12 results on '"left ventricular reverse remodeling"'
Search Results
2. The Inflammation-Fibrosis Combined Index: A Novel Marker for Predicting Left Ventricular Reverse Remodeling and Prognosis in Patients with HFrEF
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Shi J, Shao MJ, Yu M, and Tang BP
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heart failure ,left ventricular reverse remodeling ,inflammation-fibrosis combined index ,fibrosis-4 index ,systemic immune inflammation index ,prognosis ,Pathology ,RB1-214 ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Jia Shi,1,2,* Meng-Jiao Shao,3,* Miao Yu,1,2 Bao-Peng Tang1,2 1Cardiac Pacing and Physiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 2Xinjiang Key Laboratory of Cardiac Electrophysiology and Cardiac Remodeling, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 3Department of Cardiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Bao-Peng Tang, Cardiac Pacing and Physiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China, Email tangbaopeng1111@163.comBackground: Inflammation and cardiac fibrosis are important pathogenic drivers of heart failure. The fibrosis-4 index (FIB-4) is associated with a higher degree of fibrosis. The systemic immune inflammation index (SII) is associated with a higher degree of systemic inflammation status. Previous studies have shown that they are associated with a poor prognosis for cardiovascular disease. We sought to investigate the value of FIB-4 combined with the SII as a novel inflammation-fibrosis combined index (IFCI) in predicting left ventricular reverse remodeling (LVRR) and prognosis among reduced ejection fraction heart failure (HFrEF) patients.Methods: A total of 895 patients with HFrEF were continuously recruited. Receiver operating characteristic curves were drawn to assess the abilities of inflammation-fibrosis indicators to predict LVRR. Multivariable Cox regression analysis was used to examine independent predictors of composite cardiac events and all-cause death.Results: After six months of follow-up, 344 (38.4%) patients experienced LVRR. The IFCI had the largest area under the curve (0.835, P < 0.001). In multivariate-adjusted logistic regression analyses, FIB-4, SII, and IFCI were predictive of LVRR (P value < 0.05). The IFCI was associated with a 3.686-fold higher risk of non-LVRR (odds ratio [OR] = 3.686, P < 0.001). Moreover, an increased IFCI predicted a poor prognosis in HFrEF patients. The highest risk of composite cardiac events (hazard ratio [HR] = 2.716, P < 0.001) was observed in the top IFCI-tertile group, and similar results were found regarding independent risk indicators of all-cause death.Conclusion: In summary, this study indicated that increased IFCI at admission offers good predictability regarding non-LVRR and predicts the risk of all-cause mortality or composite cardiovascular events due to HFrEF patients and could be used as a novel marker.Keywords: heart failure, left ventricular reverse remodeling, inflammation-fibrosis combined index, fibrosis-4 index, systemic immune inflammation index, prognosis
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- 2024
3. Restrictive annuloplasty or replacement on reverse remodeling for nonischemic dilated cardiomyopathy
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Yusuke Misumi, Masashi Kawamura, Daisuke Yoshioka, Takuji Kawamura, Ai Kawamura, Yoshito Ito, Tsubasa Mikami, Masaki Taira, Kazuo Shimamura, Shigeru Miyagawa, and Osaka Cardiovascular Surgery Research (OSCAR) study group
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Nonischemic dilated cardiomyopathy ,Mitral annuloplasty ,Mitral replacement ,Left ventricular reverse remodeling ,Surgery ,RD1-811 ,Anesthesiology ,RD78.3-87.3 - Abstract
Abstract Background For patients with nonischemic dilated cardiomyopathy (NIDCM), the indications for and results of mitral surgery remain controversial. We reviewed a strategy of mitral repair and replacement for clinically relevant secondary mitral regurgitation (MR) in patients with NIDCM. Methods We retrospectively reviewed 65 patients with advanced NIDCM (LVEF
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- 2024
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4. Left atrial conduit strain derived from cardiac magnetic resonance is an independent predictor of left ventricular reverse remodeling in patients with nonischemic cardiomyopathy
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Ke Chen, Lei Chang, Rong Huang, Ziyan Wang, Dan Mu, and Lian Wang
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Left atrial conduit strain ,Cardiac magnetic resonance ,Nonischemic cardiomyopathy ,Left ventricular reverse remodeling ,Medical technology ,R855-855.5 - Abstract
Abstract Background In some patients with nonischemic cardiomyopathy (NICM), left ventricular (LV) function improves with medical assistance, resulting in left ventricular reverse remodeling (LVRR). However, predictors of LVRR are not fully understood. The left atrium (LA) has been reported as a prognostic predictor in patients with heart failure (HF). The present study aimed to evaluate clinical predictors of LVRR related to LA function on cardiac magnetic resonance (CMR). Methods A total of 103 patients with reduced left ventricular ejection fraction (LVEF) were enrolled in this retrospective study between September 2015 and July 2021. CMR parameters, including strain data, were measured in all patients. Echocardiographic data obtained approximately 2 years after enrollment were analyzed to assess LVRR. Results LVRR occurred in 46 patients (44.7%) during follow-up. The value of LA conduit strain was higher in the LVRR group than in the non-LVRR group (6.6 [interquartile range (IQR): 5.6–9.3]% versus 5.0 [IQR: 3.0-6.2]%; p 6.2% compared to those with ⩽6.2%. (log-rank test, p = 0.019). Conclusions LA conduit strain derived from CMR is an independent predictor of LVRR in patients with NICM.
