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June 1, 2016Annals of MedicineOpen Access

Left ventricular mechanical dispersion is associated with nonsustained ventricular tachycardia in hypertrophic cardiomyopathy

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Why the study?

Does mechanical dispersion measured by speckle tracking echocardiography associate with the presence of nonsustained ventricular tachycardia in patients with hypertrophic cardiomyopathy?

Population

31 patients with hypertrophic cardiomyopathy caused by the Finnish founder mutation MYBPC3-Q1061X, and 20…

Comparison

Measurement of mechanical dispersion using… vs HCM patients without nonsustained ventricular…

Design

Cross-sectional

Follow-up

24 hours (ambulatory ECG monitoring)

Key result

Increased mechanical dispersion was independently associated with the presence of NSVT in patients with hypertrophic cardiomyopathy (OR 1.60; 95% CI 1.05-2.45; p=0.030).

Authors

MJMikko JalankoMTMika TarkiainenPSPetri Sipola

Discussion

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Member takes

Overview

May inform NSVT risk stratification in HCM; hypothesis-generating and requires prospective validation.

Study Design

Type

Observational (n=51)

Structured PICO

Does mechanical dispersion measured by speckle tracking echocardiography associate with the presence of nonsustained ventricular tachycardia in patients with hypertrophic cardiomyopathy?

P
Population
31 patients with hypertrophic cardiomyopathy caused by the Finnish founder mutation MYBPC3-Q1061X and 20 control subjects, evaluated with 24-h ambulatory ECG monitoring.
E
Exposure
Measurement of mechanical dispersion (MD) using speckle tracking two-dimensional strain echocardiography (2DSE).
C
Comparator
HCM patients without nonsustained ventricular tachycardia (NSVT) and healthy control subjects.
O
Outcome
Presence of nonsustained ventricular tachycardia (NSVT) on 24-h ambulatory ECG monitoring.surrogate

Main Result

Odds Ratio: 1.6 (95% CI 1.05–2.45)

p-value: p=0.030

Increased left ventricular mechanical dispersion measured by speckle tracking echocardiography is independently associated with nonsustained ventricular tachycardia in patients with hypertrophic cardiomyopathy, suggesting its potential utility in sudden cardiac death risk stratification.

Cite This Study

Jalanko et al. (2016) conducted an observational in Hypertrophic cardiomyopathy (n=51). Mechanical dispersion measured by speckle tracking echocardiography vs. Lower mechanical dispersion was evaluated on Presence of nonsustained ventricular tachycardia (NSVT) on 24-h ambulatory ECG monitoring (OR 1.60, 95% CI 1.05-2.45, p=0.030). Increased mechanical dispersion was independently associated with the presence of NSVT in patients with hypertrophic cardiomyopathy (OR 1.60; 95% CI 1.05-2.45; p=0.030).

synapsesocial.com/papers/6a74d7e901b447f0dadbedc5https://doi.org/10.1080/07853890.2016.1186826
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