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Abstract #0604

Right ventricular electromechanical discoordination predict long-term clinical outcomes in patients with pulmonary arterial hypertension

Wen Li1, Xu-yang Chang2, Xian-chang Zhang3, Yu-ling Qian1, Jens Wetzl4, Qing Gu1, and Jian-guo He1
1Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China, 2Université Paris-Saclay, CentraleSupélec, ENS Paris-Saclay, CNRS:LMPS, Paris, France, 3MR Research Collaboration, Siemens Healthineers Ltd., Beijing, China, 4MR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany

Synopsis

Keywords: Heart Failure, Myocardium, pulmonary hypertension; electromechanical discoordination;

Motivation: Non-invasive and accurate evaluation of right ventricular (RV) function in pulmonary arterial hypertension (PAH) is of urgent need in clinical practice.

Goal(s): To investigate the clinical implications of RV electromechanical dyssynchrony which were non-invasively derived from cardiac MRI.

Approach: Calculate systolic stretch fraction (SSF) and diastolic relaxation fraction (DRF) based on strain MRI and test their prognostic values in an observation prospective PAH cohort.

Results: SSF-RV-Longitudinal could independently predict the clinical worsening.

Impact: The present study first reported SSF-RV-Longitudinal as a novel parameter to evaluate RV function, which could predict the clinical worsening in PAH patients.

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