“Innocent” ventricular arrhythmia – can cardiovascular magnetic resonance augment diagnosis of structural heart disease? Article Swipe
Carlos Alexandre Gomes Costa
,
J Calvao
,
J Amador
,
T Proença
,
Mércia Maria Costa de Carvalho
,
Rui Pinto
,
António Cabrita
,
C Marques
,
Catarina S. Oliveira
,
Lurdes Santos
,
André Pinho
,
António J. Madureira
,
Ana Lebreiro
,
Teresa Pinho
,
Filipe Macedo
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartj/ehac544.247
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartj/ehac544.247
Background Ventricular arrhythmias (VA) include a spectrum that ranges from premature ventricular beats (VPBs) to ventricular fibrillation (VF) and account for approximately 50% of all cardiovascular deaths. Echocardiography is commonly used to identify structural heart disease (SHD), the most frequent substrate of VA. Cardiovascular magnetic resonance (CMR) is recommended to complement echocardiography when image quality is suboptimal. Purpose This study sought to determine whether CMR may identify SHD in patients (pts) with VA, who had normal baseline ECGs and whose echocardiogram with fair technical conditions, ruled out pathological findings. Methods We included consecutive pts followed in arrythmia outpatient clinic of one clinical center from June 2014 to June 2021 for significant VA; this was categorized as >1,000 but <10,000 VPBs/24 h; ≥10,000 VPBs/24 h; nonsustained ventricular tachycardia (NSVT), sustained VT, or a history of resuscitated cardiac arrest, and no pathological findings at echocardiography, requiring a clinically indicated CMR. Primary endpoint was CMR detection of SHD. Data were collected at the end of the study. Results A total of 75 pts were included (no SHD: N=59; 45±15 years old; SHD: N=16, 53±15 years). All pts performed CMR, and Table 1 shows pts' baseline characteristics, VA diagnosis and CMR measurements. Definite SHD was diagnosed in 8 patients (11%): ischemic cardiopathy (three pts), myocarditis (1 pt), hypertrophic cardiomyopathy (1 pt), right ventricle arrhythmogenic disease (1 pt), non-compaction cardiomyopathy (1 pt); 1 patient presented higher myocardial T2 signal and was later diagnosed with sarcoidosis. Furthermore, abnormal findings not specific for a definite SHD diagnosis were found in other 8 pts (10%) who showed unspecific intra-myocardium enhancement. Discussion and conclusion CMR imaging identified SHD in around 20% of patients with normal ECG and echocardiogram. Among patients with identified SHD, ischemic cardiopathy was the most common finding, differently from the largest study that showed myocarditis as the main diagnosis. This may be associated to higher age in the SHD group. In conclusion, CMR allowed diagnosis of clinically relevant SHD even when echocardiography excluded it. Funding Acknowledgement Type of funding sources: None.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/eurheartj/ehac544.247
- https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.247/46368976/ehac544.247.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4306317987
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Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4306317987Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/eurheartj/ehac544.247Digital Object Identifier
- Title
-
“Innocent” ventricular arrhythmia – can cardiovascular magnetic resonance augment diagnosis of structural heart disease?Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-10-01Full publication date if available
- Authors
-
Carlos Alexandre Gomes Costa, J Calvao, J Amador, T Proença, Mércia Maria Costa de Carvalho, Rui Pinto, António Cabrita, C Marques, Catarina S. Oliveira, Lurdes Santos, André Pinho, António J. Madureira, Ana Lebreiro, Teresa Pinho, Filipe MacedoList of authors in order
- Landing page
-
https://doi.org/10.1093/eurheartj/ehac544.247Publisher landing page
- PDF URL
-
https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.247/46368976/ehac544.247.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.247/46368976/ehac544.247.pdfDirect OA link when available
- Concepts
-
Medicine, Cardiology, Internal medicine, Myocarditis, Cardiomyopathy, Hypertrophic cardiomyopathy, Ventricular tachycardia, Cardiac magnetic resonance imaging, Ventricle, Heart disease, Ventricular fibrillation, Arrhythmogenic right ventricular dysplasia, Heart failure, Magnetic resonance imaging, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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