PMID- 21721426
OWN - NLM
STAT- MEDLINE
DCOM- 20111025
LR  - 20151119
IS  - 0125-2208 (Print)
IS  - 0125-2208 (Linking)
VI  - 94 Suppl 1
DP  - 2011 Feb
TI  - Late gadolinium enhancement from cardiac magnetic resonance in ischemic and 
      non-ischemic cardiomyopathy.
PG  - S33-8
AB  - BACKGROUND: Diagnosis of coronary artery disease in patients with heart failure 
      with systolic dysfunction usually requires coronary angiography. Cardiac magnetic 
      resonance (CMR) is an accurate tool for the assessment of myocardial scar which 
      may be the major cause of left ventricular systolic dysfunction. OBJECTIVE: This 
      study was to determine the prevalence and the difference in pattern of late 
      gadolinium enhancement (LGE) between patients with ischemic (ICM) and 
      non-ischemic cardiomyopathy (NICM). MATERIAL AND METHOD: We enrolled 98 patients 
      with heart failure and left ventricular systolic dysfunction with left 
      ventricular ejection fraction less than 50%. Allpatients underwent CMR. CMR 
      protocol included functional study and assessment of LGE. Left ventricular volume 
      and ejection fraction was measured. The presence and extent of LGE including its 
      pattern were assessed. RESULTS: There were 58 patients with ICM and 40 patients 
      with NICM. Patients with NICM had a lower left ventricular ejection fraction than 
      those with ICM with a similar left ventricular wall thickness. LGE was detected 
      in 53 patients with ICM (91.5%) and 10 patients with NICM (25%). LGE pattern was 
      transmural or subendocardial pattern in patients with ICM and midwall scar in 
      those with NICM. CONCLUSION: The presence and pattern ofLGE can differentiate 
      systolic heart failure from ICM and NICM.
FAU - Krittayaphong, Rungroj
AU  - Krittayaphong R
AD  - Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand. sirkt@mahidol.ac.th
FAU - Boonyasirinant, Thananya
AU  - Boonyasirinant T
FAU - Saiviroonporn, Pairash
AU  - Saiviroonporn P
FAU - Udompunturak, Suthipol
AU  - Udompunturak S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Thailand
TA  - J Med Assoc Thai
JT  - Journal of the Medical Association of Thailand = Chotmaihet thangphaet
JID - 7507216
RN  - 0 (Contrast Media)
RN  - AU0V1LM3JT (Gadolinium)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiomyopathies/complications/*diagnosis
MH  - Case-Control Studies
MH  - Contrast Media
MH  - Female
MH  - Gadolinium
MH  - Heart Failure/*diagnosis/etiology
MH  - Humans
MH  - Image Enhancement
MH  - Magnetic Resonance Imaging/*methods
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/*diagnosis
MH  - Predictive Value of Tests
MH  - Stroke Volume
MH  - Ventricular Dysfunction, Left/complications/diagnosis
EDAT- 2011/07/05 06:00
MHDA- 2011/10/26 06:00
CRDT- 2011/07/05 06:00
PHST- 2011/07/05 06:00 [entrez]
PHST- 2011/07/05 06:00 [pubmed]
PHST- 2011/10/26 06:00 [medline]
PST - ppublish
SO  - J Med Assoc Thai. 2011 Feb;94 Suppl 1:S33-8.