Delayed-enhancement MRI of apical @entity1121 : assessment of the intramural distribution and comparison with clinical symptoms, XXXX , and cine MRI.

@entity1 @entity296 @entity943 @entity1163 @entity661 @entity299 @entity1121
BACKGROUND: @entity1121 ( @entity1121 ) is reported to show patchy midwall @entity296 on delayed-enhancement magnetic resonance imaging (DE-MRI). The intramural distribution of @entity296 and its correlation with clinical symptoms, @entity943 , and cardiac function have not been described forsymptomatic apical @entity1121 . PURPOSE: To evaluate the features and significance of @entity296 on DE-MRI insymptomatic apical @entity1121 . MATERIAL AND METHODS: Thirteen @entity1 with symptomatic apical @entity1121 and their 65 apical segments were investigated. @entity296 and regional and global functional parameters were determined with MRI. We investigated the intramural distribution and frequencies of this @entity296 and compared them with the @entity1 ' clinical symptoms, the presence of @entity943 , and cine MRI. RESULTS: Eight (61.5%) @entity1 with symptomatic apical @entity1121 displayed apical @entity296 , and 22 (33.8%) of the 65 apical segments examined showed @entity296 . Of the @entity296 observed, 81.8% showed a subendocardial pattern.The hyperenhanced @entity661 had a lower percentage of systolic myocardial thickening, and was associated with serious symptoms (e.g. @entity1163 ) and @entity943 . CONCLUSION: @entity1 with symptomatic apical HCMshowed @entity296 involving the subendocardial layer, which might be related to regional @entity299 , serious clinical symptoms, and @entity943 .
