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Madanieh R, Mathew S, Shah P, et al. Cardiac Magnetic Resonance Imaging Might Complement Two-Dimensional Echocardiography in the Detection of a Reversible Nonischemic Cardiomyopathy. Clin Med Insights Case Rep. 2015;8:109-14doi: 10.4137/CCRep.S26054.
Madanieh, R., Mathew, S., Shah, P., Vatti, S. K., Madanieh, A., Kosmas, C. E., & Vittorio, T. J. (2015). Cardiac Magnetic Resonance Imaging Might Complement Two-Dimensional Echocardiography in the Detection of a Reversible Nonischemic Cardiomyopathy. Clinical medicine insights. Case reports, 8109-14. https://doi.org/10.4137/CCRep.S26054
Madanieh, Raef, et al. "Cardiac Magnetic Resonance Imaging Might Complement Two-Dimensional Echocardiography in the Detection of a Reversible Nonischemic Cardiomyopathy." Clinical medicine insights. Case reports vol. 8 (2015): 109-14. doi: https://doi.org/10.4137/CCRep.S26054
Madanieh R, Mathew S, Shah P, Vatti SK, Madanieh A, Kosmas CE, Vittorio TJ. Cardiac Magnetic Resonance Imaging Might Complement Two-Dimensional Echocardiography in the Detection of a Reversible Nonischemic Cardiomyopathy. Clin Med Insights Case Rep. 2015 Dec 21;8:109-14. doi: 10.4137/CCRep.S26054. eCollection 2015. PMID: 26740746; PMCID: PMC4689327.
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Clin Med Insights Case Rep. 2015 Dec 21;8:109-14. doi: 10.4137/CCRep.S26054. eCollection 2015.

Cardiac Magnetic Resonance Imaging Might Complement Two-Dimensional Echocardiography in the Detection of a Reversible Nonischemic Cardiomyopathy.

Clinical medicine insights. Case reports

Raef Madanieh, Shawn Mathew, Pratik Shah, Satya K Vatti, Abed Madanieh, Constantine E Kosmas, Timothy J Vittorio

Affiliations

  1. St. Francis Hospital - The Heart Center , The Center for Advanced Cardiac Therapeutics, Roslyn, NY, USA.
  2. New York Institute of Technology, Old Westbury, NY, USA.
  3. Hofstra University, Hempstead, NY, USA.
  4. The Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai Hospital Center, New York, NY, USA.

PMID: 26740746 PMCID: PMC4689327 DOI: 10.4137/CCRep.S26054

Abstract

We report a case of reversible nonischemic dilated cardiomyopathy in a male in his 60s who presented with an acute heart failure syndrome. Both conventional two-dimensional echocardiography and cardiac magnetic resonance imaging (cMRI) demonstrated severe left ventricular systolic dysfunction; however, both modalities were devoid of significant valvular heart disease as well as the presence of fibrosis, infiltration, inflammation, and scar. After six months of aggressive neurohumoral modulation, there was complete reverse remodeling and normalization of left ventricular function, which highlights the role of cMRI as an adjunct to two-dimensional echocardiography in the detection of a potentially reversible nonischemic cardiomyopathy.

Keywords: cardiac magnetic resonance imaging; cardiology; congestive heart failure; nonischemic cardiomyopathy; two-dimensional echocardiography

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