Peripheral microvascular function is linked to cardiac involvement on cardiovascular magnetic resonance in systemic sclerosis–related pulmonary arterial hypertension.
Autor: | Vos, Jacqueline L, Lemmers, Jacqueline M J, Messaoudi, Saloua El, Snoeren, Miranda, Dijk, Arie P J van, Duijnhouwer, Anthonie L, Rodwell, Laura, Leuven, Sander I van, Post, Martijn C, Vonk, Madelon C, Nijveldt, Robin |
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Předmět: |
CARDIOVASCULAR system radiography
CROSS-sectional method STATISTICAL correlation MORTALITY DIAGNOSTIC imaging PERIPHERAL vascular diseases ADENOSINES EDEMA SEVERITY of illness index MAGNETIC resonance imaging DESCRIPTIVE statistics PERFUSION imaging FIBROSIS SYSTEMIC scleroderma HYPEREMIA RESEARCH DIASTOLIC blood pressure PULMONARY arterial hypertension MICROSCOPY COMPARATIVE studies PERFUSION INFLAMMATION ECHOCARDIOGRAPHY EVALUATION |
Zdroj: | European Heart Journal - Cardiovascular Imaging; May2024, Vol. 25 Issue 5, p708-717, 10p |
Abstrakt: | Aims Systemic sclerosis (SSc) is characterized by vasculopathy, inflammation, and fibrosis, and carries one of the worst prognoses if patients also develop pulmonary arterial hypertension (PAH). Although PAH is a known prognosticator, patients with SSc–PAH demonstrate disproportionately high mortality, presumably due to cardiac involvement. In this cross-sectional study, the relationship between cardiac involvement revealed by cardiovascular magnetic resonance (CMR) and systemic microvascular disease severity measured with nailfold capillaromicroscopy (NCM) in patients with SSc–PAH is evaluated and compared with patients with idiopathic PAH (IPAH). Methods and results Patients with SSc–PAH and IPAH underwent CMR, echocardiography, and NCM with post-occlusive reactivity hyperaemia (PORH) testing on the same day. CMR imaging included T |
Databáze: | Complementary Index |
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