Impact of obesity and epicardial fat on early left atrial dysfunction assessed by cardiac MRI strain analysis
Identifieur interne : 001D07 ( Main/Exploration ); précédent : 001D06; suivant : 001D08Impact of obesity and epicardial fat on early left atrial dysfunction assessed by cardiac MRI strain analysis
Auteurs : Morgane Evin [Australie, France] ; Kathryn M. Broadhouse [Australie] ; Fraser M. Callaghan [Australie] ; Rachel T. Mcgrath [Australie] ; Sarah Glastras [Australie] ; Rebecca Kozor [Australie] ; Samantha L. Hocking [Australie] ; Jérôme Lamy [France] ; Alban Redheuil [France] ; Nadjia Kachenoura [France] ; Greg R. Fulcher [Australie] ; Gemma A. Figtree [Australie] ; Stuart M. Grieve [Australie]Source :
- Cardiovascular Diabetology [ 1475-2840 ] ; 2016.
Descripteurs français
- KwdFr :
- Adiposité, Adulte, Adulte d'âge moyen, Algorithmes, Cardiopathies (imagerie diagnostique), Cardiopathies (physiopathologie), Cardiopathies (étiologie), Diabète de type 2 (), Diabète de type 2 (diagnostic), Diabète de type 2 (physiopathologie), Diagnostic précoce, Diastole, Facteurs de risque, Femelle, Fonction auriculaire gauche, Fonction ventriculaire gauche, Humains, IRM dynamique, Interprétation d'image assistée par ordinateur, Mâle, Obésité (), Obésité (diagnostic), Obésité (physiopathologie), Péricarde (imagerie diagnostique), Péricarde (physiopathologie), Tissu adipeux (imagerie diagnostique), Tissu adipeux (physiopathologie), Valeur prédictive des tests, Études cas-témoins.
- MESH :
- diagnostic : Diabète de type 2, Obésité.
- imagerie diagnostique : Cardiopathies, Péricarde, Tissu adipeux.
- physiopathologie : Cardiopathies, Diabète de type 2, Obésité, Péricarde, Tissu adipeux.
- étiologie : Cardiopathies.
- Adiposité, Adulte, Adulte d'âge moyen, Algorithmes, Diabète de type 2, Diagnostic précoce, Diastole, Facteurs de risque, Femelle, Fonction auriculaire gauche, Fonction ventriculaire gauche, Humains, IRM dynamique, Interprétation d'image assistée par ordinateur, Mâle, Obésité, Valeur prédictive des tests, Études cas-témoins.
English descriptors
- KwdEn :
- Adipose Tissue (diagnostic imaging), Adipose Tissue (physiopathology), Adiposity, Adult, Algorithms, Atrial Function, Left, Case-Control Studies, Diabetes Mellitus, Type 2 (complications), Diabetes Mellitus, Type 2 (diagnosis), Diabetes Mellitus, Type 2 (physiopathology), Diastole, Early Diagnosis, Female, Heart Diseases (diagnostic imaging), Heart Diseases (etiology), Heart Diseases (physiopathology), Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Cine, Male, Middle Aged, Obesity (complications), Obesity (diagnosis), Obesity (physiopathology), Pericardium (diagnostic imaging), Pericardium (physiopathology), Predictive Value of Tests, Risk Factors, Ventricular Function, Left.
- MESH :
- complications : Diabetes Mellitus, Type 2, Obesity.
- diagnosis : Diabetes Mellitus, Type 2, Obesity.
- diagnostic imaging : Adipose Tissue, Heart Diseases, Pericardium.
- etiology : Heart Diseases.
- physiopathology : Adipose Tissue, Diabetes Mellitus, Type 2, Heart Diseases, Obesity, Pericardium.
- Adiposity, Adult, Algorithms, Atrial Function, Left, Case-Control Studies, Diastole, Early Diagnosis, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Cine, Male, Middle Aged, Predictive Value of Tests, Risk Factors, Ventricular Function, Left.
