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Abstract #3904

Quantify LV rotational mechanics in Duchenne and Becker Muscular Dystrophy using MR tagging

Zhe Wang 1,2 , Meral L Reyhan 2,3 , Sarah Kahn 2 , Pierangelo Renella 2,4 , J.Paul Finn 2,3 , Nancy Halnon 5 , and Daniel B. Ennis 1,2

1 Department of Bioengineering, University of California, Los Angeles, CA, United States, 2 Department of Radiological Science, University of California, Los Angeles, CA, United States, 3 Biomedical Physics Interdepartmental Program, University of California, Los Angeles, CA, United States, 4 Department of Medicine (Pediatric Cardiology), Childrens Hospital of Orange County, Orange, CA, United States, 5 Department of Medicine (Pediatric Cardiology), University of California, Los Angeles, CA, United States

The functional consequences of ventricular fibrosis in pediatric patients with Duchenne or Becker muscular dystrophy (DMD/BMD) are incompletely understood. The objective of this study was to quantify LV rotational mechanics using cardiac MRI tagging and relate it to the presence of fibrosis in pediatric patients with DMD/BMD. Our results indicate that DMD/BMD directly reduces the magnitude of all measures of ventricular rotational mechanics and that the presence of fibrosis in DMD/BMD further reduces their magnitude. EF was preserved in DMD, BMD, and DMD with fibrosis despite abnormality in LV rotational mechanics, which may be early indicators of ventricular dysfunction.

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