title: The emerging role of cardiovascular MRI for risk stratification in hypertrophic cardiomyopathy.
abstract: Hypertrophic cardiomyopathy (HCM) is the most common inheritable cardiovascular disorder. Although many HCM patients remain asymptomatic, sudden death (SD) can occur as the initial manifestation of the disease. It has been hypothesized that myocardial architectural disorganization and scarring represent an unstable electrophysiological substrate that creates susceptibility to malignant ventricular arrhythmias. Cardiovascular magnetic resonance imaging (CMR) is widely used for the diagnosis of HCM, especially in patients with an incomplete or inconclusive echocardiography study. CMR can provide precise non-invasive assessment of biventricular function, wall thickness, and assessment of myocardial fibrosis, using inversion recovery gadolinium-enhanced sequences. CMR is also one of the most promising avenues of research in HCM, and in recent years, has provided many new insights and identified a number of potential adverse prognostic indicators for SD. Future work is still needed to integrate CMR findings into traditional risk assessment algorithms. This paper reviews the evolving role of CMR for risk stratification in HCM including assessment of myocardial hypertrophy, fibrosis and ischaemia.
authors.affiliation: Department of Radiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK. Electronic address: edwardhoey1@gmail.com.
authors.forename: E T D
authors.initials: ET
authors.lastname: Hoey
authors.affiliation: Department of Cardiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK.
authors.forename: J K
authors.initials: JK
authors.lastname: Teoh
authors.affiliation: Department of Radiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK.
authors.forename: I
authors.initials: I
authors.lastname: Das
authors.affiliation: Department of Radiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK.
authors.forename: A
authors.initials: A
authors.lastname: Ganeshan
authors.affiliation: Department of Cardiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK.
authors.forename: H
authors.initials: H
authors.lastname: Simpson
authors.affiliation: Department of Cardiology, Heart of England NHS Foundation Trust, Birmingham, West Midlands, UK.
authors.forename: R W
authors.initials: RW
authors.lastname: Watkin
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis*; D003287:Contrast Media; D005355:Fibrosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D017202:Myocardial Ischemia / Q000175:diagnosis; D018570:Risk Assessment / Q000379:methods*
chemical_list: D003287:Contrast Media