Cargando…
The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction
Echocardiography is the gold standard clinical tool for the evaluation of left ventricular diastolic dysfunction (LVDD) and is used to validate other cardiac imaging modalities in measuring diastolic dysfunction. We examined Cardiac Magnetic Resonance Imaging (CMR) in detecting diastolic dysfunction...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123716/ https://www.ncbi.nlm.nih.gov/pubmed/37092496 http://dx.doi.org/10.3390/medsci11020027 |
_version_ | 1785029718077079552 |
---|---|
author | Bhuiya, Sabreen Bhuiya, Tanzim Makaryus, Amgad N. |
author_facet | Bhuiya, Sabreen Bhuiya, Tanzim Makaryus, Amgad N. |
author_sort | Bhuiya, Sabreen |
collection | PubMed |
description | Echocardiography is the gold standard clinical tool for the evaluation of left ventricular diastolic dysfunction (LVDD) and is used to validate other cardiac imaging modalities in measuring diastolic dysfunction. We examined Cardiac Magnetic Resonance Imaging (CMR) in detecting diastolic dysfunction using the time-volume curve-derived parameters compared to echocardiographic diastolic parameters. We evaluated patients who underwent both CMR and transthoracic echocardiography (TTE) within 2 ± 1 weeks of each other. On echo, Doppler/Tissue Doppler Imaging (TDI) measurements were obtained. On CMR, peak filling rate (PFR), time to PFR (TPFR), 1/3 filling fraction (1/3FF), and 1/3 filling rate (1/3FR) were calculated from the time-volume curve. Using the commonly employed E/A ratio, 44.4% of patients were found to have LVDD. Using septal E/E′ and lateral E/E′, 29.6% and 48.1% of patients had LVDD, respectively. Correlation was found between left atrial (LA) size and E/A ratio (R = −0.36). Using LVDD criteria for CMR, 63% of patients had diastolic dysfunction. CMR predicted LVDD in 66.7% of the cases. CMR-derived diastolic filling parameters provided a relatively easy and promising method for the assessment of LVDD and can predict the presence of LVDD as assessed by traditional Doppler and TDI methods. |
format | Online Article Text |
id | pubmed-10123716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101237162023-04-25 The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction Bhuiya, Sabreen Bhuiya, Tanzim Makaryus, Amgad N. Med Sci (Basel) Communication Echocardiography is the gold standard clinical tool for the evaluation of left ventricular diastolic dysfunction (LVDD) and is used to validate other cardiac imaging modalities in measuring diastolic dysfunction. We examined Cardiac Magnetic Resonance Imaging (CMR) in detecting diastolic dysfunction using the time-volume curve-derived parameters compared to echocardiographic diastolic parameters. We evaluated patients who underwent both CMR and transthoracic echocardiography (TTE) within 2 ± 1 weeks of each other. On echo, Doppler/Tissue Doppler Imaging (TDI) measurements were obtained. On CMR, peak filling rate (PFR), time to PFR (TPFR), 1/3 filling fraction (1/3FF), and 1/3 filling rate (1/3FR) were calculated from the time-volume curve. Using the commonly employed E/A ratio, 44.4% of patients were found to have LVDD. Using septal E/E′ and lateral E/E′, 29.6% and 48.1% of patients had LVDD, respectively. Correlation was found between left atrial (LA) size and E/A ratio (R = −0.36). Using LVDD criteria for CMR, 63% of patients had diastolic dysfunction. CMR predicted LVDD in 66.7% of the cases. CMR-derived diastolic filling parameters provided a relatively easy and promising method for the assessment of LVDD and can predict the presence of LVDD as assessed by traditional Doppler and TDI methods. MDPI 2023-03-31 /pmc/articles/PMC10123716/ /pubmed/37092496 http://dx.doi.org/10.3390/medsci11020027 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Communication Bhuiya, Sabreen Bhuiya, Tanzim Makaryus, Amgad N. The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title | The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title_full | The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title_fullStr | The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title_full_unstemmed | The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title_short | The Clinical Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Cardiac Diastolic Dysfunction |
title_sort | clinical role of cardiovascular magnetic resonance imaging in the assessment of cardiac diastolic dysfunction |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123716/ https://www.ncbi.nlm.nih.gov/pubmed/37092496 http://dx.doi.org/10.3390/medsci11020027 |
work_keys_str_mv | AT bhuiyasabreen theclinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction AT bhuiyatanzim theclinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction AT makaryusamgadn theclinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction AT bhuiyasabreen clinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction AT bhuiyatanzim clinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction AT makaryusamgadn clinicalroleofcardiovascularmagneticresonanceimagingintheassessmentofcardiacdiastolicdysfunction |