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 |
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Rok vydání: | 2013 |
Předmět: |
Ejection fraction
medicine.medical_specialty Ischemic cardiomyopathy Ventricular function business.industry Cardiac magnetic resonance (CMR) Ischemic heart disease (IHD) Cardiomyopathy Segmental wall motion abnormality (SWMA) medicine.disease Cohen's kappa Radiology Nuclear Medicine and imaging Echocardiography Lv dysfunction Internal medicine medicine Cardiology Segmental wall motion Radiology Nuclear Medicine and imaging Radiology Wall motion business |
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 |
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