About: Prediction of long-term reverse left ventricular remodeling after revascularization or medical treatment in patients with ischemic cardiomyopathy: a comparative study between SPECT and MRI.     Goto   Sponge   NotDistinct   Permalink

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  • Patients with ischemic heart disease (IHD) develop varying degrees of LV remodeling after cardiac surgical revascularization. 53 patients with IHD and impaired LV function (EF 34.9 +- 4%) were prospectively followed up for 24 months. 37 patients underwent coronary artery bypass grafting (CABG), 16 patients were treated conservatively. Cardiac magnetic resonance (MR) and SPECT were performed at baseline and after 12 and 24 months of follow-up. Patients were divided into responders and non-responders depending on the degree of LVEF improvement at 24 months follow-up (}5%=responders). MRI with ?5 segments with DE/wall thickness ratio (DEWTR) ?50% predicted LV reverse remodeling with sensitivity of 86% and specificity of 75%. MRI finding of ?2 segments with the DEWTR ?75% had sensitivity of 71% and specificity of 67%, while fixed perfusion defect on SPECT { 16.5% of LV had sensitivity of 64% and specificity of 69%. No other MRI or SPECT parameter predicted LVEF improvement at 24 months after CABG.
  • Patients with ischemic heart disease (IHD) develop varying degrees of LV remodeling after cardiac surgical revascularization. 53 patients with IHD and impaired LV function (EF 34.9 +- 4%) were prospectively followed up for 24 months. 37 patients underwent coronary artery bypass grafting (CABG), 16 patients were treated conservatively. Cardiac magnetic resonance (MR) and SPECT were performed at baseline and after 12 and 24 months of follow-up. Patients were divided into responders and non-responders depending on the degree of LVEF improvement at 24 months follow-up (}5%=responders). MRI with ?5 segments with DE/wall thickness ratio (DEWTR) ?50% predicted LV reverse remodeling with sensitivity of 86% and specificity of 75%. MRI finding of ?2 segments with the DEWTR ?75% had sensitivity of 71% and specificity of 67%, while fixed perfusion defect on SPECT { 16.5% of LV had sensitivity of 64% and specificity of 69%. No other MRI or SPECT parameter predicted LVEF improvement at 24 months after CABG. (en)
Title
  • Prediction of long-term reverse left ventricular remodeling after revascularization or medical treatment in patients with ischemic cardiomyopathy: a comparative study between SPECT and MRI.
  • Prediction of long-term reverse left ventricular remodeling after revascularization or medical treatment in patients with ischemic cardiomyopathy: a comparative study between SPECT and MRI. (en)
skos:prefLabel
  • Prediction of long-term reverse left ventricular remodeling after revascularization or medical treatment in patients with ischemic cardiomyopathy: a comparative study between SPECT and MRI.
  • Prediction of long-term reverse left ventricular remodeling after revascularization or medical treatment in patients with ischemic cardiomyopathy: a comparative study between SPECT and MRI. (en)
skos:notation
  • RIV/61989592:15110/10:10216290!RIV12-MSM-15110___
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  • I
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  • 281071
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  • RIV/61989592:15110/10:10216290
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  • ejection fraction; perfusion defect; late Gadolinium enhancement; cardiac magnetic resonance; Ischemic heart disease (en)
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  • US - Spojené státy americké
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  • [DD591C850E8E]
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  • The International Journal of Cardiovascular Imaging
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  • 27
http://linked.open...iv/tvurceVysledku
  • Hutyra, Martin
  • Novotný, Josef
  • Skála, Tomáš
  • Táborský, Miloš
  • Zapletalová, Jana
  • Václavík, Jan
  • Horák, David
  • Kamínek, Milan
  • Marek, Dan
  • Lukl, Jan
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  • 1569-5794
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  • 15110
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