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EACVI survey on hypertrophic cardiomyopathy

2022-04-18Artigo científico Acesso aberto
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dc.contributor.authorPodlesnikar, Tomaz
dc.contributor.authorCardim, Nuno
dc.contributor.authorCardim, Nuno
dc.contributor.authorAjmone Marsan, Nina
dc.contributor.authorD'Andrea, Antonello
dc.contributor.authorCameli, Matteo
dc.contributor.authorPopescu, Bogdan A.
dc.contributor.authorSchulz-Menger, Jeanette
dc.contributor.authorStankovic, Ivan
dc.contributor.authorToplisek, Janez
dc.contributor.authorMaurer, Gerald
dc.contributor.authorHaugaa, Kristina H.
dc.contributor.authorDweck, Marc R.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblOxford University Press
dc.date.accessioned2022-04-27T22:45:15Z
dc.date.available2022-04-27T22:45:15Z
dc.date.issued2022-04-18
dc.descriptionPublisher Copyright: Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.
dc.description.abstractAIMS: The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate current practice for the assessment and management of patients with hypertrophic cardiomyopathy (HCM). METHODS AND RESULTS: A total of 213 centres from 38 different countries (87% European) responded to the survey. One hundred twenty-one (57%) centres followed HCM patients in a general cardiology outpatient clinic and 85 (40%) centres in a specialized HCM/cardiomyopathy clinic. While echocardiography was the primary imaging modality, cardiovascular magnetic resonance (CMR) has become an important complementary tool. Cardiac anatomy, left ventricular (LV) systolic, and diastolic function were assessed according to current European guidelines and recommendations. To evaluate LV obstruction, 49% of the centres performed bedside provocation manoeuvres in every patient and 55% of the centres used exercise stress echocardiography. The majority of centres used the 5-year risk assessment of sudden cardiac death (SCD) calculated with the HCM Risk-SCD score. However, 34% of the centres also used extensive non-infarct late gadolinium enhancement on CMR and 27% the presence of LV apical aneurysm to help select patients for primary prevention implantable cardioverter-defibrillator therapy. Ninety-nine percent of the responding centres performed regular imaging follow-up of HCM patients. CONCLUSION: Most centres followed European guidelines and recommendations for the diagnosis and management of patients with HCM. The importance of bedside provocation manoeuvres and exercise stress echocardiography to diagnose LV outflow obstruction requires emphasis. Additional risk markers for SCD are used in many centres and might indicate the need for an update of current European recommendations.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent8
dc.format.extent770184
dc.identifier.doi10.1093/ehjci/jeab270
dc.identifier.otherPURE: 43514436
dc.identifier.otherPURE UUID: da6e14dc-727b-4e9b-9d57-013b1727aa07
dc.identifier.otherScopus: 85128493761
dc.identifier.otherPubMed: 34957501
dc.identifier.otherWOS: 000756803400001
dc.identifier.urihttp://hdl.handle.net/10362/137071
dc.identifier.urlhttps://www.scopus.com/pages/publications/85128493761
dc.language.isoeng
dc.peerreviewedyes
dc.subjectEACVI
dc.subjecthypertrophic cardiomyopathy
dc.subjectmultimodality imaging
dc.subjectsudden cardiac death
dc.subjectsurvey
dc.subjectRadiology Nuclear Medicine and imaging
dc.subjectCardiology and Cardiovascular Medicine
dc.titleEACVI survey on hypertrophic cardiomyopathyen
dc.typejournal article
degois.publication.firstPage590
degois.publication.issue5
degois.publication.lastPage597
degois.publication.titleEuropean Heart Journal - Cardiovascular Imaging
degois.publication.volume23
dspace.entity.typePublication
person.familyNameCardim
person.givenNameNuno
person.identifier.orcid0000-0002-3812-4872
rcaap.rightsopenAccess
relation.isAuthorOfPublicationbcbf3f33-253a-4b76-a55f-23e4caf28001
relation.isAuthorOfPublication.latestForDiscoverybcbf3f33-253a-4b76-a55f-23e4caf28001

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