Cardiovascular magnetic resonance in the evaluation of hypertrophic and infiltrative cardiomyopathies

Heart Fail Clin. 2009 Jul;5(3):369-87, vi. doi: 10.1016/j.hfc.2009.02.003.

Abstract

There is often considerable phenotypic overlap in hypertrophic and infiltrative cardiomyopathies. This overlap creates difficulties, when using routine imaging modalities, in arriving at a conclusive diagnosis. Cardiovascular magnetic resonance (CMR) can make diagnosis easier and more certain. Used with gadolinium contrast agent for tissue characterization, CMR offers a superior field of view and temporal resolution, enabling clinicians to make more confident assessments of etiology. CMR may also be a useful modality for stratifying risk and monitoring treatment responses over time in patients with hypertrophic or infiltrative cardiomyopathies. This article highlights the role of CMR in the assessment and, if relevant, the risk stratification of hypertrophic and infiltrative cardiomyopathies.

Publication types

  • Review

MeSH terms

  • Amyloidosis / complications
  • Amyloidosis / diagnosis
  • Cardiomyopathies / diagnosis*
  • Cardiomyopathies / etiology
  • Cardiomyopathy, Hypertrophic / diagnosis
  • Chagas Cardiomyopathy / diagnosis
  • Churg-Strauss Syndrome / complications
  • Churg-Strauss Syndrome / diagnosis
  • Diagnosis, Differential
  • Endomyocardial Fibrosis / complications
  • Endomyocardial Fibrosis / diagnosis
  • Eosinophilia / complications
  • Eosinophilia / diagnosis
  • Fabry Disease / complications
  • Fabry Disease / diagnosis
  • Glycogen Storage Disease / complications
  • Glycogen Storage Disease / diagnosis
  • Humans
  • Iron Overload / complications
  • Iron Overload / diagnosis
  • Magnetic Resonance Imaging / methods*
  • Risk Assessment / methods
  • Sarcoidosis / complications
  • Sarcoidosis / diagnosis