PMID- 25863428 OWN - NLM STAT- MEDLINE DCOM- 20160426 LR - 20161125 IS - 1875-2128 (Electronic) IS - 1875-2128 (Linking) VI - 108 IP - 6-7 DP - 2015 Jun-Jul TI - Mitral annular plane systolic excursion is an easy tool for fibrosis detection by late gadolinium enhancement cardiovascular magnetic resonance imaging in patients with hypertrophic cardiomyopathy. PG - 356-66 LID - S1875-2136(15)00047-9 [pii] LID - 10.1016/j.acvd.2015.01.010 [doi] AB - BACKGROUND: Hypertrophic cardiomyopathy (HCM) causes various degrees of fibrosis resulting in left ventricular function impairment, which can be measured using mitral annular plane systolic excursion (MAPSE). AIMS: To determine the values for septal, lateral and average MAPSE using cardiovascular magnetic resonance (CMR) in healthy controls and patients with HCM; and to investigate whether MAPSE correlated with the extent of fibrosis. METHODS: Patients with HCM and healthy controls underwent CMR. RESULTS: In 50 healthy controls, septal and lateral MAPSE were comparable and showed excellent intra- and inter-observer reliability. Patients with HCM had significantly reduced septal, lateral and average MAPSE compared to healthy controls. Furthermore, in patients with HCM, septal MAPSE measurements were significantly reduced compared to lateral ones. Correspondingly, the septal myocardial segments showed significantly more late gadolinium enhancement (LGE) than lateral ones. No significant differences were found between echocardiographic and CMR MAPSE measurements in healthy controls and patients with HCM. Patients who suffered a major adverse cardiac event or stroke revealed a significantly reduced MAPSE and a significantly greater LGE extent compared to event-free patients with HCM. CONCLUSIONS: MAPSE measurement using CMR is feasible, reproducible and comparable to echocardiography in healthy controls and patients with HCM. The asymmetric and mainly septal distribution of myocardial hypertrophy and fibrosis detected by LGE in patients with HCM was reflected by significantly reduced septal versus lateral MAPSE. Therefore, reduced MAPSE seems to be an easily determinable marker of fibrosis accumulation leading to left ventricular mechanical dysfunction and also seems to have a prognostic implication. CI - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved. FAU - Doesch, Christina AU - Doesch C AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. Electronic address: Christina.Doesch@umm.de. FAU - Sperb, Amelie AU - Sperb A AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Sudarski, Sonja AU - Sudarski S AD - DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany; Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. FAU - Lossnitzer, Dirk AU - Lossnitzer D AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Rudic, Boris AU - Rudic B AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Tulumen, Erol AU - Tulumen E AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Heggemann, Felix AU - Heggemann F AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Schimpf, Rainer AU - Schimpf R AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Schoenberg, Stefan O AU - Schoenberg SO AD - DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany; Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. FAU - Borggrefe, Martin AU - Borggrefe M AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. FAU - Papavassiliu, Theano AU - Papavassiliu T AD - 1st Department of Medicine Cardiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; DZHK (German Centre for Cardiovascular Research) partner site Mannheim, Mannheim, Germany. LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150408 PL - Netherlands TA - Arch Cardiovasc Dis JT - Archives of cardiovascular diseases JID - 101465655 RN - 0 (Contrast Media) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Adult MH - Aged MH - Cardiomyopathy, Hypertrophic/complications/diagnostic imaging/*pathology MH - *Contrast Media MH - Female MH - Fibrosis MH - Follow-Up Studies MH - *Gadolinium MH - Heart Septum/pathology MH - Humans MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Middle Aged MH - Mitral Valve/*pathology MH - Motion MH - Observer Variation MH - Organ Size MH - Prognosis MH - Ultrasonography MH - Ventricular Dysfunction, Left/diagnostic imaging/*etiology/pathology OTO - NOTNLM OT - Cardiomyopathie hypertrophique OT - Cardiovascular magnetic resonance imaging OT - Cicatrices myocardiques OT - Excursion systolique dans le plan de l'anneau mitral OT - Fibrosis OT - Hypertrophic cardiomyopathy OT - Late gadolinium enhancement OT - L'imagerie par resonance magnetique OT - Mitral annular plane systolic excursion OT - Rehaussement tardif EDAT- 2015/04/13 06:00 MHDA- 2016/04/27 06:00 CRDT- 2015/04/13 06:00 PHST- 2014/09/10 00:00 [received] PHST- 2014/11/13 00:00 [revised] PHST- 2015/01/26 00:00 [accepted] PHST- 2015/04/13 06:00 [entrez] PHST- 2015/04/13 06:00 [pubmed] PHST- 2016/04/27 06:00 [medline] AID - S1875-2136(15)00047-9 [pii] AID - 10.1016/j.acvd.2015.01.010 [doi] PST - ppublish SO - Arch Cardiovasc Dis. 2015 Jun-Jul;108(6-7):356-66. doi: 10.1016/j.acvd.2015.01.010. Epub 2015 Apr 8.