Cardiac Magnetic Resonance in Patients with Suspected Tachycardia-Induced Cardiomyopathy: The Impact of Late Gadolinium Enhancement and Epicardial Fat Tissue
Tachycardia-induced cardiomyopathy (TIC) is a reversible subtype of dilated cardiomyopathy (DCM) resulting from sustained supraventricular or ventricular tachycardia and diagnosed by the normalization of left ventricular ejection fraction (LVEF) after stable sinus rhythm restoration. The aim of this...
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| Veröffentlicht in: | Journal of personalized medicine 2023-09, Vol.13 (10), p.1440 |
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| creator | Orlov, Oleg Asfour, Aref Shchekochikhin, Dmitry Magomedova, Zainab Bogdanova, Alexandra Komarova, Anna Podianov, Maxim Gromyko, Grigory Pershina, Ekaterina Nesterov, Alexey Shilova, Alexandra Ionina, Natalya Andreev, Dennis |
| description | Tachycardia-induced cardiomyopathy (TIC) is a reversible subtype of dilated cardiomyopathy (DCM) resulting from sustained supraventricular or ventricular tachycardia and diagnosed by the normalization of left ventricular ejection fraction (LVEF) after stable sinus rhythm restoration. The aim of this study was to determine the contribution of cardiac magnetic resonance (CMR) to the differential diagnosis of TIC and DCM with persistent atrial arrythmias in patients hospitalized for the first time with heart failure (HF) with reduced LVEF of nonischemic origin. A total of 29 patients (age: 58.2 ± 16.9 years; males: 65.5%; average EF: 37.0 ± 9.5%) with persistent atrial tachyarrhythmia and first decompensation of HF without known coronary artery diseases were included in this study. The patients successfully underwent cardioversion and were observed for 30 days. The study population was divided into groups of responders (TIC patients; N = 16), which implies achieving FF > 50% or its increase > 10% in 30 days of TIC, and non-responders (N = 13). The increase in left ventricle (LV) volumes measured using CMR was significantly higher in the non-responder group when compared with the responders (114.8 mL ± 25.1 vs. 68.1 mL ± 10.5, respectively,
< 0.05). Non-responders also demonstrated decreased interventricular septum thickness (9.1 ± 0.8 vs.11.5 ± 1.3, respectively,
< 0.05). Late gadolinium enhancement (LGE) was observed in 12 patients (41.4%). The prevalence of LGE was increased in the non-responder group (25.0% vs. 65.1%, respectively,
= 0.046). Notably, a septal mid-wall LGE pattern was found exclusively in the non-responders. Epicardial adipose tissue thickness was decreased in the non-responder group versus the TIC patients. Conclusion: Patients with TIC were found to have smaller atrial and ventricular dimensions in comparison to patients with DCM. In addition, LGE was more common in DCM patients. |
| doi_str_mv | 10.3390/jpm13101440 |
| format | Article |
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< 0.05). Non-responders also demonstrated decreased interventricular septum thickness (9.1 ± 0.8 vs.11.5 ± 1.3, respectively,
< 0.05). Late gadolinium enhancement (LGE) was observed in 12 patients (41.4%). The prevalence of LGE was increased in the non-responder group (25.0% vs. 65.1%, respectively,
= 0.046). Notably, a septal mid-wall LGE pattern was found exclusively in the non-responders. Epicardial adipose tissue thickness was decreased in the non-responder group versus the TIC patients. Conclusion: Patients with TIC were found to have smaller atrial and ventricular dimensions in comparison to patients with DCM. In addition, LGE was more common in DCM patients.