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[Arrhythmogenic cardiomyopathy. Patterns of ventricular involvement using cardiac magnetic resonance]

Begoña Igual1, Esther Zorio, Alicia Maceira

  • 1Unidad de Imagen Cardiaca, ERESA, Unidad de Muerte Súbita Familiar, Hospital Universitari i Politècnic La Fe, Valencia, España. bigual@eresa.com

Revista Espanola De Cardiologia
|October 28, 2011
PubMed

Insights

Left ventricle involvement is common in arrhythmogenic cardiomyopathy, with late gadolinium enhancement frequently observed. This study used cardiovascular magnetic resonance to detail ventricular patterns and enhancement in these conditions.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Medical Diagnostics

Context:

  • Arrhythmogenic cardiomyopathy (ACM) spectrum now includes biventricular and left dominant forms.
  • Understanding ventricular involvement patterns is crucial for diagnosis and management.
  • Cardiovascular magnetic resonance (CMR) is a key imaging modality for ACM.

Purpose:

  • To describe ventricular involvement patterns using CMR.
  • To characterize late gadolinium enhancement (LGE) in ACM variants.
  • To investigate patterns in biventricular and left dominant ACM.

Summary:

  • CMR revealed left ventricle (LV) involvement in 92% of ACM patients, predominantly with LGE.
  • Right ventricle (RV) involvement occurred in 73%, with varying degrees of dysfunction and LGE.
  • LV LGE was most common in inferior, lateral, and inferolateral walls, often subepicardial or transmural.

Impact:

  • Highlights the high prevalence of LV involvement in ACM.
  • Provides detailed insights into LGE patterns, aiding diagnostic accuracy.
  • Informs clinical understanding and potential therapeutic strategies for ACM.
Abstract

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