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Title of Journal: Int J Cardiovasc Imaging

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Abbravation: The International Journal of Cardiovascular Imaging

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Springer Netherlands

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DOI

10.1007/s11104-010-0661-2

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ISSN

1573-0743

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Late hyperenhancement in gadolinium-enhanced magnetic resonance imaging: comparison of hypertrophic cardiomyopathy patients with and without nonsustained ventricular tachycardia

Authors: Paweł Petkow Dimitrow, Piotr Klimeczek, Rozemarijn Vliegenthart, Mieczysław Pasowicz, Matthijs Oudkerk, Piotr Podolec, Wiesława Tracz, Jacek S. Dubiel,

Publish Date: 2007/07/10
Volume: 24, Issue:1, Pages: 77-83
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Abstract

In HCM patients, NSVT in Holter monitoring is a risk factor for sudden cardiac death; however, its positive predictive value is low. Varying risk of sudden death related to NSVT may be dependent on the heterogeneous extent of the arrhythmogenic substrate, which seems to be visible as hyperenhancement in gadolinium-enhanced magnetic resonance imaging (MRI).In HCM patients with NSVT 97% had some extent of hyperenhancement on MRI, ranging from 1 to 76 g. The mean mass of hyperenhanced myocardium was 19 ± 18 g (8.1 ± 7.6% of total left ventricular mass). In HCM patients without NSVT, a significantly lower percentage of patients (60%) had hyperenhancement (P 


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