Effect of renal denervation procedure on left ventricular mass, myocardial strain and diastolic function by CMR on a 12-month follow-up

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Effect of renal denervation procedure on left ventricular mass, myocardial strain and diastolic function by CMR on a 12-month follow-up. / Tahir, Enver; Koops, Andreas; Warncke, Malte L; Starekova, Jitka; Neumann, Johannes T; Waldeyer, Christoph; Avanesov, Maxim; Lund, Gunnar K; Fischer, Roland; Adam, Gerhard; Blankenberg, Stefan; Wenzel, Ulrich O; Brunner, Fabian J.

in: JPN J RADIOL, Jahrgang 37, Nr. 9, 09.2019, S. 642-650.

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@article{4e8d5a39cc6b4692a4b22d93b09e752d,
title = "Effect of renal denervation procedure on left ventricular mass, myocardial strain and diastolic function by CMR on a 12-month follow-up",
abstract = "PURPOSE: To investigate the effects of renal denervation (RDN) on left ventricular (LV) mass, myocardial strain and diastolic function in patients with treatment-resistant arterial hypertension by cardiac magnet resonance imaging on a 12-month follow-up.MATERIALS AND METHODS: Sixteen patients (38% female) were examined before and 12 months after RDN. LV morphology and strain were analyzed. Diastolic function was determined by early (EPFR) and atrial peak filling rates (APFR) derived from differential volume-time-curve analysis. Clinical visits included 24-h ambulant blood pressure monitoring (ABPM).RESULTS: Twelve months after RDN LV mass decreased from 80 ± 21 g/m2 to 74 ± 20 g/m2 (P < 0.05). Global radial (35 ± 12% vs. 41 ± 10%, P < 0.05) and longitudinal strain improved (- 15 ± 4% vs. - 17 ± 3%, P < 0.05). Global circumferential strain (- 16 ± 5% vs. - 18 ± 4%, P = 0.12) remained unchanged. The parameter of diastolic LV function PFRR (EPFR/APFR) improved following RDN (0.9 ± 0.4 vs. 1.1 ± 0.5, P < 0.05). Individual changes of LV mass were associated with an increase of EPFR (r = - 0.54, P < 0.05) and a reduction of APFR by trend (r = 0.45, P = 0.08). Systolic ABPM showed a decrease by trend (152 mmHg vs. 148 mmHg, P = 0.08).CONCLUSIONS: After RDN we observed a reduction of LV mass, improvement of global strain and diastolic function.",
keywords = "Diastole, Female, Follow-Up Studies, Heart/physiopathology, Heart Ventricles/diagnostic imaging, Humans, Hypertension/complications, Hypertrophy, Left Ventricular/complications, Kidney/innervation, Magnetic Resonance Imaging/methods, Male, Middle Aged, Sympathectomy/methods, Treatment Outcome",
author = "Enver Tahir and Andreas Koops and Warncke, {Malte L} and Jitka Starekova and Neumann, {Johannes T} and Christoph Waldeyer and Maxim Avanesov and Lund, {Gunnar K} and Roland Fischer and Gerhard Adam and Stefan Blankenberg and Wenzel, {Ulrich O} and Brunner, {Fabian J}",
year = "2019",
month = sep,
doi = "10.1007/s11604-019-00854-y",
language = "English",
volume = "37",
pages = "642--650",
journal = "JPN J RADIOL",
issn = "1867-1071",
publisher = "Springer Japan",
number = "9",

}

RIS

TY - JOUR

T1 - Effect of renal denervation procedure on left ventricular mass, myocardial strain and diastolic function by CMR on a 12-month follow-up

