Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2009-10-21
pubmed:abstractText
The aim of our study was to investigate the ability of Strain-Encoded magnetic resonance imaging (MRI) to detect cardiac allograft vasculopathy (CAV) in heart transplantation (HTx)-recipients. In consecutive subjects (n = 69), who underwent cardiac catheterization, MRI was performed for quantification of myocardial strain and perfusion reserve. Based on angiographic findings subjects were classified: group A including patients with normal vessels; group B, patients with stenosis <50%; and group C, patients with severe CAV (stenosis >or= 50%). Significant correlations were observed between myocardial perfusion reserve with peak systolic strain (r =-0.53, p < 0.001) and with mean diastolic strain rate (r = 0.82, p < 0.001). Peak systolic strain and strain rate were significantly reduced only in group C, while mean diastolic strain rate and myocardial perfusion reserve were already reduced in group B and A. Myocardial perfusion reserve and mean diastolic strain rate had higher accuracy for the detection of CAV (AUC = 0.95, 95% CI = 0.87-0.99 and AUC = 0.93, 95% CI = 0.84-0.98, respectively) and followed peak systolic strain and strain rate (AUC = 0.80, 95% CI = 0.69-0.89 and AUC = 0.78, 95% CI = 0.67-0.87, respectively). Besides the quantification of myocardial perfusion, the estimation of the diastolic strain rate is a useful parameter for CAV assessment. In combination with the clinical evaluation, these parameters may be effective tools for the routine surveillance of HTx-recipients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1600-6143
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2587-96
pubmed:meshHeading
pubmed-meshheading:19843034-Adult, pubmed-meshheading:19843034-Aged, pubmed-meshheading:19843034-Chronic Disease, pubmed-meshheading:19843034-Coronary Angiography, pubmed-meshheading:19843034-Coronary Artery Disease, pubmed-meshheading:19843034-Coronary Circulation, pubmed-meshheading:19843034-Diastole, pubmed-meshheading:19843034-Exercise Test, pubmed-meshheading:19843034-Female, pubmed-meshheading:19843034-Graft Survival, pubmed-meshheading:19843034-Heart Transplantation, pubmed-meshheading:19843034-Humans, pubmed-meshheading:19843034-Magnetic Resonance Imaging, pubmed-meshheading:19843034-Male, pubmed-meshheading:19843034-Middle Aged, pubmed-meshheading:19843034-Postoperative Complications, pubmed-meshheading:19843034-Systole, pubmed-meshheading:19843034-Transplantation, Homologous, pubmed-meshheading:19843034-Young Adult
pubmed:year
2009
pubmed:articleTitle
Strain-encoded cardiac magnetic resonance for the evaluation of chronic allograft vasculopathy in transplant recipients.
pubmed:affiliation
Department of Cardiology, University of Heidelberg, Heidelberg, Germany. gkorosoglou@hotmail.com
pubmed:publicationType
Journal Article, Controlled Clinical Trial