Protocol
  1. Anatomy module (A)
  2. LV function (RV function) module (B)
  3. Edema module (G)
  4. EGE/LGE module (E)
Report
  1. Dimensions, mass (corrected for BSA) and function
    • LV: EDV, ESV, SV, EF, longitudinal function, mass
    • RV: EDV, ESV, SV, EF, longitudinal function
  2. Presence and extent of fibrosis
  3. Presence of ventricular thrombus
Key Points
  1. Tropical or non-tropical (Löffler’s syndrome / eosinophilic cardiomyopathy) eosinophilic endomyocardial fibrosis
  2. Usually increased eosinophil count
  3. Restrictive LV pattern (non-dilated ventricles, preserved LV function, restrictive filling pattern, enlarged LA / RA)
  4. Endocardial thickening and scarring
  5. RV involvement in about 50% of cases
  6. Ventricular thrombi are common (EGE images)
  7. LGE pattern
    • Circumferential sub-endocardial hyperenhancement
    • Rarely affects more than 50% of the wall thickness
Tips and Tricks
  1. Hypereosinophilia and cardiac involvement are also seen in other diseases, i.e. Churg–Strauss syndrome, etc.
References
  1. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. ESC Clinical Practice Guidelines 2012