Left ventricular noncompaction in Duchenne muscular dystrophy

Left ventricular noncompaction (LVNC) describes deep trabeculations in the left ventricular (LV) endocardium and a thinned epicardium. LVNC is seen both as a primary cardiomyopathy and as a secondary finding in other syndromes affecting the myocardium such as neuromuscular disorders. The objective o...

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Veröffentlicht in:Journal of cardiovascular magnetic resonance 2013-08, Vol.15 (1), p.67-67, Article 67
Hauptverfasser: Statile, Christopher J, Taylor, Michael D, Mazur, Wojciech, Cripe, Linda H, King, Eileen, Pratt, Jesse, Benson, D Woodrow, Hor, Kan N
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container_end_page 67
container_issue 1
container_start_page 67
container_title Journal of cardiovascular magnetic resonance
container_volume 15
creator Statile, Christopher J
Taylor, Michael D
Mazur, Wojciech
Cripe, Linda H
King, Eileen
Pratt, Jesse
Benson, D Woodrow
Hor, Kan N
description Left ventricular noncompaction (LVNC) describes deep trabeculations in the left ventricular (LV) endocardium and a thinned epicardium. LVNC is seen both as a primary cardiomyopathy and as a secondary finding in other syndromes affecting the myocardium such as neuromuscular disorders. The objective of this study is to define the prevalence of LVNC in the Duchenne Muscular Dystrophy (DMD) population and characterize its relationship to global LV function. Cardiac magnetic resonance (CMR) was used to assess ventricular morphology and function in 151 subjects: DMD with ejection fraction (EF) > 55% (n = 66), DMD with EF  2.3 for any segment. LVNC criteria were met by 27/96 DMD patients (prevalence of 28%): 11 had an EF > 55% (prevalence of 16.7%), and 16 had an EF  55%, 2.46 for DMD with EF 
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LVNC is seen both as a primary cardiomyopathy and as a secondary finding in other syndromes affecting the myocardium such as neuromuscular disorders. The objective of this study is to define the prevalence of LVNC in the Duchenne Muscular Dystrophy (DMD) population and characterize its relationship to global LV function. Cardiac magnetic resonance (CMR) was used to assess ventricular morphology and function in 151 subjects: DMD with ejection fraction (EF) &gt; 55% (n = 66), DMD with EF &lt; 55% (n = 30), primary LVNC (n = 15) and normal controls (n = 40). The non-compacted to compacted (NC/C) ratio was measured in each of the 16 standard myocardial segments. LVNC was defined as a diastolic NC/C ratio &gt; 2.3 for any segment. LVNC criteria were met by 27/96 DMD patients (prevalence of 28%): 11 had an EF &gt; 55% (prevalence of 16.7%), and 16 had an EF &lt; 55% (prevalence of 53.3%). The median maximum NC/C ratio was 1.8 for DMD with EF &gt; 55%, 2.46 for DMD with EF &lt; 55%, 1.54 for the normal subjects, and 3.69 for primary LVNC patients. Longitudinal data for 78 of the DMD boys demonstrated a mean rate of change in NC/C ratio per year of +0.36. 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The median maximum NC/C ratio was 1.8 for DMD with EF &gt; 55%, 2.46 for DMD with EF &lt; 55%, 1.54 for the normal subjects, and 3.69 for primary LVNC patients. Longitudinal data for 78 of the DMD boys demonstrated a mean rate of change in NC/C ratio per year of +0.36. 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LVNC is seen both as a primary cardiomyopathy and as a secondary finding in other syndromes affecting the myocardium such as neuromuscular disorders. The objective of this study is to define the prevalence of LVNC in the Duchenne Muscular Dystrophy (DMD) population and characterize its relationship to global LV function. Cardiac magnetic resonance (CMR) was used to assess ventricular morphology and function in 151 subjects: DMD with ejection fraction (EF) &gt; 55% (n = 66), DMD with EF &lt; 55% (n = 30), primary LVNC (n = 15) and normal controls (n = 40). The non-compacted to compacted (NC/C) ratio was measured in each of the 16 standard myocardial segments. LVNC was defined as a diastolic NC/C ratio &gt; 2.3 for any segment. LVNC criteria were met by 27/96 DMD patients (prevalence of 28%): 11 had an EF &gt; 55% (prevalence of 16.7%), and 16 had an EF &lt; 55% (prevalence of 53.3%). The median maximum NC/C ratio was 1.8 for DMD with EF &gt; 55%, 2.46 for DMD with EF &lt; 55%, 1.54 for the normal subjects, and 3.69 for primary LVNC patients. Longitudinal data for 78 of the DMD boys demonstrated a mean rate of change in NC/C ratio per year of +0.36. The high prevalence of LVNC in DMD is associated with decreased LV systolic function that develops over time and may represent muscular degeneration versus compensatory remodeling.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23914774</pmid><doi>10.1186/1532-429X-15-67</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Chi-Square Distribution
Child
Contrast Media
Degeneration
Development and progression
Diagnosis
Disorders
Duchenne muscular dystrophy
Female
Gadolinium DTPA
Genetic aspects
Heart diseases
Humans
Isolated Noncompaction of the Ventricular Myocardium - complications
Isolated Noncompaction of the Ventricular Myocardium - diagnosis
Isolated Noncompaction of the Ventricular Myocardium - epidemiology
Magnetic resonance
Magnetic Resonance Imaging - methods
Male
Medical imaging equipment
Medical research
Medicine, Experimental
Muscular dystrophy
Muscular Dystrophy, Duchenne - complications
Numerical control
Patients
Prevalence
Segments
Statistics, Nonparametric
Vectorcardiography
title Left ventricular noncompaction in Duchenne muscular dystrophy
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