usefulness of the electrocardiogram and cardiac magnetic resonance to differentiate tachycardia induced cardiomyopathy from dilated cardiomyopathy in patients admitted for heart failure
Abstract Funding Acknowledgements Type of funding sources: None. Background In patients admitted for heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and a concomitant high-rate supraventricular tachyarrhythmia (SVT) it is challenging to predict LVEF recovery after heart rat...
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| creator | Vera Sainz, A Cecconi, A Martinez-Vives, P Olivera, MJ Hernandez, S Tejelo, J Lopez Melgar, B Rojas Gonzalez, A Diez-Villanueva, P Salamanca, J Caballero, P Alfonso, F Jimenez-Borreguero, LJ |
| description | Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
In patients admitted for heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and a concomitant high-rate supraventricular tachyarrhythmia (SVT) it is challenging to predict LVEF recovery after heart rate control and distinguish tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DC). The role of cardiac magnetic resonance (CMR) and the electrocardiogram (ECG) in this setting remains unsettled.
Methods
Forty-three consecutive patients admitted for HF due to high-rate SVT and LVEF 50% at follow up were classified as TIC and those with LVEF |
| doi_str_mv | 10.1093/ehjci/jeab090.086 |
| format | Article |
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Funding Acknowledgements
Type of funding sources: None.
Background
In patients admitted for heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and a concomitant high-rate supraventricular tachyarrhythmia (SVT) it is challenging to predict LVEF recovery after heart rate control and distinguish tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DC). The role of cardiac magnetic resonance (CMR) and the electrocardiogram (ECG) in this setting remains unsettled.
Methods
Forty-three consecutive patients admitted for HF due to high-rate SVT and LVEF <50% undergoing CMR in the acute phase were retrospectively included. Those who had LVEF >50% at follow up were classified as TIC and those with LVEF <50% were classified as DC. Clinical, laboratory, CMR and ECG findings were analyzed to predict LVEF recovery.
Results
Twenty-five (58%) patients were classified as TIC. Patients with DC had wider QRS (121.2 ± 26 vs 97.7 ± 17.35 ms; p = 0.003). On CRM the TIC group presented with higher LVEF (33.4 ± 11 vs 26.9 ± 6.4% p = 0.019) whereas late gadolinium enhancement (LGE) was more frequent in DC group (61 vs 16% p = 0.004). On multivariate analysis, QRS duration ≥100 ms (p = 0.027), LVEF < 40% on CMR (p = 0.047) and presence of LGE (p = 0.03) were identified as independent predictors of lack of LVEF recovery. Furthermore, during clinical follow-up (median 60 months) DC patients were admitted more frequently for HF (44% vs 0%; p < 0.001) than TIC patients (Figure 1).
Conclusion
In patients with reduced LVEF admitted for HF due to high-rate SVT, QRS duration ≥100 ms, LVEF <40% on CMR and presence of LGE are independently associated with lack of LVEF recovery and worse clinical outcome.
Abstract Figure.</description><identifier>ISSN: 2047-2404</identifier><identifier>EISSN: 2047-2412</identifier><identifier>DOI: 10.1093/ehjci/jeab090.086</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>European heart journal cardiovascular imaging, 2021-07, Vol.22 (Supplement_2)</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2021. For permissions please email: Journals.permissions@oup.com. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Vera Sainz, A</creatorcontrib><creatorcontrib>Cecconi, A</creatorcontrib><creatorcontrib>Martinez-Vives, P</creatorcontrib><creatorcontrib>Olivera, MJ</creatorcontrib><creatorcontrib>Hernandez, S</creatorcontrib><creatorcontrib>Tejelo, J</creatorcontrib><creatorcontrib>Lopez Melgar, B</creatorcontrib><creatorcontrib>Rojas Gonzalez, A</creatorcontrib><creatorcontrib>Diez-Villanueva, P</creatorcontrib><creatorcontrib>Salamanca, J</creatorcontrib><creatorcontrib>Caballero, P</creatorcontrib><creatorcontrib>Alfonso, F</creatorcontrib><creatorcontrib>Jimenez-Borreguero, LJ</creatorcontrib><title>usefulness of the electrocardiogram and cardiac magnetic resonance to differentiate tachycardia induced cardiomyopathy from dilated cardiomyopathy in patients admitted for heart failure</title><title>European heart journal cardiovascular imaging</title><description>Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
In patients admitted for heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and a concomitant high-rate supraventricular tachyarrhythmia (SVT) it is challenging to predict LVEF recovery after heart rate control and distinguish tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DC). The role of cardiac magnetic resonance (CMR) and the electrocardiogram (ECG) in this setting remains unsettled.
