Heart MRI Images Analysis In Case Of Arrythmogenic Right Ventricular Cardiomyopathy (ARVC)
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Published:
Dec 1, 2018
Keywords:
Arrythmogenic Right Ventricular Cardiomyopathy, Arrythmia, CMR, Diagnosis, Task Force Criteria 2010
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Abstract
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a cause of sudden cardiac death in otherwise healthy young adults. (ARVD/C) is an inherited cardiomyopathy characterized by life-threatening ventricular arrhythmias and slowly progressive ventricular dysfunction. To diagnose ARVC is indicated by the Task Force of ARVC criteria in 1994 and then revised in 2010 set by the WHO/ISFC. To identify clinical characteristics of ARVC using CMR. The design of this study was qualitative descriptive, which was done by the observational method using MRI 1.5 Tesla. The subject was an adult patient who did Cardiac MRI examination in National Cardiovascular Centre Harapan Kita in March 2018. The collected data were diagnostic images of CMR sequence. Then, it compared with the diagnostic criteria of ARVC which was indicated by Task Force. The result of this study of several ARVC diagnostic criteria in Cardiac MRI examination with T1 Black Blood sequence is clear and accurate in indicating the presence of fat infiltration, CINE sequence is clear in visualizing the dilatation in the right ventricle, wall motion abnormalities, accordion sign, bulging, and LGE clearly shows fibrosis. The detection of right ventricular enlargement, fatty infiltration, fibrosis, and wall motion abnormalities in CMR is useful in the diagnosis of ARVC.
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1.
Sriyatun S, Sari G, Apriantoro N. Heart MRI Images Analysis In Case Of Arrythmogenic Right Ventricular Cardiomyopathy (ARVC). SANITAS [Internet]. 1Dec.2018 [cited 22Dec.2024];9(2):135-42. Available from: https://sanitas.e-journal.id/index.php/SANITAS/article/view/20181201-sriyatun
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References
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Leong, D. P., Madsen, P. L., & Selvanayagam, J. B. 2016. Non-invasive evaluation of myocardial fibrosis : implications for the clinician. Group.bmj.com
Rastegar, N., James, C. A., Murray, B., Tichnell, C., Calkins, H., & Zimmerman, S. L. Fibrofatty Changes : Incidence at Cardiac MR Imaging in Patients with Arrhythmogenic Right Ventricular. RSNA, 2016, 0(0), 1–8
Murphy, D. T., Shine, S. C., Cradock, A., Galvin, J. M., Keelan, E. T., & Murray, J. G. Cardiac MRI in arrhythmogenic right ventricular cardiomyopathy. American Journal of Roentgenology, 2010, 194(4), 299–307. https://doi.org/10.2214/AJR.09.3450
James, C. A., & Calkins, H. Update on Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy ( ARVD / C ). Springer Science+Business Media New York, 2013, 476–487. https://doi.org/10.1007/s11936-013-0251-8
Liu, T., Pursnani, A., Sharma, U. C., Vorasettakarnkij, Y., Verdini, D., Deeprasertkul, P., … Ghoshhajra, B. B. Effect of the 2010 task force criteria on reclassification of cardiovascular magnetic resonance criteria for arrhythmogenic right ventricular cardiomyopathy. Journal of Cardiovascular Magnetic Resonance, 2014, 1–10.
