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Schach, Christian ; Lavall, Daniel ; Voßhage, Nicola ; Körtl, Thomas ; Meindl, Christine ; Ücer, Ekrem ; Hamer, Okka W. ; Maier, Lars S. ; Wachter, Rolf ; Sossalla, Samuel

Time to Recovery from Systolic Dysfunction Correlates with Left Ventricular Fibrosis in Arrhythmia-Induced Cardiomyopathy

Schach, Christian , Lavall, Daniel, Voßhage, Nicola, Körtl, Thomas, Meindl, Christine , Ücer, Ekrem, Hamer, Okka W. , Maier, Lars S. , Wachter, Rolf and Sossalla, Samuel (2024) Time to Recovery from Systolic Dysfunction Correlates with Left Ventricular Fibrosis in Arrhythmia-Induced Cardiomyopathy. Life 14 (3), p. 330.

Date of publication of this fulltext: 12 Mar 2024 17:43
Article
DOI to cite this document: 10.5283/epub.57895


Abstract

Background: Arrhythmia-induced cardiomyopathy (AIC) is characterized by the reversibility of left ventricular (LV) systolic dysfunction (LVSD) after rhythm restoration. This study is a cardiac magnetic resonance tomography substudy of our AIC trial with the purpose to investigate whether left ventricular fibrosis affects the time to recovery (TTR) in patients with AIC. Method: Patients with newly ...

Background: Arrhythmia-induced cardiomyopathy (AIC) is characterized by the reversibility of left ventricular (LV) systolic dysfunction (LVSD) after rhythm restoration. This study is a cardiac magnetic resonance tomography substudy of our AIC trial with the purpose to investigate whether left ventricular fibrosis affects the time to recovery (TTR) in patients with AIC. Method: Patients with newly diagnosed and otherwise unexplainable LVSD and tachyarrhythmia were prospectively recruited. LV ejection fraction (LVEF) was measured by echocardiography at baseline and 2, 4, and 6 months after rhythm control, and stress markers were assessed. After initial rhythm control, LV fibrosis was assessed through late gadolinium enhancement (LGE). Patients were diagnosed with AIC if their LVEF improved by ≥15% (or ≥10% when LVEF reached ≥50%). Non-responders served as controls (non-AIC). Results: The LGE analysis included 39 patients, 31 of whom recovered (AIC). LV end-systolic diameters decreased and LVEF increased during follow-up. LV LGE content correlated positively with TTR (r = 0.63, p = 0.003), with less LGE favoring faster recovery, and negatively with ΔLVEF (i.e., LVEF at month 2 compared to baseline) as a marker of fast recovery (r = −0.55, p = 0.012), suggesting that LV fibrosis affects the speed of recovery. Conclusion: LV fibrosis correlated positively with the time to recovery in patients with AIC. This correlation may help in the estimation of the recovery period and in the optimization of diagnostic and therapeutic strategies for patients with AIC.



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Details

Item typeArticle
Journal or Publication TitleLife
Publisher:MDPI
Volume:14
Number of Issue or Book Chapter:3
Page Range:p. 330
Date1 March 2024
InstitutionsMedicine > Universitäres Herzzentrum Regensburg (UHR)
Identification Number
ValueType
10.3390/life14030330DOI
Keywordsatrial fibrillation; tachymyopathy; heart failure; left ventricular dysfunction; rhythm control; cardiac MRI; late gadolinium enhancement
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-578956
Item ID57895

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