Cardiac Magnetic Resonance Scar Imaging for Sudden Cardiac Death Risk Stratification in Patients with Non-Ischemic Cardiomyopathy.

Published

Journal Article (Review)

In patients with non-ischemic cardiomyopathy (NICM), risk stratification for sudden cardiac death (SCD) and selection of patients who would benefit from prophylactic implantable cardioverter-defibrillators remains challenging. We aim to discuss the evidence of cardiac magnetic resonance (CMR)-derived myocardial scar for the prediction of adverse cardiovascular outcomes in NICM. From the 15 studies analyzed, with a total of 2747 patients, the average prevalence of myocardial scar was 41%. In patients with myocardial scar, the risk for adverse cardiac events was more than 3-fold higher, and risk for arrhythmic events 5-fold higher, as compared to patients without scar. Based on the available observational, single center studies, CMR scar assessment may be a promising new tool for SCD risk stratification, which merits further investigation.

Full Text

Duke Authors

Cited Authors

  • Kim, EK; Chattranukulchai, P; Klem, I

Published Date

  • July 2015

Published In

Volume / Issue

  • 16 / 4

Start / End Page

  • 683 - 695

PubMed ID

  • 26175568

Pubmed Central ID

  • 26175568

Electronic International Standard Serial Number (EISSN)

  • 2005-8330

Digital Object Identifier (DOI)

  • 10.3348/kjr.2015.16.4.683

Language

  • eng

Conference Location

  • Korea (South)