Abstract
Objective: Nowadays, non-invasive methods are emerging in the evaluation of cardiovascular diseases. The aim of this study was to determine the diagnostic performance of cardiac magnetic resonance (CMR) imaging and cardiac ultrasound imaging (Echo) in cardiac patients diagnosed with Echo previously. Methods: In a total of 32 various cardiac patients with Echo findings including congenital and acquired heart pathologies who applied to our clinic were included in the study. The distribution of cardiac pathologies including valve dysfunctions, right and left ventricular wall lesions and movement disorders, atrioventricular hypertrophy, septal defect, pericardial effusion-mass, additional congenital or acquired vascular pathologies and additional thoracic pathology, age and gender correlations were determined. The CMR and Echo findings were compared statistically. Results: It was found that 12 (37.5%) of the individuals were female, 20 (62.5%) were male, aged between 6 and 80 years with an average age of 29.9 years. The cardiac parameters were positive in 27 (84.4%) patients according to Echo and were positive in 22 (68.8%) patients according to CMR. There was no statistically significant correlation between CMR and Echo for cardiac pathology detection rates (p > 0.05). However, only 18 out of 22 patients who were positive on CMR were positive on Echo. CMR was superior in detecting congenital cardiac pathologies. Conclusion: Echo has a diagnostic advantage and in general, CMR and Echo findings overlap in cases with valve dysfunctions, ventricular wall motion disorders, and hypertrophy, whereas we found that Echo findings were insufficient for diagnosis of congenital heart pathologies.
Highlights
Heart diseases are among the most common pathologies worldwide and responsible for 31% of all deaths in the world [1]
The cardiac parameters were positive in 27 (84.4%) patients according to Echo and were positive in 22 (68.8%) patients according to cardiac magnetic resonance (CMR)
There was no statistically significant correlation between CMR and Echo for cardiac pathology detection rates (p > 0.05).only 18 out of 22 patients who were positive on CMR were positive on Echo
Summary
Heart diseases are among the most common pathologies worldwide and responsible for 31% of all deaths in the world [1]. In our country they are among the leading causes of mortality and morbidity, and according to Turkish Statistical Institute 2010 data, the most common early causes of death are cardiovascular diseases in both sexes [2]. Cardiac diseases are four times more common in males than in females and are more frequent in 50-60 year old females and 60-70 year old males [3]. Cardiac ultrasound imaging (Echo) is the most important method used during follow-up of cardiovascular patients and is a safe and reliable imaging technique for patients. Thanks to its different usage modalities, Echo is a guide for surgical complications, morphologic variations, rejection, and allograft vasculopathy [4]
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