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Updated: May 21, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
[The thickened left ventricle: etiology, differential diagnosis and implications for cardiovascular radiology]
P Bischoff1, P W Radke, J Barkhausen
1Klinik für Radiologie und Nuklearmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck. Peter.Bischoff@uk-sh.de
Insights
Left ventricular hypertrophy, a common cardiac finding, is best assessed by cardiac MRI. This imaging method precisely quantifies hypertrophy and identifies its causes, guiding tailored diagnostic protocols for patients.
Area of Science:
- Cardiology
- Medical Imaging
- Pathophysiology
Context:
- Left ventricular hypertrophy (LVH) is a frequent clinical observation.
- Causes of LVH include increased cardiac afterload and cardiomyopathies.
- Echocardiography, CT, and MRI are used for detection.
Purpose:
- To highlight cardiac MRI as the premier imaging modality for LVH.
- To emphasize MRI's capability in precise quantification and etiological determination.
- To present diagnostic algorithms for LVH based on underlying pathologies.
Summary:
- Cardiac MRI offers superior precision in quantifying left ventricular hypertrophy (LVH) and characterizing myocardial changes.
- It enables simultaneous assessment of functional parameters, myocardial mass, and structural alterations.
- This review details diagnostic algorithms for LVH, tailored to specific underlying conditions.
Impact:
- Optimizing diagnostic strategies for left ventricular hypertrophy.
- Improving patient management through precise etiological diagnosis.
- Enhancing understanding of myocardial changes in various cardiac diseases.
Abstract:
Hypertrophy of the left ventricular myocardium is a common finding and can be reliably detected by echocardiography, CT and MRI. Common causes include diseases associated with increased cardiac afterload as well as primary and secondary cardiomyopathy. With the opportunity to determine functional parameters and myocardial mass precisely as well as to detect structural changes of the cardiac muscle simultaneously, cardiac MRI is the most precise imaging method for quantifying left ventricular hypertrophy as well as determining the cause and the exact characterization of the myocardial changes. It is mandatory, however, to create a flexible, individually adapted examination protocol. This review presents useful diagnostic algorithms in relation to different underlying pathologies in patients with left ventricular hypertrophy.
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