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October 4, 2022Frontiers in Cardiovascular MedicineOpen Access

Left ventricular strain patterns and their relationships with cardiac biomarkers in hypertrophic cardiomyopathy patients with preserved left ventricular ejection fraction

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Key result

HCM with preserved EF shows impaired LV global longitudinal strain compared to healthy controls.

  • P<0.001
  • n=97

Why the study?

To assess left ventricular function in hypertrophic cardiomyopathy patients with preserved LVEF using CMR-FT strain patterns and explore their relationships with cardiac biomarkers including cTnT and NT-proBNP.

Do left ventricular strain patterns assessed by CMR-FT correlate with cardiac biomarkers in HCM patients with preserved LVEF?

Population

64 HCM patients with preserved LVEF and 33 healthy people

Comparison

HCM patients with preserved LVEF vs healthy people

Design

Case-control study

Authors

LZLisha ZhangYWYixuan WanBHBo He

Discussion

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Overview

Impaired GLS signals subclinical dysfunction in HCM with preserved EF; leaves open whether CMR-FT strain refines biomarker-based risk assessment.

Study Design

Type

Case-Control (n=97)

Multicenter

No

Structured PICO

Do left ventricular strain patterns assessed by CMR-FT correlate with cardiac biomarkers in HCM patients with preserved LVEF?

P
Population
64 hypertrophic cardiomyopathy (HCM) patients with preserved LVEF and 33 healthy controls.
I
Intervention
Cardiac magnetic resonance feature tracking (CMR-FT) to assess left ventricular strain patterns.
C
Comparator
Healthy controls (for strain comparison).
O
Outcome
Left ventricular strain patterns (global and segmental) and their correlation with cardiac biomarkers (cTnT and NT-proBNP).surrogate

Main Result

Absolute Event Rate: -9.44% vs -14.67%

p-value: p=<0.001

LV strain patterns assessed by CMR-FT can detect subclinical cardiac dysfunction in HCM patients with preserved LVEF and correlate with elevated NT-proBNP and cTnT.

Limitations

  • Single-centered retrospective study based upon a small sample size
  • Missing data for some variables such as NT-proBNP and height
  • Inability to explore relationships with other CMR parameters like T1 mapping, extracellular volume, and T2 mapping
  • Could not compare CMR-FT with other imaging techniques like speckle tracking echocardiography

Cite This Study

Zhang et al. (2022) conducted a case-control in Hypertrophic cardiomyopathy with preserved left ventricular ejection fraction (n=97). Cardiac magnetic resonance feature tracking (CMR-FT) vs. Healthy controls was evaluated on Global longitudinal strain (GLS) (p=<0.001). In patients with hypertrophic cardiomyopathy and preserved ejection fraction, left ventricular global longitudinal strain was significantly impaired compared to healthy controls (-9.44% vs -14.67%).

synapsesocial.com/papers/6a09080dea37c9c7dbe46b52https://doi.org/10.3389/fcvm.2022.963110
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CMR feature tracking strain patterns and their association with circulating cardiac biomarkers in patients with hypertrophic cardiomyopathy2021 · 35 citations
  2. 2Relationships Between Regional Left Ventricular Myocardial Strain and Tissue Characteristics in Hypertrophic Cardiomyopathy2026
  3. 3The predictive value of cardiac MRI strain parameters in hypertrophic cardiomyopathy patients with preserved left ventricular ejection fraction and a low fibrosis burden: a retrospective cohort study2023 · 9 citations
  4. 4Divergence between left ventricular ejection fraction and global longitudinal strain by cardiac magnetic resonance as a new predictor of myocardial fibrosis burden in hypertrophic cardiomyopathy2024 · 2 citations
  5. 5Predictive values of multiple non-invasive markers for myocardial fibrosis in hypertrophic cardiomyopathy patients with preserved ejection fraction2021 · 24 citations