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Erschienen in: The International Journal of Cardiovascular Imaging 1/2016

21.05.2016 | Original Paper

Association of cardiovascular disease risk factors with left ventricular mass, biventricular function, and the presence of silent myocardial infarction on cardiac MRI in an asymptomatic population

verfasst von: Eliel Nham, Sung Mok Kim, Sang-Chol Lee, Sung-A Chang, Jidong Sung, Soo Jin Cho, Shin Yi Jang, Yeon Hyeon Choe

Erschienen in: The International Journal of Cardiovascular Imaging | Sonderheft 1/2016

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Abstract

The purposes of this study were to evaluate the relationship between risk factors for cardiovascular disease (CVD) and cardiac mass and function on cardiac magnetic resonance imaging (MRI), and to investigate possible risk factors for silent myocardial infarction (SMI) in an asymptomatic Asian population. We included 647 asymptomatic subjects (485 males, mean age 54.8 ± 6.7 years; 162 females, mean age 55.2 ± 7.6 years) who underwent 1.5-T cardiac MRI during a health checkup. The association between biventricular functional parameters as evaluated on MRI and CVD risk factors was examined using multivariable regression and analysis of variance. The left ventricular mass-to-volume ratios were positively related to body mass index (β = 0.153, p < 0.001), systolic (β = 0.165, p = 0.001) and diastolic (β = 0.147, p = 0.002) blood pressure, triglyceride levels (β = 0.197, p = 0.006), and C-reactive protein levels (β = 0.130, p < 0.001), and were negatively related to estimated glomerular filtration rates (β = −0.076, p = 0.025). No significant relationship was present between ventricular parameters and the presence of SMI after adjusting for confounders. The prevalence (6.9 %, 7/101) of SMI in diabetics was significantly greater than that in non-diabetics patients (0.9 %, 5/546; confidence interval 1.739–12.848; p < 0.001). Traditional CVD risk factors are associated with ventricular mass, geometry and function in asymptomatic subjects. Silent MI may not independently influence ventricular mass and function and diabetes mellitus may contribute to the development of SMI.
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Metadaten
Titel
Association of cardiovascular disease risk factors with left ventricular mass, biventricular function, and the presence of silent myocardial infarction on cardiac MRI in an asymptomatic population
verfasst von
Eliel Nham
Sung Mok Kim
Sang-Chol Lee
Sung-A Chang
Jidong Sung
Soo Jin Cho
Shin Yi Jang
Yeon Hyeon Choe
Publikationsdatum
21.05.2016
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe Sonderheft 1/2016
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-016-0885-1

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