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Comparative study of CMR characteristics between arrhythmogenic right ventricular cardiomyopathy patients with/without syncope
To compare cardiovascular magnetic resonance (CMR) characteristics between arrhythmogenic right ventricular cardiomyopathy (ARVC) patients with syncope and without syncope and explore CMR parameters related with syncope. A consecutive series of 80 patients with ARVC were divided in two groups accord...
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Published in: | The International Journal of Cardiovascular Imaging 2014-10, Vol.30 (7), p.1365-1372 |
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creator | Cheng, Huaibing Lu, Minjie Hou, Cuihong Chen, Xuhua Wang, Jing Li, Li Wan, Junyi Yin, Gang Chu, Jianmin Prasad, Sanjay K. Zhang, Shu Pu, Jielin Zhao, Shihua |
description | To compare cardiovascular magnetic resonance (CMR) characteristics between arrhythmogenic right ventricular cardiomyopathy (ARVC) patients with syncope and without syncope and explore CMR parameters related with syncope. A consecutive series of 80 patients with ARVC were divided in two groups according to history of syncope prior to CMR examinations. The biventricular function and volumes were calculated and indexed by body surface area. Fatty infiltration and late-gadolinium enhancement (LGE) were self-quantitatively analyzed according to segmental model. Patients with syncope had statistically significant greater left ventricular end-diastolic volume index (LVEDVI) (79.6 ± 23.0 vs. 69.0 ± 17.9 mL/m
2
,
P
= 0.030), right ventricular end-diastolic volume index (RVEDVI) (122.0 ± 30.0 vs. 107.4 ± 21.8 mL/m
2
,
P
= 0.017), and LGE incidence (52.2 vs. 21.1 %,
P
= 0.006) than that of patients without syncope. Patients with syncope had a trend towards greater number of segments with LGE (8.6 ± 4.2 vs. 6.6 ± 3.1,
P
= 0.199) than that of patients without syncope in subgroup analyses of patients with LGE, but no statistical significance was reached. Multivariate regression analysis showed the presence of LGE was independently associated with syncope in patients with ARVC (odds ratios 8.827, 95 % confidence interval 1.945–40.068,
P
= 0.005). CMR is helpful in detection and management of the patients with ARVC. Patients with syncope had significantly higher LVEDVI, RVEDVI and LGE incidence, and larger studies with follow-up data are needed to elucidate the relationship between LGE and syncope in patients with ARVC. |
doi_str_mv | 10.1007/s10554-014-0481-1 |
format | article |
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2
,
P
= 0.030), right ventricular end-diastolic volume index (RVEDVI) (122.0 ± 30.0 vs. 107.4 ± 21.8 mL/m
2
,
P
= 0.017), and LGE incidence (52.2 vs. 21.1 %,
P
= 0.006) than that of patients without syncope. Patients with syncope had a trend towards greater number of segments with LGE (8.6 ± 4.2 vs. 6.6 ± 3.1,
P
= 0.199) than that of patients without syncope in subgroup analyses of patients with LGE, but no statistical significance was reached. Multivariate regression analysis showed the presence of LGE was independently associated with syncope in patients with ARVC (odds ratios 8.827, 95 % confidence interval 1.945–40.068,
P
= 0.005). CMR is helpful in detection and management of the patients with ARVC. Patients with syncope had significantly higher LVEDVI, RVEDVI and LGE incidence, and larger studies with follow-up data are needed to elucidate the relationship between LGE and syncope in patients with ARVC.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-014-0481-1</identifier><identifier>PMID: 25026910</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Arrhythmogenic Right Ventricular Dysplasia - complications ; Arrhythmogenic Right Ventricular Dysplasia - diagnosis ; Arrhythmogenic Right Ventricular Dysplasia - pathology ; Arrhythmogenic Right Ventricular Dysplasia - physiopathology ; Cardiac Imaging ; Cardiology ; Chi-Square Distribution ; Contrast Media ; Electrocardiography ; Female ; Gadolinium DTPA ; Humans ; Imaging ; Magnetic Resonance Imaging, Cine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate Analysis ; Observer Variation ; Odds Ratio ; Original Paper ; Predictive Value of Tests ; Radiology ; Reproducibility of Results ; Risk Factors ; Stroke Volume ; Syncope - etiology ; Syncope - physiopathology ; Ventricular Function, Left ; Ventricular Function, Right ; Young Adult</subject><ispartof>The International Journal of Cardiovascular Imaging, 2014-10, Vol.30 (7), p.1365-1372</ispartof><rights>Springer Science+Business Media Dordrecht 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-7da5d6573714a317241a3a4e526f7511004d345a8e01e621966af46ffec8083c3</citedby><cites>FETCH-LOGICAL-c442t-7da5d6573714a317241a3a4e526f7511004d345a8e01e621966af46ffec8083c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25026910$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Huaibing</creatorcontrib><creatorcontrib>Lu, Minjie</creatorcontrib><creatorcontrib>Hou, Cuihong</creatorcontrib><creatorcontrib>Chen, Xuhua</creatorcontrib><creatorcontrib>Wang, Jing</creatorcontrib><creatorcontrib>Li, Li</creatorcontrib><creatorcontrib>Wan, Junyi</creatorcontrib><creatorcontrib>Yin, Gang</creatorcontrib><creatorcontrib>Chu, Jianmin</creatorcontrib><creatorcontrib>Prasad, Sanjay K.