Role of Cardiac Magnetic Resonance Late Gadolinium Enhancement in Cardiomyopathy

Authors

Ahlam Abdelghafar Amin Ezzeldien, Diagnostic and Interventional Radiology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, EgyptFollow
Mohamed Abdelfattah, Diagnostic and Interventional Radiology, faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Aisha Ramadan Mohammed, Diagnostic and Interventional Radiology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

Corresponding Author

Ahlam Abdelghafar Amin Ezzeldien

Authors ORCID

Role of L- Carnitine as Adjuvant Therapy with Letrozole for Ovulation Induction in Women with Polycystic Ovarian Syndrome (PCOS)

Document Type

Original Article

Abstract

Background: Cardiomyopathies are a broad spectrum of diseases that affect the myocardium. CMR has been considered the most reliable method for assessing the cardiac muscle's structure and function because of its exceptional ability to capture detailed images with great temporal as well as spatial accuracy. Additionally, it is thought to exhibit a crucial role in diagnosing and predicting heart failure associated with cardiomyopathy.

Aim : To identify the role of late gadolinium enhancement in diagnosing cardiomyopathy.

Patients and methods: The observational cross-sectional study involved 20 cases developing clinical symptoms and signs of heart failure referred from the cardiology department at Al-Zahra Hospital to the CMRI unit at the Radiology department at Al-Zahraa and Alhussien University hospitals between February 2023 and April 2024.

Results: According to the final diagnosis by conventional CMR study and LGE, our results were classified into three main groups: - Group (1) DCM: -included two patients (10%) Group (2) HCM: -included eight patients (40%) Group (3) Other types of cardiomyopathy: -included ten patients (50%) The third group Included five subtypes: - amyloidosis 2 cases (20%), myopericarditis 2 cases (20%), non-compaction 3 cases (30%), sarcoidosis 1 case (10%) and RCM 2 cases (20%).

Conclusion: CMR is a very important diagnostic imaging technique in cardiomyopathy. Techniques like LGE effectively characterize the myocardium, which plays a crucial role in distinguishing between different cardiomyopathy types. Furthermore, CMR could be utilized to determine the risk stratification of cases, provide guidance for patient management plans, and assess the response to therapy.

Keywords

Cardiac MRI; Delayed Enhancement; Cardiomyopathy

Subject Area

Radiology & Radiodiagnosis

How to Cite This Article

Ezzeldien, Ahlam Abdelghafar Amin; Abdelfattah, Mohamed; and Mohammed, Aisha Ramadan (2024) "Role of Cardiac Magnetic Resonance Late Gadolinium Enhancement in Cardiomyopathy," Al-Azhar International Medical Journal: Vol. 5: Iss. 10, Article 38.
DOI: https://doi.org/10.58675/2682-339X.2719