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AJR 2003; 180:981-985
© American Roentgen Ray Society

Original Report

Late Myocardial Enhancement in Hypertrophic Cardiomyopathy with Contrast-Enhanced MR Imaging

Jan Bogaert1, Marcelo Goldstein2, Fadi Tannouri3, Jafar Golzarian3 and Steven Dymarkowski1

1 Department of Radiology, Gasthuisberg University Hospital Leuven, Herestr. 49, B-3000 Leuven, Belgium.
2 Department of Cardiology, Hôpital St. Anne, Ave. J. Graindor 66, 1070 Brussels, Belgium.
3 Department of Radiology, Erasmus University Hospital, Brussels, Lenniksebaan 808, 1070 Brussels, Belgium.

OBJECTIVE. Contrast-enhanced MR imaging has great clinical value as a means of characterizing myocardial tissue in patients with ischemic heart disease. The purpose of our study was to evaluate use of this technique in the assessment of patients with hypertrophic cardiomyopathy.

CONCLUSION. On late-enhancement MR imaging, the various types or patterns of enhancement found in patients with hypertrophic cardiomyopathy are related to differences in morphology and regional function. Enhancement in hypertrophied areas likely reflects the presence of abundant connective tissue, foci of myocardial necrosis, or a combination of both.


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