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- 2024
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5. Concomitant aortic regurgitation predicts better left ventricular reverse remodeling after transcatheter aortic valve replacement
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Hao-Ran Yang, Tian-Yuan Xiong, Yi Zhang, Jing-Jing He, Yuan Feng, and Mao Chen
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Transcatheter aortic valve replacement ,Left ventricular reverse remodeling ,Aortic regurgitation ,Epicardial adipose tissue ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background We aim to determine predictors of inadequate left ventricular mass index (LVMi) regression at mid-term after transcatheter aortic valve replacement (TAVR), including the potential role of epicardial adipose tissue (EAT). Methods We retrospectively reviewed patients with both echocardiographic assessments and multi-slice computed tomography (MSCT) obtained one year after TAVR. The change of LVMi, the volume and the average CT attenuation of EAT from baseline to one-year follow-up was calculated. Patients were divided into two groups by the percentage change of LVMi at a cut-off of 15%. Results A total of 152 patients were included with a median age of 74 years (interquartile range [IQR] 69–78 years) and 56.6% being male. LVMi decreased (P mild (P = 0.001) and the change in the average CT attenuation of EAT (P = 0.026) were different between the decrease of LVMi ≥ 15% and mild at baseline was the only statistically significant predictor of a decrease of LVMi
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- 2023
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6. Impact of valvuloarterial impedance on left ventricular reverse remodeling after aortic valve neocuspidization
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Naoki Yamamoto, Hisato Ito, Kentaro Inoue, Ayano Futsuki, Koji Hirano, Yu Shomura, Yasuhisa Ozu, Yoshihiko Katayama, Takuya Komada, and Motoshi Takao
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Aortic valve neocuspidization ,Aortic valve stenosis ,Left ventricular geometry ,Left ventricular reverse remodeling ,Valvuloarterial impedance ,Surgery ,RD1-811 ,Anesthesiology ,RD78.3-87.3 - Abstract
Abstract Background Aortic valve neocuspidization (AVNeo) has emerged as a promising aortic valve procedure, and is expected to have a larger effective orifice area (EOA) than commercially available bioprostheses. It is, however, unclear which indices could facilitate left ventricular (LV) reverse remodeling after AVNeo. The aim of this study is to verify the impact of global left ventricular afterload on the LV reverse remodeling following AVNeo. Methods Data-available consecutive 38 patients (median age, 77; interquartile range, 72.8–82.0) undergoing AVNeo for severe aortic stenosis were enrolled in this study. Preoperative and the last follow-up echocardiographic data were retrospectively analyzed including the valvuloarterial impedance (Zva), a marker of global LV afterload. Reduction in LV geometry index (LVGI) and relative wall thickness (RWT) were used as an indicator for LV reverse remodeling. Results The Zva reduced in 24 patients (63.2%) during the follow-up period (median, 12 months). Reduction in Zva significantly correlated to improvement of LV geometry (LVGI (r = 0.400, p = 0.013) and RWT (r = 0.627, p
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- 2022
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7. Multiple percutaneous coronary interventions worsen outcomes for subsequent surgical correction of chronic ischemic mitral regurgitationCentral MessagePerspective
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Satoshi Kainuma, MD, PhD, Koichi Toda, MD, PhD, Shigeru Miyagawa, MD, PhD, Daisuke Yoshioka, MD, PhD, Takuji Kawamura, MD, PhD, Ai Kawamura, MD, PhD, Noriyuki Kashiyama, MD, PhD, Toru Kuratani, MD, PhD, Kensuke Yokoi, MD, PhD, Seiko Ide, MD, PhD, Isamu Mizote, MD, PhD, Hidetaka Kioka, MD, PhD, Tomohito Ohtani, MD, PhD, Shungo Hikoso, MD, PhD, Haruhiko Kondoh, MD, PhD, Arudo Hiraoka, MD, PhD, Taichi Sakaguchi, MD, PhD, Hidenori Yoshitaka, MD, PhD, Tetsuhisa Kitamura, MD, DPH, MS, Sho Komukai, PhD, Atsushi Hirayama, MD, MPH, Kazuhiro Taniguchi, MD, PhD, Yasushi Sakata, MD, PhD, Yoshiki Sawa, MD, PhD, Yasushi Yoshikawa, Hiroki Hata, Toshihiro Funatsu, Takafumi Masai, Yukitoshi Shirakawa, Toshiki Takahashi, Hiroyuki Nishi, Masashi Kawamura, Osamu Monta, and Takashi Yamauchi
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ischemic mitral regurgitation ,percutaneous coronary intervention ,restrictive mitral annuloplasty ,left ventricular reverse remodeling ,coronary artery bypass grafting ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 ,Surgery ,RD1-811 - Abstract
