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Abstract #2958

Global and segmental cardiac magnetic resonance tissue tracking of hypertrophic cardiomyopathy: How does hypertrophy and fibrosis contribute to myocardial deformation?

Ruo-yang Shi1, Bing-hua Chen1, Dong-aolei An1, Rui Wu1, Liang Du2, Jiani Hu3, Meng Jiang4, Wei-bo Chen5, Lian-ming Wu1, and Jian-rong Xu1

1Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, 2Robotics Institute, Shanghai Jiao Tong University, Shanghai, China, 3Department of Radiology, Wayne State University, Detroit, MI, United States, 4Department of Cardiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, 5Philips Healthcare, Shanghai, China

In the patients with HCM, subtle LV deformation can be observed and measured clinically before the onset of general LV functional changes. Both hypertrophy and fibrosis influenced the extent of LV deformation. Our study demonstrated the 2D CS as a stable global parameter to assess LV functional and ECV changes. At the segmental level, hypertrophy and LGE (+) antagonistic affected 2D RS and diastolic RSR. Despite the excitement surrounding these pertinent clinical findings, further research is warranted as the mechanism of the phenomenon still needs to be explored.

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