Fractal analysis of the left ventricle may provide prognostic value in dilated cardiomyopathy, though further adjustment for clinical variables like medication use is needed.
Fractal analysisMyocardial disease Authors found that patients with higher FD had a higher risk of the experiencing the primary and secondary endpoints.The optimum diagnostic thresholds were found to be global FD > 1.272, mean apical FD > 1.262, and maximal apical FD > 1.338.Consistent with previous studies [14], the authors found higher FD values at the LV apex and papillary muscle regions compared to the base.The authors adjusted for age, LVEF, heart rate, New York Heart Association class, N-terminal pro B-type natriuretic peptide, indexed left ventricular end-diastolic volume (LVEDVi), indexed left ventricular end-systolic volume (LVESVi), LV mass, LGE extent (%), and strain in the multivariable analysis, but not for medication use, QRS duration on the
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Chan et al. (2024) studied this question.
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