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The Prognostic Role of Late Gadolinium Enhancement Magnetic Resonance Imaging in Patients With Cardiomyopathy
Abstract
Cardiovascular magnetic resonance imaging (CMRI) is currently considered part of standard care at many academic centres for the evaluation of patients with ischemic or nonischemic cardiomyopathy. While CMRI provides unparalleled diagnostic versatility for the assessment of myocardial function, perfusion, and tissue health, evidence supporting its prognostic value for the prediction of important cardiovascular events is now emerging. Given the low specificity of currently available clinical markers in patients with cardiomyopathy, more-robust biomarkers aimed at identifying those at high risk of sudden cardiac death and other relevant outcomes are desirable. Late gadolinium enhancement (LGE) CMRI offers the novel capacity to quantify the burden of myocardial fibrosis, a common pathophysiological end point of most cardiomyopathy states. As such, it has the potential to be a robust and ubiquitous marker of cardiovascular events related to the presence of advanced tissue disease. This review paper focuses on the evidence to date supporting LGE imaging as a tool for the prediction of future cardiovascular events in patients with ischemic and nonischemic cardiomyopathy.
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LGE technique can aid in assessing the risk of arrhythmias.
“Furthermore, this technique can aid in assessing the risk of arrhythmias.”
From Multimodality imaging assessment of tetralogy of Fallot: From diagnosis to long-term follow-up (2023) · cites this paper as [41]
Late gadolinium enhancement distribution pattern can offer valuable insights to discriminate between pathological processes like ischemic cardiac disease, previous inflammatory processes, and cardiomyopathy.
“The distribution pattern of the contrast agent can offer valuable insights to discriminate between pathological processes like ischemic cardiac disease, previous inflammatory processes, and cardiomyopathy.”
From Multimodality imaging assessment of tetralogy of Fallot: From diagnosis to long-term follow-up (2023) · cites this paper as [41]
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Metadata
- Authors
- Stirrat, J., & White, J. A.
- Affiliations
- Western University (CA)
- Corresponding author
- White, James A.
- ORCID
- White, James A.
- Venue
- Canadian Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 29
- Issue
- 3
- Pages
- 329-336
- ISSN
- 0828-282X (ISSN-L)
- OpenAlex
- W1989443948
- Cited by
- 33
- References
- 66
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 6 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 4
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bayer Canada
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- late gadolinium enhancement, cardiovascular magnetic resonance imaging, cardiomyopathy, myocardial fibrosis, prognosis, sudden cardiac death, ischemic cardiomyopathy, non-ischemic cardiomyopathy, cardiovascular event prediction, prognostic factors
- MeSH terms
- Contrast Media, Gadolinium, Humans, Magnetic Resonance Imaging, Cardiomyopathies, Predictive Value of Tests, Prognosis, Risk Factors, Sensitivity and Specificity, Risk Assessment
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