Vibeke Marie Almaas
- Consultant Cardiologist, MD, PhD
- +47 230 74145
Vibeke Almaas successfully defended her PhD thesis "Obstructive hypertrophic cardiomyopathy. Pathophysiology and clinical management" in October 2015. Her supervisors were Professor Emeritus Jan Peder Amlie, MD, PhD, University of Oslo and Professor Svend Aakhus, MD, PhD, Norwegian University of Science and Technology.
She found that a type of scarring in the heart muscle, interstitial fibrosis, in patients with hypertrophic cardiomyopathy (HCM), is associated with severe cardiac arrhythmia and that a newly developed cardiac ultrasound examination can identify patients at increased risk. Together with Scandinavian colleagues, Vibeke M. Almaas has shown that PTSMA is a safe and effective treatment for obstructive HCM patients.
In the period 2001-2009, over a hundred HCM patients were referred to Department of Cardiology, Rikshospitalet, Oslo University Hospital, for PTSMA; a catheter-based method of applying a myocardial infarction to the thickened heart partition, or myectomy; a heart operation where the thickened part of the heart partition is removed. Obstructive HCM patients have thickened cardiac wall that prevents blood from flowing freely into the main artery. These patients may be offered PTSMA or myectomy. A treatment team with experience in HCM assessed whether conditions were suitable for PTSMA or whether surgical correction and myectomy were needed. Before and after PTSMA / myectomy, patients were examined, among other things, with 48-hour cardiac rhythm recording, cardiac ultrasound and magnetic resonance (MRI) of the heart. The heart muscle tissue removed by myectomy was examined microscopically. PTSMA-treated patients were included in a Scandinavian database where long-term follow-up after PTSMA was recorded.
In her thesis Almaas and her colleagues showed that the catheter-based method PTSMA can be safely performed at centers with experienced invasive cardiologists and that interstitial fibrosis, scarring associated with severe arrhythmia, is not so readily seen in cardiac MRI examination, but scarring leads to reduced function of the heart muscle which can be identified by a fast and simple heart ultrasound method.
Publications 2024
Severe biventricular cardiomyopathy in both current and former long-term users of anabolic-androgenic steroids
Eur J Prev Cardiol, 31 (5), 599-608
DOI 10.1093/eurjpc/zwad362, PubMed 37992194
Comment on 'Anabolic-androgenic steroids and cardiac function'
Eur J Prev Cardiol, 31 (13), e97-e98
DOI 10.1093/eurjpc/zwae183, PubMed 38788779
Elevated interleukin 8 and matrix metalloproteinase 9 levels are associated with myocardial pathology in users of anabolic-androgenic steroids
Eur J Prev Cardiol, 31 (12), 1469-1476
DOI 10.1093/eurjpc/zwae126, PubMed 38573232
Treatment-seeking behavior and cardiovascular morbidity among men with anabolic-androgenic steroid use: A cross-sectional study
Scand J Med Sci Sports, 34 (1), e14554
DOI 10.1111/sms.14554, PubMed 38268076
Hypertensive disorders of pregnancy among women with cardiovascular disease in Norway: A historical cohort study
Acta Obstet Gynecol Scand, 103 (7), 1457-1465
DOI 10.1111/aogs.14841, PubMed 38597240
Publications 2023
High prevalence of pre-eclampsia in women with coarctation of the aorta
Eur Heart J Open, 3 (4), oead072
DOI 10.1093/ehjopen/oead072, PubMed 37559925
Temporal expression and spatial distribution of the proteoglycan versican during cardiac fibrosis development
Matrix Biol Plus, 19-20, 100135
DOI 10.1016/j.mbplus.2023.100135, PubMed 38076279
Inflammation and Syndecan-4 Shedding from Cardiac Cells in Ischemic and Non-Ischemic Heart Disease
Biomedicines, 11 (4)
DOI 10.3390/biomedicines11041066, PubMed 37189684
Publications 2022
Pregnancy and Progression of Cardiomyopathy in Women With LMNA Genotype-Positive
J Am Heart Assoc, 11 (8), e024960
DOI 10.1161/JAHA.121.024960, PubMed 35434999
Lumican accumulates with fibrillar collagen in fibrosis in hypertrophic cardiomyopathy
