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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Bollache, Emilie Kachenoura, Nadjia Lang, Roberto M. Mor-Avi, Victor Patel, Amit R. |
| Copyright Year | 2015 |
| Description | Author affiliation: Sorbonne Universités, UPMC Univ Paris 06, INSERM UMR_S 1146, CNRS UMR 7371, Laboratoire d'Imagerie Biomédicale, France (Bollache, Emilie; Kachenoura, Nadjia) || Department of Medicine, University of Chicago Medical Center, USA (Lang, Roberto M; Mor-Avi, Victor; Patel, Amit R) |
| Abstract | Left ventricular (LV) diastolic dysfunction (DD) is associated with increased mortality in sickle cell disease (SCD) but its mechanisms are not well known, preventing the development of effective therapies. Our hypothesis was that DD in SCD may be due to changes in aortic properties. We studied 31 SCD patients (32±7yrs) and 12 normal controls (29±10yrs) who underwent echocardiography and MRI on the same day. LV diastolic function was assessed from echocardiography. MRI included velocity-encoded images of the aorta to measure ascending aortic cross-sectional area, stroke volume, distensibility, as well as volumes of the forward (FFV) and backward (BFV) blood flow. Compared to controls, SCD patients had increased aortic area, stroke volume, and both FFV and BFV, while distensibility was similar. DD was found in 5/31 patients (16%), in whom the increase in BFV and BFV/FFV ratio was even more pronounced, when compared to the remaining patients. Our findings suggest a potential mechanism of DD in SCD patients. Increased cardiac output induced by chronic anemia might be associated with aortic dilation, which may increase LV afterload (BFV), ultimately leading to LV DD. If confirmed in larger studies, these aortic changes could be targets for specific therapies as a way to prevent the development of DD in SCD. |
| Starting Page | 713 |
| Ending Page | 716 |
| File Size | 399670 |
| Page Count | 4 |
| File Format | |
| ISBN | 9781509006854 |
| ISSN | 2325887X |
| e-ISBN | 9781509006847 |
| DOI | 10.1109/CIC.2015.7411010 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2015-09-06 |
| Publisher Place | France |
| Access Restriction | Subscribed |
| Rights Holder | Creative Commons Attribution License 2.5 (CCAL) |
| Subject Keyword | Magnetic resonance imaging Medical treatment Lead Heart rate Focusing Area measurement Size measurement |
| Content Type | Text |
| Resource Type | Article |
| Subject | Computer Science Cardiology and Cardiovascular Medicine |
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