PMID- 27957128 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1941-6911 (Print) IS - 1941-6911 (Electronic) IS - 1941-6911 (Linking) VI - 7 IP - 4 DP - 2014 Dec TI - Importance Of Delayed Enhanced Cardiac MRI In Idiopathic RVOT-VT: Differentiating Mimics Including Early Stage ARVC And Cardiac Sarcoidosis. PG - 1097 LID - 10.4022/jafib.1097 [doi] LID - 1097 AB - A detailed understanding of cardiac anatomy and pathophysiology is necessary to optimize catheter ablation procedural success for patients with symptomatic ventricular tachycardia (VT)/premature ventricular contractions (PVCs) of outflow tract origin. Comprehensive imaging with cardiac magnetic resonance imaging (cMRI) is now at the forefront of procedural planning for complex ventricular arrhythmia ablation for patients with structural heart disease, but is increasingly used in patients with presumed "idiopathic" outflow VT/PVCs as well. cMRI with late gadolinium enhancement (LGE) can localize small regions of myocardial scar from previous myocardial infarction, fibrosis from non-ischemic cardiomyopathy, or edema/fibrosis from inflammatory disorders and help define targets for ablation. LGE, in combination with structural assessment, can help differentiate true idiopathic outflow VT/PVCs from those caused by early stage disease secondary to more significant pathology, such as arrhythmogenic right ventricular cardiomyopathy or cardiac sarcoidosis. We review the benefits of cMRI with LGE for patients with VT/PVCs of outflow origin. FAU - Macias, Carlos AU - Macias C AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. FAU - Nakamura, Keijiro AU - Nakamura K AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. FAU - Tung, Roderick AU - Tung R AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. FAU - Boyle, Noel G AU - Boyle NG AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. FAU - Kalyanam, Shivkumar AU - Kalyanam S AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. FAU - Bradfield, Jason S AU - Bradfield JS AD - UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, CA. LA - eng PT - Journal Article PT - Review DEP - 20141231 PL - United States TA - J Atr Fibrillation JT - Journal of atrial fibrillation JID - 101514767 PMC - PMC5135196 EDAT- 2014/12/31 00:00 MHDA- 2014/12/31 00:01 PMCR- 2014/12/31 CRDT- 2016/12/14 06:00 PHST- 2014/05/23 00:00 [received] PHST- 2014/09/09 00:00 [revised] PHST- 2014/10/27 00:00 [accepted] PHST- 2016/12/14 06:00 [entrez] PHST- 2014/12/31 00:00 [pubmed] PHST- 2014/12/31 00:01 [medline] PHST- 2014/12/31 00:00 [pmc-release] AID - 10.4022/jafib.1097 [doi] PST - epublish SO - J Atr Fibrillation. 2014 Dec 31;7(4):1097. doi: 10.4022/jafib.1097. eCollection 2014 Dec.