Key result
Advanced cardiovascular magnetic resonance techniques, such as parametric mapping and late gadolinium enhancement, help differentiate pathological from physiological causes of left ventricular hypertrophy.
Why the study?
Differentiating pathological from physiological left ventricular hypertrophy is challenging but crucial for management and prognostication, and advanced CMR myocardial tissue characterisation may aid in distinguishing these aetiologies.
Advanced CMR tissue characterization techniques are powerful tools for differentiating various causes of left ventricular hypertrophy, aiding in diagnosis and prognostication.
May aid LVH etiology assessment in practice; leaves open prospective outcome validation before routine adoption.
PURPOSE OF REVIEW: Left ventricular hypertrophy (LVH) is a common presentation encountered in clinical practice with a diverse range of potential aetiologies. Differentiation of pathological from physiological hypertrophy can be challenging but is crucial for further management and prognostication. Cardiovascular magnetic resonance (CMR) with advanced myocardial tissue characterisation is a powerful tool that may help to differentiate these aetiologies in the assessment of LVH. RECENT FINDINGS: The use of CMR for detailed morphological assessment of LVH is well described. More recently, advanced CMR techniques (late gadolinium enhancement, parametric mapping, diffusion tensor imaging, and myocardial strain) have been used. These techniques are highly promising in helping to differentiate key aetiologies of LVH and provide valuable prognostic information. Recent advancements in CMR tissue characterisation, such as parametric mapping, in combination with detailed morphological assessment and late gadolinium enhancement, provide a powerful resource that may help assess and differentiate important causes of LVH.
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Burrage et al. (2020) conducted a review in Left ventricular hypertrophy. Cardiovascular magnetic resonance (CMR) was evaluated. Advanced cardiovascular magnetic resonance techniques, such as parametric mapping and late gadolinium enhancement, help differentiate pathological from physiological causes of left ventricular hypertrophy.