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Casas G, Oristrell G, Limeres J, Gutierrez Garcia-Moreno L, Barriales R, Garcia-Pavia P, Zorio E, Gimeno J, Villacorta E, Jimenez-Jaimez J, Ripoll T, Bayes A, Diez C, Ferreira I, Rodriguez-Palomares J. Long term outcomes in left ventricular non-compaction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Left ventricular non-compaction (LVNC) is a highly heterogeneous entity with a wide phenotypic expression. Risk factors have not been well established and prognostic stratification remains challenging.
Objectives
Describe long term outcomes of LVNC patients and determine predictors of cardiovascular events.
Methods
Prospective multicentric study of consecutive patients fulfilling imaging criteria for LVNC. Demographic, ECG, imaging and genetic variables were collected. End points were heart failure (HF), ventricular arrhythmias (VA), systemic embolisms (SE) and all-cause death. Major adverse cardiovascular event (MACE) was described as the combination of the four previous end points.
Results
592 patients from 13 referral centres were included from 2000 to 2018. Mean age at diagnosis was 45 years, 252 (43%) were female and mean LVEF was 48% (Table 1). During a median follow-up of 55 months (IQR 24–90), 144 (25%) patients presented HF, 101 (18%) VA, 27 (5%) SE and 33 (6%) died. MACE occurred in 223 (39%) patients.
In multivariate analysis, independent predictors of HF were LVEF (OR 0.9), PSAP (OR 1.17) and late gadolinium enhancement (LGE) (OR 1.3). VA were independently associated with LVEF (OR 0.97) and LGE (OR 2.51). Independent predictors of SE were LVEF (OR 0.96) and LA diameter (OR 1.07). No independent predictors of all-cause death could be described. MACE were independently associated with LVEF (OR 1.04) and PSAP (OR 1.08) (Table 1).
Among patients who underwent genetic testing (340, 57%), genotype was associated with outcomes: MYH7 and ACTC1 variants were protective while multiple mutations, TTN and MYBPC3 variants exhibited worse prognosis.
Conclusions
In a large prospective multicentric cohort of LVNC patients, there was a moderate long term incidence of cardiovascular events. LVEF and fibrosis were the main predictors and genotype was a modifier of outcomes. These factors might be used to risk stratify LVNC patients.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- G Casas
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - G Oristrell
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - J Limeres
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | | | - R Barriales
- University Hospital Complex A Coruña, A Coruna, Spain
| | - P Garcia-Pavia
- University Hospital Puerta de Hierro Majadahonda, Madrid, Spain
| | - E Zorio
- University Hospital y Politecnico La Fe, Valencia, Spain
| | - J.R Gimeno
- Hospital Universitario Virgen Arrixaca, Murcia, Spain
| | - E Villacorta
- Complejo Asistencial Universitario de Salamanca, Salamanca, Spain
| | | | - T Ripoll
- Hospital Son Llatzer, Palma de Mallorca, Spain
| | - A Bayes
- Germans Trias i Pujol Hospital, Badalona, Spain
| | - C Diez
- University Hospital of Bellvitge, Hospitalet De Llobregat, Spain
| | - I Ferreira
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
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Lozano Torres J, Gonzalez Alujas MT, Dentamaro I, Gutierrez Garcia-Moreno L, Valente F, Teixido Tura G, Galian Gay L, Casas Masnou G, Ferreira Gonzalez I, Evangelista Masip A, Tornos Mas P, Rodriguez-Palomares JF. P435Clinical and imaging determinants of residual tricuspid regurgitation after secondary tricuspid annuloplasty. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez118.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Lozano Torres
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | | | - I Dentamaro
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | | | - F Valente
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | - G Teixido Tura
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | - L Galian Gay
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | - G Casas Masnou
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
| | | | | | - P Tornos Mas
- University Hospital Vall d"Hebron, Cardiology, Barcelona, Spain
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Fernandez-Galera R, Rodriguez-Palomares JF, Gutierrez Garcia-Moreno L, Galian Gay L, Teixido Tura G, Baneras Rius J, Granato C, Dentamaro I, Villalva N, Valente F, Pariggiano I, Pereda C, Barron JL, Evangelista Masip A, Gonzalez-Alujas MT. P4517Long-term treatment in survivors after an acute prosthetic valve thrombosis: is it possible to improve clinical outcomes? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | | | - L Galian Gay
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - G Teixido Tura
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - J Baneras Rius
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - C Granato
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - I Dentamaro
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - N Villalva
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - F Valente
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - I Pariggiano
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - C Pereda
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
| | - J L Barron
- University Hospital Vall d'Hebron, Cardiology, Barcelona, Spain
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Vis J, Rodriguez-Palomares J, Teixido Tura G, Gutierrez Garcia-Moreno L, Gonzalez Alujas T, Maldonado G, Valente F, Evangelista A. P1422Multimodality assessment of aortic root and ascending aortic diameters in bicuspid aortic valves. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p1422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Perez-Rodon J, Aguade-Bruix S, Casas-Masnou G, Rivas Gandara N, Roca-Luque I, Francisco-Pascual J, Santos-Ortega A, Martin-Sanchez G, Pizzi MN, Andres-Villareal M, Gutierrez Garcia-Moreno L, Candell-Riera J, Galve E, Moya-Mitjans A, Garcia-Dorado D. P1539Value of gated myocardial perfusion SPECT in predicting cardiac resynchronization therapy response. Europace 2017. [DOI: 10.1093/ehjci/eux158.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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D'andrea A, Riegler L, Di Palma E, Martone F, Cocchie R, Padalino R, Calabro' R, Caso P, Russo M, Bossone E, Buera Surribas I, Mutuberria Urdaniz M, Rodriguez Palomares J, Pineda Sanchez V, Otaegui Irurueta I, Gutierrez Garcia-Moreno L, Evangelista Masip A, Garcia Dorado D, Hristova K, Katova T, Kostova V, Simova I, Okino S, Sugioka J, Ikeda A, Maekawa J, Maekawa S, Ichikawa S, Kuroiwa N, Okamoto S, Fukuzawa S, Inagaki M, Spinelli L, Morisco C, Giudice K, Castaldo D, Trimarco B. Oral Abstract session * Role of imaging to predict left ventricular remodeling after acute myocardial infarction: 12/12/2013, 16:30-18:00 * Location: Bursa. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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