Imminent risk of LVEF decline in asymptomatic patients with primary mitral regurgitation

Autor: Jingyi Zheng, Shao-wei Huang, Mustafa I. Ahmed, Betty Pat, Steven G. Lloyd, Oleg F. Sharifov, Thomas S. Denney, Louis J. Dell’Italia
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 11 (2024)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2024.1410859
Popis: Background2020 American College of Cardiology/American Heart Association (ACC/AHA) Guidelines state that the ideal time for mitral valve surgery in primary mitral regurgitation (PMR) is when the LV approaches but has not yet reached echocardiographic LV ejection fraction (EF) 40 mm. However, it is difficult to know the imminent risk of crossing this threshold when the surgical outcome is less optimal.ObjectiveUsing machine learning and statistical models, we have shown that cardiac magnetic resonance (CMR) LV sphericity index (SI) and LV mid circumferential strain rate (SRcirc) added to LVEF and LVESD predict LVEF
Databáze: Directory of Open Access Journals