Protocol

Anatomy module (A) LV function module (B) Edema module (G) RV function module (C) LGE module (E)

Report

Dimensions (corrected for BSA) and function LV: EDV, ESV , SV, EF, end-diastolic diameter RV: EDV, ESV, SV, EF Regional wall motion abnormalities Presence and severity of valvular regurgitation Presence, location, and extent of fibrosis

Key Points

Mid-wall fibrosis indicative of DCM Risk factors for sudden cardiac death: LV impairment, EF <35% Frequent repetitive NSVT Presence end extent of mid-wall fibrosis

Tips and Tricks

Use acceleration techniques to reduce breath-hold times Consider unrecognized CAD if you identify: Marked regional wall motion abnormalities Subendocardial or transmural hyperenhancement on LGE Consider abnormal vascular connections / shunts Tagging may help identify wall motion abnormalities Perfusion imaging can be difficult to interpret (thin myocardium, presence of scar and slower flow)

References

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. ESC Clinical Practice Guidelines 2012