Table 1 Description of seven patients with NICM in which CMR revealed a specific diagnosis and changed management course
From: Is routine cardiac MRI justifiable in patients with non-ischemic cardiomyopathy?
Patients | CMR diagnosis | Evidence of LGE | Management |
|---|---|---|---|
Patient 1 | Newly diagnosed constrictive pericarditis | Present | Surgical evaluation for pericardial stripping |
Patient 2 | Newly diagnosed cardiac sarcoidosis | Not performed due to renal insufficiency (T2 weighted imaging shows evidence of increased signal intensity suggestive of myocardial inflammation) | IV Steroids Implantable cardioverter defibrillator (ICD) implantation |
Patient 3 | Newly diagnosed cardiac sarcoidosis | Present | IV steroids ICD implantation |
Patient 4 | Newly diagnosed non-compaction cardiomyopathy | Present | Electrophysiologic evaluation and ICD implantation |
Patient 5 | Newly diagnosed left ventricular mass | Present | Urgent surgical evaluation |
Patient 6 | Newly diagnosed cardiac amyloid (AL-type by kidney biopsy) Newly diagnosed large bilateral pleural effusions with collapsed left lung | Present | Urgent thoracocentesis and further evaluation of cardiac amyloidosis |
Patient 7 | Myocarditis with large right pleural effusion | Present | Aggressive diuresis and management of myocarditis |