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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorDe Carvalho Negrao Valente, Filipa Xavier
dc.contributor.authorGavara Doñate, Jose
dc.contributor.authorGutierrez García-Moreno, Laura
dc.contributor.authorRios-Navarro, Cesar
dc.contributor.authorRello Sabaté, Pau
dc.contributor.authorMaymi Ballesteros, Manel
dc.contributor.authorFernández Galera, Ruben
dc.contributor.authorSao Aviles, Augusto Cesar
dc.contributor.authorGonzález Alujas, Teresa
dc.contributor.authorCuellar Calabria, Hug
dc.contributor.authorBarrabés Riu, José Antonio
dc.contributor.authorOtaegui Irurueta, Imanol
dc.contributor.authorEvangelista Masip, Artur
dc.contributor.authorFerreira González, Ignacio
dc.contributor.authorRodríguez Palomares, Jose Fernando
dc.date.accessioned2022-05-31T07:40:14Z
dc.date.available2022-05-31T07:40:14Z
dc.date.issued2021-11
dc.identifier.citationValente FX, Gavara J, Gutierrez L, Rios-Navarro C, Rello P, Maymi M, et al. Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography. J Clin Med. 2021 Nov;10(22):5261.
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/11351/7593
dc.descriptionSpeckle-tracking echocardiography; Myocardial deformation; Cardiac magnetic resonance feature-tracking
dc.description.abstractIn acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of LGE compared to low-dose dobutamine stress echocardiography (LDDSE) and speckle-tracking echocardiography (STE). Eighty patients underwent LDDSE and CMR within 5–7 days after STEMI and segmental functional recovery was defined as improvement in wall-motion at 6-months CMR. Optimal conventional and FT parameters were analyzed and then also applied to an external validation cohort of 222 STEMI patients. Circumferential strain (CS) was the strongest CMR-FT predictor and addition to LGE increased the overall accuracy to 74% and was especially relevant in segments with 50–74% LGE (AUC 0.60 vs. 0.75, p = 0.001). LDDSE increased the overall accuracy to 71%, and in the 50–74% LGE subgroup improved the AUC from 0.60 to 0.69 (p = 0.039). LGE + CS showed similar value as LGE + LDDSE. In the validation cohort, CS was also the strongest CMR-FT predictor of recovery and addition of CS to LGE improved overall accuracy to 73% although this difference was not significant (AUC 0.69, p = 0.44). Conclusion: CS is the strongest CMR-FT predictor of segmental functional recovery after STEMI. Its incremental value to LGE is comparable to that of LDDSE whilst avoiding an inotropic stress agent. CS is especially relevant in segments with 50–74% LGE where accuracy is lower and further testing is frequently required to clarify the potential for recovery.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesJournal of Clinical Medicine;10(22)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectCor - Imatgeria per ressonància magnètica
dc.subjectInfart de miocardi
dc.subjectCor - Malalties - Prognosi
dc.subject.meshMyocardial Infarction
dc.subject.mesh/diagnostic imaging
dc.subject.meshMagnetic Resonance Imaging, Cine
dc.titlePredictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/jcm10225261
dc.subject.decsinfarto de miocardio
dc.subject.decs/diagnóstico por imagen
dc.subject.decsimagen de cinerresonancia magnética
dc.relation.publishversionhttps://doi.org/10.3390/jcm10225261
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Valente FX, Gutierrez L, Rello P, Maymi M, Fernandez-Galera R, Sao-Aviles A, Gonzalez-Alujas MT, Barrabés J, Otaegui I, Evangelista A, Ferreira I, Rodriguez-Palomares J] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Gavara J] Centro de Biomateriales y Ingeniería de Tejidos, Universitat Politècnica de Valencia, 46022 Valencia, Spain. [Rios-Navarro C] Instituto de Investigación Sanitaria INCLIVA, 46010 Valencia, Spain. [Cuellar H] Servei de Radiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid34830543
dc.identifier.wos000723931600001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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