Methods
Forty-three consecutive patients admitted for HF due to high-rate SVT and LVEF <50% undergoing CMR in the acute phase were retrospectively included. Those who had LVEF >50% at follow up were classified as TIC and those with LVEF <50% were classified as DC. Clinical, laboratory, CMR and ECG findings were analyzed to predict LVEF recovery.
Results
Twenty-five (58%) patients were classified as TIC. Patients with DC had wider QRS (121.2 ± 26 vs 97.7 ± 17.35 ms; p = 0.003). On CRM the TIC group presented with higher LVEF (33.4 ± 11 vs 26.9 ± 6.4% p = 0.019) whereas late gadolinium enhancement (LGE) was more frequent in DC group (61 vs 16% p = 0.004). On multivariate analysis, QRS duration ≥100 ms (p = 0.027), LVEF < 40% on CMR (p = 0.047) and presence of LGE (p = 0.03) were identified as independent predictors of lack of LVEF recovery. Furthermore, during clinical follow-up (median 60 months) DC patients were admitted more frequently for HF (44% vs 0%; p < 0.001) than TIC patients (Figure 1).
Conclusion
In patients with reduced LVEF admitted for HF due to high-rate SVT, QRS duration ≥100 ms, LVEF <40% on CMR and presence of LGE are independently associated with lack of LVEF recovery and worse clinical outcome.
Abstract Figure.</description><issn>2047-2404</issn><issn>2047-2412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqNkMtOwzAQRSMEElXpB7DzB5BiO88uUcVLqsQG1tF0PG5cJXFlO4t8Gn-H-xAbNsxmXvfcxU2Se8GXgq-yR2r3aB73BFu-4ktel1fJTPK8SmUu5PXvzPPbZOH9nscq8jKXYpZ8j5702A3kPbOahZYYdYTBWQSnjN056BkMip1WQNbDbqBgkDnydoABiQXLlNGaHA3BQIgHwHY6A8wMakS68Laf7AFCOzHtbB-pLsr__MzA4mCim2egehOOGm0dawlcYBpMNzq6S240dJ4Wlz5Pvl6eP9dv6ebj9X39tElRSFmmhVgVmG0lKdgWmcRSc0TgRU051KAKQZDrKsuxqlSmJEdVi5JzELICBMyyeSLOvuis9450c3CmBzc1gjfH-JtT_M0l_ibGH5mHM2PHwz_kP5JvkJE</recordid><startdate>20210713</startdate><enddate>20210713</enddate><creator>Vera Sainz, A</creator><creator>Cecconi, A</creator><creator>Martinez-Vives, P</creator><creator>Olivera, MJ</creator><creator>Hernandez, S</creator><creator>Tejelo, J</creator><creator>Lopez Melgar, B</creator><creator>Rojas Gonzalez, A</creator><creator>Diez-Villanueva, P</creator><creator>Salamanca, J</creator><creator>Caballero, P</creator><creator>Alfonso, F</creator><creator>Jimenez-Borreguero, LJ</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20210713</creationdate><title>usefulness of the electrocardiogram and cardiac magnetic resonance to differentiate tachycardia induced cardiomyopathy from dilated cardiomyopathy in patients admitted for heart failure</title><author>Vera Sainz, A ; Cecconi, A ; Martinez-Vives, P ; Olivera, MJ ; Hernandez, S ; Tejelo, J ; Lopez Melgar, B ; Rojas Gonzalez, A ; Diez-Villanueva, P ; Salamanca, J ; Caballero, P ; Alfonso, F ; Jimenez-Borreguero, LJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1226-5195c3b2edab532c6f0cca058e4a8ad51ea4f734c77d3d20cd81600a127acac33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vera Sainz, A</creatorcontrib><creatorcontrib>Cecconi, A</creatorcontrib><creatorcontrib>Martinez-Vives, P</creatorcontrib><creatorcontrib>Olivera, MJ</creatorcontrib><creatorcontrib>Hernandez, S</creatorcontrib><creatorcontrib>Tejelo, J</creatorcontrib><creatorcontrib>Lopez Melgar, B</creatorcontrib><creatorcontrib>Rojas