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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
Main Authors: Karaayvaz, Ekrem Bilal, Engin, Berat, Yalin, Kivanc, Ozer, Pelin Karaca, Baykiz, Derya, Bilge, Ahmet Kaya
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container_end_page 1017
container_issue 6
container_start_page 1010
container_title Pacing and clinical electrophysiology
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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
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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 &amp; 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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source Wiley-Blackwell Read & Publish Collection; EBSCOhost SPORTDiscus - Ebooks
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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