Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/59847
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dc.creatorGabriela Miana de Mattos Paixãopt_BR
dc.creatorHorácio Eduardo Veronesipt_BR
dc.creatorHalsted Alarcão Gomes Pereira da Silvapt_BR
dc.creatorJosé Nunes de Alencar Netopt_BR
dc.creatorCarolina de Paulo Maldipt_BR
dc.creatorLuciano de Figueiredo Aguiar Filhopt_BR
dc.creatorIbrahim Masciarelli Francisco Pintopt_BR
dc.creatorFrancisco f. de a. c. de Françapt_BR
dc.creatorEdileide de Barros Correiapt_BR
dc.date.accessioned2023-10-23T19:35:38Z-
dc.date.available2023-10-23T19:35:38Z-
dc.date.issued2018-
dc.citation.volume110pt_BR
dc.citation.issue1pt_BR
dc.citation.spage52pt_BR
dc.citation.epage59pt_BR
dc.identifier.doi10.5935/abc.20170189pt_BR
dc.identifier.issn0066782Xpt_BR
dc.identifier.urihttp://hdl.handle.net/1843/59847-
dc.description.resumoBackground: Electrocardiogram is the initial test in the investigation of heart disease. Electrocardiographic changes in hypertrophic cardiomyopathy have no set pattern, and correlates poorly with echocardiographic findings. Cardiac magnetic resonance imaging has been gaining momentum for better assessment of hypertrophy, as well as the detection of myocardial fibrosis.Objectives: To correlate the electrocardiographic changes with the location of hypertrophy in hypertrophic cardiomyopathy by cardiac magnetic resonance. Methods: This descriptive cross-sectional study evaluated 68 patients with confirmed diagnosis of hypertrophic cardiomyopathy by cardiac magnetic resonance. The patients’ electrocardiogram was compared with the location of the greatest myocardial hypertrophy by cardiac magnetic resonance. Statistical significance level of 5% and 95% confidence interval were adopted.Results: Of 68 patients, 69% had septal hypertrophy, 21% concentric and 10% apical hypertrophies. Concentric hypertrophy showed the greatest myocardial fibrosis mass (p < 0.001) and the greatest R wave size in D1 (p = 0.0280). The amplitudes of R waves in V5 and V6 (p = 0.0391, p = 0.0148) were higher in apical hypertrophy, with statistical significance. Apical hypertrophy was also associated with higher T wave negativity in D1, V5 and V6 (p < 0.001). Strain pattern was found in 100% of the patients with apical hypertrophy (p <0.001).Conclusion: The location of myocardial hypertrophy by cardiac magnetic resonance can be correlated with electrocardiographic changes, especially for apical hypertrophy. (Arq Bras Cardiol. 2018; 110(1):52-59)pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMEDICINA - FACULDADE DE MEDICINApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofArquivos Brasileiros de Cardiologia-
dc.rightsAcesso Abertopt_BR
dc.subjectHypertrophic cardiomyopathypt_BR
dc.subjectElectrocardiographypt_BR
dc.subjectMagnetic Resonance Spectroscopypt_BR
dc.subject.otherCardiomyopathy, Hypertrophicpt_BR
dc.subject.otherElectrocardiographypt_BR
dc.subject.otherMagnetic Resonance Spectroscopypt_BR
dc.titleCorrelation of electrocardiographic changes with cardiac magnetic resonance findings in patients with hypertrophic cardiomyopathypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://doi.org/10.5935/abc.20170189pt_BR
Appears in Collections:Artigo de Periódico

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