Identifying nonischemic cardiomyopathy patients who would benefit from an implantable cardioverter-defibrillator: Can late gadolinium enhancement on CMR imaging help?
A recent article published in the American Heart Journal written by Rajat Kalra, MBChB, and Chetan Shenoy, MBBS. The article
discusses the role of LGE and CMR for the identification and differentiation of nonischemic CM, and raises the question of how myocardial fibrosis associated with mortality in NICM. It also suggests the blanket diagnosis of NICM is too nonspecific, and that "trials investigating CMR-guided ICD implantation where the cause of the NICM will be the first and the most important piece of CMR information that will provide guidance."
|