Abstract

Background Interstitial myocardial fibrosis is a histological hallmark of non-ischemic dilated cardiomyopathy (DCM), and may play an important role in adverse remodelling and progressive systolic dysfunction. T1-mapping enables noninvasive assessment of diffuse fibrosis by quantification of myocardial extracellular volume fraction (ECV). We hypothesized that CMR would identify a raised ECV in DCM which would correlate with the degree of systolic dysfunction.

Highlights

  • Interstitial myocardial fibrosis is a histological hallmark of non-ischemic dilated cardiomyopathy (DCM), and may play an important role in adverse remodelling and progressive systolic dysfunction

  • Univariate linear regression analysis revealed that indexed left ventricular end diastolic volume, heart rate, gender and left ventricular ejection fraction (LVEF) were significantly associated with extracellular volume fraction (ECV)

  • ECV is expanded in DCM in proportion to the degree of LV systolic dysfunction

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Summary

Open Access

Aamir Ali1*, Ankur Gulati, Tevfik F Ismail, Kaushiga Krishnathansan, Nizar Ismail, Evangelia Nyktari, Navtej Chahal, Claire E Raphael, Rick Wage, Taigang He1, Peter D Gatehouse, David Firmin, Peter Kellman, Dudley Pennell, Andrew E Arai, Sanjay K Prasad. From 16th Annual SCMR Scientific Sessions San Francisco, CA, USA. From 16th Annual SCMR Scientific Sessions San Francisco, CA, USA. 31 January - 3 February 2013

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