1. Clinical significance of 123I-BMIPP washout rate in patients with uncertain chronic heart failure.
- Author
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Aoshima, Chihiro, Fujimoto, Shinichiro, Kudo, Ayako, Kawaguchi, Yuko O., Takamura, Kazuhisa, Matsue, Yuya, Kato, Takao, Kawamura, Yoshifumi, Kimura, Satoshi, Kamo, Yuki, Nozaki, Yui O., Takahashi, Daigo, Tomizawa, Nobuo, Hiki, Makoto, Kasai, Takatoshi, Nojiri, Shuko, Miyauchi, Hideyuki, Hirano, Ken-ichi, Shimada, Kazunori, and Murakami, Koji
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PROPORTIONAL hazards models ,SINGLE-photon emission computed tomography ,HEART failure ,HEART failure patients - Abstract
Background: Recently, triglyceride deposit cardiomyovasculopathy (TGCV) with defective intracellular lipolysis was found to be a disease that causes heart failure. As a diagnostic criterion for TGCV, an Iodaine-123-β-methyl iodophenyl-pentadecanoic acid washout rate (BMIPP WOR) of < 10% is used, but its clinical significance in patients with heart failure remains to be clarified. Methods: In 62 hospitalized patients with chronic heart failure,
123 I-BMIPP myocardial single-photon emission computed tomography (SPECT) was performed predischarge state. The prevalence of TGCV was investigated. Subsequently, follow-up was conducted for ≥ 90 days (mean: 724.6 ± 392.7 days), and the association between the BMIPP WOR and cardiac events was examined, establishing all-cause mortality and admission due to heart failure as endpoints. Results: Of the 62 patients, the WOR was < 10% in 41 (66.1%). Of these, 26 (41.9%) were diagnosed with definite TGCV. Furthermore, cardiac events were noted in 12 patients (19.4%). Analysis with Cox proportional hazards models showed that the BMIPP WOR < 4.5% was a significant event-predicting factor [HR 4.29, 95% CI: 1.20–16.87; p = 0.0245]. On a Kaplan–Meier curve, the WOR was 4.5%; there was a significant difference in the incidence of events (p = 0.0298). Conclusion: In the predischarge state of heart failure,123 I-BMIPP myocardial SPECT was performed. In approximately 40% of the patients, a diagnosis of TGCV was made. The results suggested that the BMIPP WOR is useful for predicting the prognosis of chronic heart failure patients regardless of TGCV. [ABSTRACT FROM AUTHOR]- Published
- 2022
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