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Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy
Background Ventricular scars due to myocardial infarction provide a substrate for ventricular arrhythmias, and cardiac magnetic resonance (CMR) is the golden standard for the quantification of scar tissue magnitude. CMR has still limitations with patients with ICD despite ICD's becoming MR‐comp...
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Published in: | Pacing and clinical electrophysiology 2021-06, Vol.44 (6), p.1010-1017 |
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creator | Karaayvaz, Ekrem Bilal Engin, Berat Yalin, Kivanc Ozer, Pelin Karaca Baykiz, Derya Bilge, Ahmet Kaya |
description | Background
Ventricular scars due to myocardial infarction provide a substrate for ventricular arrhythmias, and cardiac magnetic resonance (CMR) is the golden standard for the quantification of scar tissue magnitude. CMR has still limitations with patients with ICD despite ICD's becoming MR‐compatible. We investigated the association between calibrated integrated backscatter (cIBS) and arrhythmia frequency in patients with ICD.
Methods
Thirty‐two ischemic dilated cardiomyopathy (ICM) patients with VVI‐ICD (mean age 66.56 ± 9.05, 28 male, and four female) were divided into three groups according to their arrhythmia frequency (ventricular arrhythmia—[VA ‐], VA + [VA +], and arrhythmia storm [AS]). Then with transthoracic echocardiography (TTE), all patients’ cIBS values were calculated and these values were compared with the patients’ arrhythmia frequency.
Results
cIBS values of patients with VA + and AS were significantly higher in the apical‐septal (0.66 ± 0.11 vs. 0.50 ± 0.16, p = .008) and apical‐lateral (0.62 ± 0.19 vs. 0.46 ± 0.18, p = .041) segments compared to those of patients with VA ‐. The cIBS values of apical‐septal (0.50 ± 0.16 vs. 0.65 ± 0.08 vs. 0.66 ± 0.13 respectively, p = .032) and apical‐anterior (0.53 ± 0.22 vs. 0.48 ± 0.17 vs. 0.79 ± 0.23 respectively, p = .03) segments were significantly different between the groups. Furthermore, in the post hoc analysis, the difference was significantly higher in VA + than VA ‐ in the apical‐septal segment and higher in AS than VA + in apical‐anterior segments.
Conclusion
Our findings suggest an association between the cIBS values and arrhythmia frequency in the study group. |
doi_str_mv | 10.1111/pace.14257 |
format | article |
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Ventricular scars due to myocardial infarction provide a substrate for ventricular arrhythmias, and cardiac magnetic resonance (CMR) is the golden standard for the quantification of scar tissue magnitude. CMR has still limitations with patients with ICD despite ICD's becoming MR‐compatible. We investigated the association between calibrated integrated backscatter (cIBS) and arrhythmia frequency in patients with ICD.
Methods
Thirty‐two ischemic dilated cardiomyopathy (ICM) patients with VVI‐ICD (mean age 66.56 ± 9.05, 28 male, and four female) were divided into three groups according to their arrhythmia frequency (ventricular arrhythmia—[VA ‐], VA + [VA +], and arrhythmia storm [AS]). Then with transthoracic echocardiography (TTE), all patients’ cIBS values were calculated and these values were compared with the patients’ arrhythmia frequency.
Results
cIBS values of patients with VA + and AS were significantly higher in the apical‐septal (0.66 ± 0.11 vs. 0.50 ± 0.16, p = .008) and apical‐lateral (0.62 ± 0.19 vs. 0.46 ± 0.18, p = .041) segments compared to those of patients with VA ‐. The cIBS values of apical‐septal (0.50 ± 0.16 vs. 0.65 ± 0.08 vs. 0.66 ± 0.13 respectively, p = .032) and apical‐anterior (0.53 ± 0.22 vs. 0.48 ± 0.17 vs. 0.79 ± 0.23 respectively, p = .03) segments were significantly different between the groups. Furthermore, in the post hoc analysis, the difference was significantly higher in VA + than VA ‐ in the apical‐septal segment and higher in AS than VA + in apical‐anterior segments.
