Longitudinal shortening of sub-epicardial myocytes in severe ischaemic cardiomyopathy: insights from gadolinium contrast cardiac magnetic resonance imaging
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Longitudinal shortening of sub-epicardial myocytes in severe ischaemic cardiomyopathy : insights from gadolinium contrast cardiac magnetic resonance imaging. / Bjerre, Jenny; Kyhl, Kasper; Gustafsson, Finn; Kelbaek, Henning; Engstrøm, Thomas; Olsen, Peter Skov; Hasbak, Philip; Vejlstrup, Niels; Madsen, Per Lav.
I: E S C Heart Failure, Bind 4, Nr. 4, 11.2017, s. 670-674.Publikation: Bidrag til tidsskrift › Letter › Forskning › fagfællebedømt
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TY - JOUR
T1 - Longitudinal shortening of sub-epicardial myocytes in severe ischaemic cardiomyopathy
T2 - insights from gadolinium contrast cardiac magnetic resonance imaging
AU - Bjerre, Jenny
AU - Kyhl, Kasper
AU - Gustafsson, Finn
AU - Kelbaek, Henning
AU - Engstrøm, Thomas
AU - Olsen, Peter Skov
AU - Hasbak, Philip
AU - Vejlstrup, Niels
AU - Madsen, Per Lav
N1 - © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.
PY - 2017/11
Y1 - 2017/11
N2 - We present two patients with three-vessel disease and severely depressed left ventricular (LV) systolic function where viability analysis by cardiac magnetic resonance imaging demonstrated areas of near-transmural sub-endocardial fibrosis and hence little chance of regaining systolic function as judged by conventional analysis from radial function. Despite the pessimistic cardiac magnetic resonance imaging analysis, however, the patients underwent full revascularization and regained impressive increases in LV systolic function mainly based on improved longitudinal systolic segment function. The cases highlight that sub-epicardial, longitudinally oriented myocytes can contribute to overall LV systolic function and suggest taking their 'piston-function' into consideration when analysing viability.
AB - We present two patients with three-vessel disease and severely depressed left ventricular (LV) systolic function where viability analysis by cardiac magnetic resonance imaging demonstrated areas of near-transmural sub-endocardial fibrosis and hence little chance of regaining systolic function as judged by conventional analysis from radial function. Despite the pessimistic cardiac magnetic resonance imaging analysis, however, the patients underwent full revascularization and regained impressive increases in LV systolic function mainly based on improved longitudinal systolic segment function. The cases highlight that sub-epicardial, longitudinally oriented myocytes can contribute to overall LV systolic function and suggest taking their 'piston-function' into consideration when analysing viability.
KW - Case Reports
U2 - 10.1002/ehf2.12187
DO - 10.1002/ehf2.12187
M3 - Letter
C2 - 29030924
VL - 4
SP - 670
EP - 674
JO - E S C Heart Failure
JF - E S C Heart Failure
SN - 2055-5822
IS - 4
ER -
ID: 186151222