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ISSN 2078-7170 (Electronic)

2022, Number 4

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CorSalud 2022; 14 (4)

Usefulness of cardiac magnetic resonance imaging with parametric mapping in the diagnosis and prognosis of patients with cardiomyopathies

Pérez BA, Vázquez HG, Marcos GY, Bencomo RL, Martínez GA, Padrón GK, Pérez MR, Oro CC, Rodríguez NLM, Peix GA

Language: Spanish
References: 42
Page: 320-331
PDF size: 667.95 Kb.


ABSTRACT

Introduction: Cardiomyopathies constitute a heterogeneous group of myocardial diseases with high morbidity and mortality. Cardiac magnetic resonance imaging (cMRI) plays an essential role in their diagnosis and prognosis.
Objective: To describe the usefulness of cMRI by applying parametric maps in the diagnosis and prognosis of patients with cardiomyopathies.
Method: An observational, descriptive, cross-sectional study was conducted with 40 patients suffering from cardiomyopathies, treated at the Instituto de Cardiología y Cirugía Cardiovascular of Havana, Cuba, in 2018, who underwent cMRI and were followed for 24 months.
Results: Men (60%) and arterial hypertension (50%) were more frequent. cMRI con-firmed the initial diagnosis in 47% of cases. The ejection fraction was significantly lower in the deceased (p=0.039), who also presented higher end-diastolic and end-systolic volumes. Patients with decreased ventricular function presented higher ex-tracellular volumes (mean of 38.9 ms), and higher mortality at 24 months of follow-up. The native T1 and extracellular volume values were significantly higher in the deceased with mean of 1134.4 and 41.4 ms respectively.
Conclusions: cMRI complements the noninvasive diagnosis and prognosis of cardi-omyopathies by confirming, adding or refuting diagnoses through assessment of ventricular function and tissue characterization, where ejection fraction and extra-cellular volume are the most important prognostic variables.


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