Assessment of cardiac dimensions in children diagnosed with hypertrophic cardiomyopathy.

Background: Hypertrophic cardiomyopathy (HCM) is an inherited autosomal dominant heart disease, characterized by increased left ventricular wall thickness and abnormal loading conditions. Imaging modalities are the first choice for diagnosis and risk stratification. Although heart dimensions have be...

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Publicado en:Echocardiography Vol. 39; no. 9; pp. 1233 - 1240
Autores principales: Bakaya, Kaushiki, Paracha, Waleed, Schievano, Silvia, Bozkurt, Selim
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Assessment of cardiac dimensions in children diagnosed with hypertrophic cardiomyopathy.
      aug:
        au:
          Bakaya, Kaushiki
          Paracha, Waleed
          Schievano, Silvia
          Bozkurt, Selim
        affil: UCL Medical School, University College London, London, UK
      sug:
        subj:
          Cardiomyopathy, Hypertrophic Complications
          Cardiomyopathy, Hypertrophic Complications
          Ventricular Function, Left Evaluation
          Heart Anatomy and Histology
          Hemodynamics Evaluation
          Body Weights and Measures
          Human
          Child
          Adolescence
          Male
          Female
          United Kingdom
          Magnetic Resonance Imaging
          Heart Ventricle, Left
          Heart Ventricle, Right
          Heart Septum
          Comparative Studies
          T-Tests
          Nonparametric Statistics
          Mann-Whitney U Test
          Heart Rate Evaluation
          Diastole
          Ventricular Ejection Fraction
          Systole
          Cardiomyopathy, Hypertrophic Physiopathology
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Hypertrophic cardiomyopathy (HCM) is an inherited autosomal dominant heart disease, characterized by increased left ventricular wall thickness and abnormal loading conditions. Imaging modalities are the first choice for diagnosis and risk stratification. Although heart dimensions have been characterized widely in HCM adults from cardiac imaging, there is limited information about children affected by HCM. The aim of this study is to evaluate left ventricular function and left heart dimensions in a small population of children diagnosed with HCM. Methods: A total of 16 (seven male, nine female) pediatric patients with an average age of 14.0 ± 2.5 years diagnosed with HCM at Great Ormond Street Hospital for Children were included in this study. Cardiac magnetic resonance (CMR) images were used to measure left and right ventricular dimensions, and septal and left ventricular free wall thicknesses in Simpleware ScanIP. The gender groups were compared using student t‐test or non‐parametric Mann‐Whitney U‐test depending on the sample distribution. Results: Differences in heart rate, left ventricular end‐diastolic volume and end‐diastolic volume index, left ventricular stroke volume and stroke volume index, left ventricular end‐systolic long axis length, left ventricular end‐systolic long axis length index, left ventricular end‐diastolic mid‐cavity diameter, left ventricular end‐diastolic free wall thickness, left ventricular end‐diastolic free wall thickness index, right ventricular end‐diastolic long axis length were statistically significant in males and females. Conclusion: Left ventricular wall and intraventricular septal thickness increase affecting left ventricle cavity dimensions and there may be differences in anatomical and physiological parameters in males and females affected by HCM.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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