Keywords:
Tissue characterisation, Hyperplasia / Hypertrophy, Aneurysms, Contrast agent-intravenous, MR, Cardiac
Authors:
V. Palmisano, M. Mura, M. Porcu, L. Saba; Cagliari/IT
Conclusion
CMR play an important role in the management of apical hypertrophic cardiomyopathy,
because it can detect an unusual phenotype with thin-walled aneurysms and its complications,
as thromboembolic phenomenon,
that need a systemic anticoagulant for stroke prevention.
LGE may be reliable regional areas of myocardial fibrosis,
especially in thin-walled of aneurysms,
composed mainly of fibrosis,
which extends into the septum and free wall.
This condition represents a substrate for malignant ventricular arrhythmias and risk of sudden death,
and also is an important factor for implantable cardioverter defibrillator.
Novel technique as T1 mapping,
which depicts the expanded extracellular space,
and strain analysis,
with feature tracking software approach,
may help us to detect early myocardial alteration,
in order to improve the management of these patients.