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm13101440</identifier><identifier>PMID: 37888051</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adipose tissue ; Adipose tissues ; Cardiac arrhythmia ; Cardiac patients ; Cardiology ; Cardiomyopathy ; Cardiovascular disease ; Cardioversion ; Care and treatment ; Congestive heart failure ; Coronary artery disease ; Differential diagnosis ; Dilated cardiomyopathy ; Gadobutrol ; Gadolinium ; Heart attacks ; Heart diseases ; Heart failure ; Heart rate ; Hospitalization ; Hospitals ; Ischemia ; Medical imaging ; Medical research ; Medicine, Experimental ; Patients ; Population studies ; Precision medicine ; Sinuses ; Tachyarrhythmia ; Tachycardia ; Ventricle</subject><ispartof>Journal of personalized medicine, 2023-09, Vol.13 (10), p.1440</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-1d8a081875d873e35d419b1372afeb5cd83193217edc31acf40878186905008e3</citedby><cites>FETCH-LOGICAL-c477t-1d8a081875d873e35d419b1372afeb5cd83193217edc31acf40878186905008e3</cites><orcidid>0000-0002-8209-2791 ; 0000-0002-2174-3183 ; 0000-0002-8633-7012</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607955/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607955/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37888051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Orlov, Oleg</creatorcontrib><creatorcontrib>Asfour, Aref</creatorcontrib><creatorcontrib>Shchekochikhin, Dmitry</creatorcontrib><creatorcontrib>Magomedova, Zainab</creatorcontrib><creatorcontrib>Bogdanova, Alexandra</creatorcontrib><creatorcontrib>Komarova, Anna</creatorcontrib><creatorcontrib>Podianov, Maxim</creatorcontrib><creatorcontrib>Gromyko, Grigory</creatorcontrib><creatorcontrib>Pershina, Ekaterina</creatorcontrib><creatorcontrib>Nesterov, Alexey</creatorcontrib><creatorcontrib>Shilova, Alexandra</creatorcontrib><creatorcontrib>Ionina, Natalya</creatorcontrib><creatorcontrib>Andreev, Dennis</creatorcontrib><title>Cardiac Magnetic Resonance in Patients with Suspected Tachycardia-Induced Cardiomyopathy: The Impact of Late Gadolinium Enhancement and Epicardial Fat Tissue</title><title>Journal of personalized medicine</title><addtitle>J Pers Med</addtitle><description>Tachycardia-induced cardiomyopathy (TIC) is a reversible subtype of dilated cardiomyopathy (DCM) resulting from sustained supraventricular or ventricular tachycardia and diagnosed by the normalization of left ventricular ejection fraction (LVEF) after stable sinus rhythm restoration. The aim of this study was to determine the contribution of cardiac magnetic resonance (CMR) to the differential diagnosis of TIC and DCM with persistent atrial arrythmias in patients hospitalized for the first time with heart failure (HF) with reduced LVEF of nonischemic origin. A total of 29 patients (age: 58.2 ± 16.9 years; males: 65.5%; average EF: 37.0 ± 9.5%) with persistent atrial tachyarrhythmia and first decompensation of HF without known coronary artery diseases were included in this study. The patients successfully underwent cardioversion and were observed for 30 days. The study population was divided into groups of responders (TIC patients; N = 16), which implies achieving FF > 50% or its increase > 10% in 30 days of TIC, and non-responders (N = 13). The increase in left ventricle (LV) volumes measured using CMR was significantly higher in the non-responder group when compared with the responders (114.8 mL ± 25.1 vs. 68.1 mL ± 10.5, respectively,
< 0.05). Non-responders also demonstrated decreased interventricular septum thickness (9.1 ± 0.8 vs.11.5 ± 1.3, respectively,
< 0.05). Late gadolinium enhancement (LGE) was observed in 12 patients (41.4%). The prevalence of LGE was increased in the non-responder group (25.0% vs. 65.1%, respectively,
