Clinical Significance of Incidentally Detected Aneurysms of the Membranous Ventricular Septum in Adults by Multidetector Computed Tomography
Although the clinical relevance of aneurysm of the membranous ventricular septum (AMVS) in adults is unclear, the frequency of AMVS detection has been increased because cardiac multidetector computed tomography has been widely adopted for the evaluation of coronary artery disease. Therefore, we aime...
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| Veröffentlicht in: | The American journal of cardiology 2015-02, Vol.115 (3), p.354-359 |
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| creator | You, Ja Yeon, MD Chun, Eun Ju, MD, PhD Choi, Sang Il, MD, PhD Joe, Eugene, MD Lee, Whal, MD, PhD Kang, Joon-Won, MD, PhD Seo, Myung-Ki, MD Yoon, Yeonyee E., MD Oh, Il-Young, MD Kim, Eunhee, MD Lim, Tae-Hwan, MD, PhD |
| description | Although the clinical relevance of aneurysm of the membranous ventricular septum (AMVS) in adults is unclear, the frequency of AMVS detection has been increased because cardiac multidetector computed tomography has been widely adopted for the evaluation of coronary artery disease. Therefore, we aimed to assess the clinical significance of AMVS in a longitudinal study. In 30,120 adults with suspected coronary artery disease who underwent cardiac multidetector computed tomography in 3 hospitals, 52 patients with AMVS were retrospectively selected. We evaluated the clinical symptoms and electrocardiographic abnormalities (cross-sectional study) and the prevalence of embolic stroke (observational study) during a median 40-month (range 6 to 74 months) observation period. For the assessment of embolic stroke, we excluded 9 patients with other explainable embolic sources. Conduction abnormalities were noted in 13 of 52 adults (25%) with AMVS on electrocardiography and embolic stroke occurred in 6 of 43 patients (14%). The mean age and the prevalence of hypertension were significantly higher in the embolic stroke group than in the event-free group (p |
| doi_str_mv | 10.1016/j.amjcard.2014.11.010 |
| format | Article |
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Therefore, we aimed to assess the clinical significance of AMVS in a longitudinal study. In 30,120 adults with suspected coronary artery disease who underwent cardiac multidetector computed tomography in 3 hospitals, 52 patients with AMVS were retrospectively selected. We evaluated the clinical symptoms and electrocardiographic abnormalities (cross-sectional study) and the prevalence of embolic stroke (observational study) during a median 40-month (range 6 to 74 months) observation period. For the assessment of embolic stroke, we excluded 9 patients with other explainable embolic sources. Conduction abnormalities were noted in 13 of 52 adults (25%) with AMVS on electrocardiography and embolic stroke occurred in 6 of 43 patients (14%). The mean age and the prevalence of hypertension were significantly higher in the embolic stroke group than in the event-free group (p <0.05). Thrombi were detected in the 11.6% of AMVS, which was significantly related with embolic stroke (p <0.05). The size and morphology did not change in 15 patients with serial follow-up images. In conclusion, our study suggests that AMVS in adults should not be ignored because AMVS may be related to conduction abnormality or embolic stroke, and it does not spontaneously resolve or diminish in size.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2014.11.010</identifier><identifier>PMID: 25491239</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Aneurysms ; Arrhythmias, Cardiac - etiology ; Blood clots ; Body mass index ; Cardiac arrhythmia ; Cardiac-Gated Imaging Techniques ; Cardiovascular ; Cardiovascular disease ; Cohort Studies ; Coronary Artery Disease - diagnostic imaging ; Cross-Sectional Studies ; Databases, Factual ; Electrocardiography ; Female ; Heart Aneurysm - complications ; Heart Aneurysm - diagnostic imaging ; Heart Diseases - complications ; Heart Diseases - diagnostic imaging ; Hospitals ; Humans ; Hypertension - complications ; Incidental Findings ; Intracranial Embolism - etiology ; Laboratories ; Longitudinal Studies ; Male ; Middle Aged ; Multidetector Computed Tomography ; Retrospective Studies ; Software ; Stroke ; Stroke - etiology ; Studies ; Thrombosis - complications ; Thrombosis - diagnostic imaging ; Tomography ; Ultrasonography ; Ventricular Septum - diagnostic imaging</subject><ispartof>The American journal of cardiology, 2015-02, Vol.115 (3), p.354-359</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 1, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-67b8a9e2591538e9c4b2bcc5ba5072b4d12c19880ed18a04feeb44adc802042f3</citedby><cites>FETCH-LOGICAL-c518t-67b8a9e2591538e9c4b2bcc5ba5072b4d12c19880ed18a04feeb44adc802042f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1643434995?