Abstract
Diastolic dysfunction is a major cause of morbidity in obese individuals. We aimed to assess the ability of magnetic resonance imaging (MRI) derived left atrial (LA) strain to detect early diastolic dysfunction in individuals with obesity and type 2 diabetes, and to explore the association between cardiac adipose tissue and LA function.
Twenty patients with obesity and T2D (55 ± 8 years) and nineteen healthy controls (48 ± 13 years) were imaged using cine steady state free precession and 2-point Dixon cardiovascular magnetic resonance. LA function was quantified using a feature tracking technique with definition of phasic longitudinal strain and strain rates, as well as radial motion fraction and radial velocities.
Systolic left ventricular size and function were similar between the obesity and type 2 diabetes and control groups by MRI. All patients except four had normal diastolic assessment by echocardiography. In contrast, measures of LA function using magnetic resonance feature tracking were uniformly altered in the obesity and type 2 diabetes group only. Although there was no significant difference in intra-myocardial fat fraction, Dixon 3D epicardial fat volume(EFV) was significantly elevated in the obesity and type 2 diabetes versus control group (135 ± 31 vs. 90 ± 30 mL/m2, p < 0.001). There were significant correlations between LA functional indices and both BMI and EFV (p ≤ 0.007).
LA MRI-strain may be a sensitive tool for the detection of early diastolic dysfunction in individuals with obesity and type 2 diabetes and correlated with BMI and epicardial fat supporting a possible association between adiposity and LA strain.
Url:
DOI: 10.1186/s12933-016-0481-7
PubMed: 28007022
PubMed Central: 5178096
Affiliations:
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Le document en format XML
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Broadhouse</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 Australia</nlm:aff><orgName type="university">Université de Sydney</orgName><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Sydney Medical School, University of Sydney, Camperdown, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Medical School, University of Sydney, Camperdown</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Callaghan, Fraser M" sort="Callaghan, Fraser M" uniqKey="Callaghan F" first="Fraser M." last="Callaghan">Fraser M. Callaghan</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 Australia</nlm:aff><orgName type="university">Université de Sydney</orgName><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Sydney Medical School, University of Sydney, Camperdown, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Medical School, University of Sydney, Camperdown</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Mcgrath, Rachel T" sort="Mcgrath, Rachel T" uniqKey="Mcgrath R" first="Rachel T." last="Mcgrath">Rachel T. Mcgrath</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Endocrinology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Endocrinology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff5">Kolling Institute, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Kolling Institute, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Glastras, Sarah" sort="Glastras, Sarah" uniqKey="Glastras S" first="Sarah" last="Glastras">Sarah Glastras</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Endocrinology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Endocrinology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff5">Kolling Institute, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Kolling Institute, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Kozor, Rebecca" sort="Kozor, Rebecca" uniqKey="Kozor R" first="Rebecca" last="Kozor">Rebecca Kozor</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 Australia</nlm:aff><orgName type="university">Université de Sydney</orgName><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Sydney Medical School, University of Sydney, Camperdown, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Medical School, University of Sydney, Camperdown</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Cardiology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation></author><author><name sortKey="Hocking, Samantha