Feasibility and Role of Cardiac Magnetic Resonance in Intensive and Acute Cardiovascular Care

Figures

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  Figure 1. Patient admitted with anterior ST-elevation myocardial infarction. Cardiac magnetic resonance images showed evidence of increased signal intensity in T2-weighted images and increased T2-mapping values in the interventricular septum and anterior wall (red arrows). There is also evidence of microvascular obstruction in both early and late gadolinium enhancement images (blue arrows,) along with transmural LGE in the septum and apical segments. LGE: late gadolinium enhancement.

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  Figure 2. Patient admitted with worsening shortness of breath and leg swelling. Cine images demonstrated severe left ventricular hypertrophy with a maximum wall thickness of 22 mm. The typical LGE appearance with difficulty in nulling the myocardium along with significantly increased native T1-mapping (1176 ms) and ECV (48%) values were in keeping with the diagnosis of cardiac amyloidosis. ECV: extracellular volume. LGE: late gadolinium enhancement.

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  Figure 3. Patient admitted with shortness of breath and sustained ventricular tachycardia. There was evidence of severe, asymmetrical left ventricular hypertrophy, increased T1-mapping values (1086 ms), and patchy LGE involving both superior and inferior insertion points in keeping with the diagnosis of hypertrophic cardiomyopathy (red arrows). LGE: late gadolinium enhancement.

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  Figure 4. Cardiac magnetic resonance applications in acutely ill patients.