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Ross SB, Jones K, Blanch B, Puranik R, McGeechan K, Barratt A, Semsarian C. A systematic review and meta-analysis of the prevalence of left ventricular non-compaction in adults. Eur Heart J 2021; 41:1428-1436. [PMID: 31143950 DOI: 10.1093/eurheartj/ehz317] [Citation(s) in RCA: 86] [Impact Index Per Article: 28.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 12/13/2018] [Accepted: 05/01/2019] [Indexed: 12/15/2022] Open
Abstract
AIMS To assess the reported prevalence of left ventricular non-compaction (LVNC) in different adult cohorts, taking in to consideration the role of diagnostic criteria and imaging modalities used. METHODS AND RESULTS A systematic review and meta-analysis of studies reporting LVNC prevalence in adults. Studies were sourced from Pre-Medline, Medline, and Embase and assessed for eligibility according to inclusion criteria. Eligible studies provided a prevalence of LVNC in adult populations (≥12 years). Studies were assessed, and data extracted by two independent reviewers. Fifty-nine eligible studies documenting LVNC in 67 unique cohorts were included. The majority of studies were assessed as moderate or high risk of bias. The pooled prevalence estimates for LVNC were consistently higher amongst cohorts diagnosed on cardiac magnetic resonance (CMR) imaging (14.79%, n = 26; I2 = 99.45%) compared with echocardiogram (1.28%, n = 36; I2 = 98.17%). This finding was unchanged when analysis was restricted to studies at low or moderate risk of bias. The prevalence of LVNC varied between disease and population representative cohorts. Athletic cohorts demonstrated high pooled prevalence estimates on echocardiogram (3.16%, n = 5; I2 = 97.37%) and CMR imaging (27.29%, n = 2). CONCLUSION Left ventricular non-compaction in adult populations is a poorly defined entity which likely encompasses both physiological adaptation and pathological disease. There is a higher prevalence with the introduction of newer imaging technologies, specifically CMR imaging, which identify LVNC changes more readily. The clinical significance of these findings remains unclear; however, there is significant potential for overdiagnosis, overtreatment, and unnecessary follow-up.
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Affiliation(s)
- Samantha B Ross
- Agnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney 2050, New South Wales, Australia.,Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, New South Wales, Australia
| | - Katherine Jones
- Agnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney 2050, New South Wales, Australia
| | - Bianca Blanch
- Agnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney 2050, New South Wales, Australia
| | - Rajesh Puranik
- Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, New South Wales, Australia.,Department of Cardiology, Royal Prince Alfred Hospital, Sydney 2050, New South Wales, Australia
| | - Kevin McGeechan
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, New South Wales, Australia.,Wiser Healthcare, Sydney 2050, New South Wales, Australia
| | - Alexandra Barratt
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, New South Wales, Australia.,Wiser Healthcare, Sydney 2050, New South Wales, Australia
| | - Christopher Semsarian
- Agnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney 2050, New South Wales, Australia.,Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, New South Wales, Australia.,Department of Cardiology, Royal Prince Alfred Hospital, Sydney 2050, New South Wales, Australia.,Wiser Healthcare, Sydney 2050, New South Wales, Australia
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Le KV, Okamura H, Nakajima K, Noda T, Kusano K. Undersensing of ventricular fibrillation by a biventricular implantable cardioverter-defibrillator: What is the cause and the troubleshooting? J Arrhythm 2019; 35:276-278. [PMID: 31007793 PMCID: PMC6457377 DOI: 10.1002/joa3.12170] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 12/17/2018] [Accepted: 01/06/2019] [Indexed: 11/17/2022] Open
Affiliation(s)
- Kien Vo Le
- Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan
| | - Hideo Okamura
- Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan
| | - Kenzaburo Nakajima
- Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan
| | - Takashi Noda
- Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan
| | - Kengo Kusano
- Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan
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Violin YL, Derkenne C, Jost D, Tourtier JP. Anti-arrhythmics in out-of-hospital cardiac arrest: lessons from a randomized controlled trial. J Thorac Dis 2016; 8:E1307-E1310. [PMID: 27867614 DOI: 10.21037/jtd.2016.10.59] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | | | - Daniel Jost
- Emergency Medical Department, Paris Fire Brigade, Paris, France; ; Sudden Death Expertise Center, Paris, France
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SHIH MICHAELJ, KAKODKAR SIDDHARTHA, KAID YOUSEF, HASSEL JONATHANL, YARLAGADDA SANTI, FOGG LOUISF, MADIAS CHRISTOPHER, KRISHNAN KOUSIK, TROHMAN RICHARDG. Reassessing Risk Factors for High Defibrillation Threshold: The EF-SAGA Risk Score and Implications for Device Testing. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2016; 39:483-9. [DOI: 10.1111/pace.12838] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Revised: 01/27/2016] [Accepted: 02/21/2016] [Indexed: 11/27/2022]
Affiliation(s)
- MICHAEL J. SHIH
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - SIDDHARTH A. KAKODKAR
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - YOUSEF KAID
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - JONATHAN L. HASSEL
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - SANTI YARLAGADDA
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - LOUIS F. FOGG
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - CHRISTOPHER MADIAS
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - KOUSIK KRISHNAN
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
| | - RICHARD G. TROHMAN
- Department of Medicine, Division of Cardiology, Electrophysiology, Arrhythmia and Pacemaker Service; Rush University Medical Center; Chicago Illinois
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