</creatorcontrib><creatorcontrib>Zhang, Shu</creatorcontrib><creatorcontrib>Pu, Jielin</creatorcontrib><creatorcontrib>Zhao, Shihua</creatorcontrib><title>Comparative study of CMR characteristics between arrhythmogenic right ventricular cardiomyopathy patients with/without syncope</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>To compare cardiovascular magnetic resonance (CMR) characteristics between arrhythmogenic right ventricular cardiomyopathy (ARVC) patients with syncope and without syncope and explore CMR parameters related with syncope. A consecutive series of 80 patients with ARVC were divided in two groups according to history of syncope prior to CMR examinations. The biventricular function and volumes were calculated and indexed by body surface area. Fatty infiltration and late-gadolinium enhancement (LGE) were self-quantitatively analyzed according to segmental model. Patients with syncope had statistically significant greater left ventricular end-diastolic volume index (LVEDVI) (79.6 ± 23.0 vs. 69.0 ± 17.9 mL/m
2
,
P
= 0.030), right ventricular end-diastolic volume index (RVEDVI) (122.0 ± 30.0 vs. 107.4 ± 21.8 mL/m
2
,
P
= 0.017), and LGE incidence (52.2 vs. 21.1 %,
P
= 0.006) than that of patients without syncope. Patients with syncope had a trend towards greater number of segments with LGE (8.6 ± 4.2 vs. 6.6 ± 3.1,
P
= 0.199) than that of patients without syncope in subgroup analyses of patients with LGE, but no statistical significance was reached. Multivariate regression analysis showed the presence of LGE was independently associated with syncope in patients with ARVC (odds ratios 8.827, 95 % confidence interval 1.945–40.068,
P
= 0.005). CMR is helpful in detection and management of the patients with ARVC. Patients with syncope had significantly higher LVEDVI, RVEDVI and LGE incidence, and larger studies with follow-up data are needed to elucidate the relationship between LGE and syncope in patients with ARVC.</description><subject>Adult</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - complications</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - diagnosis</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - pathology</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - physiopathology</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Chi-Square Distribution</subject><subject>Contrast Media</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging, Cine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Observer Variation</subject><subject>Odds Ratio</subject><subject>Original Paper</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>Stroke Volume</subject><subject>Syncope - etiology</subject><subject>Syncope - physiopathology</subject><subject>Ventricular Function, Left</subject><subject>Ventricular Function, Right</subject><subject>Young Adult</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kctu1TAQhi1ERUvhAdggS2zYhI6vSZboiJtUVKkqa8t1JieuTuJgO62y4dlxOAUhJBYzY3k-_7bnJ-QVg3cMoL5IDJSSFbASsmEVe0LOmKpFBbUUT7e1bitVt_KUPE_pDgA4cPGMnHIFXLcMzsiPXRhnG23290hTXrqVhp7uvl5TN5RtlzH6lL1L9BbzA-JEbYzDmocx7HHyjka_HzK9xylH75aDjdTZ2PkwrmG2eVhpyb50E33webjYUlgyTevkwowvyElvDwlfPtZz8u3jh5vd5-ry6tOX3fvLyknJc1V3VnW6_Kxm0gpWc8mssBIV132tWBmG7IRUtkFgqDlrtba91H2ProFGOHFO3h515xi-L5iyGX1yeDjYCcOSTJmUaBupBSvom3_Qu7DEqbzuFwXQNk1TKHakXAwpRezNHP1o42oYmM0cczTHFHPMZo7ZlF8_Ki-3I3Z_Tvx2owD8CKTSmvYY_7r6v6o_AZh1m7s</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Cheng, Huaibing</creator><creator>Lu, Minjie</creator><creator>Hou, Cuihong</creator><creator>Chen, Xuhua</creator><creator>Wang, Jing</creator><creator>Li, Li</creator><creator>Wan, Junyi</creator><creator>Yin, Gang</creator><creator>Chu, Jianmin</creator><creator>Prasad, Sanjay K.