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Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?

In this study, we have compared scintigraphic and echocardiographic data in order to investigate whether increased septal perfusion represents asymmetrical septal hypertrophy (ASH), which is a symptom followed in the scintigraphy of myocardial perfusion. The study consists of a total of 186 patients...

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Autores principales: Ozdemir, Semra, Tan, Yusuf Ziya, Gazi, Emine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020792/
https://www.ncbi.nlm.nih.gov/pubmed/27651739
http://dx.doi.org/10.4103/1450-1147.174706
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author Ozdemir, Semra
Tan, Yusuf Ziya
Gazi, Emine
author_facet Ozdemir, Semra
Tan, Yusuf Ziya
Gazi, Emine
author_sort Ozdemir, Semra
collection PubMed
description In this study, we have compared scintigraphic and echocardiographic data in order to investigate whether increased septal perfusion represents asymmetrical septal hypertrophy (ASH), which is a symptom followed in the scintigraphy of myocardial perfusion. The study consists of a total of 186 patients (120 females and 66 males with an average age of 59.45 ± 11.54 years) who had normal myocardial perfusion scintigraphy and echocardiography examinations. Statistical comparison of septal wall thickness measurements obtained from echocardiography and septal-to-lateral wall ratios (S/L ratio) was performed scintigraphically. Left ventricular mass values were obtained as both scintigraphic and echocardiographic data and their correlations were evaluated in order to assess the presence of left ventricular hypertrophy (LVH). In statistical analyses, the values of interventricular septal thickness in diastole (IVSd), left ventricle posterior wall thickness in diastole (LVPWd), left ventricle mass (LVM), and left ventricle mass index (LVMI) were found to be significantly higher in group 2 (S/L ratio >1) compared to group 1 (S/L ratio <1). In addition, S/L ratio is significantly correlated with echocardiographic IVSd, LVPWd, LVM, LVMI, and scintigraphic LVM (rest) values. Furthermore, echocardiographic LVM and LVMI values were significantly correlated with LVM and LVMI values obtained from scintigraphy. It should be known that increased S/L ratio that can be monitored during scintigraphic studies can be an indicator of septal hypertrophy and/or LVH, however, further examination and close follow-ups should be performed in necessary cases.
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spelling pubmed-50207922016-09-20 Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy? Ozdemir, Semra Tan, Yusuf Ziya Gazi, Emine World J Nucl Med Original Article In this study, we have compared scintigraphic and echocardiographic data in order to investigate whether increased septal perfusion represents asymmetrical septal hypertrophy (ASH), which is a symptom followed in the scintigraphy of myocardial perfusion. The study consists of a total of 186 patients (120 females and 66 males with an average age of 59.45 ± 11.54 years) who had normal myocardial perfusion scintigraphy and echocardiography examinations. Statistical comparison of septal wall thickness measurements obtained from echocardiography and septal-to-lateral wall ratios (S/L ratio) was performed scintigraphically. Left ventricular mass values were obtained as both scintigraphic and echocardiographic data and their correlations were evaluated in order to assess the presence of left ventricular hypertrophy (LVH). In statistical analyses, the values of interventricular septal thickness in diastole (IVSd), left ventricle posterior wall thickness in diastole (LVPWd), left ventricle mass (LVM), and left ventricle mass index (LVMI) were found to be significantly higher in group 2 (S/L ratio >1) compared to group 1 (S/L ratio <1). In addition, S/L ratio is significantly correlated with echocardiographic IVSd, LVPWd, LVM, LVMI, and scintigraphic LVM (rest) values. Furthermore, echocardiographic LVM and LVMI values were significantly correlated with LVM and LVMI values obtained from scintigraphy. It should be known that increased S/L ratio that can be monitored during scintigraphic studies can be an indicator of septal hypertrophy and/or LVH, however, further examination and close follow-ups should be performed in necessary cases. Medknow Publications & Media Pvt Ltd 2016-09 /pmc/articles/PMC5020792/ /pubmed/27651739 http://dx.doi.org/10.4103/1450-1147.174706 Text en Copyright: © World Journal of Nuclear Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ozdemir, Semra
Tan, Yusuf Ziya
Gazi, Emine
Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title_full Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title_fullStr Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title_full_unstemmed Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title_short Is the Increased Septal Perfusion the Signal of Asymmetrical Septal Hypertrophy?
title_sort is the increased septal perfusion the signal of asymmetrical septal hypertrophy?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020792/
https://www.ncbi.nlm.nih.gov/pubmed/27651739
http://dx.doi.org/10.4103/1450-1147.174706
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