Abstract
This chapter will summarize the most important CMR features of ARVC/D. Diagnostic accuracy of CMR in the diagnosis of ARVC/D has been evaluated in numerous studies and is an integral part of the 2010 Modified Task Force ARVC/D criteria. CMR can identify not only the advanced disease but also subtle early changes of ARVC/D with a high diagnostic accuracy; CMR also has incremental value in risk stratifying asymptomatic ARVC/D-associated desmosomal mutation carriers. Typical CMR findings in ARVC/D include RV dilatation and global RV systolic dysfunction, wall motion abnormalities, trabecular disarray, fatty infiltration of the RV (and in some cases - the LV) myocardium demonstrated by T1 signal, thinned and remodeled RV myocardium due to fibrofatty replacement, aneurysms of the RV and RVOT, and delayed hyperenhancement of the involved myocardium on gadolinium-enhanced sequences. This review will help the readers to recognize patterns of the CMR abnormalities consistent with ARVC/D.
Original language | English (US) |
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Title of host publication | Cardiac MRI in the Diagnosis, Clinical Management, and Prognosis of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia |
Publisher | Elsevier Inc. |
Pages | 53-67 |
Number of pages | 15 |
ISBN (Print) | 9780128012833 |
DOIs | |
State | Published - Mar 10 2016 |
Keywords
- ARVC
- Cardiac magnetic resonance imaging
- Fibrofatty infiltration
- Right ventricular dysfunction
- Wall motion abnormalities
ASJC Scopus subject areas
- General Medicine
- General Social Sciences