ESC Heart Fail, 10 (2), 858-871
DOI 10.1002/ehf2.14234, PubMed 36444917
Publications 2021
Left Ventricular Dysfunction in Arrhythmogenic Cardiomyopathy: Association With Exercise Exposure, Genetic Basis, and Prognosis
J Am Heart Assoc, 10 (8), e018680
DOI 10.1161/JAHA.120.018680, PubMed 33821670
Sex differences in disease progression and arrhythmic risk in patients with arrhythmogenic cardiomyopathy
Europace, 23 (7), 1084-1091
DOI 10.1093/europace/euab077, PubMed 33829244
The extracellular matrix glycoprotein ADAMTSL2 is increased in heart failure and inhibits TGFβ signalling in cardiac fibroblasts
Sci Rep, 11 (1), 19757
DOI 10.1038/s41598-021-99032-2, PubMed 34611183
Publications 2019
Effect of impaired cardiac conduction after alcohol septal ablation on clinical outcomes: insights from the Euro-ASA registry
Eur Heart J Qual Care Clin Outcomes, 5 (3), 252-258
DOI 10.1093/ehjqcco/qcy049, PubMed 30304395
Low Molecular Mass Myocardial Hyaluronan in Human Hypertrophic Cardiomyopathy
Cells, 8 (2)
DOI 10.3390/cells8020097, PubMed 30699940
Publications 2018
Effect of Institutional Experience on Outcomes of Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
Can J Cardiol, 34 (1), 16-22
DOI 10.1016/j.cjca.2017.10.020, PubMed 29275877
Publications 2017
The systolic paradox in hypertrophic cardiomyopathy
Open Heart, 4 (1), e000571
DOI 10.1136/openhrt-2016-000571, PubMed 28674623
Outcome of Alcohol Septal Ablation in Mildly Symptomatic Patients With Hypertrophic Obstructive Cardiomyopathy: A Long-Term Follow-Up Study Based on the Euro-Alcohol Septal Ablation Registry
J Am Heart Assoc, 6 (5)
DOI 10.1161/JAHA.117.005735, PubMed 28512112
Publications 2016
Strain echocardiography is related to fibrosis and ventricular arrhythmias in hypertrophic cardiomyopathy
Eur Heart J Cardiovasc Imaging, 17 (6), 613-21
DOI 10.1093/ehjci/jew005, PubMed 26873460
Influence of Septal Thickness on the Clinical Outcome After Alcohol Septal Alation in Hypertrophic Cardiomyopathy
Circ Cardiovasc Interv, 9 (6)
DOI 10.1161/CIRCINTERVENTIONS.115.003214, PubMed 27217377
Long-term clinical outcome after alcohol septal ablation for obstructive hypertrophic cardiomyopathy: results from the Euro-ASA registry
Eur Heart J, 37 (19), 1517-23
DOI 10.1093/eurheartj/ehv693, PubMed 26746632
Publications 2014
Familial globotriaosylceramide-associated cardiomyopathy mimicking Fabry disease
Heart, 100 (22), 1793-8
DOI 10.1136/heartjnl-2014-305616, PubMed 25031264
Publications 2013
Increased amount of interstitial fibrosis predicts ventricular arrhythmias, and is associated with reduced myocardial septal function in patients with obstructive hypertrophic cardiomyopathy
Europace, 15 (9), 1319-27
DOI 10.1093/europace/eut028, PubMed 23426552
Noninvasive assessment of myocardial fibrosis in patients with obstructive hypertrophic cardiomyopathy
Heart, 100 (8), 631-8
DOI 10.1136/heartjnl-2013-304923, PubMed 24368281
Publications 2011
Long-term outcome of percutaneous transluminal septal myocardial ablation in hypertrophic obstructive cardiomyopathy: a Scandinavian multicenter study
Circ Cardiovasc Interv, 4 (3), 256-65
DOI 10.1161/CIRCINTERVENTIONS.110.959718, PubMed 21540441
Publications 2007
Diagnosing and prioritizing uncertainties according to their relevance for policy: the case of transgene silencing
Sci Total Environ, 390 (1), 23-34
DOI 10.1016/j.scitotenv.2007.09.028, PubMed 17988720
Publications 2005
Management of suspected pulmonary embolism (PE) by D-dimer and multi-slice computed tomography in outpatients: an outcome study
J Thromb Haemost, 3 (9), 1926-32
DOI 10.1111/j.1538-7836.2005.01544.x, PubMed 16102097
Publications 2004
Holdninger til personvern: rapport fra fokusgrupper om elektroniske spor og personvern
In Rapport, Rådet, Oslo, 1, februar 2004, 28 bl.
BIBSYS 041502264, ISBN 82-92447-00-8
Publications 2001
Når det piper i telefonen...: en analyse av mobiltelefonens betydning for by- og bygdeungdom
V. Almaas, [Trondheim], 93, [18] bl.
BIBSYS 020594852