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Left ventricular ischemia in pre-capillary pulmonary hypertension: a cardiovascular magnetic resonance study
Author(s) -
Karthigesh Sree Raman,
Ranjit Shah,
Michael B. Stokes,
Angela Walls,
Richard Woodman,
Rajiv Ananthakrishna,
Jennifer Walker,
Susanna Proudman,
Peter M. Steele,
Carmine G. De Pasquale,
David S. Celermajer,
Joseph B. Selvanayagam
Publication year - 2020
Publication title -
cardiovascular diagnosis and therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.83
H-Index - 22
eISSN - 2223-3660
pISSN - 2223-3652
DOI - 10.21037/cdt-20-698
Subject(s) - medicine , cardiology , coronary artery disease , magnetic resonance imaging , ischemia , pulmonary hypertension , pulmonary artery , endothelial dysfunction , radiology
Prognosis in pulmonary arterial hypertension (PAH) is largely dependent on right ventricular (RV) function. However, recent studies have suggested the presence of left ventricular (LV) dysfunction in PAH patients. The potential role of LV ischemia, as a contributor to progressive LV dysfunction, has not been systematically studied in PAH. We aim to assess the presence and extent of LV myocardial ischemia in patients with known PH and without obstructive coronary artery disease (CAD), using oxygen-sensitive (OS) cardiovascular magnetic resonance (CMR) and stress/rest CMR T1 mapping.

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