Objective: We investigated whether or not a history of multiple percutaneous coronary interventions (PCIs) is associated with clinical outcomes after surgery for ischemic mitral regurgitation. Methods: A total of 309 patients with chronic ischemic mitral regurgitation and left ventricular ejection fraction ≤40% who underwent restrictive mitral annuloplasty were classified as follows: patients with no or 1 previous PCI (nonmultiple PCI group [n = 211]) and patients with 2 or more previous PCIs (multiple PCIs group [n = 98]). Mean follow-up duration was 53 ± 40 months. Results: Before surgery, there were no intergroup differences in patient demographic characteristics except for lower estimated glomerular filtration rate in patients with multiple PCIs. These patients underwent concomitant coronary artery bypass grafting less frequently with a lower number of distal anastomoses (P
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- 2021
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8. Early prediction of clinical scores for left ventricular reverse remodeling using extreme gradient random forest, boosting, and logistic regression algorithm representations
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Lu Liu, Cen Qiao, Jun-Ren Zha, Huan Qin, Xiao-Rui Wang, Xin-Yu Zhang, Yi-Ou Wang, Xiu-Mei Yang, Shu-Long Zhang, and Jing Qin
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left ventricular reverse remodeling ,heart failure with reduced ejection fraction ,prediction model ,machine learning ,heart failure ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
ObjectiveAt present, there is no early prediction model of left ventricular reverse remodeling (LVRR) for people who are in cardiac arrest with an ejection fraction (EF) of ≤35% at first diagnosis; thus, the purpose of this article is to provide a supplement to existing research.Materials and methodsA total of 109 patients suffering from heart attack with an EF of ≤35% at first diagnosis were involved in this single-center research study. LVRR was defined as an absolute increase in left ventricular ejection fraction (LVEF) from ≥10% to a final value of >35%, with analysis features including demographic characteristics, diseases, biochemical data, echocardiography, and drug therapy. Extreme gradient boosting (XGBoost), random forest, and logistic regression algorithm models were used to distinguish between LVRR and non-LVRR cases and to obtain the most important features.ResultsThere were 47 cases (42%) of LVRR in patients suffering from heart failure with an EF of ≤35% at first diagnosis after optimal drug therapy. General statistical analysis and machine learning methods were combined to exclude a number of significant feature groups. The median duration of disease in the LVRR group was significantly lower than that in the non-LVRR group (7 vs. 48 months); the mean values of creatine kinase (CK) and MB isoenzyme of creatine kinase (CK-MB) in the LVRR group were lower than those in the non-LVRR group (80.11 vs. 94.23 U/L; 2.61 vs. 2.99 ng/ml; 27.19 vs. 28.54 mm). Moreover, AUC values for our feature combinations ranged from 97 to 94% and to 87% when using the XGBoost, random forest, and logistic regression techniques, respectively. The ablation test revealed that beats per minute (BPM) and disease duration had a greater impact on the model’s ability to accurately forecast outcomes.ConclusionShorter disease duration, slightly lower CK and CK-MB levels, slightly smaller right and left ventricular and left atrial dimensions, and lower mean heart rates were found to be most strongly predictive of LVRR development (BPM).
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- 2022
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9. Predictive value of left atrial remodeling for response to cardiac resynchronization therapy
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Bouwmeester Sjoerd, Mast Thomas, Prinzen Frits, Dekker Lukas, and Houthuizen Patrick
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heart failure ,cardiac resynchronization therapy ,left atrial remodeling ,left atrial strain ,left ventricular reverse remodeling ,Medicine (General) ,R5-920 ,Medical technology ,R855-855.5 - Abstract
Response to cardiac resynchronization therapy varies significantly among patients, with one third of them failing to demonstrate left ventricular reverse remodeling after cardiac resynchronization therapy. Left atrial size and function is increasingly recognized as a marker of disease severity in the heart failure population. The aim of this study was to evaluate whether echocardiographic left atrial indices predict left ventricular reverse remodeling after cardiac resynchronization therapy.