Gonzalez, A</creatorcontrib><creatorcontrib>Diez-Villanueva, P</creatorcontrib><creatorcontrib>Salamanca, J</creatorcontrib><creatorcontrib>Caballero, P</creatorcontrib><creatorcontrib>Alfonso, F</creatorcontrib><creatorcontrib>Jimenez-Borreguero, LJ</creatorcontrib><collection>CrossRef</collection><jtitle>European heart journal cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vera Sainz, A</au><au>Cecconi, A</au><au>Martinez-Vives, P</au><au>Olivera, MJ</au><au>Hernandez, S</au><au>Tejelo, J</au><au>Lopez Melgar, B</au><au>Rojas Gonzalez, A</au><au>Diez-Villanueva, P</au><au>Salamanca, J</au><au>Caballero, P</au><au>Alfonso, F</au><au>Jimenez-Borreguero, LJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>usefulness of the electrocardiogram and cardiac magnetic resonance to differentiate tachycardia induced cardiomyopathy from dilated cardiomyopathy in patients admitted for heart failure</atitle><jtitle>European heart journal cardiovascular imaging</jtitle><date>2021-07-13</date><risdate>2021</risdate><volume>22</volume><issue>Supplement_2</issue><issn>2047-2404</issn><eissn>2047-2412</eissn><abstract>Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
In patients admitted for heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and a concomitant high-rate supraventricular tachyarrhythmia (SVT) it is challenging to predict LVEF recovery after heart rate control and distinguish tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DC). The role of cardiac magnetic resonance (CMR) and the electrocardiogram (ECG) in this setting remains unsettled.
Methods
Forty-three consecutive patients admitted for HF due to high-rate SVT and LVEF <50% undergoing CMR in the acute phase were retrospectively included. Those who had LVEF >50% at follow up were classified as TIC and those with LVEF <50% were classified as DC. Clinical, laboratory, CMR and ECG findings were analyzed to predict LVEF recovery.
Results
Twenty-five (58%) patients were classified as TIC. Patients with DC had wider QRS (121.2 ± 26 vs 97.7 ± 17.35 ms; p = 0.003). On CRM the TIC group presented with higher LVEF (33.4 ± 11 vs 26.9 ± 6.4% p = 0.019) whereas late gadolinium enhancement (LGE) was more frequent in DC group (61 vs 16% p = 0.004). On multivariate analysis, QRS duration ≥100 ms (p = 0.027), LVEF < 40% on CMR (p = 0.047) and presence of LGE (p = 0.03) were identified as independent predictors of lack of LVEF recovery. Furthermore, during clinical follow-up (median 60 months) DC patients were admitted more frequently for HF (44% vs 0%; p < 0.001) than TIC patients (Figure 1).
Conclusion
In patients with reduced LVEF admitted for HF due to high-rate SVT, QRS duration ≥100 ms, LVEF <40% on CMR and presence of LGE are independently associated with lack of LVEF recovery and worse clinical outcome.
Abstract Figure.</abstract><pub>Oxford University Press</pub><doi>10.1093/ehjci/jeab090.086</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| title | usefulness of the electrocardiogram and cardiac magnetic resonance to differentiate tachycardia induced cardiomyopathy from dilated cardiomyopathy in patients admitted for heart failure |
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