Role of Cardiac MRI in Assessment Non-Ischemic Cardiomyopathy

Mostafa Fadel Sonbol,Anas Mohamed Sabry Elhadary,Mahmoud Ibrahim Elshamy

doi:10.11648/j.ijmi.20210901.17

Mostafa Fadel Sonbol, Anas Mohamed Sabry Elhadary + Show 1 more

Open Access

https://doi.org/10.11648/j.ijmi.20210901.17

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Abstract

Background: cardiomyopathies include a broad spectrum of myocardial problems which can affect the heart either a primary disease process or as part of a systemic disorder, which may be complicated by heart failure or death. Objective: the aim of the study to identify the role of cardiac magnetic resonance imaging to diagnose the different various types of cardiomyopathy. Patients and Methods: this study included 50 patients with suspected different types of non-ischemic cardiomyopathies referred from outpatient clinic of Cardiology at Al-Hussein University hospital from November 2018 to July 2019. Results: all patients showed mild to moderate mitral regurge (100% of cases), tricuspid regurge was seen in 3 cases (75% of cases) and aortic regurge was seen in 4 cases (50% of cases). The most value of MRI study of these patients was to differentiate whether if heart failure is related to 1ry dilated cardiomyopathy or other causes such as ischemia as they have different management in each group. Conclusion: CMR is a valuable (minimally or non-invasive) imaging technique in patients with suspected or known to have non-ischemic cardiomyopathies. It helps to identify the underlying cause, prognosis and responsiveness to therapy and affect management as well follow-up and most recently as a preventive diagnostic tool.

Highlights

Cardiomyopathy is characterized as a myocardial issue in which the heart muscle is primarily and practically strange without coronary illness, hypertension, valvular coronary illness and intrinsic coronary illness adequate to cause the noticed myocardial anomaly [1].In the investigation work up for a presumed cardiomyopathy, ordinarily a significant number of tests are performed, going from the more daily practice and direct tests including ECG, echocardiogram, and exercise treadmill, to the more invasive including coronary angiography, electrophysiological considers, and endomyocardial biopsy
Aim of the Work This study aims to identify the role of cardiac magnetic resonance imaging to diagnose various types of cardiomyopathy
Right ventricular volumes and ejection fraction were quantified by the same method for cases of pathologies related to right ventricle

Summary

Introduction

Cardiomyopathy is characterized as a myocardial issue in which the heart muscle is primarily and practically strange without coronary illness, hypertension, valvular coronary illness and intrinsic coronary illness adequate to cause the noticed myocardial anomaly [1].In the investigation work up for a presumed cardiomyopathy, ordinarily a significant number of tests are performed, going from the more daily practice and direct tests including ECG, echocardiogram, and exercise treadmill, to the more invasive including coronary angiography, electrophysiological considers, and endomyocardial biopsy. Cardiomyopathy is characterized as a myocardial issue in which the heart muscle is primarily and practically strange without coronary illness, hypertension, valvular coronary illness and intrinsic coronary illness adequate to cause the noticed myocardial anomaly [1]. It is critical to distinguish a potentially treatable substrate and afterward to separate patients for treatment including thought of an implantable defibrillator (ICD) or heart resynchronization device [2]. In this survey, Non-Ischaemic Cardiomyopathies (NICMP) are drawn closer from a clinical perspective laying out the indicative and prognostic job of CMR as a basic piece of the clinical algorithm [2]. Through its ability to characterize the myocardium by using multiple different imaging parameters, it provides insight into the etiology of the underlying heart failure and its prognosis [2]

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