Marcus, F. I., Abidov, A., & D, P. Arrhythmogenic Right Ventricular Cardiomyopathy 2012 : Diagnostic Challenges and Treatment. Journal of Cardiovascular Electrophysiology, 1–5. https://doi.org/10.1111/j.1540-8167.2012.02412.x
Pfluger, H. B., Phrommintikul, A., Mariani, J. A., Cherayath, J. G., Amit, D., & Taylor, A. J. Utility of Myocardial Fibrosis and Fatty Infiltration Detected by Cardiac Magnetic Resonance Imaging in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia — A Single Centre Experience. Elsevier Inc., 2008, 478–483. https://doi.org/10.1016/j.hlc.2008.03.085
Steckman, D. A., Schneider, P. M., Schuller, J. L., Aleong, R. G., Nguyen, D. T., Sinagra, G., Sauer, W. H. Utility of Cardiac Magnetic Resonance Imaging to Differentiate Cardiac Sarcoidosis from Arrhythmogenic Right Ventricular Cardiomyopathy. AJC, 2012, 110(4), 575–579. https://doi.org/10.1016/j.amjcard.2012.04.029
Maisch, B., & Noutsias, M. C a rdi o m y o p a t h i e s : Classification , Diagnosis , and Treatment. Heart Failure Clinics, 2012, 8(1), 53–78.
Mayosi, B. M., Fish, M., Shaboodien, G., Mastantuono, E., Kraus, S., Wieland, T., Crotti, L. Identification of Cadherin 2 (CDH2) Mutations in Arrhythmogenic Right Ventricular Cardiomyopathy. American Heart Association, 2017.
Marcus, F. I., Co-chair, W. J. M., Sherrill, D., Basso, C., Bauce, B., Bluemke, D. A., Zareba, W. Diagnosis of arrhythmogenic right ventricular cardiomyopathy / dysplasia Proposed Modification of the Task Force Criteria. European Heart Journal, 2010, 121(13), 806–814.
Migrino, R. Q., Sosnovik, D. E., Leichter, J. A., & Brady, T. J. Value of Fat Suppression in the MRI Evaluation of Suspected. American Roentgen Ray Society, 2004, 587–592
Tandri, H., Uk, M. R. C. P., Calkins, H., Nasir, K., Bomma, C., Castillo, E., Ao, J. O. Magnetic Resonance Imaging Findings in Patients Meeting Task Force Criteria for Arrhythmogenic Right Ventricular Dysplasia. Division of Cardiology and *Department of Radiology, 2003, 143, 476–482.
Tandri, H., Macedo, R., Calkins, H., Marcus, F., & Cannom, D. Imaging and Diagnostic Testing Role of magnetic resonance imaging in arrhythmogenic right ventricular dysplasia : Insights from the North American arrhythmogenic right ventricular dysplasia ( ARVD / C ) study. Mosby, Inc., 2008, 143.
Capulzini, L., Brugada, P., Brugada, J., & Brugada, R. Arrhythmia and Right Heart Disease : From Genetic Basis to Clinical Practice. Rev Esp Cardiol, 2010, 63(8), 963–983.
Jain, A., Tandri, H., Calkins, H., & Bluemke, D. A. Journal of Cardiovascular Magnetic Role of cardiovascular magnetic resonance imaging in arrhythmogenic right ventricular dysplasia. Journal of Cardiovascular Magnetic Resonance, 2008, 14, 1–14.
T, C. B., & Thiene, G. Adipositas cordis , fatty infiltration of the right ventricle , and arrhythmogenic right ventricular cardiomyopathy . Just a matter of fat ? B. Elsevier Inc., 2005, 14, 37–41
Macedo, R., Prakasa, K., Tichnell, C., Marcus, F., Calkins, H., Lima, J. A. C., … Tichnell, C. Marked Lipomatous Infiltration of the Right Ventricle : MRI Findings in Relation to Arrhythmogenic Right Ventricular Dysplasia. American Journal of Roentgenology, 2007, 423–428.
Xu, H., Chen, J., Yang, Z., & Li, R. Early Marker of Regional Left Ventricular Deformation in Patients With Hypertrophic Cardiomyopathy Evaluated by MRI Tissue Tracking : The Effects of Myocardial Hypertrophy and Fibrosis. International Society for Magnetic Resonance in Medicine, 2017, 1–9.
Leong, D. P., Madsen, P. L., & Selvanayagam, J. B. 2016. Non-invasive evaluation of myocardial fibrosis : implications for the clinician. Group.bmj.com