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Table 1 Details of non-appropriate indications for CMR studies

From: Appropriateness and diagnostic yield of cardiac magnetic resonance imaging from a tertiary referral center in the Middle East

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
  1. ARVD (arrhythmogenic ventricular dysplasia); CMR (cardiac magnetic resonance imaging); EF (ejection fraction); LGE (late Gadolinium enhancement); LV (left ventricle); SCD (sudden cardiac death); VT (ventricular tachycardia)