AU - Tahir, Enver

AU - Koops, Andreas

AU - Warncke, Malte L

AU - Starekova, Jitka

AU - Neumann, Johannes T

AU - Waldeyer, Christoph

AU - Avanesov, Maxim

AU - Lund, Gunnar K

AU - Fischer, Roland

AU - Adam, Gerhard

AU - Blankenberg, Stefan

AU - Wenzel, Ulrich O

AU - Brunner, Fabian J

PY - 2019/9

Y1 - 2019/9

N2 - PURPOSE: To investigate the effects of renal denervation (RDN) on left ventricular (LV) mass, myocardial strain and diastolic function in patients with treatment-resistant arterial hypertension by cardiac magnet resonance imaging on a 12-month follow-up.MATERIALS AND METHODS: Sixteen patients (38% female) were examined before and 12 months after RDN. LV morphology and strain were analyzed. Diastolic function was determined by early (EPFR) and atrial peak filling rates (APFR) derived from differential volume-time-curve analysis. Clinical visits included 24-h ambulant blood pressure monitoring (ABPM).RESULTS: Twelve months after RDN LV mass decreased from 80 ± 21 g/m2 to 74 ± 20 g/m2 (P < 0.05). Global radial (35 ± 12% vs. 41 ± 10%, P < 0.05) and longitudinal strain improved (- 15 ± 4% vs. - 17 ± 3%, P < 0.05). Global circumferential strain (- 16 ± 5% vs. - 18 ± 4%, P = 0.12) remained unchanged. The parameter of diastolic LV function PFRR (EPFR/APFR) improved following RDN (0.9 ± 0.4 vs. 1.1 ± 0.5, P < 0.05). Individual changes of LV mass were associated with an increase of EPFR (r = - 0.54, P < 0.05) and a reduction of APFR by trend (r = 0.45, P = 0.08). Systolic ABPM showed a decrease by trend (152 mmHg vs. 148 mmHg, P = 0.08).CONCLUSIONS: After RDN we observed a reduction of LV mass, improvement of global strain and diastolic function.

AB - PURPOSE: To investigate the effects of renal denervation (RDN) on left ventricular (LV) mass, myocardial strain and diastolic function in patients with treatment-resistant arterial hypertension by cardiac magnet resonance imaging on a 12-month follow-up.MATERIALS AND METHODS: Sixteen patients (38% female) were examined before and 12 months after RDN. LV morphology and strain were analyzed. Diastolic function was determined by early (EPFR) and atrial peak filling rates (APFR) derived from differential volume-time-curve analysis. Clinical visits included 24-h ambulant blood pressure monitoring (ABPM).RESULTS: Twelve months after RDN LV mass decreased from 80 ± 21 g/m2 to 74 ± 20 g/m2 (P < 0.05). Global radial (35 ± 12% vs. 41 ± 10%, P < 0.05) and longitudinal strain improved (- 15 ± 4% vs. - 17 ± 3%, P < 0.05). Global circumferential strain (- 16 ± 5% vs. - 18 ± 4%, P = 0.12) remained unchanged. The parameter of diastolic LV function PFRR (EPFR/APFR) improved following RDN (0.9 ± 0.4 vs. 1.1 ± 0.5, P < 0.05). Individual changes of LV mass were associated with an increase of EPFR (r = - 0.54, P < 0.05) and a reduction of APFR by trend (r = 0.45, P = 0.08). Systolic ABPM showed a decrease by trend (152 mmHg vs. 148 mmHg, P = 0.08).CONCLUSIONS: After RDN we observed a reduction of LV mass, improvement of global strain and diastolic function.

KW - Diastole

KW - Female

KW - Follow-Up Studies

KW - Heart/physiopathology

KW - Heart Ventricles/diagnostic imaging

KW - Humans

KW - Hypertension/complications

KW - Hypertrophy, Left Ventricular/complications

KW - Kidney/innervation

KW - Magnetic Resonance Imaging/methods

KW - Male

KW - Middle Aged

KW - Sympathectomy/methods

KW - Treatment Outcome

U2 - 10.1007/s11604-019-00854-y

DO - 10.1007/s11604-019-00854-y

M3 - SCORING: Journal article

C2 - 31301000

VL - 37

SP - 642

EP - 650

JO - JPN J RADIOL

JF - JPN J RADIOL

SN - 1867-1071

IS - 9

ER -