Evaluation of the prognostic value of papillary muscle-free strain in patients with hypertrophic cardiomyopathy

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dc.authorscopusidGökhan Kahveci / 8944973000
dc.authorwosidGökhan Kahveci / CWU-0935-2022
dc.contributor.authorKoyuncu, Atilla
dc.contributor.authorYıldız, Cennet
dc.contributor.authorOflar, Ersan
dc.contributor.authorMavi, Büşra
dc.contributor.authorErtuğrul, Abdulcelil Sait
dc.contributor.authorÖcal, Lütfi
dc.contributor.authorGürsoy, Mustafa Ozan
dc.contributor.authorKahveci, Gökhan
dc.date.accessioned2025-04-18T09:54:54Z
dc.date.available2025-04-18T09:54:54Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground: The prognosis of hypertrophic cardiomyopathy (HCM) varies from mild disease with a normal life expectancy to heart failure and sudden cardiac death (SCD). The identification of patients who are at high risk for SCD remains challenging. Aims: In this study, we evaluated the prognostic value of papillary muscle-free strain in HCM patients. Methods and Results: Seventy-nine patients with a diagnosis of HCM were included in this study. Patients were divided into low/intermediate-risk (n = 57) and high-risk (n = 22) groups. Two-dimensional (2-D) echocardiography and strain imaging were performed for each patient. The mean age of the study population was 53.85 +/- 15.88 years; 47 (59.5%) of them were male. During a mean follow-up duration of 74.45 +/- 17.03 months, 12 patients died. A comparison of the low-intermediate and high-SCD risk groups revealed that patients in the high-SCD risk group had greater maximal wall thickness, interventricular septum thickness, posterior wall thickness, and left ventricular mass index (LVMI) and lower (less negative) global longitudinal, anterolateral papillary muscle (ALPM) and posteromedial papillary muscle (PMPM) free strain. Additionally, a history of syncope and ICD implantation were found to be more common in patients with high SCD risk scores. The SCD risk score was positively correlated with the global longitudinal strain, ALPM-free strain, and PMPM-free strain (r = .528, r = .658, and r = .600, respectively; p < .001 for all). Our results showed that the LVMI, presence of syncope, global longitudinal strain, and ALPM-free strain were predictors of death. Conclusions: Decreased papillary muscle-free strain values might have prognostic value in patients with HCM.
dc.identifier.citationKoyuncu, A., Yildiz, C., Oflar, E., Mavi, B., Ertugrul, A. S., Ocal, L., ... & Kahveci, G. (2024). Evaluation of the prognostic value of papillary muscle‐free strain in patients with hypertrophic cardiomyopathy. Echocardiography, 41(7), e15882.
dc.identifier.doi10.1111/echo.15882
dc.identifier.endpage8
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue7
dc.identifier.scopus2-s2.0-85197684519
dc.identifier.scopusqualityQ3
dc.identifier.startpage1
dc.identifier.urihttp://dx.doi.org/10.1111/echo.15882
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6893
dc.identifier.volume41
dc.identifier.wosWOS:001268121800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorKahveci, Gökhan
dc.institutionauthoridGökhan Kahveci / 0000-0001-8367-6505
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEchocardiography-a journal of cardiovascular ultrasound and allied techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCardiomyopathy
dc.subjectHypertrophic
dc.subjectPapillary Muscle
dc.subjectStrain Imaging
dc.titleEvaluation of the prognostic value of papillary muscle-free strain in patients with hypertrophic cardiomyopathy
dc.typeArticle

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