Academic Journal

Prevalence and prognostic impact of nonischemic late gadolinium enhancement in stress cardiac magnetic resonance

التفاصيل البيبلوغرافية
العنوان: Prevalence and prognostic impact of nonischemic late gadolinium enhancement in stress cardiac magnetic resonance
المؤلفون: Grigoratos C., Gueli I., Arendt C. T., Leithner D., Meloni A., Nugara C., Barison A., Todiere G., Puntmann V. O., Novo G., Pepe A., Emdin M., Nagel E., Aquaro G. D.
المساهمون: Grigoratos, C., Gueli, I., Arendt, C. T., Leithner, D., Meloni, A., Nugara, C., Barison, A., Todiere, G., Puntmann, V. O., Novo, G., Pepe, A., Emdin, M., Nagel, E., Aquaro, G. D.
سنة النشر: 2020
المجموعة: Scuola Universitaria Superiore Pisa Sant'Anna: CINECA IRIS
مصطلحات موضوعية: late gadolinium enhancement, nonischemic cardiac finding, nonischemic fibrosi, prognosi, stress perfusion cardiac magnetic resonance
الوصف: AIM: To assess the prevalence and prognostic significance of NI-LGE in patients undergoing stress-CMR. METHODS: Stress-CMR with either dipyridamole or adenosine was performed in 283 patients (228 men, 81%) including perfusion imaging, wall motion evaluation and LGE. Follow-up was completed in all enrolled patients (median time: 1850 days; interquartile range: 1225-2705 days). Composite endpoint included cardiac death, ventricular tachycardia, myocardial infarction, stroke, hospitalization for cardiac cause and coronary revascularization performed beyond 90 days from stress-CMR scans. RESULTS: One hundred and twelve patients (40%) had negative LGE (no-LGE), 140 patients (49%) I-LGE and 31 patients (11%) NI-LGE. Twenty-five events occurred in the no-LGE group, 68 in I-LGE and 11 in the NI-LGE group. On survival curves, patients with NI-LGE had worse prognosis than patients with no-LGE regardless of the presence of inducible perfusion defects. No significant prognostic differences were found between I-LGE and NI-LGE. CONCLUSION: NI-LGE can be detected in 11% of patients during stress-CMR providing a diagnosis of nonischemic cardiac disease. Patients with NI-LGE have worse prognosis than those with no-LGE.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000587803200007; volume:21; issue:12; firstpage:980; lastpage:985; numberofpages:6; journal:JOURNAL OF CARDIOVASCULAR MEDICINE; http://hdl.handle.net/11382/537506; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85095800596
DOI: 10.2459/JCM.0000000000001016
الاتاحة: http://hdl.handle.net/11382/537506
https://doi.org/10.2459/JCM.0000000000001016
رقم الانضمام: edsbas.A96D96B6
قاعدة البيانات: BASE
الوصف
DOI:10.2459/JCM.0000000000001016