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25491239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>You, Ja Yeon, MD</creatorcontrib><creatorcontrib>Chun, Eun Ju, MD, PhD</creatorcontrib><creatorcontrib>Choi, Sang Il, MD, PhD</creatorcontrib><creatorcontrib>Joe, Eugene, MD</creatorcontrib><creatorcontrib>Lee, Whal, MD, PhD</creatorcontrib><creatorcontrib>Kang, Joon-Won, MD, PhD</creatorcontrib><creatorcontrib>Seo, Myung-Ki, MD</creatorcontrib><creatorcontrib>Yoon, Yeonyee E., MD</creatorcontrib><creatorcontrib>Oh, Il-Young, MD</creatorcontrib><creatorcontrib>Kim, Eunhee, MD</creatorcontrib><creatorcontrib>Lim, Tae-Hwan, MD, PhD</creatorcontrib><title>Clinical Significance of Incidentally Detected Aneurysms of the Membranous Ventricular Septum in Adults by Multidetector Computed Tomography</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Although the clinical relevance of aneurysm of the membranous ventricular septum (AMVS) in adults is unclear, the frequency of AMVS detection has been increased because cardiac multidetector computed tomography has been widely adopted for the evaluation of coronary artery disease. Therefore, we aimed to assess the clinical significance of AMVS in a longitudinal study. In 30,120 adults with suspected coronary artery disease who underwent cardiac multidetector computed tomography in 3 hospitals, 52 patients with AMVS were retrospectively selected. We evaluated the clinical symptoms and electrocardiographic abnormalities (cross-sectional study) and the prevalence of embolic stroke (observational study) during a median 40-month (range 6 to 74 months) observation period. For the assessment of embolic stroke, we excluded 9 patients with other explainable embolic sources. Conduction abnormalities were noted in 13 of 52 adults (25%) with AMVS on electrocardiography and embolic stroke occurred in 6 of 43 patients (14%). The mean age and the prevalence of hypertension were significantly higher in the embolic stroke group than in the event-free group (p <0.05). Thrombi were detected in the 11.6% of AMVS, which was significantly related with embolic stroke (p <0.05). The size and morphology did not change in 15 patients with serial follow-up images. In conclusion, our study suggests that AMVS in adults should not be ignored because AMVS may be related to conduction abnormality or embolic stroke, and it does not spontaneously resolve or diminish in size.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aneurysms</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Blood clots</subject><subject>Body mass index</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac-Gated Imaging Techniques</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cohort Studies</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart Aneurysm - complications</subject><subject>Heart Aneurysm - diagnostic imaging</subject><subject>Heart Diseases - complications</subject><subject>Heart Diseases - diagnostic imaging</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Incidental Findings</subject><subject>Intracranial Embolism - etiology</subject><subject>Laboratories</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Retrospective Studies</subject><subject>Software</subject><subject>Stroke</subject><subject>Stroke - etiology</subject><subject>Studies</subject><subject>Thrombosis - complications</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Tomography</subject><subject>Ultrasonography</subject><subject>Ventricular Septum - diagnostic imaging</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFks9u1DAQxiMEotvCI4AsceGS4HGcrH0BrZYClVpx2MLVcuxJ65B_tROkvAMPjaNdQOoF-eCx9JtvPPNNkrwCmgGF8l2T6a4x2tuMUeAZQEaBPkk2ILYyBQn502RDKWWpBC7PkvMQmvgEKMrnyRkruASWy03ya9-63hndkoO7610dw94gGWpy1RtnsZ902y7kI05oJrRk1-Psl9CFFZnukdxgV3ndD3Mg3yPtnZlb7ckBx2nuiOvJzs7tFEi1kJsYRMlVafBkP3TjvEreDt1w5_V4v7xIntW6DfjydF8k3z5d3u6_pNdfP1_td9epKUBMabmthJbICglFLlAaXrHKmKLSBd2yiltgBqQQFC0ITXmNWHGurRGUUc7q_CJ5e9Qd_fAwY5hU54LBttU9xkYUlLxgTJS5iOibR2gzzL6Pv1upPB4pi0gVR8r4IQSPtRq967RfFFC12qUadbJLrXYpABXtinmvT-pz1aH9m_XHnwh8OAIYx_HToVfBOIwOWefjGJUd3H9LvH-kYE6O_8AFw79uVGCKqsO6M-vKAI_DEpzmvwEES796</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>You, Ja