- -

Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

RiuNet: Institutional repository of the Polithecnic University of Valencia

Share/Send to

Cited by

Statistics

  • Estadisticas de Uso

Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

Show simple item record

Files in this item

dc.contributor.author Valente, Filipa X. es_ES
dc.contributor.author Gavara-Doñate, Josep es_ES
dc.contributor.author Gutiérrez, Laura es_ES
dc.contributor.author Rios-Navarro, Cesar es_ES
dc.contributor.author Rello, Pau es_ES
dc.contributor.author Maymi, Manel es_ES
dc.contributor.author Fernandez-Galera, Ruben es_ES
dc.contributor.author Monmeneu, Jose V. es_ES
dc.contributor.author Sao-Aviles, Augusto es_ES
dc.contributor.author Lopez-Lereu, Maria P. es_ES
dc.contributor.author Gonzalez-Alujas, M. Teresa es_ES
dc.contributor.author Moratal, David es_ES
dc.contributor.author Cuellar, Hug es_ES
dc.contributor.author Barrabés, José es_ES
dc.contributor.author Otaegui, Imanol es_ES
dc.date.accessioned 2022-04-05T06:27:56Z
dc.date.available 2022-04-05T06:27:56Z
dc.date.issued 2021-11 es_ES
dc.identifier.uri http://hdl.handle.net/10251/181733
dc.description.abstract [EN] In 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. es_ES
dc.description.sponsorship This research was supported by the Instituto de Salud Carlos III and co-funded by Fondo Europeo de Desarrollo Regional (FEDER) (grant numbers PI17/01836 and CIBERCV16/11/00486). JG and DM acknowledge financial support from the "Agencia Valenciana de la Innovacion, Generalitat Valenciana" (grant) and from the "Conselleria d'Educacio, Investigacio, Cultura i Esport, Generalitat Valenciana" (grant number AEST/2019/037). es_ES
dc.language Inglés es_ES
dc.publisher MDPI AG es_ES
dc.relation.ispartof Journal of Clinical Medicine es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Cardiac magnetic resonance feature-tracking es_ES
dc.subject Myocardial deformation es_ES
dc.subject Acute ST-segment elevation myocardial infarction es_ES
dc.subject Low-dose dobutamine stress echocardiography es_ES
dc.subject Speckle-tracking echocardiography es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.title Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.3390/jcm10225261 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//CB16%2F11%2F00486/ES/ENFERMEDADES CARDIOVASCULARES/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI17%2F01836/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//AEST%2F2019%2F037/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica es_ES
dc.description.bibliographicCitation Valente, FX.; Gavara-Doñate, J.; Gutiérrez, L.; Rios-Navarro, C.; Rello, P.; Maymi, M.; Fernandez-Galera, R.... (2021). Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography. Journal of Clinical Medicine. 10(22):1-12. https://doi.org/10.3390/jcm10225261 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.3390/jcm10225261 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 12 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 10 es_ES
dc.description.issue 22 es_ES
dc.identifier.eissn 2077-0383 es_ES
dc.identifier.pmid 34830543 es_ES
dc.identifier.pmcid PMC8624532 es_ES
dc.relation.pasarela S\457352 es_ES
dc.contributor.funder Generalitat Valenciana es_ES
dc.contributor.funder Instituto de Salud Carlos III es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Ministerio de Economía y Competitividad es_ES


This item appears in the following Collection(s)

Show simple item record