Highlights the utility of cardiac magnetic resonance in characterizing lipomatous metaplasia within myocardial scars in ischemic cardiomyopathy.
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CMR may aid scar characterization in chronic ischemic cardiomyopathy; leaves open its prognostic value and need for validation.
Lipomatous metaplasia is characterized by substitution of muscle fibers with adipose tissue in the context of a myocardial scar. Cardiac magnetic resonance is an accurate cardiac imaging technique with high tissue spatial resolution that can easily characterize scar tissue, adipose tissue and lipomatous metaplasia. We report a case of lipomatous metaplasia in a 68-year-old man with a 14-year history of anterior myocardial infarction admitted to our cardiac department for dyspnea and palpitations.
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Bella et al. (2009) studied this question.
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