PMID- 31152489 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20210109 IS - 1542-474X (Electronic) IS - 1082-720X (Print) IS - 1082-720X (Linking) VI - 24 IP - 5 DP - 2019 Sep TI - The relationship between myocardial fibrosis detected by cardiac magnetic resonance and Tp-e interval, 5-year sudden cardiac death risk score in hypertrophic cardiomyopathy patients. PG - e12672 LID - 10.1111/anec.12672 [doi] LID - e12672 AB - BACKGROUND: The aim of this study was to investigate the relationship between QT (QTc) interval, Tp-e interval, Tp-e/QTc ratio, 5-year sudden cardiac death (SCD) risk score, and late gadolinium enhancement (LGE) detected by CMR in hypertrophic cardiomyopathy (HCM) patients. METHOD: A total of 74 consecutive patients who underwent CMR with HCM diagnosis were included in the study. These patients were divided into two groups according to the presence of LGE on CMR. All patients underwent detailed echocardiography and QTc interval, Tp-e interval, and Tp-e/QTc ratios and 5-year SCD risk scores were calculated. These parameters were compared for two groups. RESULTS: CMR revealed LGE in 32 (43.2%) of 74 HCM patients. In the group with LGE, significantly higher QTc interval (p = 0.002), Tp-e interval (p < 0.001), Tp-e/QTc ratio (p = 0.004), and 5-year SCD risk score were detected. In addition, QTc interval, Tp-e interval, Tp-e/QTc ratio, maximum wall thickness, left ventricular mass index, 5-year SCD risk score, and cardiac fibrosis index were found to be correlated with various degrees in correlation analysis. Also, Tp-e interval is found to be an independent predictor of LGE detected by CMR in HCM patients (p = 0.017, OR [%95 CI] = 1.017 [1.001-1.034]). In addition, the Tp-e interval can detect the LGE with a sensitivity of 64.3% and a specificity of 84.2% at 99.4 ms. (p < 0.001, AUC [95% CI] = 0.790 [0.676-0.905]). CONCLUSION: The Tp-e interval can be used to optimize SCD risk stratification in HCM patients and determine which patients will benefit from implantable cardioverter-defibrillator (ICD) treatment. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Riza Demir, Ali AU - Riza Demir A AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. FAU - Celik, Omer AU - Celik O AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. FAU - Sevinc, Samet AU - Sevinc S AD - Department of Cardiology, Akcakale State Hospital, Urfa, Turkey. FAU - Uygur, Begum AU - Uygur B AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. FAU - Kahraman, Serkan AU - Kahraman S AUID- ORCID: 0000-0003-2796-0987 AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. FAU - Yilmaz, Emre AU - Yilmaz E AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. FAU - Cemek, Mete AU - Cemek M AD - Department of Cardiology, Karaman State Hospital, Karaman, Turkey. FAU - Onal, Yilmaz AU - Onal Y AD - Department of Radiology, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey. FAU - Erturk, Mehmet AU - Erturk M AD - Department of Cardiology, University of Health Science, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20190601 PL - United States TA - Ann Noninvasive Electrocardiol JT - Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc JID - 9607443 RN - 0 (Contrast Media) SB - IM MH - Cardiomyopathy, Hypertrophic/*diagnostic imaging/*physiopathology MH - Contrast Media MH - *Death, Sudden, Cardiac MH - Echocardiography MH - Electrocardiography MH - Female MH - Fibrosis MH - Humans MH - *Magnetic Resonance Imaging, Cine MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Assessment MH - Risk Factors PMC - PMC6931578 OTO - NOTNLM OT - Tp-e interval OT - cardiac magnetic resonance OT - hypertrophic cardiomyopathy OT - late gadolinium enhancement OT - sudden cardiac death EDAT- 2019/06/04 06:00 MHDA- 2020/08/05 06:00 PMCR- 2019/06/01 CRDT- 2019/06/02 06:00 PHST- 2018/12/11 00:00 [received] PHST- 2019/03/19 00:00 [revised] PHST- 2019/03/25 00:00 [accepted] PHST- 2019/06/04 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PHST- 2019/06/02 06:00 [entrez] PHST- 2019/06/01 00:00 [pmc-release] AID - ANEC12672 [pii] AID - 10.1111/anec.12672 [doi] PST - ppublish SO - Ann Noninvasive Electrocardiol. 2019 Sep;24(5):e12672. doi: 10.1111/anec.12672. Epub 2019 Jun 1.