L" sort="Hocking, Samantha L" uniqKey="Hocking S" first="Samantha L." last="Hocking">Samantha L. Hocking</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Endocrinology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Endocrinology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation></author><author><name sortKey="Lamy, Jerome" sort="Lamy, Jerome" uniqKey="Lamy J" first="Jérôme" last="Lamy">Jérôme Lamy</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Redheuil, Alban" sort="Redheuil, Alban" uniqKey="Redheuil A" first="Alban" last="Redheuil">Alban Redheuil</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kachenoura, Nadjia" sort="Kachenoura, Nadjia" uniqKey="Kachenoura N" first="Nadjia" last="Kachenoura">Nadjia Kachenoura</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS 1146, CNRSUMR 7371, Laboratoire d’Imagerie Biomédicale, ICAN Institute of Cardiometabolism and Nutrition, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Fulcher, Greg R" sort="Fulcher, Greg R" uniqKey="Fulcher G" first="Greg R." last="Fulcher">Greg R. Fulcher</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Endocrinology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Endocrinology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff5">Kolling Institute, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Kolling Institute, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Figtree, Gemma A" sort="Figtree, Gemma A" uniqKey="Figtree G" first="Gemma A." last="Figtree">Gemma A. Figtree</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 Australia</nlm:aff><orgName type="university">Université de Sydney</orgName><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Sydney Medical School, University of Sydney, Camperdown, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Medical School, University of Sydney, Camperdown</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Cardiology, Royal North Shore Hospital, St Leonards, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal North Shore Hospital, St Leonards</wicri:regionArea><wicri:noRegion>St Leonards</wicri:noRegion></affiliation></author><author><name sortKey="Grieve, Stuart M" sort="Grieve, Stuart M" uniqKey="Grieve S" first="Stuart M." last="Grieve">Stuart M. Grieve</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 Australia</nlm:aff><orgName type="university">Université de Sydney</orgName><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Sydney Medical School, University of Sydney, Camperdown, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Medical School, University of Sydney, Camperdown</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff7">Departments of Radiology, Royal North Shore Hospital and Royal Prince Alfred Hospital, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Departments of Radiology, Royal North Shore Hospital and Royal Prince Alfred Hospital, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Cardiovascular Diabetology</title><idno type="eISSN">1475-2840</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (diagnostic imaging)</term><term>Adipose Tissue (physiopathology)</term><term>Adiposity</term><term>Adult</term><term>Algorithms</term><term>Atrial Function, Left</term><term>Case-Control Studies</term><term>Diabetes Mellitus, Type 2 (complications)</term><term>Diabetes Mellitus, Type 2 (diagnosis)</term><term>Diabetes Mellitus, Type 2 (physiopathology)</term><term>Diastole</term><term>Early Diagnosis</term><term>Female</term><term>Heart Diseases (diagnostic imaging)</term><term>Heart Diseases (etiology)</term><term>Heart Diseases (physiopathology)</term><term>Humans</term><term>Image Interpretation, Computer-Assisted</term><term>Magnetic Resonance Imaging, Cine</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Obesity (diagnosis)</term><term>Obesity (physiopathology)</term><term>Pericardium (diagnostic imaging)</term><term>Pericardium (physiopathology)</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Ventricular Function, Left</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adiposité</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Cardiopathies (imagerie diagnostique)</term><term>Cardiopathies (physiopathologie)</term><term>Cardiopathies (étiologie)</term><term>Diabète de type 2 ()</term><term>Diabète de type 2 (diagnostic)</term><term>Diabète