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- 2022
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10. HE4 Predicts Progressive Fibrosis and Cardiovascular Events in Patients With Dilated Cardiomyopathy
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Masahiro Yamamoto, Shinsuke Hanatani, Satoshi Araki, Yasuhiro Izumiya, Toshihiro Yamada, Nobuhiro Nakanishi, Toshifumi Ishida, Satoru Yamamura, Yuichi Kimura, Yuichiro Arima, Taishi Nakamura, Seiji Takashio, Eiichiro Yamamoto, Kenji Sakamoto, Koichi Kaikita, Kenichi Matsushita, Sachio Morimoto, Takaaki Ito, and Kenichi Tsujita
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cardiorenal syndrome ,HE4 (human epididymis protein 4) ,left ventricular reverse remodeling ,myofibroblast ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Cardiac fibrosis plays a crucial role in the pathogenesis of dilated cardiomyopathy (DCM). HE4 (human epididymis protein 4) is a secretory protein expressed in activated fibroblasts that exacerbates tissue fibrosis. In the present study, we investigated the clinical utility of HE4 measurement in patients with DCM and its pathophysiological role in preclinical experiments in vivo and in vitro. Methods and Results We measured serum HE4 levels of 87 patients with DCM. Endomyocardial biopsy expressed severe fibrosis only in the high HE4 group (P
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- 2021
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11. High Coronary Collateral Circulation Increases Left Ventricular Reverse Remodeling Event in Patients with Chronic Ischaemic Heart Disease Underwent Coronary Artery Bypass Surgery
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Ignatius Faizal Yuwono
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coronary collateral circulation ,left ventricular reverse remodeling ,chronic ischaemic heart disease ,coronary artery bypass surgery ,3D echocardiography ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Coronary collateral circulation (CCC) is linked to myocardial remodeling severity in patients with chronic ischaemic heart disease (IHD). However its effect on left ventricular reverse remodeling (LVRR) in patients with chronic IHD underwent coronary artery bypass surgery (CABG) has never been reported. Purpose of this study was to investigate the effect of CCC grade on the LVRR event in patients with chronic IHD underwent CABG. Methods: This prospective cohort study was performed in patients with chronic IHD underwent CABG. The CCC was classified using Rentrop collateral score, i.e low CCC grade (Rentrop score 0 and 1) and high CCC grade (Rentrop score 2 and 3). LVRR event was defined as a reduction in left ventricular end systolic volume (LVESV) of 10% or more, measured by a 3D echocardiography at 1.5 months post CABG compared to the baseline before CABG. Results: A total of 22 patients (81.8% male) with mean of age 58.6 years old were enrolled. LVRR occurred in 50% patients. LVRR event was significantly higher in the patients with high CCC grade than the low CCC grade patients (p=0.009). The high CCC grade increased LVRR event independently (odds ratio=26.67; relative risk=6.93). Conclusions: High coronary collateral circulation may increase left ventricular reverse remodeling event in patients with chronic ischemic heart disease underwent coronary artery bypass surgery. Keywords: coronary collateral circulation; left ventricular reverse remodeling; chronic ischaemic heart disease; coronary artery bypass surgery; 3D echocardiography.
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- 2021
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12. Association of serum ADAMTS-7 levels with left ventricular reverse remodeling after ST-elevation myocardial infarction
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Wenjing Wu, Jiahui Li, Changan Yu, Yanxiang Gao, Shuying Fan, Xiaojun Ye, Yong Wang, and Jingang Zheng
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Acute myocardial infarction ,ADAMTS-7 ,Left ventricular reverse remodeling ,Medicine - Abstract
Abstract Background Left ventricular reverse remodeling (LVRR) in patients with ST-elevation myocardial infarction (STEMI) is associated with a good prognosis. Serum levels of ADAMTS-7 might be used for the prognosis of STEMI. This study aimed to investigate the relationship between serum ADAMTS-7 levels and LVRR. Methods This was a prospective study of 104 patients with STEMI who underwent revascularization and 63 controls. ADAMTS-7 serum levels were measured on days 1, 3, and 7 and in months 1 and 6 after STEMI. A decrease ≥ 15% of the left ventricular end-systolic volume at 6 months was defined as LVRR. Results The serum levels of ADAMTS-7 in patients with LVRR were lower than those without LVRR (3.84 ± 2.26 vs. 5.02 ± 2.54, P = 0.032) 7 days after STEMI and the difference between day 7 and day 1 (ΔADAMTS-7) was even significantly lower (− 1.31 ± 0.94 vs. − 0.30 ± 0.22, P = 0.021). Multivariate analysis showed that ΔADAMTS-7(day 7 minus day 1) was independently associated with LVRR (OR = − 0.322, 95% CI = − 0.996 to − 0.074, P = 0.028). Receiver operating characteristic (ROC) curve analysis showed that LVRR could be predicted (sensitivity 89%, specificity 82%, and area under the curve 0.896) when ΔADAMTS-7(day 7 minus day 1) was
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- 2018
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