PMID- 29455792 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20190107 IS - 2213-3763 (Electronic) IS - 0019-4832 (Print) IS - 0019-4832 (Linking) VI - 70 IP - 1 DP - 2018 Jan-Feb TI - Left ventricular structure and diastolic function by cardiac magnetic resonance imaging in hypertrophic cardiomyopathy. PG - 75-81 LID - S0019-4832(16)30366-2 [pii] LID - 10.1016/j.ihj.2016.12.021 [doi] AB - OBJECTIVE: Diastolic dysfunction is common in hypertrophic cardiomyopathy (HCM) and hypertensive heart disease (HHD), but its relationships with left ventricular (LV) parameters have not been well studied. Our objective was to assess the relationship of various measures of diastolic function, and maximum left ventricular wall thickness (MLVWT) and left ventricular mass index (LVMI) in HCM, HHD and normal controls using cardiac magnetic resonance imaging (CMR). We also assessed LV parameters and diastolic function in relation to late gadolinium enhancement (LGE) and right ventricular (RV) hypertrophy in HCM. METHODS: 41 patients with HCM, 21 patients with HHD and 20 controls were studied. Peak filling rate (PFR), time to peak filling (TPF), MLVWT and LVMI were measured using CMR. LGE and RV morphology were assessed in HCM patients. RESULTS: MLVWT correlated with TPF in HCM (r=0.38; p=0.02), HHD (r=0.58; p=0.01) and controls (r=0.54; p=0.01); correlation between MLVWT and TPF was weaker in HCM than HHD. LVMI did not correlate with diastolic function. In HCM, LGE extent correlated with MLVWT (tau=0.41; p=0.002) and with TPF (tau=0.29; p=0.02). The HCM patients with RV hypertrophy had higher MLVWT (p<0.001) and TPF (p=0.03) than patients without RV hypertrophy. CONCLUSION: MLVWT correlates with diastolic function (TPF) in HCM, HHD and controls. LVMI did not show significant correlation with TPF. The diastolic dysfunction in HCM is not entirely explained by wall thickening. LGE and RV involvement are associated with worse LV diastolic function, suggesting that these may be markers of more severe underlying myocardial disarray and fibrosis that contribute to diastolic dysfunction. CI - Copyright (c) 2016. Published by Elsevier B.V. FAU - Chacko, Binita Riya AU - Chacko BR AD - Department of Medical Imaging, St. Michael's Hospital, Toronto, Canada; Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India. FAU - Karur, Gauri R AU - Karur GR AD - Department of Medical Imaging, St. Michael's Hospital, Toronto, Canada. FAU - Connelly, Kim A AU - Connelly KA AD - Terrence Donnelly Heart Centre, St Michael's Hospital, Toronto, Canada; University of Toronto, Toronto, Canada. FAU - Yan, Raymond T AU - Yan RT AD - University of Toronto, Toronto, Canada. FAU - Kirpalani, Anish AU - Kirpalani A AD - Department of Medical Imaging, St. Michael's Hospital, Toronto, Canada; University of Toronto, Toronto, Canada. FAU - Wald, Rachel AU - Wald R AD - University of Toronto, Toronto, Canada; Division of Cardiology, Toronto General Hospital, Toronto, Canada. FAU - Jimenez-Juan, Laura AU - Jimenez-Juan L AD - Department of Medical Imaging, Sunnybrook Health Sciences Centre, Toronto, Canada. FAU - Jacob, John Roshan AU - Jacob JR AD - Department of Cardiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India. FAU - Deva, Djeven P AU - Deva DP AD - Department of Medical Imaging, St. Michael's Hospital, Toronto, Canada; University of Toronto, Toronto, Canada. FAU - Yan, Andrew T AU - Yan AT AD - Terrence Donnelly Heart Centre, St Michael's Hospital, Toronto, Canada; University of Toronto, Toronto, Canada. Electronic address: yana@smh.ca. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20170106 PL - India TA - Indian Heart J JT - Indian heart journal JID - 0374675 SB - IM MH - Cardiomyopathy, Hypertrophic/*diagnosis/physiopathology MH - Child MH - Child, Preschool MH - Diastole MH - Echocardiography, Doppler, Color MH - Female MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Infant MH - Infant, Newborn MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Myocardium/*pathology MH - Retrospective Studies MH - Ventricular Function, Left/*physiology PMC - PMC5902823 OTO - NOTNLM OT - Diastolic function OT - Hypertension OT - Hypertrophic cardiomyopathy OT - Left ventricle OT - Magnetic resonance imaging EDAT- 2018/02/20 06:00 MHDA- 2018/07/22 06:00 PMCR- 2019/01/01 CRDT- 2018/02/20 06:00 PHST- 2016/08/12 00:00 [received] PHST- 2016/11/01 00:00 [revised] PHST- 2016/12/28 00:00 [accepted] PHST- 2018/02/20 06:00 [entrez] PHST- 2018/02/20 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - S0019-4832(16)30366-2 [pii] AID - 10.1016/j.ihj.2016.12.021 [doi] PST - ppublish SO - Indian Heart J. 2018 Jan-Feb;70(1):75-81. doi: 10.1016/j.ihj.2016.12.021. Epub 2017 Jan 6.