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http://dx.doi.org/10.3348/kjr.2015.16.4.683

Cardiac Magnetic Resonance Scar Imaging for Sudden Cardiac Death Risk Stratification in Patients with Non-Ischemic Cardiomyopathy  

Kim, Eun Kyoung (Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Chattranukulchai, Pairoj (Division of Cardiology, Department of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital)
Klem, Igor (Duke Cardiovascular Magnetic Resonance Center, Duke University Medical Center)
Publication Information
Korean Journal of Radiology / v.16, no.4, 2015 , pp. 683-695 More about this Journal
Abstract
In patients with non-ischemic cardiomyopathy (NICM), risk stratification for sudden cardiac death (SCD) and selection of patients who would benefit from prophylactic implantable cardioverter-defibrillators remains challenging. We aim to discuss the evidence of cardiac magnetic resonance (CMR)-derived myocardial scar for the prediction of adverse cardiovascular outcomes in NICM. From the 15 studies analyzed, with a total of 2747 patients, the average prevalence of myocardial scar was 41%. In patients with myocardial scar, the risk for adverse cardiac events was more than 3-fold higher, and risk for arrhythmic events 5-fold higher, as compared to patients without scar. Based on the available observational, single center studies, CMR scar assessment may be a promising new tool for SCD risk stratification, which merits further investigation.
Keywords
Non-ischemic cardiomyopathy; Sudden cardiac death; Cardiac magnetic resonance;
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