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Longitudinal strain in remote non-infarcted myocardium by tissue tracking CMR: characterization, dynamics, structural and prognostic implications

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Longitudinal strain in remote non-infarcted myocardium by tissue tracking CMR: characterization, dynamics, structural and prognostic implications

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dc.contributor.author Gavara-Doñate, Josep es_ES
dc.contributor.author Rodríguez-Palomares, Jose F. es_ES
dc.contributor.author Rios-Navarro, Cesar es_ES
dc.contributor.author Valente, Filipa es_ES
dc.contributor.author Monmeneu, Jose V. es_ES
dc.contributor.author Lopez-Lereu, Maria P. es_ES
dc.contributor.author Ferreira-González, Ignacio es_ES
dc.contributor.author García del Blanco, Bruno es_ES
dc.contributor.author Otaegui, Imanol es_ES
dc.contributor.author Canoves, Joaquim es_ES
dc.contributor.author De Dios, Elena es_ES
dc.contributor.author Pérez, Nerea es_ES
dc.contributor.author Racugno, Paolo es_ES
dc.contributor.author Bonanad, Clara es_ES
dc.contributor.author Minana, Gema es_ES
dc.contributor.author Moratal, David es_ES
dc.date.accessioned 2022-04-27T18:05:59Z
dc.date.available 2022-04-27T18:05:59Z
dc.date.issued 2021-01 es_ES
dc.identifier.issn 1569-5794 es_ES
dc.identifier.uri http://hdl.handle.net/10251/182216
dc.description.abstract [EN] Purpose In ST-segment elevation myocardial infarction (STEMI) patients, longitudinal strain (LS) in remote non-infarcted myocardium (RNM) has not yet been characterized by tissue tracking (TT) cardiovascular magnetic resonance (CMR). In STEMI patients, we aimed to characterize RNM-LS by TT-CMR and to assess both its dynamics and its structural and prognostic implications. Methods We recruited 271 patients with a first STEMI studied with TT-CMR 1 week after infarction. Of these patients, 145 underwent 1-week and 6-month TT-CMR and were used to characterize both the dynamics and the short-term and long-term structural implications of RNM-LS. Based on previously validated data, RNM areas were defined depending on the culprit coronary artery. Results Reduced RNM-LS at 1 week (n = 70, 48%) was associated with larger infarct size and more depressed left ventricular ejection fraction (LVEF) at both the 1-week and 6-month TT-CMR (p value < 0.001). Late normalization of RNM-LS was frequent (28/70, 40%) and independently related to late recovery of LVEF (p value = 0.002). Patients with reduced RNM-LS at 1-week TT-CMR had more major adverse cardiac events (death, heart failure or re-infarction) in both the 271 patients included in the study group (26% vs. 11%, p value = 0.002) and in an external validation cohort made up of 177 STEMI patients (57% vs. 13%, p value < 0.001). Conclusion After STEMI, reduced RNM-LS by TT-CMR is common and is associated with more severe short- and long-term structural damage. There is a beneficial tendency towards recovery of RNM-LS that parallels late recovery of LVEF. More events occur in patients with reduced RNM-LS. es_ES
dc.description.sponsorship This work was supported by the Instituto de Salud Carlos III and co-funded by Fondo Europeo de Desarrollo Regional (FEDER) [Grant Numbers PI17/01836, PIE15/00013, CIBERCV16/11/00486, CIBERCV16/11/00479 and a postgraduate contract FI18/00320 to C. R.-N.] and by the Generalitat Valenciana [Grant Number GV/2018/116]. JG and DM acknowledge financial support from the Agencia Valenciana de la Innovacio, Generalitat Valenciana (Grant INNCAD00/18/026). es_ES
dc.language Inglés es_ES
dc.publisher Springer-Verlag es_ES
dc.relation.ispartof International Journal of Cardiovascular Imaging es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Cardiovascular magnetic resonance es_ES
dc.subject Myocardial infarction es_ES
dc.subject Prognosis es_ES
dc.subject Strain es_ES
dc.subject Tissue tracking es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.title Longitudinal strain in remote non-infarcted myocardium by tissue tracking CMR: characterization, dynamics, structural and prognostic implications es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1007/s10554-020-01890-w es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//CB16%2F11%2F00479/ES/ENFERMEDADES CARDIOVASCULARES/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//FI18%2F00320/ 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/GVA//INNCAD00%2F18%2F026/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//PIE15%2F00013/ES/A multidisciplinary project to advance in basic mechanisms, diagnosis, prediction, and prevention of cardiac damage in reperfused acute myocardial infarction/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI17%2F01836/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//GV%2F2018%2F116/ es_ES
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica es_ES
dc.description.bibliographicCitation Gavara-Doñate, J.; Rodríguez-Palomares, JF.; Rios-Navarro, C.; Valente, F.; Monmeneu, JV.; Lopez-Lereu, MP.; Ferreira-González, I.... (2021). Longitudinal strain in remote non-infarcted myocardium by tissue tracking CMR: characterization, dynamics, structural and prognostic implications. International Journal of Cardiovascular Imaging. 37(1):241-253. https://doi.org/10.1007/s10554-020-01890-w es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1007/s10554-020-01890-w es_ES
dc.description.upvformatpinicio 241 es_ES
dc.description.upvformatpfin 253 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 37 es_ES
dc.description.issue 1 es_ES
dc.identifier.pmid 32488452 es_ES
dc.relation.pasarela S\457290 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
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