Protocol
  1. Anatomy module (A)
  2. LV function (RV function) module (B/C)
  3. Edema module (G)
  4. 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
    • Regional wall motion abnormalities
  2. Myocardial granulomas on LGE images
  3. Extra-cardiac findings
Key Points
  1. Restrictive LV pattern (non-dilated ventricles, preserved LV function, restrictive filling pattern, enlarged LA / RA)
  2. Cardiac involvement:
    • in about 25% of patients with systemic sarcoidosis
  3. Myocardial granulomas on LGE images:
    • Intramural
    • Spotty
    • Predominantly basal lateral
    • Respond to immunosuppressive drugs
    • Enhancement not in CAD territory distribution
  4. LV dysfunction is common
  5. Focal edema indicates inflammation
    • May mimic hypertrophic cardiomyopathy
  6. Usually accompanied with extra-cardiac findings:
    • Hilar lymphadenopathy
    • Involvement of any other organ system possible
Tips and Tricks
  1. High degree AV nodal blocks, AF and NSVT are common
References
  1. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. ESC Clinical Practice Guidelines 2012.