Vascular Center of Semmelweis University, Budapest
Anna Réka Kiss, Heart and Vascular Center of Semmelweis University, Budapest
Zsófia Gregor, Heart and Vascular Center of Semmelweis University, Budapest
István Márkusz, ELTE Institute of Physics
Bálint Károly Lakatos, Heart and Vascular Center of Semmelweis University, Budapest
Márton Tokodi, Heart and Vascular Center of Semmelweis University, Budapest
Attila Kovács, Heart and Vascular Center of Semmelweis University, Budapest
Hajnalka Vágó, Heart and Vascular Center of Semmelweis University, Budapest
Béla Merkely, Heart and Vascular Center of Semmelweis University, Budapest
Andrea Szűcs, Heart and Vascular Center of Semmelweis University, Budapest
Clinical Medicine II. Posters
Hungarian
Clinical Medicine
Health Sciences
The measurement of left ventricular (LV) volumetric and strain parameters in patients with noncompaction cardiomyopathy (NCMP) with 2D and 3D speckle tracking echocardiographic (2D-STE, 3D-STE) is more challenging than the same with cardiac MRI (CMR).
The agreement of these imaging modalities has been already studied in different cohorts but not in patients with NCMP.
Our aim was to assess the correlation and agreement between CMR, 2D-STE, and 3D-STE by comparing the volumetric and strain values of NCMP and healthy control participants.
We studied 21 NCMP patients who had no co-morbidities and 21 control participants (NCMP: age: 37±15 years EF: 67.5±3.9%; Control: age: 17±3years, EF: 58.8±4.4%) with Philips Achieva 1.5 T scanner, and GE Vivid E95 echocardiography equipment. Medis Suite, TOMTEC 4D LV-Analysis 3, and TOMTEC Cardiac Performance Analysis software were used for post-processing. Data were analyzed with Pearson’s correlation and Bland-Altman plots with percentage error (PE). P <0.05 was considered as significant. Volumetric data were indexed to body surface area.
Volumetric measurements correlated well between the studied modalities in both group (NCMP and control groups: end-diastolic volume: r between 0.7 and 0.9, end-systolic volume: r between 0.7 and 0.8, stroke volume: r=0. 7) while the strain parameters showed poor correlation.
We found better agreement between CMR and 2D and 3D echocardiography in the healthy group than in patients (p = 0.01). However, only the healthy subjects’ global strain values showed good agreement between the modalities (GLS MR-2D: p<0.014 PE=23.4 %; MR-3D: p<0.01 PE=24.7 %; GCS MR-2D: p<0.01 PE=20,7 %; MR-3D: p<0.01 PE=23.7 %).
Our pilot study suggests that LV hypertrabeculation may cause difficulties in measuring STE strain parameters. Further studies are needed to find the optimal follow-up modality for this patient population.
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Poszter
Szabad
elfogadva
poszter
nem rendelkezett róla
4704
13:05
13:08
Márton Horváth, Heart and Vascular Center of Semmelweis University, Budapest
Dorottya Kiss, Heart and Vascular Center of Semmelweis University, Budapest
Anna Réka Kiss, Heart and Vascular Center of Semmelweis University, Budapest
Zsófia Gregor, Heart and Vascular Center of Semmelweis University, Budapest
István Márkusz, ELTE Institute of Physics
Bálint Károly Lakatos, Heart and Vascular Center of Semmelweis University, Budapest
Márton Tokodi, Heart and Vascular Center of Semmelweis University, Budapest
Attila Kovács, Heart and Vascular Center of Semmelweis University, Budapest
Hajnalka Vágó, Heart and Vascular Center of Semmelweis University, Budapest
Béla Merkely, Heart and Vascular Center of Semmelweis University, Budapest
Andrea Szűcs, Heart and Vascular Center of Semmelweis University, Budapest