TY - JOUR
T1 - Identifying the Etiology
T2 - A Systematic Approach Using Delayed-Enhancement Cardiovascular Magnetic Resonance
AU - Senthilkumar, Annamalai
AU - Majmudar, Maulik D.
AU - Shenoy, Chetan
AU - Kim, Han W.
AU - Kim, Raymond J.
N1 - Funding Information:
This work was supported in part by National Institutes of Health Grant RO1-HL64726 (RJK).
PY - 2009/7
Y1 - 2009/7
N2 - In patients who have heart failure, treatment and survival are directly related to the cause. Clinically, as a practical first step, patients are classified as having either ischemic or non-ischemic cardiomyopathy, a delineation usually based on the presence or absence of epicardial coronary artery disease. However, this approach does not account for patients with non-ischemic cardiomyopathy who also have coronary artery disease, which may be either incidental or partly contributing to myocardial dysfunction (mixed cardiomyopathy). By allowing direct assessment of the myocardium, delayed-enhancement cardiovascular magnetic resonance (DE-CMR) may aid in addressing these conundrums. This article explores the use of DE-CMR in identifying ischemic and non-ischemic myopathic processes and details a systematic approach to determine the cause of cardiomyopathy.
AB - In patients who have heart failure, treatment and survival are directly related to the cause. Clinically, as a practical first step, patients are classified as having either ischemic or non-ischemic cardiomyopathy, a delineation usually based on the presence or absence of epicardial coronary artery disease. However, this approach does not account for patients with non-ischemic cardiomyopathy who also have coronary artery disease, which may be either incidental or partly contributing to myocardial dysfunction (mixed cardiomyopathy). By allowing direct assessment of the myocardium, delayed-enhancement cardiovascular magnetic resonance (DE-CMR) may aid in addressing these conundrums. This article explores the use of DE-CMR in identifying ischemic and non-ischemic myopathic processes and details a systematic approach to determine the cause of cardiomyopathy.
KW - Cardiomyopathy
KW - Cardiovascular magnetic resonance
KW - Delayed enhancement imaging
KW - Heart failure
KW - Ischemic
KW - Non-ischemic
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U2 - 10.1016/j.hfc.2009.02.009
DO - 10.1016/j.hfc.2009.02.009
M3 - Review article
C2 - 19564013
AN - SCOPUS:67649283806
SN - 1551-7136
VL - 5
SP - 349
EP - 367
JO - Heart Failure Clinics
JF - Heart Failure Clinics
IS - 3
ER -