de type 2 (physiopathologie)</term><term>Diagnostic précoce</term><term>Diastole</term><term>Facteurs de risque</term><term>Femelle</term><term>Fonction auriculaire gauche</term><term>Fonction ventriculaire gauche</term><term>Humains</term><term>IRM dynamique</term><term>Interprétation d'image assistée par ordinateur</term><term>Mâle</term><term>Obésité ()</term><term>Obésité (diagnostic)</term><term>Obésité (physiopathologie)</term><term>Péricarde (imagerie diagnostique)</term><term>Péricarde (physiopathologie)</term><term>Tissu adipeux (imagerie diagnostique)</term><term>Tissu adipeux (physiopathologie)</term><term>Valeur prédictive des tests</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Diabète de type 2</term><term>Obésité</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Adipose Tissue</term><term>Heart Diseases</term><term>Pericardium</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Heart Diseases</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Cardiopathies</term><term>Péricarde</term><term>Tissu adipeux</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Cardiopathies</term><term>Diabète de type 2</term><term>Obésité</term><term>Péricarde</term><term>Tissu adipeux</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Adipose Tissue</term><term>Diabetes Mellitus, Type 2</term><term>Heart Diseases</term><term>Obesity</term><term>Pericardium</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cardiopathies</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adiposity</term><term>Adult</term><term>Algorithms</term><term>Atrial Function, Left</term><term>Case-Control Studies</term><term>Diastole</term><term>Early Diagnosis</term><term>Female</term><term>Humans</term><term>Image Interpretation, Computer-Assisted</term><term>Magnetic Resonance Imaging, Cine</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Ventricular Function, Left</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adiposité</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Diabète de type 2</term><term>Diagnostic précoce</term><term>Diastole</term><term>Facteurs de risque</term><term>Femelle</term><term>Fonction auriculaire gauche</term><term>Fonction ventriculaire gauche</term><term>Humains</term><term>IRM dynamique</term><term>Interprétation d'image assistée par ordinateur</term><term>Mâle</term><term>Obésité</term><term>Valeur prédictive des tests</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Diastolic dysfunction is a major cause of morbidity in obese individuals. We aimed to assess the ability of magnetic resonance imaging (MRI) derived left atrial (LA) strain to detect early diastolic dysfunction in individuals with obesity and type 2 diabetes, and to explore the association between cardiac adipose tissue and LA function.</p></sec><sec><title>Methods</title><p>Twenty patients with obesity and T2D (55 ± 8 years) and nineteen healthy controls (48 ± 13 years) were imaged using cine steady state free precession and 2-point Dixon cardiovascular magnetic resonance. LA function was quantified using a feature tracking technique with definition of phasic longitudinal strain and strain rates, as well as radial motion fraction and radial velocities.</p></sec><sec><title>Results</title><p>Systolic left ventricular size and function were similar between the obesity and type 2 diabetes and control groups by MRI. All patients except four had normal diastolic assessment by echocardiography. In contrast, measures of LA function using magnetic resonance feature tracking were uniformly altered in the obesity and type 2 diabetes group only. Although there was no significant difference in intra-myocardial fat fraction, Dixon 3D epicardial fat volume(EFV) was significantly elevated in the obesity and type 2 diabetes versus control group (135 ± 31 vs. 90 ± 30 mL/m<sup>2</sup>, p < 0.001). There were significant correlations between LA functional indices and both BMI and EFV (p ≤ 0.007).</p></sec><sec><title>Conclusions</title><p>LA MRI-strain may be a sensitive tool for the detection of early diastolic dysfunction in individuals with obesity and type 2 diabetes and correlated with BMI and epicardial fat supporting a possible association between adiposity and LA strain.