Factors predictive for delayed enhancement in cardiac resonance imaging in patients undergoing catheter ablation of premature ventricular complexes.

Cardiac scar Catheter ablation Delayed enhancement cardiac magnetic resonance imaging Premature ventricular complexes Risk stratification

Journal

Heart rhythm O2
ISSN: 2666-5018
Titre abrégé: Heart Rhythm O2
Pays: United States
ID NLM: 101768511

Informations de publication

Date de publication:
Feb 2021
Historique:
entrez: 11 6 2021
pubmed: 12 6 2021
medline: 12 6 2021
Statut: epublish

Résumé

Patients undergoing ablation of premature ventricular complexes (PVCs) can have cardiac scar. Risk factors for the presence of scar are not well defined. To determine the prevalence of scarring detected by delayed enhancement cardiac magnetic resonance imaging (DE-CMR) in patients undergoing ablation of PVCs, to create a risk score predictive of scar, and to explore correlations between the scoring system and long-term outcomes. DE-CMR imaging was performed in consecutive patients with frequent PVCs referred for ablation. The full sample was used to develop a prediction model for cardiac scar based on demographic and clinical characteristics, and internal validation of the prediction model was done using bootstrap samples. The study consisted of 333 patients (52% male, aged 53.2 ± 14.5 years, preablation ejection fraction 50.9% ± 12.2%, PVC burden 20.7 ± 13.14), of whom 112 (34%) had DE-CMR scarring. Multiple logistic regression analysis showed age (odds ratio [OR] 1.02 [1.01-1.04]/year, Cardiac scar was present in one-third of patients referred for PVC ablation. A weighted risk score based simply on patient age and preprocedural ejection fraction can help discriminate between patients at high and low risk for the presence of cardiac scar and worse arrhythmia outcomes.

Sections du résumé

BACKGROUND BACKGROUND
Patients undergoing ablation of premature ventricular complexes (PVCs) can have cardiac scar. Risk factors for the presence of scar are not well defined.
OBJECTIVES OBJECTIVE
To determine the prevalence of scarring detected by delayed enhancement cardiac magnetic resonance imaging (DE-CMR) in patients undergoing ablation of PVCs, to create a risk score predictive of scar, and to explore correlations between the scoring system and long-term outcomes.
METHODS METHODS
DE-CMR imaging was performed in consecutive patients with frequent PVCs referred for ablation. The full sample was used to develop a prediction model for cardiac scar based on demographic and clinical characteristics, and internal validation of the prediction model was done using bootstrap samples.
RESULTS RESULTS
The study consisted of 333 patients (52% male, aged 53.2 ± 14.5 years, preablation ejection fraction 50.9% ± 12.2%, PVC burden 20.7 ± 13.14), of whom 112 (34%) had DE-CMR scarring. Multiple logistic regression analysis showed age (odds ratio [OR] 1.02 [1.01-1.04]/year,
CONCLUSIONS CONCLUSIONS
Cardiac scar was present in one-third of patients referred for PVC ablation. A weighted risk score based simply on patient age and preprocedural ejection fraction can help discriminate between patients at high and low risk for the presence of cardiac scar and worse arrhythmia outcomes.

Identifiants

pubmed: 34113906
doi: 10.1016/j.hroo.2020.11.004
pii: S2666-5018(20)30148-3
pmc: PMC8183950
doi:

Types de publication

Journal Article

Langues

eng

Pagination

64-72

Informations de copyright

© 2020 Heart Rhythm Society. Published by Elsevier Inc.

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Auteurs

Michael Ghannam (M)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Konstantinos C Siontis (KC)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Hyungjin Myra Kim (HM)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Hubert Cochet (H)

Department of Radiology and Division of Cardiology, University of Bordeaux, Bordeaux, France.

Pierre Jais (P)

Department of Radiology and Division of Cardiology, University of Bordeaux, Bordeaux, France.

Mehdi Juhoor Eng (MJ)

Department of Radiology and Division of Cardiology, University of Bordeaux, Bordeaux, France.

Anil Attili (A)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Ghaith Sharaf-Dabbagh (G)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Rakesh Latchamsetty (R)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Krit Jongnarangsin (K)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Fred Morady (F)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Frank Bogun (F)

Division of Cardiovascular Medicine and Radiology, University of Michigan, Ann Arbor, Michigan.

Classifications MeSH