Hyperpolarized [1-13C]pyruvate cardiovascular magnetic resonance imaging identifies metabolic phenotypes in patients with heart failure

Autor: Steen Hylgaard Joergensen, Esben Soevsoe S. Hansen, Nikolaj Bøgh, Lotte Bonde Bertelsen, Rasmus Stilling Tougaard, Peter Bisgaard Staehr, Christoffer Laustsen, Henrik Wiggers
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Cardiovascular Magnetic Resonance, Vol 26, Iss 2, Pp 101095- (2024)
Druh dokumentu: article
ISSN: 1097-6647
DOI: 10.1016/j.jocmr.2024.101095
Popis: ABSTRACT: Background: Hyperpolarized [1-13C]pyruvate cardiovascular magnetic resonance imaging (HP [1-13C]pyruvate CMR) visualizes key steps in myocardial metabolism. The present study aimed to examine patients with heart failure (HF) using HP [1-13C]pyruvate CMR. Methods: A cross-sectional study of patients with HF and healthy controls using HP [1-13C]pyruvate CMR. Metabolic imaging was obtained using a cardiac-gated spectral-spatial excitation with spiral read-out acquisition. The metabolite signal was analyzed for lactate, bicarbonate, and the alanine signal. Metabolite signal was normalized to the total carbon signal (TC). At the 1-year follow-up, echocardiography was performed in all patients and HP [1-13C]pyruvate MRI in two patients. Results: We included six patients with ischemic heart disease (IHD), six with dilated cardiomyopathy, and six healthy controls. In patients, left ventricular ejection fraction (LVEF) correlated with lactate/bicarbonate (r = −0.6, p = 0.03) and lactate/TC (r = −0.7, p = 0.01). In patients with LVEF
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