= 0.046). Notably, a septal mid-wall LGE pattern was found exclusively in the non-responders. Epicardial adipose tissue thickness was decreased in the non-responder group versus the TIC patients. Conclusion: Patients with TIC were found to have smaller atrial and ventricular dimensions in comparison to patients with DCM. In addition, LGE was more common in DCM patients.</description><subject>Adipose tissue</subject><subject>Adipose tissues</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac patients</subject><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Cardioversion</subject><subject>Care and treatment</subject><subject>Congestive heart failure</subject><subject>Coronary artery disease</subject><subject>Differential diagnosis</subject><subject>Dilated cardiomyopathy</subject><subject>Gadobutrol</subject><subject>Gadolinium</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Heart rate</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Patients</subject><subject>Population studies</subject><subject>Precision medicine</subject><subject>Sinuses</subject><subject>Tachyarrhythmia</subject><subject>Tachycardia</subject><subject>Ventricle</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptklFv0zAQxyPExKaxJ96RJV6Qpgw7jmOHFzRV3ajUCQTl2braTuMqsUPsgPph-K646xgdwn6wdf79_-c7XZa9IviK0hq_2w49oQSTssTPsrMCc5aXZVE9P7qfZhchbHFaghVFhV9kp5QLITAjZ9mvGYzagkJ3sHEmWoW-mOAdOGWQdegzRGtcDOinjS36OoXBqGg0WoFqd-pemi-cnlSK3Tv5fucHiO3uPVq1Bi36AVREvkFLiAbdgvaddXbq0dy1-yR9ckfgNJoP9uDXoRuIaGVDmMzL7KSBLpiLh_M8-3YzX80-5stPt4vZ9TJXJecxJ1oAFkRwpgWnhjJdknpNKC-gMWumtKCkpgXhRitKQDUlFjzxVY1Z6oqh59mHg-8wrfsEpU-N0MlhtD2MO-nByqcvzrZy439IgivMa8aSw9sHh9F_n0yIsrdBma4DZ_wUZCEEZbwgFU_om3_QrZ9Gl-rbUwWrGaX4L7WBzkjrGp8Sq72pvOa8wBXjuErU1X-otLXprfLONDbFnwguDwI1-hBG0zwWSbDcT5Q8mqhEvz7uyyP7Z37obyE-xis</recordid><startdate>20230927</startdate><enddate>20230927</enddate><creator>Orlov, Oleg</creator><creator>Asfour, Aref</creator><creator>Shchekochikhin, Dmitry</creator><creator>Magomedova, Zainab</creator><creator>Bogdanova, Alexandra</creator><creator>Komarova, Anna</creator><creator>Podianov, Maxim</creator><creator>Gromyko, Grigory</creator><creator>Pershina, Ekaterina</creator><creator>Nesterov, Alexey</creator><creator>Shilova, Alexandra</creator><creator>Ionina, Natalya</creator><creator>Andreev, Dennis</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8209-2791</orcidid><orcidid>https://orcid.org/0000-0002-2174-3183</orcidid><orcidid>https://orcid.org/0000-0002-8633-7012</orcidid></search><sort><creationdate>20230927</creationdate><title>Cardiac Magnetic Resonance in Patients with Suspected Tachycardia-Induced Cardiomyopathy: The Impact of Late Gadolinium Enhancement and Epicardial Fat Tissue</title><author>Orlov, Oleg ; Asfour, Aref ; Shchekochikhin, Dmitry ; Magomedova, Zainab ; Bogdanova, Alexandra ; Komarova, Anna ; Podianov, Maxim ; Gromyko, Grigory ; Pershina, Ekaterina ; Nesterov, Alexey ; Shilova, Alexandra ; Ionina, Natalya ; Andreev, Dennis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-1d8a081875d873e35d419b1372afeb5cd83193217edc31acf40878186905008e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adipose tissue</topic><topic>Adipose tissues</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac patients</topic><topic>Cardiology</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Cardioversion</topic><topic>Care and treatment</topic><topic>Congestive heart failure</topic><topic>Coronary artery disease</topic><topic>Differential diagnosis</topic><topic>Dilated cardiomyopathy</topic><topic>Gadobutrol</topic><topic>Gadolinium</topic><topic>Heart attacks</topic><topic>Heart diseases</topic><topic>Heart failure</topic><topic>Heart rate</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Ischemia</topic><topic>Medical imaging</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Patients</topic><topic>Population studies</topic><topic>Precision medicine</topic><topic>Sinuses</topic><topic>Tachyarrhythmia</topic><topic>Tachycardia</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orlov, Oleg</creatorcontrib><creatorcontrib>Asfour, Aref</creatorcontrib><creatorcontrib>Shchekochikhin, Dmitry</creatorcontrib><creatorcontrib>Magomedova, Zainab</creatorcontrib><creatorcontrib>Bogdanova, Alexandra</creatorcontrib><creatorcontrib>Komarova, Anna</creatorcontrib><creatorcontrib>Podianov, Maxim</creatorcontrib><creatorcontrib>Gromyko, Grigory</creatorcontrib><creatorcontrib>Pershina, Ekaterina</creatorcontrib><creatorcontrib>Nesterov, Alexey</creatorcontrib><creatorcontrib>Shilova, Alexandra</creatorcontrib><creatorcontrib>Ionina, Natalya</creatorcontrib><creatorcontrib>Andreev, Dennis</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of