Academic Journal

Comprehensive prognosis assessment of cardiovascular magnetic resonance parametric mapping in light chain amyloidosis

التفاصيل البيبلوغرافية
العنوان: Comprehensive prognosis assessment of cardiovascular magnetic resonance parametric mapping in light chain amyloidosis
المؤلفون: Xiao Li, Yubo Guo, Kaini Shen, Sisi Huang, Yajuan Gao, Lu Lin, Jian Wang, Jian Cao, Xinxin Cao, Zhengyu Jin, Zhuoli Zhang, Akos Varga-Szemes, U. Joseph Schoepf, Jian Li, Yining Wang
المصدر: Journal of Cardiovascular Magnetic Resonance, Vol 27, Iss 1, Pp 101135- (2025)
بيانات النشر: Elsevier, 2025.
سنة النشر: 2025
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: Amyloidosis, Cardiovascular magnetic resonance, Survival analysis, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: ABSTRACT: Background: Recent evidence underscores the importance of cardiovascular magnetic resonance (CMR) in light chain amyloidosis (AL amyloidosis). We aimed to comprehensively assess the prognostic significance of CMR parametric mapping in AL amyloidosis. Methods: This prospective study consecutively included AL amyloidosis patients who underwent CMR imaging before therapy. The statistical analyses included T2, extracellular volume, and native T1 as variates under investigation, adjusted for well-established prognostic markers. The outcome was death from any cause. Results: In total, 195 patients (age, 57.2 ± 9.1 years; male/female, 123/72) were recruited. At the median follow-up time (19 months), the survival probability was approximately 67.2% (131/195). T >44 ms, extracellular volume fraction (ECV) >47%, and native T1 >1468 ms were significantly prognostic (all, P 0.05) in AL amyloidosis. T2 >44 ms was independently prognostic after correcting for left ventricle (LV) late gadolinium enhancement, LV ejection fraction, LV longitudinal strain, and therapeutic response (all, P 44 ms (hazard ratios [HR] 6.611, 95% confidence interval [CI] 1.723–25.361, P = 0.006) was significantly prognostic for mortality after adjustment for cardiac response. Accordingly, T2 >44 ms was significantly associated with mortality (HR 5.734, 95% CI 1.189–27.656, P = 0.030) and remained independently prognostic after correcting for LV late gadolinium enhancement and LV longitudinal strain (both, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1097-6647
Relation: http://www.sciencedirect.com/science/article/pii/S1097664724011621; https://doaj.org/toc/1097-6647
DOI: 10.1016/j.jocmr.2024.101135
URL الوصول: https://doaj.org/article/229f56909c0e43859e4247d1ff519c58
رقم الانضمام: edsdoj.229f56909c0e43859e4247d1ff519c58
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:10976647
DOI:10.1016/j.jocmr.2024.101135