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Abstract #1650

Prognostic Value of Global and Segmental LV Myocardial Strain Parameters Derived from CMR-FT Technique in AL-CA Patients: A Pilot Study.

Rile Nai1, Huihui Wang1, Jia Liu1, Kai Zhao1, Shuai Ma1, Wei Ma1, Zhi Wang1, Jiangkai He1, Shasha Xu1, Jianxiu Lian2, Wei Li1, and Jianxing Qiu1
1Peking University First Hospital, Peking, China, 2Philips Healthcare, Peking, China

Synopsis

Keywords: Myocardium, Myocardium

Motivation: Early detection of cardiac involvement and continuous monitoring of disease progression could benefit patients with light-chain amyloidosis. The application of left ventricular strain by Cardiac magnetic resonance feature tracking imaging has emerged as an excellent noninvasive imaging modality.

Goal(s): This study is dedicated to exploring the prognostic implications of myocardial strain in distinct myocardial segments.

Approach: The assessment of both global and segmental myocardial strain was conducted through the application of steady-state free precession (SSFP) cine sequences.

Results: Global radial strain (RSglobal), RS in the basal lateral segment (RSbas-lateral) and B-type natriuretic peptides (BNP) are independently associated with all-cause mortality.

Impact: Quantification of LV strain could be employed to monitor the progression of amyloid light-chain (AL) amyloidosis. Global radial strain and radial strain in the basal lateral segment may prove valuable for risk stratification in patients with AL amyloidosis.

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Keywords