Magnetic resonance in isolated noncompaction of the ventricular myocardium

Fazio, Giovanni; Novo, Giuseppina; D’Angelo, Luciana; Visconti, Claudia; Sutera, Loredana; Grassedonio, Emanuele; Gallucci, M.; Ferrara, Filippo; Midiri, Massimo; Novo, Salvatore

doi:10.1016/j.ijcard.2008.11.080

Cited by 37 publications

(29 citation statements)

References 26 publications

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“…The higher value, as compared with the echocardiographic ratio to be taken at end-systole, reflects that it is taken at end-diastole. Fazio et al recently suggested that a cut-off value for CMR should be increased to 2.5 at end-diastole because inferior values threaten to increase the number of false-positive diagnoses [26]. However these definitions are based on small studies.…”

Section: Discussionmentioning

confidence: 99%

Cardiac magnetic resonance imaging characteristics of isolated left ventricular noncompaction in a Chinese adult Han population

Cheng

Zhao

Jiang

et al. 2010

Int J Cardiovasc Imaging

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To analyze cardiac magnetic resonance imaging (CMR) characteristics in patients with isolated left ventricular noncompaction (IVNC) and assess its value in the diagnosis of IVNC in a Chinese adult Han population. We collected a consecutive series of 30 patients with IVNC from January 1, 2007, to December 31, 2008. During the same period, we prospectively included patients drawn from groups given a potential differential diagnosis for IVNC. All magnetic resonance images were analyzed using 17-segment model. Left ventricular ejection fraction was significantly lower for patients with DCM (16.2 ± 5.2%, P < 0.001) and higher in AR (47.6 ± 16.2%, P = 0.009), AS (54.6 ± 21.1%, P = 0.001) and HHD (62.4 ± 6.8%, P < 0.001) compared with IVNC (33.0 ± 14.1%). The two-layered structure was most frequently seen at the apical segments, followed by the mid-cavity and basal segments in patients with INVC. The anterior and lateral walls were more commonly involved in patients with IVNC. The number of noncompacted segments and end-diastolic ratio of non-compacted to compacted myocardium (NC/C ratio) was greater in patients with IVNC than in other five groups. The end-diastolic NC/C ratio of >2.5 had 96.4% sensitivity and 97.4% specificity for identifying patients with IVNC. CMR provides an accurate and reliable evaluation of the localization and extent of noncompacted myocardium at end-diastole. The end-diastolic NC/C ratio of >2.5 had high diagnostic accuracy for IVNC in a Chinese adult Han population.

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Section: Discussionmentioning

confidence: 99%

Cardiac magnetic resonance imaging characteristics of isolated left ventricular noncompaction in a Chinese adult Han population

Cheng

Zhao

Jiang

et al. 2010

Int J Cardiovasc Imaging

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“…В качестве дополнительных диагностических ме-тодов может быть использована МРТ сердца, кото-рая по качеству изображения превосходит эхокар-диографию [67,83]. Основными критериями при диагностике НМЛЖ методом МРТ являются отно-шение неуплотненного к уплотненному миокарду более 2,3 [84] и трабекулярная масса более 20% [85].…”

Section: методы диагностикиunclassified

Noncompaction Cardiomyopathy

Iljinsky

Mozheyko

Шевченко

2017

RJTAO

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1 ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России, Москва, Российская Федерация 2 Кафедра трансплантологии и искусственных органов ГБОУ ВПО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России, Москва, Российская Федерация В статье представлен обзор литературы по различным аспектам некомпактной кардиомиопатии. Не-компактная кардиомиопатия -относительно редкое врожденное заболевание сердца, характеризующе-еся чрезмерным развитием трабекулярной сети и глубокими межтрабекулярными впадинами миокарда желудочков. Наиболее часто встречается неуплотненный миокард левого желудочка (НМЛЖ). НМЛЖ может быть изолированным или сосуществовать с другими кардиальными и системными аномалиями. Неуплотнение диагностируют, используя эхокардиографию или магнитно-резонансную томографию. Клинические проявления варьируют в широких пределах -от бессимптомных пациентов до пациентов с желудочковыми аритмиями, застойной сердечной недостаточностью и тромбоэмболиями. Некомпакт-ный миокард является нерешенной клинической задачей в силу недостаточной точности неинвазивной диагностики и стратификации пациентов, определения прогноза и в ряде случаев -тактики их лечения. In this article, the review of the literature on various aspects of the noncompaction cardiomyopathy is presented. Non-compaction cardiomyopathy is a relatively rare congenital heart disease characterized by an excessive prominence of trabecular meshwork, and deep recesses of the ventricular myocardium. The most frequent is left ventricular noncompaction (LVNC). LVNC can occur in isolation or coexist with other cardiac and systemic anomalies. Noncompaction can be detected with an echocardiography or cardiac magnetic resonance imaging. The clinical presentation varies ranging from asymptomatic patients to patients who develop ventricular arrhythmias, heart failure, thromboembolism.

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“…Non-compaction of ventricular myocardium is a rare congenital cardiomyopathy characterized by the presence of an extremely thickened endocardial layer with prominent trabeculations and deep recesses in communication with ventricular chamber and determining the typical spongeous aspect [1][2][3][4][5][6][7][8][9][10]. The diagnosis of non-compaction of ventricular myocardium is possible through the identification of morphological alterations by echocardiographic evaluation.…”

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confidence: 99%

“…Ebstein's anomaly is a rare congenital cardiac disease, defined as the significant apical displacement of the part of the tricuspid valve causing significant tricuspid regurgitation and reduction of the functional right ventricle, right atrial and right ventricular dilatation and atrial and ventricular arrhythmias [2][3][4].…”

mentioning

confidence: 99%