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Table 2 Echocardiographic characteristics of the study population, stratified by standard echo criteria for HCM 1,3

From: Use of a highly-sensitive cardiac troponin I assay in a screening population for hypertrophic cardiomyopathy: a case-referent study

 

Normal screening echo (n = 64)

Borderline HCM (n = 24)

Definite HCM (n = 19)

Test statistic*

P-value

2D-TM Data: mean [SD]

IVSd (mm)

10.30 (2.17)

12.38 (2.36)

15.53 (4.50)

F= 27.33

<0.0001

LVPWd (mm)

9.22 (1.67)

11.00 (2.57)

11.32 (2.31)

F=11.79

<0.0001

IVS/LVPW ratio

1.13 (0.20)

1.17 (0.33)

1.38 (0.33)

F=6.77

0.0017

LVIDd (mm)

48.86 (5.76)

50.42 (6.00)

47.16 (7.92)

F= 1.45

0.239

LA diameter (mm)

34.75 (5.62)

38.98 (4.02)

36.72 (4.96)

F= 5.73

0.0044

LVEF M Mode (%)

61.81 (7.08)

66.17 (7.46)

68.33 (11.82)

F=5.67

0.0046

LVOT gradient (mmHg)

5.32 (1.87)

5.91 (2.39)

7.00 (3.27)

F=3.35

0.0399

RWT (mm)

0.38 (0.06)

0.44 (0.07)

0.50 (0.08)

F=26.78

<0.0001

MWT (mm)

10.62 (1.13)

13.42 (0.50)

17.63 (3.65)

F= 118.46

<0.0001

Maximal LV wall dimensions in diastole:

     

Antero- septal wall (mm)

10.12 (1.37)

12.58 (1.10)

16.63 (3.39)

F=93.87

<0.0001

Postero- septal wall (mm)

9.88 (1.32)

12.67 (1.27)

15.84 (4.57)

F=55.64

<0.0001

Antero-lateral wall (mm)

9.22 (1.13)

10.83 (1.61)

11.53 (2.09)

F=23.74

<0.0001

Posterior wall (mm)

9.25 (1.09)

10.96 (1.08)

11.68 (2.03)

F=32.74

<0.0001

LV Mass (g)

172.55 (48.34)

230.29 (60.66)

268.53 (133.37)

F=14.96

<0.0001

Pulsed Doppler

Peak E velocity (cm/s)

0.80 (0.17)

0.73 (0.22)

0.79 (0.14)

F=1.60

0.206

Peak A velocity (cm/s)

0.58 (0.17)

0.58 (0.13)

0.60 (0.18)

F=0.16

0.854

E/A ratio

1.49 (0.49)

1.31 (0.51)

1.45 (0.61)

F=0.98

0.379

E deceleration time (ms)

187.87 (60.29)

203.50 (33.91)

220.11 (61.30)

F=2.60

0.079

Tissue Doppler

Septal Sa (cm/s)

8.25 (2.35)

7.68 (2.48)

7.10 (1.99)

F=1.54

0.220

Septal Ea (cm/s)

10.22 (3.33)

7.01 (3.29)

7.90 (3.90)

F=8.02

0.0006

Septal Aa (cm/s)

8.89 (2.11)

8.96 (3.58)

8.09 (2.64)

F=0.60

0.550

Lateral Sa (cm/s)

10.13 (3.38)

8.41 (3.14)

8.29 (2.44)

F=3.18

0.047

Lateral Ea (cm/s)

12.87 (5.99)

9.95 (4.03)

11.19 (4.27)

F=2.52

0.087

Lateral Aa (cm/s)

8.85 (2.99)

7.87 (3.39)

7.78 (3.50)

F=1.06

0.350

Echocardiograph composite scores

Adjusted 2D-LVH score

36.28 (2.69)

39.71 (2.69)

39.03 (2.80)

F=12.33

<0.0001

Spirito index (mm)

38.47 (3.71)

47.04 (3.03)

55.68 (9.53)

F=90.81

<0.0001

Gandjbakhch risk score

−2.78 (1.59)

−0.95(3.77)

0.57 (2.59)

F=11.91

<0.0001

  1. * Comparisons across the strata of echo findings were made using ANOVA.
  2. IVSd Interventricular septum diameter in diastole.
  3. LVPWd Left ventricular posterior wall diameter in diastole.
  4. LVIDd Left ventricular internal diameter in diastole.
  5. LA Left atrium.
  6. LVEF Left ventricular ejection fraction.
  7. LVOT Left ventricular outflow tract.
  8. RWT Relative wall thickness.
  9. MWT Maximal wall thickness.