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Circulation: Cardiovascular Imaging EDITOR'S NOTE want to welcome you to the June 2020 issue of Circulation: Cardiovascular Im- Robert J. Gropler, MD aging. The articles we have chosen highlight both the potential and challenges Editor in Chief, Circulation: I of advances in cardiac magnetic resonance (CMR), computed tomography (CT), Cardiovascular Imaging positron emission tomography/CT, echocardiography, and ultrasound in advancing patient management for various forms of cardiovascular disease. Late gadolinium enhancement detected by CMR is the current clinical nonin- vasive gold standard for measuring myocardial scar. However, due to the contra- indication of gadolinium-based contrast agents in the presence of severe chronic kidney disease, CMR with late gadolinium enhancement cannot be performed in a substantial percentage of patients. Wang et al report that native-T1 map- ping, a noncontrast approach, maybe a potential alternative for the detection of myocardial scar. Detection of myocardial scar with CMR with late gadolinium enhancement pro- vides important prognostic information in patients with hypertrophic cardiomy- opathy with more extensive scar (typically >15%) being associated with a high risk of sudden cardiac death. Aquaro et al extend this observation by demonstrating in patients with a low-intermediate sudden cardiac death score, the degree of het- erogeneity in myocardial
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Jun 1, 2020
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