ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
Cardiac magnetic resonance imaging diastolic function assessment in preserved ejection fraction and absence of late gadolinium enhancement.
Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundCardiovascular magnetic resonance (CMR) accurately measures left ventricular (LV) ejection fraction (EF) and late gadolinium enhancement (LGE), but is not commonly used for diastolic function. This study combined unsupervised machine learning and diastolic function with cine imaging to identify prognostic groups.
methodsCMR studies from 391 patients with LVEF ≥50%, and no LGE were included. Using LV cine diastolic time-volume curves, early peak filling rate (E-PFR) indexed to stroke volume index (SVI), early to late diastolic filling ratio (E/A) ratio, and deceleration time (Decel
resultsMedian follow-up was 5 years with 30 events. Three clusters were identified with event rates of 2.6% (group 1), 8.5% (group 2), and 17.2% (group 3). Time-volume curves demonstrated a triphasic pattern with group 2 having lower E-PFR (6.5 vs 9.7 and 8.4 SVI/s for groups 1 and 3, respectively, p < 0.001), lower E/A (1.2 vs 2.4 and 1.9 for groups 1 and 3, respectively, p < 0.001), and longer Decel
conclusionCMR cine-derived diastolic parameters can add prognostic value despite normal EF and absence of LGE.
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