Publications by authors named "S Jermy"
Myocardial Disarray and Fibrosis across Hypertrophic Cardiomyopathy Stages Associate with ECG Markers of Arrhythmic Risk.
Eur Heart J Cardiovasc Imaging
October 2024
Article Synopsis
- Myocardial disarray, linked to arrhythmia risk, was studied in patients with prehypertrophic sarcomeric variants (SARC+LVH-) and hypertrophic cardiomyopathy (HCM) using diffusion tensor cardiac MRI (DT-CMR).
- Results showed reduced diastolic fractional anisotropy (FA) and prolonged corrected JT intervals (JTc) in both patient groups compared to controls, suggesting that both conditions exhibit signs of myocardial disarray.
- The study highlighted that lower FA and higher extracellular volume (ECV) correlate with prolonged repolarization, and the JT interval proves effective in distinguishing SARC+LVH- patients from controls and linking to HCM-related sudden cardiac death risk.
Background: Few data exist on myocardial fibrosis and inflammation in youth with HIV.
Methods: We performed cardiovascular magnetic resonance (CMR) on a cross section of South African youth: youth with perinatally acquired HIV (YPHIV) undergoing antiretroviral therapy (ART), youth with nonperinatally acquired HIV (YNPHIV) receiving ART, and youth without HIV. Quantile regression models were fit to assess the association between HIV status and CMR outcomes: subclinical fibrosis (late gadolinium enhancement [LGE] mass and fraction, native T1, extracellular volume) and inflammation (native T1, T2 mapping).
Whether, and how, cardioprotective effects of antiretroviral treatment (ART) in adolescents with perinatal HIV infection (APHIV) vary with age at treatment initiation is unknown. We used magnetic resonance imaging to compare cardiac status between APHIV initiated on ART at < 5 years of age (early ART, n = 37) and ≥ 5 years of age (delayed ART, n = 34) versus HIV-uninfected peers (n = 21), reporting z-score mean differences adjusted for confounders. Relative to HIV-uninfected adolescents, APHIV with early ART had higher left ventricular (LV) global circumferential strain (GCS) [adjusted mean (95%CI) z-score: 0.
View Article and Find Full Text PDFThe cardioprotective effects of antiretroviral treatment (ART) in adolescents with perinatal HIV infection (APHIV) may depend on age at ART initiation. We used cardiovascular magnetic resonance (CMR) to characterize and compare residual cardiac changes in apparently healthy APHIV with early and delayed ART initiation compared to sex- and age-similar HIV uninfected peers. We defined early and delayed ART as, respectively, treatment initiated at <5 years and ≥5 years of age.
View Article and Find Full Text PDFBackground: Cardiomyopathy is an important cause of heart failure, however, there is notable lack of data on causes and manifestations of cardiomyopathy in Africa.
Aims: The African Cardiomyopathy and Myocarditis Registry Program (IMHOTEP) aims to address the knowledge gap on etiology, treatment, and outcomes of cardiomyopathy in sub-Saharan Africa.
Methods And Results: We conducted a single-center pilot study to delineate the clinical and cardiovascular magnetic resonance (CMR) phenotypes of cardiomyopathy in South African patients.