Cardiovasc Imaging Asia.  2017 Jan;1(1):67-77. 10.22468/cvia.2016.00080.

Evaluation of Sudden Cardiac Death Risk Using Cardiac Magnetic Resonance

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Korea
  • 3Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea

Abstract

Sudden cardiac death (SCD) is a significant problem worldwide and the risk stratification of SCD remains an important challenge. Although current guidelines recommend the use of implantable cardioverter-defibrillator mostly based on left ventricular ejection fraction (LVEF), the limited sensitivity and specificity of LVEF to predict SCD has been highlighted. Cardiac magnetic resonance (CMR) is a noninvasive imaging modality with a unique ability to visualize and quantify myocardial scars, with proven histopathological correlation. In this review, we describe the current evidences of CMR for predicting SCD in various cardiac diseases and the future directions of clinical applications.

Keyword

Magnetic resonance imaging; Sudden cardiac death; Implantable cardioverter-defibrillator; Prognosis; Gadolinium
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