Role of cardiac MRI in assessment of patients with dilated cardiomyopathy

Ibrahim, Heba R.; Housseini, Ahmed M.; Khalil, Tarek; Allam, Khalid E.; Ali, Hesham H.

doi:10.1016/j.ejrnm.2017.04.008

Cited by 3 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are three patterns of LGE seen in DCMP: (a) no enhancement; (b) subendocardial and transmural involvement consistent with coronary artery distribution and indistinguishable from previous infarction; (c) patchy or longitudinal striae of midwall enhancement clearly different from distribution in CAD patients. 26 The LGE pattern seen in this patient was not consistent with any of the patterns described with DCMP.…”

Section: Discussantcontrasting

confidence: 66%

Practice in Medicine: A Rare Presentation of Dilated Cardiomyopathy with Intermittent Complete Heart Block

Vaswani

2021

IJCDW

View full text Add to dashboard Cite

show abstract

Section: Discussantcontrasting

confidence: 66%

Practice in Medicine: A Rare Presentation of Dilated Cardiomyopathy with Intermittent Complete Heart Block

Vaswani

2021

IJCDW

View full text Add to dashboard Cite

show abstract

“…In 65% of examined patents with myocarditis, LGE was detected as focal subepicardial and midwall enhancement andin more severe cases as circumferential and diffuse subepicardial enhancement, accompanied with pericardial changes as part of the inflammatory reaction in the presence of definitive scar/necrosis (Figure 9). LGE images in short axis showed enhancement, definitive scar presented as circumferential subepicardial LGE with pericardial enhancement on the lateral wall Discussion Cardiac MRI (CMR) has been recently considered as an important imaging modality for assessment of patients with cardiomyopathy with up to 94% sensitivity [7]. In the diagnosis of ischemic cardiomyopathyin coronary artery disease,LGE has a sensitivity if 85.7% and specificity of 92.4% [8].…”

Section: Resultsmentioning

confidence: 99%

Assessment of Late Gadolinium Enhancement in Cardiac Mri

Nikolova

Lazareska

Aliji

et al. 2021

JMS

View full text Add to dashboard Cite

The aim of this study was to evaluate MRI characteristics of ischemic and non-ischemic cardiomyopathies with late dadolinium enhancement analysis that can provide differentiation between these two cardiomyopathies.Eligible 96 patients, age range from 26 to 71 years, who showed different and overlapping clinical symptoms, ECG andtransthoracic echocardiography findings that needed further evaluation were included in our study for further evaluation with cardiac MRI. Of the evaluated patients, 47 were females and 49 were males.The examinations were performed with MRI Scanner 1,5T Siemens Avanto by using 3 channeledSiemens ECG electrodes with retrospective triggering. With the help of PSIR sequence for late gadolinium enhancement evaluation we differentiated ischemic cardiomyopathy from non-ischemic cardiomyopathy, which is crucial for management of patients with cardiac dysfunction. Of the examined 96 patients, 42 patients were diagnosed with ischemic cardiomyopathy, 51 with non-ischemic cardiomyopathy, and 3 patients had non-conclusive diagnosis.It was found that late gadolinium images in the setting of cardiac MRI were capable of detecting myocardial scars and fibrosis. Moreover, they helped in differentiation between ischemic and nonischemic cardiomyopathieson the basis of myocardial scar enhancement pattern.

show abstract

“…Table 6 compares the baseline characteristics of our study subjects with those of Behera et al ., [ 9 ] Grothues et al ., [ 10 ] Assomull et al ., [ 13 ] Ibrahim et al ., [ 11 ] and Puntmann et al . [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics, Cardiac Magnetic Resonance Features, and Outcomes of Patients with Dilated Cardiomyopathy – An Experience from a South Asian Country

Shams

Sultan

2021

JCIS

View full text Add to dashboard Cite

Objectives: The objectives of the study were to evaluate the clinical presentation, cardiac magnetic resonance (CMR) features, and outcomes of patients with dilated cardiomyopathy (DCM). Material and Methods: A retrospective study was conducted at a tertiary care center of Pakistan. All patients who underwent CMR for further evaluation of DCM during the period of 2011–2019 and in whom CMR confirmed the diagnosis of DCM, were included in the study. Patients were followed up in the year 2020 for all-cause mortality and cardiovascular hospitalizations. Results: A total of 75 patients were included in the study. The mean age was 38.7 ± 13 with the majority (n = 57, 76%) being male. Dyspnea was the most common presenting symptom (n = 68, 90.7%). The mean left ventricle ejection fraction (LVEF) by CMR was 29.3 ± 12 and mean left ventricle stroke volume (LVSV) was 66.5 ± 31. Late gadolinium enhanced (LGE) was present in 28 (37.3%) patients. Follow-up was available in 61 patients with the mean follow-up duration of 39.7 ± 27 months. Most patients (40, 65.6%) experienced all-cause major adverse cardiovascular events (MACE) during the follow-up and mortality was observed in 10 (16.4%) patients. LVSV by CMR (P = 0.03), LVEF by CMR (P = 0.02), and presence of pericardial effusion (PE) (P = 0.01) were significantly associated with all-cause MACE. On multiregression analysis, SV by CMR was associated with all cause MACE (P = 0.048). The presence of LGE was associated with higher mortality (P = 0.03). Conclusion: LVSV, LVEF by CMR, and PE were significantly associated with all-cause MACE. LGE was associated with higher mortality. Our cohort had a relatively younger age of presentation and diagnosis, and a greater mortality on follow-up, when compared with other regions of the world.

show abstract

Role of cardiac MRI in assessment of patients with dilated cardiomyopathy

Cited by 3 publications

References 21 publications

Practice in Medicine: A Rare Presentation of Dilated Cardiomyopathy with Intermittent Complete Heart Block

Practice in Medicine: A Rare Presentation of Dilated Cardiomyopathy with Intermittent Complete Heart Block

Assessment of Late Gadolinium Enhancement in Cardiac Mri

Clinical Characteristics, Cardiac Magnetic Resonance Features, and Outcomes of Patients with Dilated Cardiomyopathy – An Experience from a South Asian Country

Contact Info

Product

Resources

About