Does CMR have an additive role over echo in evaluating ischemic LV dysfunction?

Autor: Abeer Maghawry Abd Elhameed, Ahmed S. Ibrahim, Alia A. El-Fiky, Rasha S. Hussein, Wahid H. Tantawy
Rok vydání: 2013
Předmět:
Zdroj: The Egyptian Journal of Radiology and Nuclear Medicine. 44:475-482
ISSN: 0378-603X
DOI: 10.1016/j.ejrnm.2013.06.004
Popis: Purpose: To emphasis the role of cardiac magnetic resonance compared to echocardiog- raphy in evaluating patients with ischemic cardiomyopathy to accurately assess global and regional Left ventricular function which is essential for prognosis and for evaluating therapeutic responses. Methods and materials: The studied group included 37 patients already diagnosed as having ische- mic cardiomyopathy. All patients were subjected to full history taking and radiological evaluation using a 1.5-T MR system and echocardiography. Comparison was made between echocardiography and cardiac magnetic resonance regarding segmental wall motion by using the 17-segment model of the American Heart Association. Agreement regarding segmental wall motion was assessed by using Cohen's Kappa statistics. Also ejection fraction measurement by both modalities was com- pared. Detection of transmural extent of myocardial scar was also performed. Results: Poor agreement between cardiac magnetic resonance and echocardiography regarding seg- mental wall motion with Cohen's Kappa is 0.195, P value of
Databáze: OpenAIRE