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Angiology
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Precise Assessment of Myocardial Damage Associated with Secondary Cardiomyopathies by Use of Gd-DTPA-Enhanced Magnetic Resonance Imaging

Hiroshi Matsuoka

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Mareomi Hamada

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Toshio Honda

Department of Internal Medicine, Ehime Prefectual Iyomishima Hospital, Iyomishima, Ehime 799-04, Japan

Hideo Kawakami

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Hideki Okayama

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Mitsunori Abe

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Yuji Shigematsu

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Takumi Sumimoto

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

Kunio Hiwada

2nd Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun

To evaluate the myocardial damage in patients with secondary cardiomy opathies, the authors examined gadolinium-diethylenetriaminepentaacetic acid (Gd-DTPA)-enhanced magnetic resonance imaging (MRI) in 5 patients (2 with cardiac amyloidosis, 2 with acute myocarditis, 1 with cardiac thyrotoxicosis). MR images were performed at 1.5-T by using a spin echo pulse sequence before and after intravenous administration of Gd-DTPA (0.2 mmol/kg). All patients revealed distinct high-intensity areas on postcontrast images. Moreover, MRI with Gd-DTPA could determine the severity and precise regions of myocardial damage associated with secondary cardiomyopathies.

It is suggested that gated cardiac MRI with Gd-DTPA enhancement is useful for detecting the myocardial damage in secondary cardiomyopathies.

Angiology, Vol. 44, No. 12, 945-950 (1993)
DOI: 10.1177/000331979304401204
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