Cardiac MRI can produce an accurate picture of the healthy heart in adolescence

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The outcomes, printed in eClinicalMedicine, have direct implications for medical apply by offering a listing of reference values for a mess of cardiac parameters utilized in each day apply.

Magnetic resonance imaging (MRI) has allowed scientists on the Centro Nacional de Investigaciones Cardiovasculares (CNIC) to provide an correct image of the wholesome coronary heart in adolescence. Utilizing this superior expertise, the analysis crew was in a position to decide reference values for anatomical and practical parameters within the coronary heart throughout adolescence. This info, pubished in eClinicalMedicine, has direct implications for medical apply.

Magnetic resonance imaging has turn out to be an important technique for learning the center as a result of it avoids exposing sufferers to radiation and offers extra info, and with larger precision, than ultrasound, presently essentially the most incessantly used cardiac imaging method.”


Dr. Valentín Fuster, CNIC Basic Director, co-author on the research

Nonetheless, most printed MRI information from adolescent topics come from sufferers with congenital coronary heart defects or different coronary heart situations. Because of this, there’s a lack of understanding in regards to the ‘regular’ values of cardiac parameters within the basic adolescent inhabitants. “These reference values are important for a correct interpretation of cardiac MRI research on this inhabitants group,” mentioned lead research writer Dr. Rodrigo Fernández-Jiménez, chief of the Cardiovascular Well being and Imaging group on the CNIC and a heart specialist at Hospital Clínico San Carlos.

These reference values are exactly what the CNIC crew got down to outline. As a part of the EnIGMA venture (Early ImaginG Markers of unhealthy life in Adolescents), the crew managed, in the midst of the Covid-19 pandemic, to recruit 123 adolescent members (64 ladies and 59 boys) from 7 public-funded secondary faculties inside the Comunidad de Madrid. The faculties and adolescents have been already signed as much as the SI! Program for Secondary Faculties, a program devoted to selling wholesome life-style habits that’s coordinated by Fundación SHE- “la Caixa” in partnership with the CNIC and the College of Barcelona.

“The response of the members and their households was unimaginable,” mentioned first writer Dr. Carlos Actual, a CNIC investigator and a resident heart specialist at Hospital Clínico San Carlos. “A number of the faculties are positioned greater than 60 km from the town, and the members and no less than one guardian or guardian visited the CNIC’s superior imaging facility on a completely voluntary foundation. With out their willingness to take part the venture wouldn’t have been potential.”

Dr. Borja Ibáñez, CNIC Scientific Director and a co-author on the research, careworn that “the outcomes have direct implications for medical apply as a result of they providde a listing of reference values for a number of cardiac parameters utilized in each day apply, together with measures of the dimensions and functioning of the center chambers (atria and ventricles) and cardiac tissue composition.” Dr. Fernández-Jiménez concluded that “with this info, physicians at any heart can decide if cardiac MRI information from an adolescent’s coronary heart fall inside the regular vary for this age group, and prescribe nearer follow-up and extra checks if wanted.”

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Journal reference:

Actual, C., et al. (2023) Magnetic resonance imaging reference values for cardiac morphology, operate and tissue composition in adolescents. EClinicalMedicine. doi.org/10.1016/j.eclinm.2023.101885.

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