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Erschienen in: The International Journal of Cardiovascular Imaging 12/2017

07.07.2017 | Original Paper

Prolonged QTc indicates the clinical severity and poor prognosis in patients with isolated left ventricular non-compaction

verfasst von: Hongmei Zhou, Xue Lin, Ligang Fang, Wenlin Zhu, Xihai Zhao, Haiyan Ding, Meng Jiang, Heng Ge, Quan Fang, Ben He

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 12/2017

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Abstract

Isolated left ventricular non-compaction (LVNC) is a rare cardiomyopathy that leads to severe clinical complications. This study is to investigate whether or not prolonged QTc is a good indicator for evaluating the severity of fibrosis and predicting the prognosis of LVNC, and if native T1 can be used to quantify the fibrosis. 32 LVNC patients and 14 healthy controls with matched age and sex were examined by CMR and ECG to acquire native T1, QTc interval, and ECG abnormalities. 18 LVNC patients had normal QTc and 14 LVNC patients had prolonged QTc. The mean native T1 value of the normal controls, normal QTc and prolonged QTc patients was 1096.0 ± 41.5, 1141.98 ± 45.46, and 1182.67 ± 42.02 ms, respectively. One-way ANVOA showed significant differences in native T1 among three groups (F = 14.9, p < 0.001). In LVNC patients, the QTc interval significantly correlated with LVEF (p = 0.003, r = 0.51) and native T1 values (p = 0.015, R = −0.47). This suggests that prolonged QTc is associated with more severe compacted myocardial fibrosis, more cardiac dysfunction, and a poorer prognosis in LVNC patients. Follow-up data showed significant differences in adverse events between patients with normal QTc and patients with prolonged QTc (p = 0.036). Prolonged QTc interval leads to more severe compacted myocardial fibrosis, poorer cardiac dysfunction, and poorer prognosis in LVNC patients.
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Metadaten
Titel
Prolonged QTc indicates the clinical severity and poor prognosis in patients with isolated left ventricular non-compaction
verfasst von
Hongmei Zhou
Xue Lin
Ligang Fang
Wenlin Zhu
Xihai Zhao
Haiyan Ding
Meng Jiang
Heng Ge
Quan Fang
Ben He
Publikationsdatum
07.07.2017
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 12/2017
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1209-9

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