Xu Gang,Zhang Xiaochun,Qu Xiaolong,Zhao Jun,Meng Jing,Ou Lan,Hu Houyuan.Quantitative assessment of left ventricular diastolic function in patients with hypertrophic cardiomyopathy by cardiac magnetic resonance[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):563-567.
Xu Gang,Zhang Xiaochun,Qu Xiaolong,Zhao Jun,Meng Jing,Ou Lan,Hu Houyuan.Quantitative assessment of left ventricular diastolic function in patients with hypertrophic cardiomyopathy by cardiac magnetic resonance[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):563-567.DOI:
Quantitative assessment of left ventricular diastolic function in patients with hypertrophic cardiomyopathy by cardiac magnetic resonance
Objective To quantitatively evaluate the left ventricular diastolic function in patients with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR). Methods From October 2013 to August 2014
26 HCM patients (43.54±13.29 year-old in average; 15 males) and 28 healthy persons (41.52±11.87 year-old in average; 16 males) as control were enrolled as the HCM group and the control group
respectively. All the subjects underwent CMR examination to assess the cardiac structure and function. The correlations of left ventricular mass (LVM) with the left ventricular diastolic function parameters including left ventricular peak filling rate (LVPFR)
left atrial anteroposterior diameter (LAAPD)
left atrial superoinferior diameter (LASID) and left atrial transverse diameter (LATD) were analyzed. Results Compared with the control group
the LVM
interventricular septal thickness (IVS)
LAAPD
LASID and LATD increased significantly in the HCM group (P0.05)
while the LVPFR decreased obviously (P0.05). The systolic function parameters
such as left ventricular ejection fraction (LVEF) and left ventricular peak ejection rate (LVPER)
showed no significant differences between the two groups (P0.05). In the HCM group
LVM had significant negative correlation with LVPFR (r=-0.509
P0.05) and positive correlation with LAAPD and LATD (r=0.493 and 0.466
respectively
P0.05). Conclusion In HCM patients
the left ventricular diastolic function is significantly impaired
and LVM is closely related to LVPFR and left atrial diameter. CMR plays an important role in quantitatively evaluating the left ventricular diastolic function in the HCM patients.