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Abstract #4513

Conductive Channel Identified by Contrast-Enhanced Magnetic Resonance Imaging Predicts Ventricular Tachyarrhythmia in Patients with Systolic Heart Failure

Lian-Yu Lin1, Mao-Yuan Marine Su2, Jien-Jiun Chen3, Juey-Jen Hwang1, Chuen-Den Tseng1, Yih-Sharng Chen4, Hsi-Yu Yu4, Jiunn-Lee Lin1, Wen-Yih Isaac Tseng2

1Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; 2Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan; 3Cardiovascular center, National Taiwan University Hospital Yun-Lin Branch, Douliu, Taiwan; 4Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan


This study evaluates whether the conductive channel (CC) identified by late gadolinium-enhanced cardiac magnetic resonance (LGE-CMR) image is associated with ventricular tachyarrhythmia/ventricular fibrillation (VT/VF) in patients with systolic heart failure (HF). Patients with systolic HF were included and the CC in the left ventricular wall was identified, and it was compared between groups with or without VT/VF attack and between groups with or without mortality. Our results showed that the CC identification was significantly associated with VT/VF, whereas the CC together with the percentage of the core scar region were associated with total mortality.