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Abstract #0187

Mechanical Activation Time Mapping in Heart Failure Patients with and without Myocardial Scar using Cine DENSE MRI

Daniel A Auger 1 , Sophia X Cui 1 , Xiao Chen 1 , Jeffrey W Holmes 1 , Kenneth C Bilchick 2 , and Frederick H Epstein 1,3

1 Department of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, United States, 2 Department of Medicine, Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia, United States, 3 Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, United States

The purpose of this study was to use MRI and other methods to evaluate the relationship between mechanical and electrical cardiac activation in patients with heart failure (HF), a wide QRS complex, and the absence or presence of myocardial scar. Cine DENSE MR strain imaging methods were used to assess the delay in mechanical activation time in patients with and without scar. Results show good correlations between mechanical and electrical activation times in both patient cohorts. In patients with scar, the steeper slope of the regression line may reflect a more complex electromechanical substrate and altered electro-mechanical coupling.

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