Circulatory efficiency in patients with severe aortic valve stenosis before and after aortic valve replacement

Autor: S. Nordmeyer, C. B. Lee, L. Goubergrits, C. Knosalla, F. Berger, V. Falk, N. Ghorbani, H. Hireche-Chikaoui, M. Zhu, S. Kelle, T. Kuehne, M. Kelm
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Cardiovascular Magnetic Resonance, Vol 23, Iss 1, Pp 1-14 (2021)
Druh dokumentu: article
ISSN: 1532-429X
DOI: 10.1186/s12968-020-00686-0
Popis: Abstract Background Circulatory efficiency reflects the ratio between total left ventricular work and the work required for maintaining cardiovascular circulation. The effect of severe aortic valve stenosis (AS) and aortic valve replacement (AVR) on left ventricular/circulatory mechanical power and efficiency is not yet fully understood. We aimed to quantify left ventricular (LV) efficiency in patients with severe AS before and after surgical AVR. Methods Circulatory efficiency was computed from cardiovascular magnetic resonance (CMR) imaging derived volumetric data, echocardiographic and clinical data in patients with severe AS (n = 41) before and 4 months after AVR and in age and sex-matched healthy subjects (n = 10). Results In patients with AS circulatory efficiency was significantly decreased compared to healthy subjects (9 ± 3% vs 12 ± 2%; p = 0.004). There were significant negative correlations between circulatory efficiency and LV myocardial mass (r = − 0.591, p
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