Table 1 Details of non-appropriate indications for CMR studies
Original indication | Appropriateness | Details |
|---|---|---|
44-Myocarditis | Uncertain | Patient had prior CMR showing myocarditis (LGE 15% LV) and mildly reduced EF. Follow-up echocardiogram showed normal EF. Follow-up CMR was ordered to assess residual LGE for risk stratification |
44-Myocarditis | Uncertain | Patient had prior CMR showing myocarditis (LGE 10% LV) and normal EF. Follow-up CMR was ordered to assess residual LGE for risk stratification |
43-ARVD | Uncertain | Positive family history of SCD. Normal echocardiogram. Concern for ARVD. No syncope or VT. |
43-ARVD | Uncertain | Patient with VT. Normal echocardiogram. CMR ordered to rule out scar or focus for arrhythmia |
41-Specific cardiomyopathy | Uncertain | Palpitation and presyncope. Normal echocardiogram. Rule out scar or infiltrative disease |
43-ARVD | Uncertain | Patient had prior CMR showing minor ARVD criteria with frequent PVCs and low EF. CMR ordered post ablation to assess for scar at the site of ablation and improvement in EF. |
38-LVEF in heart failure | Uncertain | Patient had an echocardiogram- did not add much information. |
45-Mass | Inappropriate | Echocardiogram clearly showed prominent Chiari network and not right atrial mass |
43-ARVD | Inappropriate | Dizziness-concern for ARVD. Normal echocardiogram. No syncope or VT |
43-ARVD | Inappropriate | Brother died while swimming. R/o ARVD. Normal echocardiogram. No VT or syncope |
43-ARVD | Inappropriate | Palpitation with normal echocardiogram. Rule out scar or fibrosis |
46-Pericardial disease | Inappropriate | First episode of pericarditis. Negative cardiac enzymes. CMR ordered to assess for pericardial and myocardial LGE |