Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

In acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of L...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Filipa X. Valente, José Gavara, Laura Gutierrez, Cesar Rios-Navarro, Pau Rello, Manel Maymi, Ruben Fernandez-Galera, José V. Monmeneu, Augusto Sao-Aviles, Maria P. Lopez-Lereu, M. Teresa Gonzalez-Alujas, David Moratal, Hug Cuellar, José Barrabés, Imanol Otaegui, Artur Evangelista, Ignacio Ferreira, Vicente Bodi, José Rodriguez-Palomares
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cardiac magnetic resonance feature-tracking myocardial deformation acute ST-segment elevation myocardial infarction low-dose dobutamine stress echocardiography speckle-tracking echocardiography Medicine R
Acceso en línea:	https://doaj.org/article/2271f257a4b04e33af634253832ac3c2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2271f257a4b04e33af634253832ac3c2
record_format	dspace
spelling	oai:doaj.org-article:2271f257a4b04e33af634253832ac3c22021-11-25T18:01:01ZPredictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography10.3390/jcm102252612077-0383https://doaj.org/article/2271f257a4b04e33af634253832ac3c22021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5261https://doaj.org/toc/2077-0383In acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of LGE compared to low-dose dobutamine stress echocardiography (LDDSE) and speckle-tracking echocardiography (STE). Eighty patients underwent LDDSE and CMR within 5–7 days after STEMI and segmental functional recovery was defined as improvement in wall-motion at 6-months CMR. Optimal conventional and FT parameters were analyzed and then also applied to an external validation cohort of 222 STEMI patients. Circumferential strain (CS) was the strongest CMR-FT predictor and addition to LGE increased the overall accuracy to 74% and was especially relevant in segments with 50–74% LGE (AUC 0.60 vs. 0.75, <i>p</i> = 0.001). LDDSE increased the overall accuracy to 71%, and in the 50–74% LGE subgroup improved the AUC from 0.60 to 0.69 (<i>p</i> = 0.039). LGE + CS showed similar value as LGE + LDDSE. In the validation cohort, CS was also the strongest CMR-FT predictor of recovery and addition of CS to LGE improved overall accuracy to 73% although this difference was not significant (AUC 0.69, <i>p</i> = 0.44). Conclusion: CS is the strongest CMR-FT predictor of segmental functional recovery after STEMI. Its incremental value to LGE is comparable to that of LDDSE whilst avoiding an inotropic stress agent. CS is especially relevant in segments with 50–74% LGE where accuracy is lower and further testing is frequently required to clarify the potential for recovery.Filipa X. ValenteJosé GavaraLaura GutierrezCesar Rios-NavarroPau RelloManel MaymiRuben Fernandez-GaleraJosé V. MonmeneuAugusto Sao-AvilesMaria P. Lopez-LereuM. Teresa Gonzalez-AlujasDavid MoratalHug CuellarJosé BarrabésImanol OtaeguiArtur EvangelistaIgnacio FerreiraVicente BodiJosé Rodriguez-PalomaresMDPI AGarticlecardiac magnetic resonance feature-trackingmyocardial deformationacute ST-segment elevation myocardial infarctionlow-dose dobutamine stress echocardiographyspeckle-tracking echocardiographyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5261, p 5261 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiac magnetic resonance feature-tracking myocardial deformation acute ST-segment elevation myocardial infarction low-dose dobutamine stress echocardiography speckle-tracking echocardiography Medicine R
spellingShingle	cardiac magnetic resonance feature-tracking myocardial deformation acute ST-segment elevation myocardial infarction low-dose dobutamine stress echocardiography speckle-tracking echocardiography Medicine R Filipa X. Valente José Gavara Laura Gutierrez Cesar Rios-Navarro Pau Rello Manel Maymi Ruben Fernandez-Galera José V. Monmeneu Augusto Sao-Aviles Maria P. Lopez-Lereu M. Teresa Gonzalez-Alujas David Moratal Hug Cuellar José Barrabés Imanol Otaegui Artur Evangelista Ignacio Ferreira Vicente Bodi José Rodriguez-Palomares Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
description	In acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of LGE compared to low-dose dobutamine stress echocardiography (LDDSE) and speckle-tracking echocardiography (STE). Eighty patients underwent LDDSE and CMR within 5–7 days after STEMI and segmental functional recovery was defined as improvement in wall-motion at 6-months CMR. Optimal conventional and FT parameters were analyzed and then also applied to an external validation cohort of 222 STEMI patients. Circumferential strain (CS) was the strongest CMR-FT predictor and addition to LGE increased the overall accuracy to 74% and was especially relevant in segments with 50–74% LGE (AUC 0.60 vs. 0.75, <i>p</i> = 0.001). LDDSE increased the overall accuracy to 71%, and in the 50–74% LGE subgroup improved the AUC from 0.60 to 0.69 (<i>p</i> = 0.039). LGE + CS showed similar value as LGE + LDDSE. In the validation cohort, CS was also the strongest CMR-FT predictor of recovery and addition of CS to LGE improved overall accuracy to 73% although this difference was not significant (AUC 0.69, <i>p</i> = 0.44). Conclusion: CS is the strongest CMR-FT predictor of segmental functional recovery after STEMI. Its incremental value to LGE is comparable to that of LDDSE whilst avoiding an inotropic stress agent. CS is especially relevant in segments with 50–74% LGE where accuracy is lower and further testing is frequently required to clarify the potential for recovery.
format	article
author	Filipa X. Valente José Gavara Laura Gutierrez Cesar Rios-Navarro Pau Rello Manel Maymi Ruben Fernandez-Galera José V. Monmeneu Augusto Sao-Aviles Maria P. Lopez-Lereu M. Teresa Gonzalez-Alujas David Moratal Hug Cuellar José Barrabés Imanol Otaegui Artur Evangelista Ignacio Ferreira Vicente Bodi José Rodriguez-Palomares
author_facet	Filipa X. Valente José Gavara Laura Gutierrez Cesar Rios-Navarro Pau Rello Manel Maymi Ruben Fernandez-Galera José V. Monmeneu Augusto Sao-Aviles Maria P. Lopez-Lereu M. Teresa Gonzalez-Alujas David Moratal Hug Cuellar José Barrabés Imanol Otaegui Artur Evangelista Ignacio Ferreira Vicente Bodi José Rodriguez-Palomares
author_sort	Filipa X. Valente
title	Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
title_short	Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
title_full	Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
title_fullStr	Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
title_full_unstemmed	Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography
title_sort	predictive value of cardiac magnetic resonance feature tracking after acute myocardial infarction: a comparison with dobutamine stress echocardiography
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2271f257a4b04e33af634253832ac3c2
work_keys_str_mv	AT filipaxvalente predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT josegavara predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT lauragutierrez predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT cesarriosnavarro predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT paurello predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT manelmaymi predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT rubenfernandezgalera predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT josevmonmeneu predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT augustosaoaviles predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT mariaplopezlereu predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT mteresagonzalezalujas predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT davidmoratal predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT hugcuellar predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT josebarrabes predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT imanolotaegui predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT arturevangelista predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT ignacioferreira predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT vicentebodi predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography AT joserodriguezpalomares predictivevalueofcardiacmagneticresonancefeaturetrackingafteracutemyocardialinfarctionacomparisonwithdobutaminestressechocardiography
_version_	1718411728079814656

Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

Ejemplares similares