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Basal infarct location but not larger infarct size is associated with a successful outcome after alcohol septal ablation in patients with hypertrophic obstructive cardiomyopathy: a cardiovascular magnetic resonance imaging study
- Source :
- International Journal of Cardiovascular Imaging, 31(4), 831-839. Springer Netherlands, International Journal Of Cardiovascular Imaging, 31(4), 831-839. SPRINGER, Steggerda, R C, Geluk, C A, Brouwer, W, van Rossum, A C, ten Berg, J M & van den Berg, M P 2015, ' Basal infarct location but not larger infarct size is associated with a successful outcome after alcohol septal ablation in patients with hypertrophic obstructive cardiomyopathy: a cardiovascular magnetic resonance imaging study ', International Journal of Cardiovascular Imaging, vol. 31, no. 4, pp. 831-839 . https://doi.org/10.1007/s10554-015-0606-1
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- Alcohol septal ablation (ASA) is successful in most but not in all patients with obstructive hypertrophic cardiomyopathy (HCM). We therefore sought to investigate the relation between infarct location versus infarct size with outcome after ASA in patients with obstructive HCM. Baseline characteristics, procedural characteristics, and cardiovascular magnetic resonance findings at baseline and 4-6 month follow-up after ASA were analysed in 47 patients with obstructive HCM in a single-center retrospective study. Infarct size was determined using late gadolinium enhancement. Infarct location was divided into "basal infarction" and "distal infarction" based on an optimal cut-of value of the distance from the basal septum to the beginning of the infarction. A "successful" outcome was defined as 80 % reduction of the invasive gradient with a post-procedural gradient of
- Subjects :
- Ablation Techniques
Gadolinium DTPA
Male
Time Factors
Myocardial Infarction
Contrast Media
Infarction
Basal (phylogenetics)
Risk Factors
Heart Septum
Odds Ratio
CMR
PREDICTORS
Cardiac imaging
Netherlands
Outcome
medicine.diagnostic_test
MYOCARDIAL ABLATION
Middle Aged
Infarct location
Treatment Outcome
MYECTOMY
SURVIVAL
cardiovascular system
Cardiology
Female
Cardiology and Cardiovascular Medicine
Alcohol septal ablation
medicine.medical_specialty
Magnetic Resonance Imaging, Cine
Predictive Value of Tests
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
METAANALYSIS
Aged
Retrospective Studies
Ethanol
business.industry
Myocardium
Magnetic resonance imaging
Retrospective cohort study
Odds ratio
Cardiomyopathy, Hypertrophic
medicine.disease
Confidence interval
business
Subjects
Details
- ISSN :
- 15730743 and 15695794
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- The International Journal of Cardiovascular Imaging
- Accession number :
- edsair.doi.dedup.....2d6cb1f53b8d73738557173c522133cf