Cardiovascular magnetic resonance in the evaluation of hypertrophic and infiltrative cardiomyopathies.

Dudley J Pennell, Rory O'Hanlon

Journal: Heart failure clinics 2009;5(3):369-87, vi

PMID: 19564014

Full Text on Elsevier Science View on PubMed

Abstract

There is often considerable phenotypic overlap in hypertrophic and infiltrative cardiomyopathies. This overlap creates difficulties, when using routine imaging modalities, in arriving at a conclusive diagnosis. Cardiovascular magnetic resonance (CMR) can make diagnosis easier and more certain. Used with gadolinium contrast agent for tissue characterization, CMR offers a superior field of view and temporal resolution, enabling clinicians to make more confident assessments of etiology. CMR may also be a useful modality for stratifying risk and monitoring treatment responses over time in patients with hypertrophic or infiltrative cardiomyopathies. This article highlights the role of CMR in the assessment and, if relevant, the risk stratification of hypertrophic and infiltrative cardiomyopathies.

Address: Royal Brompton Hospital, London, UK.

DOI: 10.1016/j.hfc.2009.02.003

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MeSH Terms: Amyloidosis, Cardiomyopathies, Cardiomyopathy, Hypertrophic, Chagas Cardiomyopathy, Churg-Strauss Syndrome, Diagnosis, Differential, Endomyocardial Fibrosis, Eosinophilia, Fabry Disease, Glycogen Storage Disease, Humans, Iron Overload, Magnetic Resonance Imaging, Risk Assessment, Sarcoidosis