PANOVSKÝ, Roman, Martin PEŠL, Tomáš HOLEČEK, Jan MÁCHAL, Věra FEITOVÁ, Lenka MRÁZOVÁ, Jana HABERLOVÁ, Alžběta SLABÁ, Pavel VÍT, Veronika STARÁ and Vladimír KINCL. Cardiac profile of the Czech population of Duchenne muscular dystrophy patients: a cardiovascular magnetic resonance study with T1 mapping. ORPHANET JOURNAL OF RARE DISEASES. LONDON: BMC, 2019, vol. 14, No 10, p. 1-10. ISSN 1750-1172. Available from: https://dx.doi.org/10.1186/s13023-018-0986-0.
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Basic information
Original name Cardiac profile of the Czech population of Duchenne muscular dystrophy patients: a cardiovascular magnetic resonance study with T1 mapping
Authors PANOVSKÝ, Roman (203 Czech Republic, guarantor, belonging to the institution), Martin PEŠL (203 Czech Republic, belonging to the institution), Tomáš HOLEČEK (203 Czech Republic), Jan MÁCHAL (203 Czech Republic, belonging to the institution), Věra FEITOVÁ (203 Czech Republic), Lenka MRÁZOVÁ, Jana HABERLOVÁ (203 Czech Republic), Alžběta SLABÁ (203 Czech Republic), Pavel VÍT (203 Czech Republic), Veronika STARÁ (203 Czech Republic) and Vladimír KINCL (203 Czech Republic, belonging to the institution).
Edition ORPHANET JOURNAL OF RARE DISEASES, LONDON, BMC, 2019, 1750-1172.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.523
RIV identification code RIV/00216224:14110/19:00109165
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1186/s13023-018-0986-0
UT WoS 000455361900001
Keywords in English Cardiac magnetic resonance Duchene muscular dystrophy T1 mapping; extracellular volume Cardiomyopathy
Tags 14110115, 14110513, 14110518, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 15/4/2019 13:51.
Abstract
BackgroundThe progressive cardiomyopathy that develops in boys with Duchenne and Becker muscular dystrophy (DMD/BMD) is presumed to be a secondary consequence of the fibrosis within the myocardium. There are only limited data on using parametric imaging in these patients. The purpose of this study was to assess native T1 and extracellular volume (ECV) values in DMD patients.MethodsThe Czech population of males with DMD/BMD was screened. All eligible patients fulfilling the inclusion criteria were included. Forty nine males underwent cardiac magnetic resonance (MR) examination including T1 native and post-contrast mapping measurements. One DMD patient and all BMD patients were excluded from statistical analysis. Three groups were compared - Group D1 - DMD patients without late gadolinium enhancement (LGE) (n=23), Group D2 - DMD patients with LGE (n=20), and Group C - gender matched controls (n=13).ResultsCompared to controls, both DMD groups had prolonged T1 native relaxation time. These results are concordant in all 6 segments as well as in global values (104131ms and 1043 +/- 37ms vs. 983 +/- 15ms, both p<0.05). Group D2 had significantly increased global ECV (0.28 +/- 0.044 vs. 0.243 +/- 0.013, p<0.05) and segmental ECV in inferolateral and anterolateral segments in comparison with controls. The results were also significant after adjustment for subjects' age.Conclusion DMD males had increased native T1 relaxation time independent of the presence or absence of myocardial fibrosis. Cardiac MR may provide clinically useful information even without contrast media administration.
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