Yeon, MD</creator><creator>Chun, Eun Ju, MD, PhD</creator><creator>Choi, Sang Il, MD, PhD</creator><creator>Joe, Eugene, MD</creator><creator>Lee, Whal, MD, PhD</creator><creator>Kang, Joon-Won, MD, PhD</creator><creator>Seo, Myung-Ki, MD</creator><creator>Yoon, Yeonyee E., MD</creator><creator>Oh, Il-Young, MD</creator><creator>Kim, Eunhee, MD</creator><creator>Lim, Tae-Hwan, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150201</creationdate><title>Clinical Significance of Incidentally Detected Aneurysms of the Membranous Ventricular Septum in Adults by Multidetector Computed Tomography</title><author>You, Ja Yeon, MD ; Chun, Eun Ju, MD, PhD ; Choi, Sang Il, MD, PhD ; Joe, Eugene, MD ; Lee, Whal, MD, PhD ; Kang, Joon-Won, MD, PhD ; Seo, Myung-Ki, MD ; Yoon, Yeonyee E., MD ; Oh, Il-Young, MD ; Kim, Eunhee, MD ; Lim, Tae-Hwan, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-67b8a9e2591538e9c4b2bcc5ba5072b4d12c19880ed18a04feeb44adc802042f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aneurysms</topic><topic>Arrhythmias, Cardiac - 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Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>You, Ja Yeon, MD</au><au>Chun, Eun Ju, MD, PhD</au><au>Choi, Sang Il, MD, PhD</au><au>Joe, Eugene, MD</au><au>Lee, Whal, MD, PhD</au><au>Kang, Joon-Won, MD, PhD</au><au>Seo, Myung-Ki, MD</au><au>Yoon, Yeonyee E., MD</au><au>Oh, Il-Young, MD</au><au>Kim, Eunhee, MD</au><au>Lim, Tae-Hwan, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Significance of Incidentally Detected Aneurysms of the Membranous Ventricular Septum in Adults by Multidetector Computed Tomography</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>115</volume><issue>3</issue><spage>354</spage><epage>359</epage><pages>354-359</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Although the clinical relevance of aneurysm of the membranous ventricular septum (AMVS) in adults is unclear, the frequency of AMVS detection has been increased because cardiac multidetector computed tomography has been widely adopted for the evaluation of coronary artery disease. Therefore, we aimed to assess the clinical significance of AMVS in a longitudinal study. In 30,120 adults with suspected coronary artery disease who underwent cardiac multidetector computed tomography in 3 hospitals, 52 patients with AMVS were retrospectively selected. We evaluated the clinical symptoms and electrocardiographic abnormalities (cross-sectional study) and the prevalence of embolic stroke (observational study) during a median 40-month (range 6 to 74 months) observation period. For the assessment of embolic stroke, we excluded 9 patients with other explainable embolic sources. Conduction abnormalities were noted in 13 of 52 adults (25%) with AMVS on electrocardiography and embolic stroke occurred in 6 of 43 patients (14%). The mean age and the prevalence of hypertension were significantly higher in the embolic stroke group than in the event-free group (p <0.05). Thrombi were detected in the 11.6% of AMVS, which was significantly related with embolic stroke (p <0.05). The size and morphology did not change in 15 patients with serial follow-up images. In conclusion, our study suggests that AMVS in adults should not be ignored because AMVS may be related to conduction abnormality or embolic stroke, and it does not spontaneously resolve or diminish in size.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25491239</pmid><doi>10.1016/j.amjcard.2014.11.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Age Factors Aged Aneurysms Arrhythmias, Cardiac - etiology Blood clots Body mass index Cardiac arrhythmia Cardiac-Gated Imaging Techniques Cardiovascular Cardiovascular disease Cohort Studies Coronary Artery Disease - diagnostic imaging Cross-Sectional Studies Databases, Factual Electrocardiography Female Heart Aneurysm - complications Heart Aneurysm - diagnostic imaging Heart Diseases - complications Heart Diseases - diagnostic imaging Hospitals Humans Hypertension - complications Incidental Findings Intracranial Embolism - etiology Laboratories Longitudinal Studies Male Middle Aged Multidetector Computed Tomography Retrospective Studies Software Stroke Stroke - etiology Studies Thrombosis - complications Thrombosis - diagnostic imaging Tomography Ultrasonography Ventricular Septum - diagnostic imaging |
| title | Clinical Significance of Incidentally Detected Aneurysms of the Membranous Ventricular Septum in Adults by Multidetector Computed Tomography |
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