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Abstract #4781

Rotational flow as a marker of left ventricular function between youth and adult T2D subjects

Sungho Park1,2, Takashi Fujiwara1, Danny Enge1, Petter Bjornstad3, Jane Reusch4,5, and Alex J Barker1,6
1Department of Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 2Institute of Medical Devices, Kangwon National University, Chuncheon, Korea, Republic of, 3Department of Pediatrics, Division of Endocrinology, University of Colorado School of Medicine, Aurora, CO, United States, 4Division of Endocrinology, Metabolism, and Diabetes, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 5Rocky Mountain Regional Veterans Administration Medical Center (VAMC), Aurora, CO, United States, 6Department of Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO, United States

Synopsis

Keywords: Flow, Cardiovascular, 4D flow MRI, rotational flow, vorticity

Motivation: Rotational flow within the aorta has been associated with cardiovascular disease and ventricular-vascular coupling, but no study has investigated its direct correlation with LV function.

Goal(s): This study aims to explore whether the assessment of rotational flow can effectively identify left ventricle dysfunction between youth and adult type 2 diabetes (T2D) subjects.

Approach: Correlation between global function and strain changes by CMR and rotational flow indices and pulse wave velocity by 4D flow MRI were evaluated.

Results: Adult T2D had significant decrease in vorticity indices with CMR biomarkers, while showing less significance in CMR biomarkers compared to youth T2D.

Impact: Vorticity indices are potential biomarkers to assess LV dysfunction and understand ventricular-vascular coupling even in the absence of geometric anomalies within the aorta. A comprehensive examination of rotational flow and LV function is required.

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