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European Journal of Heart Failure 2007 9(9):959-961; doi:10.1016/j.ejheart.2007.06.002
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© 2007 European Society of Cardiology

Severely impaired left ventricular function: Tissue characterization by cardiovascular magnetic resonance in a clinical dilemma{star}

Chiara Bucciarelli-Duccia,b,*, Didier Loccaa, Rory O'Hanlona, Paul Oldershawc and Sanjay K. Prasada,b

a Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital London, UK
b National Heart and Lung Institute, Imperial College London, UK
c Cardiology Division, Royal Brompton Hospital UK

* Corresponding author. Cardiovascular Magnetic Resonance Unit Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK. Tel.: +44 20 7351 8812; fax: +44 20 7351 8816. E-mail address: c.bucciarelli-ducci06{at}imperial.ac.uk


  Abstract

In patients with symptoms of heart failure, identifying the underlying cause of cardiomyopathy is helpful to establish the diagnosis and to guide therapy. The differential diagnosis of cardiomyopathy can be challenging based on clinical findings. We report the case of a patient who represented a clinical dilemma (cardiac sarcoidosis or ischaemic heart disease), in whom cardiovascular magnetic resonance was a clinically valuable tool to distinguish dual cardiac pathology due to its unique, non-invasive, tissue characterization capabilities.

Key Words: Cardiac sarcoidosis • Cardiovascular magnetic resonance • Imaging • Ischaemic heart disease

Received February 6, 2007; Accepted June 4, 2007

{star} All authors disclose any personal or financial support or any conflicts of interest related to this manuscript.


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