Left Ventricle LGE Subendocardial

Ischemia

PRIOR INFARCTION

ISCHEMIC CARDIOMYOPATHY S/P RCA OCCLUSION SHORT AXIS LGE SERIES
62 year old female with acute chest pain atrial fibrillation, hypotension admitted to ICU. Clinical evaluation was considered to be non-ischemic cardiomyopathy with EF by echo of about 20%. She was hypotensive and, in the ICU, and CXR showed acute CHF with cardiomegaly. The TEE was more in keeping with segmental dyssynergy, Cardiac cath showed occluded RCA bot good collateralization from the LAD. MRI showed subendocardial LGE in the inferior and inferolateral portions of the LV as shown in images b and d (red arrowheads) consistent with a prior infarction. EF of the LV was of 20%
Ashley Davidoff MD

ISCHEMIC CARDIOMYOPATHY S/P RCA OCCLUSION LONG AXIS LGE SERIES
62 year old female with acute chest pain atrial fibrillation, hypotension admitted to ICU. Clinical evaluation was considered to be non-ischemic cardiomyopathy with EF by echo of about 20%. She was hypotensive and, in the ICU, and CXR showed acute CHF with cardiomegaly. The TEE was more in keeping with segmental dyssynergy, Cardiac cath showed occluded RCA bot good collateralization from the LAD. MRI showed subendocardial LGE in the inferior and inferolateral portions of the LV as shown in images b and d (red arrowheads) consistent with a prior infarction. The LGE occupies more than 50% of the myocardium. EF of the LV was of 20%
Ashley Davidoff MD

Prior Infarction

SUBENDOCARDIAL LGE – ISCHEMIA
76 year old male with history of ischemic heart disease . Delayed gadolinium enhancement shows intense subendocardial delayed gadolinium enhancement in the infero basal region of the left ventricle consistent with coronary artery ischemic disease

Non Ischemic Cardiomyopathy

Amyloidosis

Dilated Cardiomyopathy

References and Links

Case Studies TCV
- 006 Cardiac Amyloidosis
- 013 Mixed Collagen Cardiomyopathy Subendocardial LGE