PMID- 28766047 OWN - NLM STAT- MEDLINE DCOM- 20180716 LR - 20181113 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 33 IP - 1 DP - 2018 Jan TI - Prognostic value of cardiovascular magnetic resonance imaging for life-threatening arrhythmia detected by implantable cardioverter-defibrillator in Japanese patients with hypertrophic cardiomyopathy. PG - 49-57 LID - 10.1007/s00380-017-1030-3 [doi] AB - Implantable cardioverter-defibrillator (ICD) is effective to prevent sudden death in HCM patients. We reviewed ICD records to analyze the relation between life-threatening arrhythmia and late gadolinium enhancement (LGE) on cardiovascular magnetic resonance (CMR) in Japanese hypertrophic cardiomyopathy (HCM) patients. In 102 consecutive patients (median age 63 years, 63 males) implanted with an ICD after CMR with gadolinium enhancement (median follow-up 2.8 years), the outcome of life-threatening arrhythmic events (appropriate ICD interventions for ventricular tachycardia or ventricular fibrillation) was examined. Appropriate interventions rate were 10.3% per year for secondary prevention and 7.4% per year for primary prevention. The annualized ICD-related complication rate was 3.7%. 43/91 patients (47%) implanted ICD for primary prevention had maximum wall thickness >/=20 mm plus LGE in >/=4 of 17 left ventricular segments (cut-off value obtained from ROC curve); the appropriate ICD intervention rate was significantly higher in this group than in other patients group (annualized event rate, 11.1 vs. 4.6%; log-rank P = 0.038). A combination of myocardial hypertrophy and LGE is a useful outcome predictive factor for life-threatening ventricular arrhythmia in Japanese HCM patients. FAU - Hen, Yasuki AU - Hen Y AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. yhen@shi.heart.or.jp. FAU - Tsugu-Yagawa, Mayuko AU - Tsugu-Yagawa M AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Iguchi, Nobuo AU - Iguchi N AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Utanohara, Yuko AU - Utanohara Y AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Takada, Kaori AU - Takada K AD - Department of Radiology, Sakakibara Heart Institute, Fuchu, Japan. FAU - Machida, Haruhiko AU - Machida H AD - Department of Radiology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan. FAU - Takara, Ayako AU - Takara A AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Teraoka, Kunihiko AU - Teraoka K AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Inoue, Kanki AU - Inoue K AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Takamisawa, Itaru AU - Takamisawa I AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Takayama, Morimasa AU - Takayama M AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. FAU - Yoshikawa, Tsutomu AU - Yoshikawa T AD - Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. LA - eng PT - Journal Article DEP - 20170801 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 SB - IM MH - Aged MH - Cardiomyopathy, Hypertrophic/*complications/diagnosis/epidemiology MH - *Defibrillators, Implantable MH - Female MH - Follow-Up Studies MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Incidence MH - Japan/epidemiology MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies MH - Risk Assessment/*methods MH - Risk Factors MH - Survival Rate/trends MH - Tachycardia, Ventricular/*diagnosis/epidemiology/etiology OTO - NOTNLM OT - Cardiac magnetic resonance OT - Hypertrophic cardiomyopathy OT - Implantable cardioverter-defibrillator OT - Late gadolinium enhancement OT - Ventricular arrhythmia EDAT- 2017/08/03 06:00 MHDA- 2018/07/17 06:00 CRDT- 2017/08/03 06:00 PHST- 2017/04/11 00:00 [received] PHST- 2017/07/28 00:00 [accepted] PHST- 2017/08/03 06:00 [pubmed] PHST- 2018/07/17 06:00 [medline] PHST- 2017/08/03 06:00 [entrez] AID - 10.1007/s00380-017-1030-3 [pii] AID - 10.1007/s00380-017-1030-3 [doi] PST - ppublish SO - Heart Vessels. 2018 Jan;33(1):49-57. doi: 10.1007/s00380-017-1030-3. Epub 2017 Aug 1.