Authors: |
A. Schirdewan, A. Gapelyuk, R. Fischer, L. Koch, H. Schütt, U. Zacharzowsky, R. Dietz, L. Thierfelder and Niels Wessel |
Abstract: |
Hypertrophic Cardiomyopathy (HCM) is defined clinically by the growing/thickening of especially the left heart muscle. In up to 70 % of cases, there is a family history of this condition. The individual risk for affected patients strongly varies and depends on the individual manifestation of the disease. Therefore, an early detection of the disease and identification of high-risk subforms is desirable. In this study we investigated the capability of cardiac magnetic field mapping (CMFM) to detect patients suffering from HCM (n=33, 43.8 ± 13 years, 13 women, 20 men; vs. a control group of healthy subjects, n=57, 39.6 ± 8.9 years; 22 women, 35 men; vs. patients with confirmed cardiac hypertrophy due to arterial hypertension, n=42, 49.7 ± 7.9 years, 15 women, 27 men). We introduce for the first time a combined diagnostic approach based on map topology quantification using Kullback-Leibler (KL) entropy and regional magnetic field strength parameters. The cardiac magnetic field was recorded over the anterior chest wall using a multichannel-LT-SQUID system. We show that our diagnostic approach allows not only detecting HCM affected individuals, but also discriminates different forms of the disease. Thus, CMFM including KL entropy based topology quantifications is a suitable tool for HCM screening. |