Delayed Myocardial Enhancement-Ischemic versus Non-ischemic Myocardium-Teaching Point
Delayed enhancement MRI has an important role in establishing the diagnosis of ischemic versus nonischemic myocardial disease. The differentiation between ischemic and nonischemic cardiac diseases is essential for guiding clinical management.
- The expected pattern of delayed enhancement in patients with ischemic heart disease follows a coronary artery territory distribution. The delayed enhancement initially involves the subendocardial region and can progress to a transmural abnormality.
- Patchy or diffuse delayed enhancement that does not follow a coronary artery distribution and primarily involves the midwall and/or subepicardial regions of the left ventricular (LV) myocardium is a characteristic finding of nonischemic cardiomyopathies.
Delayed Myocardial Enhancement-Ischemic versus Non-ischemic Myocardium-Teaching Point
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Reviewed by Sumer Sethi
on
Monday, April 15, 2013
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Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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