Figure 3

Differential diagnosis of LVH. Diastolic SSFP cines (above) and LGE-sequences (below) in the 4-chamber view of several types of hypertrophy are depicted. From left to right: hypertensive cardiomyopathy, hypertrophic cardiomyopathy, Fabry’s disease, cardiac amyloid infiltration and cardiac sarcoidosis. Different gadolinium myocardial enhancement patterns (arrows) are shown corresponding to each condition: very subtle focal intramyocardial fibrosis in the basal septum of a hypertensive cardiomyopathy patient, confluent intramyocardial fibrosis in a case of hypertrophic cardiomyopathy, subendocardial fibrosis in the lateral wall in a case of Fabry’s disease, global difuse subendocardial fibrosis in amyloid cardiomyopathy and subendocardial/intramyocardial/subepicardial fibrosis in a case of sarcoidois.