101. Characterísticas morfológicas de la miocardiopatía hipertrófica en la resonancia magnética.
- Author
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Berríos-Bárcenas, E., Bustamante, S., Palacios, E., Alexanderson-Rosas, E., Barrero, A., Laínez-Zelaya, J., and Meave-González, A.
- Abstract
Objective: identify the morphological characteristics of hypertrophic cardiomyopathy evaluated by cardiac magnetic resonance and analyze the association between them and cardiovascular events. Methodology: an historic cohort study of a Mexican population with hypertrophic cardiomyopathy evaluated by cardiac magnetic resonance at Instituto Nacional de Cardiología Ignacio Chávez (Mexico City) from August 2007 through October 2013. Cardiovascular measurements and postgadolinium delayed enhancement evaluations were conducted. An analysis of survival was conducted to predict: syncope, malignant ventricular arrhythmias, implantation of automatic defibrillator, hospitalization due to heart failure, and death from any cause during a 36-month follow-up period. Results: 124 patients with ages of 40.1 ±21.9 years, 55% men, were included. The population presented a median of 5 hypertrophic segments per patient with maximum thickness of 24.3 ± 6.8 mm. Delayed enhancement was observed in 85% of the patients and 35% presented obstruction of the left ventricular outflow tract; the former proved better for predicting event-free survival. There was a direct correlation between the number of segments with delayed enhancement and myocardial mass (p < 0.05), maximum ventricular wall thickness (p < 0.05) and number of hypertrophic segments (p < 0.05), but not with the left ventricular ejection fraction. Conclusion: delayed enhancement indicates a tendency to adverse events, which is not observed with traditional factors such as degree of obstruction of the left ventricular outflow tract and family history of sudden death. The extent of delayed enhancement is correlated with ventricular thickness and mass. [ABSTRACT FROM AUTHOR]
- Published
- 2014