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November 2, 2024Russian Journal of CardiologyOpen Access

Role of magnetic resonance imaging in predicting the efficiency of cardiac resynchronization therapy in patients with left ventricular non-compaction and heart failure

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Why the study?

The study was conducted to evaluate the role of MRI in predicting the efficacy of cardiac resynchronization therapy in patients with left ventricular non-compaction and heart failure.

Does contrast-enhanced cardiac MRI predict the efficacy of cardiac resynchronization therapy in patients with left ventricular non-compaction and heart failure?

Population

26 patients with morphological signs of LVNC cardiomyopathy and HF undergoing CRT

Comparison

Predictive role of pre-procedure contrast-enhanced cardiac MRI

Design

Observational retrospective study

Key result

Pre-procedural cardiac MRI parameters, including myocardial fibrosis and non-compaction severity, predicted the effectiveness of cardiac resynchronization therapy in patients with LVNC and HF.

Authors

ЕМЕ. А. МершинаDFD. A. FilatovaRMR. P. Myasnikov

Discussion

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Overview

May aid CRT selection in LVNC-HF via MRI; hypothesis-generating, needs prospective validation.

Study Design

Type

Observational (n=26)

Structured PICO

Does contrast-enhanced cardiac MRI predict the efficacy of cardiac resynchronization therapy in patients with left ventricular non-compaction and heart failure?

P
Population
26 patients with morphological signs of left ventricular non-compaction (LVNC) cardiomyopathy and heart failure (HF)
I
Intervention
Contrast-enhanced cardiac MRI prior to cardiac resynchronization therapy (CRT) implantation
O
Outcome
Response to CRT (defined as decrease in LV end-diastolic volume by 15-30% and decrease in HF functional class for responders, or >30% decrease in LV EDV for super-responders)surrogate

Pre-procedural contrast-enhanced cardiac MRI can help predict CRT effectiveness in patients with LVNC and HF by identifying myocardial fibrosis and non-compaction severity.

Cite This Study

Мершина et al. (2024) conducted an observational in Left ventricular non-compaction and heart failure (n=26). Contrast-enhanced cardiac MRI was evaluated on Response to CRT (decrease in LV end-diastolic volume and HF functional class). Pre-procedural cardiac MRI parameters, including myocardial fibrosis and non-compaction severity, predicted the effectiveness of cardiac resynchronization therapy in patients with LVNC and HF.

synapsesocial.com/papers/6a195278f3c200df105833b0https://doi.org/10.15829/1560-4071-2024-6150
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