Identifying the etiology: a systematic approach using delayed-enhancement cardiovascular magnetic resonance.


Journal Article (Review)

In patients who have heart failure, treatment and survival are directly related to the cause. Clinically, as a practical first step, patients are classified as having either ischemic or non-ischemic cardiomyopathy, a delineation usually based on the presence or absence of epicardial coronary artery disease. However, this approach does not account for patients with non-ischemic cardiomyopathy who also have coronary artery disease, which may be either incidental or partly contributing to myocardial dysfunction (mixed cardiomyopathy). By allowing direct assessment of the myocardium, delayed-enhancement cardiovascular magnetic resonance (DE-CMR) may aid in addressing these conundrums. This article explores the use of DE-CMR in identifying ischemic and non-ischemic myopathic processes and details a systematic approach to determine the cause of cardiomyopathy.

Full Text

Duke Authors

Cited Authors

  • Senthilkumar, A; Majmudar, MD; Shenoy, C; Kim, HW; Kim, RJ

Published Date

  • July 2009

Published In

Volume / Issue

  • 5 / 3

Start / End Page

  • 349 - vi

PubMed ID

  • 19564013

Pubmed Central ID

  • 19564013

International Standard Serial Number (ISSN)

  • 1551-7136

Digital Object Identifier (DOI)

  • 10.1016/j.hfc.2009.02.009


  • eng

Conference Location

  • United States