Role of cardiovascular magnetic resonance in the clinical evaluation of left ventricular hypertrophy: a 360° panorama

Int J Cardiovasc Imaging. 2023 Apr;39(4):793-809. doi: 10.1007/s10554-022-02774-x. Epub 2022 Dec 21.

Abstract

Left ventricular hypertrophy (LVH) is a frequent imaging finding in the general population. In order to identify the precise etiology, a comprehensive diagnostic approach should be adopted, including the prevalence of each entity that may cause LVH, family history, clinical, electrocardiographic and imaging findings. By providing a detailed evaluation of the myocardium, cardiovascular magnetic resonance (CMR) has assumed a central role in the differential diagnosis of left ventricular hypertrophy, with the technique of parametric imaging allowing more refined tissue characterization. This article aims to establish a parallel between pathophysiological features and imaging findings through the broad spectrum of LVH entities, emphasizing the role of CMR in the differential diagnosis.

Keywords: Cardiovascular magnetic resonance; Differential diagnosis; Left ventricular hypertrophy.

Publication types

  • Review

MeSH terms

  • Heart*
  • Humans
  • Hypertrophy, Left Ventricular* / etiology
  • Magnetic Resonance Imaging / methods
  • Magnetic Resonance Spectroscopy
  • Predictive Value of Tests