Evidence map›Paper›PMID 40884307›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2025

Evaluation of 4D Flow MRI-Derived Aortic Hemodynamics and Their Relationships With Left Ventricular Remodeling in Patients With Moderate Aortic Stenosis: A Preliminary Study.

Jeong-Eun Yi, Sungho Park, Osung Kwon, Dongyeop Han, Hyungkyu Huh, Bae Young Lee

Abstract read
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Article in Echocardiography (Mount Kisco, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jeong-Eun YiDivision of Cardiology, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seocho-gu, South Korea.
Sungho ParkDepartment of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Osung KwonDivision of Cardiology, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seocho-gu, South Korea.
Dongyeop HanSiemens Healthcare, Erlangen, Germany.
Hyungkyu HuhDaegu-Gyeongbuk Medical Innovation Foundation, Medical Device Development Center, Daegu, South Korea.
Bae Young LeeDepartment of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.ORCID 0000-0002-4125-255X

Funding

Korean Cardiac Research Foundation 202002-01National Research Foundation of Korea RS-2021-NR-61225National Research Foundation of Korea RS-2024-00451584National Research Foundation of Korea RS-2025-02263007National Research Foundation of Korea RS-2025-02653196
6 · The paper itself

Abstract

purposeIdentifying factors associated with left ventricular (LV) remodeling is important for risk stratification of patients with moderate aortic stenosis (AS). The aim of this preliminary study was to explore aortic hemodynamics in these patients and assess their relationships with LV remodeling using four-dimensional (4D) flow magnetic resonance imaging (MRI).

methodData from 17 patients with moderate AS involving the tricuspid aortic valves and normal LV ejection fraction (EF > 55%) were analyzed. All patients underwent 4D flow MRI of the ascending aorta and cardiac magnetic resonance (CMR) on the same day within 1 month of being diagnosed with moderate AS by transthoracic Doppler echocardiography. 4D flow MRI aortic parameters, including turbulent kinetic energy (TKE), both total and peak; peak wall shear stress (WSS); and the vortex and helix flow severity, were assessed. CMR measures comprised LV structure and function, late gadolinium enhancement (LGE), myocardial native T1 mapping, and extracellular volume fraction.

resultsThe minimum and maximum values of total TKE, peak TKE, and peak WSS were 39.4/160.3 mJ, 876.6/2059.6 J/m

conclusionsAmong patients with moderate AS, 4D flow MRI revealed heterogeneous aortic hemodynamic profiles and peak TKE was a significant hemodynamic parameter related to early LV remodeling. However, these findings need to be confirmed in further studies with larger sample sizes and a long-term serial follow-up data.

Indexed as

AortaAortic Valve StenosisImaging, Three-DimensionalMagnetic Resonance ImagingMagnetic Resonance Imaging, CineVentricular RemodelingAgedBlood Flow VelocityFemaleHeart VentriclesHemodynamicsHumansMaleMiddle AgedReproducibility of Results4D flow MRIaortahemodynamicsleft ventricular remodelingmoderate aortic stenosis

Identifiers

PMID40884307
PMCPMC12397996

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