PMID- 22762717 OWN - NLM STAT- MEDLINE DCOM- 20130104 LR - 20151119 IS - 1879-1913 (Electronic) IS - 0002-9149 (Linking) VI - 110 IP - 8 DP - 2012 Oct 15 TI - Incremental value of late gadolinium enhancement for management of patients with hypertrophic cardiomyopathy. PG - 1207-12 LID - S0002-9149(12)01535-4 [pii] LID - 10.1016/j.amjcard.2012.05.064 [doi] AB - Cardiac magnetic resonance with late gadolinium enhancement (LGE) is a well-established method for in vivo detection of myocardial scarring. Several recent studies have investigated the prognostic value of LGE in patients with hypertrophic cardiomyopathy (HC). We discuss the prevalence and patterns of scarring in HC and its pathophysiologic significance, with focus on ventricular arrhythmias and sudden cardiac death. The available evidence that myocardial scar demonstrated by LGE is a good independent predictor of cardiac mortality in HC is summed up. Recommendations of current guidelines for prevention of sudden cardiac death in HC are discussed with regard to recent results, and the significance of LGE as an emerging risk factor is pointed out. In conclusion, it is demonstrated that LGE has incremental value in addition to clinical risk factors for risk stratification and management of patients with HC. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Greulich, Simon AU - Greulich S AD - Department of Cardiology, Robert Bosch Medical Center, Stuttgart, Germany. FAU - Schumm, Julia AU - Schumm J FAU - Grun, Stefan AU - Grun S FAU - Bruder, Oliver AU - Bruder O FAU - Sechtem, Udo AU - Sechtem U FAU - Mahrholdt, Heiko AU - Mahrholdt H LA - eng PT - Case Reports PT - Journal Article DEP - 20120703 PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Contrast Media) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Cardiomyopathy, Hypertrophic/*pathology MH - *Contrast Media MH - *Gadolinium MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Practice Guidelines as Topic MH - Predictive Value of Tests MH - Prognosis MH - Risk Assessment MH - Risk Factors MH - Survival Analysis EDAT- 2012/07/06 06:00 MHDA- 2013/01/05 06:00 CRDT- 2012/07/06 06:00 PHST- 2012/03/09 00:00 [received] PHST- 2012/05/04 00:00 [revised] PHST- 2012/05/04 00:00 [accepted] PHST- 2012/07/06 06:00 [entrez] PHST- 2012/07/06 06:00 [pubmed] PHST- 2013/01/05 06:00 [medline] AID - S0002-9149(12)01535-4 [pii] AID - 10.1016/j.amjcard.2012.05.064 [doi] PST - ppublish SO - Am J Cardiol. 2012 Oct 15;110(8):1207-12. doi: 10.1016/j.amjcard.2012.05.064. Epub 2012 Jul 3.