Delayed Enhancement Cardiac MRI In Ischemic and Non-Ischemic Heart Failure
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 4
Abstract
<strong>Background:</strong> In patients with left ventricular systolic dysfunction, the primary diagnostic issue is to differentiate the underlying cause whether related to coronary artery disease or dilated cardiomyopathy, for which coronary angiography was often used. <strong>Aim of the Work: </strong>Using Delayed enhancement-magnetic resonance imaging (DE-MRI) to identify myocardial tissue characteristics through retention of gadolinium in areas with reduced density of viable myocytes so appear enhancing (bright). So, we can differentiate dilated from ischemic cardiomyopathy. <strong>Patient and Method: </strong>Our study included 34 patients with left ventricular systolic dysfunction (ejection fraction less than 40% by echocardiography). All of them were submitted to DE-MRI using achieva 1.5 Tesla MRI machine. <strong>Results: </strong>15 patients (44%) showed infarct pattern of DE (presumed ischemic cardiomyopathy) while 19 patients (56%) showed no DE or non-infarct pattern of DE (presumed dilated cardiomyopathy). <strong>Conclusion: </strong>DE-MRI could be considered as an effective non-invasive tool to differentiate ischemic from non-ischemic cardiomyopathy.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584137
- DOI 10.12816/ejhm.2018.9248
- Views 109
- Downloads 0
Major Changes in Urine Investigations after Orthotopic Cystectomy with Ileal Neobladder
Background: urinary and metabolic changes differ in their severity and consequences. The severity of these changes is directly related to the type of bowel segment, surface area of bowel used, duration of urine storage c...
Emerging Trends in Dental Specialty and Employment Choice Among Male Dentists Graduating from King Saud University between 2005 and 2015
<strong>Aim of the work: </strong>specialization in any field is known to be associated with higher productivity. Postgraduate dental education has a key role in providing the proper training for practitioners. This stud...
Correlation Between Visual Acuity and Optical Coherence Tomography Macular Parameters In Controlled Type II Diabetic Patients
<strong>Background: </strong>Diabetes Mellitus (DM) is a chronic metabolic disease with considerable morbidity and mortality. Diabetic retinopathy (DR) and diabetic macular edema (DME) are major complications of DM and a...
An Overview with Noninvasive Body Countering in The Management of Cellulite
Nowadays cellulite, or gynoid lipodystrophy (GLD) is the most concerning and displeasing skin problem. It is a condition in which the skin appears dimpled, bumpy and "orange peel-like." It's caused by changes in the stru...
Surgical Wound Infection
Surgical wound infections prompt antagonistic patient results, including delayed hospitalization and demise. Wound infection happens with every entry point, however demonstrated procedures exist to diminish the hazard of...