</p><p><italic>Trials Registration</italic> Australian New Zealand Clinical Trials Registry No. ACTRN12613001069741</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hogg, K" uniqKey="Hogg K">K Hogg</name></author><author><name sortKey="Swedberg, K" uniqKey="Swedberg K">K Swedberg</name></author><author><name sortKey="Mcmurray, J" uniqKey="Mcmurray J">J McMurray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gillebert, Tc" uniqKey="Gillebert T">TC Gillebert</name></author><author><name sortKey="De Buyzere, Ml" 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S">S-L Chang</name></author><author><name sortKey="Lo, L W" uniqKey="Lo L">L-W Lo</name></author><author><name sortKey="Hu, Y F" uniqKey="Hu Y">Y-F Hu</name></author><author><name sortKey="Hung, C L" uniqKey="Hung C">C-L Hung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Homsi, R" uniqKey="Homsi R">R Homsi</name></author><author><name sortKey="Meier Schroers, M" uniqKey="Meier Schroers M">M Meier-Schroers</name></author><author><name sortKey="Gieseke, J" uniqKey="Gieseke J">J Gieseke</name></author><author><name sortKey="Dabir, D" uniqKey="Dabir D">D Dabir</name></author><author><name sortKey="Luetkens, Ja" uniqKey="Luetkens J">JA Luetkens</name></author><author><name sortKey="Kuetting, Dl" uniqKey="Kuetting D">DL Kuetting</name></author><author><name sortKey="Naehle, Cp" uniqKey="Naehle C">CP Naehle</name></author><author><name sortKey="Marx, C" uniqKey="Marx C">C Marx</name></author><author><name sortKey="Schild, Hh" uniqKey="Schild H">HH Schild</name></author><author><name sortKey="Thomas, Dk" uniqKey="Thomas D">DK Thomas</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Nouvelle-Galles du Sud</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Evin, Morgane" sort="Evin, Morgane" uniqKey="Evin M" first="Morgane" last="Evin">Morgane Evin</name></region><name sortKey="Broadhouse, Kathryn M" sort="Broadhouse, Kathryn M" uniqKey="Broadhouse K" first="Kathryn M." last="Broadhouse">Kathryn M. 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Figtree</name><name sortKey="Fulcher, Greg R" sort="Fulcher, Greg R" uniqKey="Fulcher G" first="Greg R." last="Fulcher">Greg R. Fulcher</name><name sortKey="Fulcher, Greg R" sort="Fulcher, Greg R" uniqKey="Fulcher G" first="Greg R." last="Fulcher">Greg R. Fulcher</name><name sortKey="Glastras, Sarah" sort="Glastras, Sarah" uniqKey="Glastras S" first="Sarah" last="Glastras">Sarah Glastras</name><name sortKey="Glastras, Sarah" sort="Glastras, Sarah" uniqKey="Glastras S" first="Sarah" last="Glastras">Sarah Glastras</name><name sortKey="Grieve, Stuart M" sort="Grieve, Stuart M" uniqKey="Grieve S" first="Stuart M." last="Grieve">Stuart M. Grieve</name><name sortKey="Grieve, Stuart M" sort="Grieve, Stuart M" uniqKey="Grieve S" first="Stuart M." last="Grieve">Stuart M. Grieve</name><name sortKey="Grieve, Stuart M" sort="Grieve, Stuart M" uniqKey="Grieve S" first="Stuart M." last="Grieve">Stuart M. Grieve</name><name sortKey="Hocking, Samantha L" sort="Hocking, Samantha L" uniqKey="Hocking S" first="Samantha L." last="Hocking">Samantha L. Hocking</name><name sortKey="Kozor, Rebecca" sort="Kozor, Rebecca" uniqKey="Kozor R" first="Rebecca" last="Kozor">Rebecca Kozor</name><name sortKey="Kozor, Rebecca" sort="Kozor, Rebecca" uniqKey="Kozor R" first="Rebecca" last="Kozor">Rebecca Kozor</name><name sortKey="Kozor, Rebecca" sort="Kozor, Rebecca" uniqKey="Kozor R" first="Rebecca" last="Kozor">Rebecca Kozor</name><name sortKey="Mcgrath, Rachel T" sort="Mcgrath, Rachel T" uniqKey="Mcgrath R" first="Rachel T." last="Mcgrath">Rachel T. Mcgrath</name><name sortKey="Mcgrath, Rachel T" sort="Mcgrath, Rachel T" uniqKey="Mcgrath R" first="Rachel T." last="Mcgrath">Rachel T. Mcgrath</name></country><country name="France"><region name="Île-de-France"><name sortKey="Evin, Morgane" sort="Evin, Morgane" uniqKey="Evin M" first="Morgane" last="Evin">Morgane Evin</name></region><name sortKey="Kachenoura, Nadjia" sort="Kachenoura, Nadjia" uniqKey="Kachenoura N" first="Nadjia" last="Kachenoura">Nadjia Kachenoura</name><name sortKey="Lamy, Jerome" sort="Lamy, Jerome" uniqKey="Lamy J" first="Jérôme" last="Lamy">Jérôme Lamy</name><name sortKey="Redheuil, Alban" sort="Redheuil, Alban" uniqKey="Redheuil A" first="Alban" last="Redheuil">Alban Redheuil</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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