</creator><creator>Zhang, Shu</creator><creator>Pu, Jielin</creator><creator>Zhao, Shihua</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Comparative study of CMR characteristics between arrhythmogenic right ventricular cardiomyopathy patients with/without syncope</title><author>Cheng, Huaibing ; Lu, Minjie ; Hou, Cuihong ; Chen, Xuhua ; Wang, Jing ; Li, Li ; Wan, Junyi ; Yin, Gang ; Chu, Jianmin ; Prasad, Sanjay K. ; Zhang, Shu ; Pu, Jielin ; Zhao, Shihua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-7da5d6573714a317241a3a4e526f7511004d345a8e01e621966af46ffec8083c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Arrhythmogenic Right Ventricular Dysplasia - complications</topic><topic>Arrhythmogenic Right Ventricular Dysplasia - diagnosis</topic><topic>Arrhythmogenic Right Ventricular Dysplasia - pathology</topic><topic>Arrhythmogenic Right Ventricular Dysplasia - physiopathology</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Chi-Square Distribution</topic><topic>Contrast Media</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging, Cine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Observer Variation</topic><topic>Odds Ratio</topic><topic>Original Paper</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>Stroke Volume</topic><topic>Syncope - etiology</topic><topic>Syncope - physiopathology</topic><topic>Ventricular Function, Left</topic><topic>Ventricular Function, Right</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Huaibing</creatorcontrib><creatorcontrib>Lu, Minjie</creatorcontrib><creatorcontrib>Hou, Cuihong</creatorcontrib><creatorcontrib>Chen, Xuhua</creatorcontrib><creatorcontrib>Wang, Jing</creatorcontrib><creatorcontrib>Li, Li</creatorcontrib><creatorcontrib>Wan, Junyi</creatorcontrib><creatorcontrib>Yin, Gang</creatorcontrib><creatorcontrib>Chu, Jianmin</creatorcontrib><creatorcontrib>Prasad, Sanjay K.</creatorcontrib><creatorcontrib>Zhang, Shu</creatorcontrib><creatorcontrib>Pu, Jielin</creatorcontrib><creatorcontrib>Zhao, Shihua</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Huaibing</au><au>Lu, Minjie</au><au>Hou, Cuihong</au><au>Chen, Xuhua</au><au>Wang, Jing</au><au>Li, Li</au><au>Wan, Junyi</au><au>Yin, Gang</au><au>Chu, Jianmin</au><au>Prasad, Sanjay K.</au><au>Zhang, Shu</au><au>Pu, Jielin</au><au>Zhao, Shihua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative study of CMR characteristics between arrhythmogenic right ventricular cardiomyopathy patients with/without syncope</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>30</volume><issue>7</issue><spage>1365</spage><epage>1372</epage><pages>1365-1372</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><coden>IJCIBI</coden><abstract>To compare cardiovascular magnetic resonance (CMR) characteristics between arrhythmogenic right ventricular cardiomyopathy (ARVC) patients with syncope and without syncope and explore CMR parameters related with syncope. A consecutive series of 80 patients with ARVC were divided in two groups according to history of syncope prior to CMR examinations. The biventricular function and volumes were calculated and indexed by body surface area. Fatty infiltration and late-gadolinium enhancement (LGE) were self-quantitatively analyzed according to segmental model. Patients with syncope had statistically significant greater left ventricular end-diastolic volume index (LVEDVI) (79.6 ± 23.0 vs. 69.0 ± 17.9 mL/m
2
,
P
= 0.030), right ventricular end-diastolic volume index (RVEDVI) (122.0 ± 30.0 vs. 107.4 ± 21.8 mL/m
2
,
P
= 0.017), and LGE incidence (52.2 vs. 21.1 %,
P
= 0.006) than that of patients without syncope. Patients with syncope had a trend towards greater number of segments with LGE (8.6 ± 4.2 vs. 6.6 ± 3.1,
P
= 0.199) than that of patients without syncope in subgroup analyses of patients with LGE, but no statistical significance was reached. Multivariate regression analysis showed the presence of LGE was independently associated with syncope in patients with ARVC (odds ratios 8.827, 95 % confidence interval 1.945–40.068,
P
= 0.005). CMR is helpful in detection and management of the patients with ARVC. Patients with syncope had significantly higher LVEDVI, RVEDVI and LGE incidence, and larger studies with follow-up data are needed to elucidate the relationship between LGE and syncope in patients with ARVC.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25026910</pmid><doi>10.1007/s10554-014-0481-1</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Arrhythmogenic Right Ventricular Dysplasia - complications Arrhythmogenic Right Ventricular Dysplasia - diagnosis Arrhythmogenic Right Ventricular Dysplasia - pathology Arrhythmogenic Right Ventricular Dysplasia - physiopathology Cardiac Imaging Cardiology Chi-Square Distribution Contrast Media Electrocardiography Female Gadolinium DTPA Humans Imaging Magnetic Resonance Imaging, Cine Male Medicine Medicine & Public Health Middle Aged Multivariate Analysis Observer Variation Odds Ratio Original Paper Predictive Value of Tests Radiology Reproducibility of Results Risk Factors Stroke Volume Syncope - etiology Syncope - physiopathology Ventricular Function, Left Ventricular Function, Right Young Adult |
title | Comparative study of CMR characteristics between arrhythmogenic right ventricular cardiomyopathy patients with/without syncope |
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