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Table 3 Differential diagnosis of LV hypertrophy according to LGE pattern

From: Diagnostic and prognostic value of cardiovascular magnetic resonance in non-ischaemic cardiomyopathies

 

HTN

AS

HCM

Amyloidosis

Anderson-Fabry

Pattern of hypertrophy

Concentric

Concentric

Localised

Concentric

Concentric

Localisation of LGE

Any segment

Basal segments

Hypertrophied segments mainly

Circumferential

Basal inferolateral wall

Pattern of LGE

Non-specific Focal Non-subendocardial

Non-specific Patchy sub-endocardial or mid-wall

Patchy and/or LV-RV insertion points

Myocardial nulling difficult Diffuse sub-endocardial or sub-epicardial or Mid-wall

Patchy Mid-wall

  1. HTN states for hypertension, AS for aortic stenosis, HCM : hypertrophic cardiomyopathy, LGE for late gadolinium enhancement.