PMID- 28867022 OWN - NLM STAT- MEDLINE DCOM- 20180601 LR - 20180601 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 246 DP - 2017 Nov 1 TI - Cardiac magnetic resonance evaluation of left ventricular functional, morphological, and structural features in children and adolescents vs. young adults with isolated left ventricular non-compaction. PG - 68-73 LID - S0167-5273(17)32345-8 [pii] LID - 10.1016/j.ijcard.2017.05.100 [doi] AB - AIM: To investigate the left ventricular (LV) functional, morphological, and structural features revealed by cardiac magnetic resonance (CMR) in children/adolescents with isolated LV non-compaction (iLVNC), and to compare them with those observed in young adults with iLVNC and healthy controls. METHODS: 56 subjects were included: 12 children/adolescents (mean age 15+/-3years, 75% male) and 20 young adults (mean age 35+/-7years, 75% male) with first diagnosis of iLVNC, 12 healthy children/adolescents (mean age 15+/-3years, 75% male) and 12 healthy young adults (mean age 34+/-8years, 75% male). CMR with late gadolinium enhancement (LGE) imaging was performed to evaluate LV function, extent of LV trabeculation, and presence/extent of LV LGE, a surrogate of myocardial fibrosis. Tissue-tracking analysis was applied to assess LV global longitudinal (GLS), circumferential (GCS) and radial (GRS) strain. RESULTS: The extent of LVNC and the presence/extent of LV LGE in children/adolescents and young adults with iLVNC were similar. Compared to healthy subjects, young adults with iLVNC had significantly lower LVEF; conversely, no significant difference in this parameter was observed between children/adolescents with iLVNC and healthy subjects. However, compared to healthy subjects, LV strain parameters were lower in both children/adolescents and young adults with iLVNC. CONCLUSIONS: Complete phenotypic expression, subclinical impairment of myocardial deformation properties, and cardiac injury occur early in iLVNC patients, being already noticeable in the pediatric age group. The application of CMR myocardial deformation imaging permits earlier detection of LV functional impairment in children/adolescents with iLVNC, which would otherwise be missed with standard CMR imaging. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Nucifora, Gaetano AU - Nucifora G AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia; Northwest Heart Centre, Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK. Electronic address: gaetano.nucifora@flinders.edu.au. FAU - Sree Raman, Karthigesh AU - Sree Raman K AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia. FAU - Muser, Daniele AU - Muser D AD - Division of Cardiology, University Hospital "Santa Maria della Misericordia", Udine, Italy. FAU - Shah, Ranjit AU - Shah R AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia. FAU - Perry, Rebecca AU - Perry R AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Bedford Park, Adelaide, Australia. FAU - Awang Ramli, Kama A AU - Awang Ramli KA AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia. FAU - Selvanayagam, Joseph B AU - Selvanayagam JB AD - Department of Heart Health, South Australian Health & Medical Research Institute, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Bedford Park, Adelaide, Australia. LA - eng PT - Journal Article PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 SB - IM CIN - Int J Cardiol. 2018 Nov 15;271:402. PMID: 30223377 MH - Adolescent MH - Adult MH - Child MH - Female MH - Follow-Up Studies MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Isolated Noncompaction of the Ventricular Myocardium/*diagnosis/physiopathology MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Myocardium/*pathology MH - Reproducibility of Results MH - Retrospective Studies MH - Ventricular Function, Left/*physiology MH - Young Adult OTO - NOTNLM OT - Cardiac magnetic resonance OT - Isolated left ventricular non-compaction OT - Late gadolinium enhancement OT - Myocardial fibrosis OT - Strain OT - Tissue-tracking EDAT- 2017/09/05 06:00 MHDA- 2018/06/02 06:00 CRDT- 2017/09/05 06:00 PHST- 2017/04/15 00:00 [received] PHST- 2017/05/21 00:00 [revised] PHST- 2017/05/30 00:00 [accepted] PHST- 2017/09/05 06:00 [entrez] PHST- 2017/09/05 06:00 [pubmed] PHST- 2018/06/02 06:00 [medline] AID - S0167-5273(17)32345-8 [pii] AID - 10.1016/j.ijcard.2017.05.100 [doi] PST - ppublish SO - Int J Cardiol. 2017 Nov 1;246:68-73. doi: 10.1016/j.ijcard.2017.05.100.