Figure 2

Myocardial fibrosis in myotonic dystrophy type 1 by CMR. Late gadolinium enhancement (LGE) images in short axis (A, B and C) and 4-chamber long axis views (D) of 4 patients with myotonic dystrophy type 1. Between arrows are regions of increased signal intensity, indicating focal fibrosis, visible as mid-myocardial enhancement to epicardial enhancement with endocardial sparing.