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Parametric mapping by cardiovascular magnetic resonance imaging in sudden cardiac arrest survivors

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Abstract

Etiology of sudden cardiac arrest (SCA) is identified in less than 30% of survivors without coronary artery disease. We sought to assess the diagnostic role of myocardial parametric mapping using cardiovascular magnetic resonance (CMR) in identifying SCA etiology. Consecutive SCA survivors undergoing CMR with myocardial parametric mapping were included in the study. The determination if CMR was decisive or contributory in identifying SCA etiology was made if the diagnosis was unclear prior to CMR, and the discharge diagnosis was consistent with the CMR result. Parametric mapping was considered essential for establishing probable SCA etiology by CMR if the SCA cause could not have been determined without its utilization. If the CMR diagnosis could have been potentially based on the combination of cine and LGE imaging, parametric mapping was considered contributory. Of the 35 patients (mean age 46.9 ± 14.1 years; 57% males) included, SCA diagnosis was based on CMR in 23 (66%) patients. Of those, parametric mapping was essential for the diagnosis of myocarditis and tako-tsubo cardiomyopathy (11/48%) and contributed to the diagnosis in 10 (43%) additional cases. Inclusion of quantitative T1 and T2 parametric mapping in the SCA CMR protocol has the potential to increase diagnostic yield of CMR and further specify SCA etiology, especially myocarditis.

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Authors and Affiliations

  1. Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University, 452 W 10th Ave, Columbus, OH, 43210, USA

    Katarzyna E. Gil, Karolina M. Zareba & Saurabh Rajpal

  2. Division of Cardiovascular Medicine, The Ohio State University, Columbus, OH, USA

    Katarzyna E. Gil, Karolina M. Zareba, Juliet Varghese, Orlando P. Simonetti & Saurabh Rajpal

  3. Department of Internal Medicine, Nazareth Hospital, Pennsylvania, PA, USA

    Vien T. Truong

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  2. Vien T. Truong
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by KEG, VTT, KMZ and SR. The first draft of the manuscript was written by KEG and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Katarzyna E. Gil.

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Gil, K.E., Truong, V.T., Zareba, K.M. et al. Parametric mapping by cardiovascular magnetic resonance imaging in sudden cardiac arrest survivors. Int J Cardiovasc Imaging 39, 1547–1555 (2023). https://doi.org/10.1007/s10554-023-02864-4

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