The emerging role of cardiovascular MRI for risk stratification in hypertrophic cardiomyopathy.

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Hoey, E T D and Teoh, J K and Das, I and Ganeshan, Arul and Simpson, H and Watkin, R W (2014) The emerging role of cardiovascular MRI for risk stratification in hypertrophic cardiomyopathy. Clinical radiology, 69 (3). pp. 221-30. ISSN 1365-229X. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.clinicalradiologyonline.net/article/S00...

Abstract

Hypertrophic cardiomyopathy (HCM) is the most common inheritable cardiovascular disorder. Although many HCM patients remain asymptomatic, sudden death (SD) can occur as the initial manifestation of the disease. It has been hypothesized that myocardial architectural disorganization and scarring represent an unstable electrophysiological substrate that creates susceptibility to malignant ventricular arrhythmias. Cardiovascular magnetic resonance imaging (CMR) is widely used for the diagnosis of HCM, especially in patients with an incomplete or inconclusive echocardiography study. CMR can provide precise non-invasive assessment of biventricular function, wall thickness, and assessment of myocardial fibrosis, using inversion recovery gadolinium-enhanced sequences. CMR is also one of the most promising avenues of research in HCM, and in recent years, has provided many new insights and identified a number of potential adverse prognostic indicators for SD. Future work is still needed to integrate CMR findings into traditional risk assessment algorithms. This paper reviews the evolving role of CMR for risk stratification in HCM including assessment of myocardial hypertrophy, fibrosis and ischaemia.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WG Cardiovascular system. Cardiology
WN Medical imaging. Radiology
Divisions: Clinical Support > Radiology
Emergency Services > Cardiology
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Depositing User: Mrs Yolande Brookes
Date Deposited: 18 Aug 2014 15:13
Last Modified: 18 Aug 2014 15:13
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/528

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