personalized medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orlov, Oleg</au><au>Asfour, Aref</au><au>Shchekochikhin, Dmitry</au><au>Magomedova, Zainab</au><au>Bogdanova, Alexandra</au><au>Komarova, Anna</au><au>Podianov, Maxim</au><au>Gromyko, Grigory</au><au>Pershina, Ekaterina</au><au>Nesterov, Alexey</au><au>Shilova, Alexandra</au><au>Ionina, Natalya</au><au>Andreev, Dennis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac Magnetic Resonance in Patients with Suspected Tachycardia-Induced Cardiomyopathy: The Impact of Late Gadolinium Enhancement and Epicardial Fat Tissue</atitle><jtitle>Journal of personalized medicine</jtitle><addtitle>J Pers Med</addtitle><date>2023-09-27</date><risdate>2023</risdate><volume>13</volume><issue>10</issue><spage>1440</spage><pages>1440-</pages><issn>2075-4426</issn><eissn>2075-4426</eissn><abstract>Tachycardia-induced cardiomyopathy (TIC) is a reversible subtype of dilated cardiomyopathy (DCM) resulting from sustained supraventricular or ventricular tachycardia and diagnosed by the normalization of left ventricular ejection fraction (LVEF) after stable sinus rhythm restoration. The aim of this study was to determine the contribution of cardiac magnetic resonance (CMR) to the differential diagnosis of TIC and DCM with persistent atrial arrythmias in patients hospitalized for the first time with heart failure (HF) with reduced LVEF of nonischemic origin. A total of 29 patients (age: 58.2 ± 16.9 years; males: 65.5%; average EF: 37.0 ± 9.5%) with persistent atrial tachyarrhythmia and first decompensation of HF without known coronary artery diseases were included in this study. The patients successfully underwent cardioversion and were observed for 30 days. The study population was divided into groups of responders (TIC patients; N = 16), which implies achieving FF > 50% or its increase > 10% in 30 days of TIC, and non-responders (N = 13). The increase in left ventricle (LV) volumes measured using CMR was significantly higher in the non-responder group when compared with the responders (114.8 mL ± 25.1 vs. 68.1 mL ± 10.5, respectively,
< 0.05). Non-responders also demonstrated decreased interventricular septum thickness (9.1 ± 0.8 vs.11.5 ± 1.3, respectively,
< 0.05). Late gadolinium enhancement (LGE) was observed in 12 patients (41.4%). The prevalence of LGE was increased in the non-responder group (25.0% vs. 65.1%, respectively,
= 0.046). Notably, a septal mid-wall LGE pattern was found exclusively in the non-responders. Epicardial adipose tissue thickness was decreased in the non-responder group versus the TIC patients. Conclusion: Patients with TIC were found to have smaller atrial and ventricular dimensions in comparison to patients with DCM. In addition, LGE was more common in DCM patients.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37888051</pmid><doi>10.3390/jpm13101440</doi><orcidid>https://orcid.org/0000-0002-8209-2791</orcidid><orcidid>https://orcid.org/0000-0002-2174-3183</orcidid><orcidid>https://orcid.org/0000-0002-8633-7012</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adipose tissue Adipose tissues Cardiac arrhythmia Cardiac patients Cardiology Cardiomyopathy Cardiovascular disease Cardioversion Care and treatment Congestive heart failure Coronary artery disease Differential diagnosis Dilated cardiomyopathy Gadobutrol Gadolinium Heart attacks Heart diseases Heart failure Heart rate Hospitalization Hospitals Ischemia Medical imaging Medical research Medicine, Experimental Patients Population studies Precision medicine Sinuses Tachyarrhythmia Tachycardia Ventricle |
| title | Cardiac Magnetic Resonance in Patients with Suspected Tachycardia-Induced Cardiomyopathy: The Impact of Late Gadolinium Enhancement and Epicardial Fat Tissue |
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