Conclusion
Our findings suggest an association between the cIBS values and arrhythmia frequency in the study group.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14257</identifier><identifier>PMID: 33969900</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Arrhythmia ; arrhythmia frequency ; Cardiac arrhythmia ; Cardiomyopathy ; Cardiomyopathy, Dilated - diagnostic imaging ; Cardiomyopathy, Dilated - physiopathology ; Cardiomyopathy, Dilated - therapy ; Cicatrix - complications ; Cicatrix - diagnostic imaging ; defibrillation—ICD ; Defibrillators, Implantable ; Dilated cardiomyopathy ; Echocardiography ; Female ; Humans ; integrated backscatter ; Ischemia ; ischemic dilated cardiomyopathy ; Male ; Myocardial infarction ; Tachycardia, Ventricular - diagnostic imaging ; Tachycardia, Ventricular - physiopathology ; Tachycardia, Ventricular - therapy ; Ventricle</subject><ispartof>Pacing and clinical electrophysiology, 2021-06, Vol.44 (6), p.1010-1017</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3167-96a8ea52938fe2fa55baff7c54eceabb8d7307439ec65387866b31c725fb44473</cites><orcidid>0000-0001-7671-661X ; 0000-0002-0105-6167</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33969900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karaayvaz, Ekrem Bilal</creatorcontrib><creatorcontrib>Engin, Berat</creatorcontrib><creatorcontrib>Yalin, Kivanc</creatorcontrib><creatorcontrib>Ozer, Pelin Karaca</creatorcontrib><creatorcontrib>Baykiz, Derya</creatorcontrib><creatorcontrib>Bilge, Ahmet Kaya</creatorcontrib><title>Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Background
Ventricular scars due to myocardial infarction provide a substrate for ventricular arrhythmias, and cardiac magnetic resonance (CMR) is the golden standard for the quantification of scar tissue magnitude. CMR has still limitations with patients with ICD despite ICD's becoming MR‐compatible. We investigated the association between calibrated integrated backscatter (cIBS) and arrhythmia frequency in patients with ICD.
Methods
Thirty‐two ischemic dilated cardiomyopathy (ICM) patients with VVI‐ICD (mean age 66.56 ± 9.05, 28 male, and four female) were divided into three groups according to their arrhythmia frequency (ventricular arrhythmia—[VA ‐], VA + [VA +], and arrhythmia storm [AS]). Then with transthoracic echocardiography (TTE), all patients’ cIBS values were calculated and these values were compared with the patients’ arrhythmia frequency.
Results
cIBS values of patients with VA + and AS were significantly higher in the apical‐septal (0.66 ± 0.11 vs. 0.50 ± 0.16, p = .008) and apical‐lateral (0.62 ± 0.19 vs. 0.46 ± 0.18, p = .041) segments compared to those of patients with VA ‐. The cIBS values of apical‐septal (0.50 ± 0.16 vs. 0.65 ± 0.08 vs. 0.66 ± 0.13 respectively, p = .032) and apical‐anterior (0.53 ± 0.22 vs. 0.48 ± 0.17 vs. 0.79 ± 0.23 respectively, p = .03) segments were significantly different between the groups. Furthermore, in the post hoc analysis, the difference was significantly higher in VA + than VA ‐ in the apical‐septal segment and higher in AS than VA + in apical‐anterior segments.
Conclusion
Our findings suggest an association between the cIBS values and arrhythmia frequency in the study group.</description><subject>Aged</subject><subject>Arrhythmia</subject><subject>arrhythmia frequency</subject><subject>Cardiac arrhythmia</subject><subject>Cardiomyopathy</subject><subject>Cardiomyopathy, Dilated - diagnostic imaging</subject><subject>Cardiomyopathy, Dilated - physiopathology</subject><subject>Cardiomyopathy, Dilated - therapy</subject><subject>Cicatrix - complications</subject><subject>Cicatrix - diagnostic imaging</subject><subject>defibrillation—ICD</subject><subject>Defibrillators, Implantable</subject><subject>Dilated cardiomyopathy</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>integrated backscatter</subject><subject>Ischemia</subject><subject>ischemic dilated cardiomyopathy</subject><subject>Male</subject><subject>Myocardial infarction</subject><subject>Tachycardia, Ventricular - diagnostic imaging</subject><subject>Tachycardia, Ventricular - physiopathology</subject><subject>Tachycardia, Ventricular - therapy</subject><subject>Ventricle</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp90U1v1DAQBmALgei2cOkPqCxxqZBS7NiO7eNqtaVIleAA52jiTIiXfGxtr1b593W7LQcO-OLLM69G8xJyydkNz-_LHhzecFkq_YasuJKsMFzZt2TFuNSFEcaekfMYd4yxikn1npwJYStrGVuR3TrG2XlIfp5og-mIOFE_JfwdIGFLG3B_ooOUMFCYWgoh9EvqRw9Z0X2ewylFevSppz66HkfvaOuH52EHofXzuMzZ9csH8q6DIeLHl_-C_Lrd_tzcFfffv37brO8LJ3ilC1uBQVClFabDsgOlGug67ZREh9A0ptWCaSksukoJo01VNYI7XaqukVJqcUGuT7n7MD8cMKZ6zJvhMMCE8yHWpSql0SzfJdNP_9DdfAhT3i4rYaWQnIusPp-UC3OMAbt6H_wIYak5q58aqJ8aqJ8byPjqJfLQjNj-pa8nz4CfwNEPuPwnqv6x3mxPoY_gmJI9</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Karaayvaz, Ekrem Bilal</creator><creator>Engin, Berat</creator><creator>Yalin, Kivanc</creator><creator>Ozer, Pelin