第53回日本小児循環器学会総会・学術集会

講演情報

ポスター

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ポスター (II-P22)
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2017年7月8日(土) 18:15 〜 19:15 ポスターエリア (1F 展示イベントホール)

座長:糸井 利幸(京都府立医科大学小児科)

18:15 〜 19:15

[II-P22-09] Feature tracking磁気共鳴によって評価された右心系疾患における心筋機能障害の臨床的意義

稲毛 章郎1, 水野 直和2, 齋藤 美香1, 浜道 裕二1, 石井 卓1, 上田 知実1, 嘉川 忠博1, 矢崎 諭1 (1.榊原記念病院 小児循環器科, 2.榊原記念病院 放射線科)

キーワード:RV myocardial dysfunction, strain, feature tracking MR

Objective: The objective of this study was evaluation for clinical and prognostic value of right ventricular strain analysis in right ventricular heart disease by cardiovascular magnetic resonance (CMR) using cine-based feature tracking (FT).
Methods: Global longitudinal, radial and circumferential strain / strain rate (SR) were measured on the 4-chamber and short-axis views at the basal, mid, and apical levels of RV in 5 pulmonary hypertension (PH) (27.6±14.2 years; group A), 5 repaired tetralogy of Fallot without PH (29.4±10.3 years; group B) and normal subjects (32.7±8.6 years; group C).
Results: All strain and SR values were reduced in group A compared group B and C. GLS was reduced in group B compared to group C while GCS was preserved. GLS and GCS were correlated with right ventricular ejection fraction in all groups.
Conclusions: Quantification of right ventricular strain and SR were feasible in the majority of patients by CMR using FT, suggesting that this approach could have clinical relevance to understand myocardial mechanics in right ventricular heart disease.