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Published on: June 20, 2014
Magnetic resonance imaging of hypertrophic cardiomyopathy
Alessandro Cannavale1, Karen G Ordovás, Charles B Higgins
1Department of Radiology, University of Rome Sapienza, Rome, Italy.
Insights
Hypertrophic cardiomyopathy (HCM) is a genetic heart disease. Cardiac MRI aids early diagnosis, risk stratification, and monitoring of HCM patients, improving outcomes.
Area of Science:
- Cardiology
- Medical Imaging
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary genetic heart disorder.
- HCM presents with diverse clinical and imaging features.
- Early diagnosis and risk assessment are vital for managing HCM.
Purpose of the Study:
- To review the characteristic appearances of HCM on cardiac magnetic resonance (CMR).
- To discuss the differential diagnoses of HCM using CMR.
- To highlight CMR's role in HCM management.
Main Methods:
- Pictorial review of CMR findings in HCM.
- Illustrative cases demonstrating HCM phenotypes.
- Comparison with conditions mimicking HCM on CMR.
Main Results:
- CMR reveals specific patterns of left ventricular hypertrophy in HCM.
- CMR can detect subclinical disease and quantify severity.
- CMR aids in differentiating HCM from other cardiomyopathies.
Conclusions:
- Cardiac MRI is essential for diagnosing and assessing HCM.
- CMR facilitates risk stratification and guides therapeutic decisions.
- Understanding CMR appearances is key for accurate HCM diagnosis.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a genetically inherited disease with a wide spectrum of phenotypic presentations. It is crucial to establish an early diagnosis and identify patients at high risk for sudden death. Cardiac magnetic resonance can provide subclinical diagnosis, quantification of severity of known disease, risk stratification, and assessment of response to therapy for HCM. This pictorial review summarizes the main magnetic resonance appearances of HCM and its differential diagnosis.
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