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September 11, 2016Iranian Journal of RadiologyOpen Access

Assessing Mitral Regurgitation in Patients with Dilated Cardiomyopathy Using 3.0T Cardiac Magnetic Resonance Imaging: Correlation with Morphological and Functional Abnormalities

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Key result

Indexed LVESD, LAESD, and minimum MAA on 3.0T MRI distinguished no/mild from moderate/severe mitral regurgitation in DCM patients (AUCs 0.876, 0.816, and 0.773, respectively; all P<0.05).

Why the study?

Can 3.0T cardiac MRI morphological and functional parameters predict the severity of mitral regurgitation in patients with dilated cardiomyopathy?

Population

41 patients with dilated cardiomyopathy (DCM) and 26 healthy control subjects

Comparison

3.0 T cardiac magnetic resonance imaging and… vs Healthy control subjects

Design

Cross-sectional

Authors

LWLingyi WenSichuan UniversityZYZhi-gang YangSichuan UniversityYGYingkun GuoCardiac Imaging

Discussion

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Implication

MRI correlations with MR severity in DCM are hypothesis-generating; prospective validation needed before clinical adoption.

Study Design

Type

Cross-Sectional (n=67)

Structured PICO

Can 3.0T cardiac MRI morphological and functional parameters predict the severity of mitral regurgitation in patients with dilated cardiomyopathy?

P
Population
67 participants (41 with dilated cardiomyopathy and 26 healthy controls) undergoing 3.0T cardiac MRI and echocardiography.
E
Exposure
3.0 T cardiac magnetic resonance imaging (MRI) and echocardiography
C
Comparator
Healthy control subjects
O
Outcome
Morphological and functional abnormalities (maximum and minimum mitral annulus areas, diameters of left ventricle and atrium, end-diastolic and systolic volumes, and ejection fraction) and their correlation with mitral regurgitation severitysurrogate

Main Result

Effect estimate: AUC 0.876, 0.816, and 0.773

p-value: p=< 0.05

Indexed LVESD, LAESD, and minimum MAA measured by 3.0T cardiac MRI can accurately predict the severity of mitral regurgitation in patients with dilated cardiomyopathy.

Cite This Study

Wen et al. (2016) conducted a cross-sectional in Dilated cardiomyopathy (n=67). 3.0T cardiac MRI parameters (indexed LVESD, LAESD, minimum MAA) vs. Healthy controls and patients with no/mild mitral regurgitation was evaluated on Distinguishing no/mild from moderate/severe mitral regurgitation (AUC 0.876, 0.816, and 0.773, p=< 0.05). Indexed LVESD, LAESD, and minimum MAA on 3.0T MRI distinguished no/mild from moderate/severe mitral regurgitation in DCM patients (AUCs 0.876, 0.816, and 0.773, respectively; all P<0.05).

synapsesocial.com/papers/6a93aeca603bc226d57c16bdhttps://doi.org/10.5812/iranjradiol.40044
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recommendations for chamber quantification☆2006 · 3,582 citations
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  3. 32008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2008 · 2,266 citations