Karaca</creator><creator>Baykiz, Derya</creator><creator>Bilge, Ahmet Kaya</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7671-661X</orcidid><orcidid>https://orcid.org/0000-0002-0105-6167</orcidid></search><sort><creationdate>202106</creationdate><title>Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy</title><author>Karaayvaz, Ekrem Bilal ; Engin, Berat ; Yalin, Kivanc ; Ozer, Pelin Karaca ; Baykiz, Derya ; Bilge, Ahmet Kaya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3167-96a8ea52938fe2fa55baff7c54eceabb8d7307439ec65387866b31c725fb44473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Arrhythmia</topic><topic>arrhythmia frequency</topic><topic>Cardiac arrhythmia</topic><topic>Cardiomyopathy</topic><topic>Cardiomyopathy, Dilated - diagnostic imaging</topic><topic>Cardiomyopathy, Dilated - physiopathology</topic><topic>Cardiomyopathy, Dilated - therapy</topic><topic>Cicatrix - complications</topic><topic>Cicatrix - diagnostic imaging</topic><topic>defibrillation—ICD</topic><topic>Defibrillators, Implantable</topic><topic>Dilated cardiomyopathy</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>integrated backscatter</topic><topic>Ischemia</topic><topic>ischemic dilated cardiomyopathy</topic><topic>Male</topic><topic>Myocardial infarction</topic><topic>Tachycardia, Ventricular - diagnostic imaging</topic><topic>Tachycardia, Ventricular - physiopathology</topic><topic>Tachycardia, Ventricular - therapy</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karaayvaz, Ekrem Bilal</creatorcontrib><creatorcontrib>Engin, Berat</creatorcontrib><creatorcontrib>Yalin, Kivanc</creatorcontrib><creatorcontrib>Ozer, Pelin Karaca</creatorcontrib><creatorcontrib>Baykiz, Derya</creatorcontrib><creatorcontrib>Bilge, Ahmet Kaya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karaayvaz, Ekrem Bilal</au><au>Engin, Berat</au><au>Yalin, Kivanc</au><au>Ozer, Pelin Karaca</au><au>Baykiz, Derya</au><au>Bilge, Ahmet Kaya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2021-06</date><risdate>2021</risdate><volume>44</volume><issue>6</issue><spage>1010</spage><epage>1017</epage><pages>1010-1017</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Background
Ventricular scars due to myocardial infarction provide a substrate for ventricular arrhythmias, and cardiac magnetic resonance (CMR) is the golden standard for the quantification of scar tissue magnitude. CMR has still limitations with patients with ICD despite ICD's becoming MR‐compatible. We investigated the association between calibrated integrated backscatter (cIBS) and arrhythmia frequency in patients with ICD.
Methods
Thirty‐two ischemic dilated cardiomyopathy (ICM) patients with VVI‐ICD (mean age 66.56 ± 9.05, 28 male, and four female) were divided into three groups according to their arrhythmia frequency (ventricular arrhythmia—[VA ‐], VA + [VA +], and arrhythmia storm [AS]). Then with transthoracic echocardiography (TTE), all patients’ cIBS values were calculated and these values were compared with the patients’ arrhythmia frequency.
Results
cIBS values of patients with VA + and AS were significantly higher in the apical‐septal (0.66 ± 0.11 vs. 0.50 ± 0.16, p = .008) and apical‐lateral (0.62 ± 0.19 vs. 0.46 ± 0.18, p = .041) segments compared to those of patients with VA ‐. The cIBS values of apical‐septal (0.50 ± 0.16 vs. 0.65 ± 0.08 vs. 0.66 ± 0.13 respectively, p = .032) and apical‐anterior (0.53 ± 0.22 vs. 0.48 ± 0.17 vs. 0.79 ± 0.23 respectively, p = .03) segments were significantly different between the groups. Furthermore, in the post hoc analysis, the difference was significantly higher in VA + than VA ‐ in the apical‐septal segment and higher in AS than VA + in apical‐anterior segments.
Conclusion
Our findings suggest an association between the cIBS values and arrhythmia frequency in the study group.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33969900</pmid><doi>10.1111/pace.14257</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7671-661X</orcidid><orcidid>https://orcid.org/0000-0002-0105-6167</orcidid></addata></record> |
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subjects | Aged Arrhythmia arrhythmia frequency Cardiac arrhythmia Cardiomyopathy Cardiomyopathy, Dilated - diagnostic imaging Cardiomyopathy, Dilated - physiopathology Cardiomyopathy, Dilated - therapy Cicatrix - complications Cicatrix - diagnostic imaging defibrillation—ICD Defibrillators, Implantable Dilated cardiomyopathy Echocardiography Female Humans integrated backscatter Ischemia ischemic dilated cardiomyopathy Male Myocardial infarction Tachycardia, Ventricular - diagnostic imaging Tachycardia, Ventricular - physiopathology Tachycardia, Ventricular - therapy Ventricle |
title | Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy |
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