Letter to the Editor
Cardiac magnetic resonance imaging in cardiomyopathies that look alike
Ressonância magnética cardíaca nuclear em miocardiopatias parecidas
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"identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Murat" "apellidos" => "Celik" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Aksaz Military Hospital, Department of Cardiology, Mugla, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Gulhane Military Medical Faculty, Department of Cardiology, Ankara, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Ressonância magnética cardíaca nuclear em miocardiopatias parecidas" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the article by Mesquita et al.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> entitled “Cardiac amyloidosis: Diagnosis using delayed enhancement cardiac magnetic resonance imaging sequences”, recently published in the <span class="elsevierStyleItalic">Portuguese Journal of Cardiology</span>. The authors<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> presented 10 patients with the suspicion of a cardiomyopathy on echocardiography. Patients were diagnosed and managed with late gadolinium enhancement patterns on cardiac magnetic resonance (MR) imaging. Although we commend the authors for their valuable article and the management of the patients, some comments may be of interest.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Cardiac amyloidosis is characterized by diffuse global subendothelial late gadolinium enhancement.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> Increased gadolinium washout from blood results in higher blood T1 over time, resulting in a dark blood pool, which does not occur in other cardiomyopathies.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,4</span></a> If cardiac wall thickness is increased, a decrease in QRS amplitude associated with dyssynchronous activation of atrophic myocytes is an important finding.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Fabry disease is characterized by symmetrical hypertrophy, and men are commonly affected due to X-linked inheritance. Progressive diastolic dysfunction is generally observed without a restrictive filling pattern on echocardiography.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Hypertrophic cardiomyopathy is characterized by asymmetrical hypertrophy which can result in ventricular outflow obstruction.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Although cardiac myocytes are hypertrophic, they do not contribute significantly to effective contraction. Tagged MR images can show the disordered and ineffective contraction patterns in cardiomyopathies accompanied by septal hypertrophy, thereby distinguishing hypertensive cardiomyopathy.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In conclusion, cardiomyopathies accompanied by increased wall thickness are characterized by impeded ventricular filling and progressive diastolic dysfunction.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–4</span></a> They are relatively rare and usually tend to be overlooked or misdiagnosed. Comprehensive assessment of patients, including clinical manifestations, electrocardiography, and echocardiography in addition to MR imaging, play an important role in instituting appropriate management and therapy.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiac amyloidosis: diagnosis using delayed enhancement cardiac magnetic resonance imaging sequences" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D. Mesquita" 1 => "C. Nobre" 2 => "B. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2013.04.011" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2013" "volumen" => "32" "paginaInicial" => "941" "paginaFinal" => "945" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24238891" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Infiltrative cardiovascular diseases: cardiomyopathies that look alike" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.B. Seward" 1 => "G. 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Prasad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/01.CIR.0000152819.97857.9D" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2005" "volumen" => "111" "paginaInicial" => "186" "paginaFinal" => "193" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15630027" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Differential diagnosis of cardiomyopathies: utility of cardiac magnetic resonance imaging" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "E. Yalçınkaya" 1 => "B. Bugan" 2 => "M. Celik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Anadolu Kardiyol Derg" "fecha" => "2013" "volumen" => "13" "paginaInicial" => "722" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24404573" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S146238891000058X" "estado" => "S300" "issn" => "14623889" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003300000078/v2_201411090043/S2174204914001834/v2_201411090043/en/main.assets" "Apartado" => array:4 [ "identificador" => "21468" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editors" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003300000078/v2_201411090043/S2174204914001834/v2_201411090043/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914001834?idApp=UINPBA00004E" ]
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| 2020 April | 27 | 19 | 46 |
| 2020 March | 28 | 6 | 34 |
| 2020 February | 44 | 49 | 93 |
| 2020 January | 24 | 7 | 31 |
| 2019 December | 23 | 10 | 33 |
| 2019 November | 24 | 1 | 25 |
| 2019 October | 23 | 14 | 37 |
| 2019 September | 17 | 6 | 23 |
| 2019 August | 21 | 8 | 29 |
| 2019 July | 45 | 11 | 56 |
| 2019 June | 16 | 6 | 22 |
| 2019 May | 32 | 10 | 42 |
| 2019 April | 18 | 12 | 30 |
| 2019 March | 17 | 5 | 22 |
| 2019 February | 47 | 7 | 54 |
| 2019 January | 17 | 7 | 24 |
| 2018 December | 30 | 11 | 41 |
| 2018 November | 91 | 8 | 99 |
| 2018 October | 157 | 13 | 170 |
| 2018 September | 36 | 16 | 52 |
| 2018 August | 101 | 21 | 122 |
| 2018 July | 36 | 5 | 41 |
| 2018 June | 51 | 8 | 59 |
| 2018 May | 47 | 8 | 55 |
| 2018 April | 44 | 5 | 49 |
| 2018 March | 49 | 8 | 57 |
| 2018 February | 43 | 5 | 48 |
| 2018 January | 47 | 6 | 53 |
| 2017 December | 36 | 10 | 46 |
| 2017 November | 29 | 10 | 39 |
| 2017 October | 19 | 8 | 27 |
| 2017 September | 26 | 13 | 39 |
| 2017 August | 31 | 19 | 50 |
| 2017 July | 11 | 10 | 21 |
| 2017 June | 33 | 10 | 43 |
| 2017 May | 31 | 7 | 38 |
| 2017 April | 20 | 1 | 21 |
| 2017 March | 42 | 14 | 56 |
| 2017 February | 20 | 5 | 25 |
| 2017 January | 24 | 4 | 28 |
| 2016 December | 30 | 8 | 38 |
| 2016 November | 19 | 3 | 22 |
| 2016 October | 25 | 4 | 29 |
| 2016 September | 21 | 3 | 24 |
| 2016 August | 7 | 0 | 7 |
| 2016 July | 10 | 2 | 12 |
| 2016 June | 11 | 5 | 16 |
| 2016 May | 7 | 7 | 14 |
| 2016 April | 23 | 1 | 24 |
| 2016 March | 17 | 9 | 26 |
| 2016 February | 26 | 15 | 41 |
| 2016 January | 25 | 13 | 38 |
| 2015 December | 21 | 9 | 30 |
| 2015 November | 24 | 6 | 30 |
| 2015 October | 28 | 6 | 34 |
| 2015 September | 21 | 8 | 29 |
| 2015 August | 26 | 6 | 32 |
| 2015 July | 18 | 7 | 25 |
| 2015 June | 13 | 4 | 17 |
| 2015 May | 35 | 5 | 40 |
| 2015 April | 18 | 6 | 24 |
| 2015 March | 18 | 3 | 21 |
| 2015 February | 15 | 4 | 19 |
| 2015 January | 18 | 4 | 22 |
| 2014 December | 30 | 10 | 40 |
| 2014 November | 25 | 6 | 31 |
| 2014 October | 42 | 11 | 53 |
| 2014 September | 40 | 6 | 46 |
Show all
