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J Clin Imaging Sci. 2015 May 22;5:28. doi: 10.4103/2156-7514.157604. eCollection 2015.

Assessment of Ischemic Cardiomyopathy Using Cardiovascular Magnetic Resonance Imaging: A Pictorial Review.

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Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA.


Ischemic heart disease is the leading cause of death worldwide. In the last two decades, cardiovascular magnetic resonance imaging (CMRI) has emerged as the primary imaging tool in the detection and prognostic assessment of ischemic heart disease. In a single study, CMRI allows evaluation of not only myocardial wall perfusion, but also the presence, acuity, and extent of myocardial ischemia and infarction complications. Also, rest and stress perfusion imaging can accurately depict inducible ischemia secondary to significant coronary artery stenosis. We present a pictorial review of the assessment of ischemic cardiomyopathy with an emphasis on CMRI features.


Delayed gadolinium enhancement; ischemia; steady-state free precession; viability

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