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Question:

Can someone help me interpret my MRI results? 

Can someone help me interpret my MRI results? It says that the test 'denotes mildly reduced movement of the mid basal inferolateral left ventricular wall with some late gadolinium enhancement'.  I also have a very high ventricular ectopic count and have had a stress test which has come back as 'borderline'. I am booked for an angiogram next week. Thanks.

submitted by Sue from United Kingdom on 7/12/2013

Answer:

by Texas Heart Institute cardiologist, Benjamin Y. Cheong, MD    Benjamin Y. Cheong, MD

Cardiac magnetic resonance imaging (CMRI) is a very useful tool in the assessment of heart pathology, heart function, and the presence and absence of scar / fibrosis in the left ventricle (the main "pump" of the heart).  

From the description, it appears the CMRI showed some wall motion abnormality (mildly reduced movement) in the middle outer part (mid basal inferolateral wall) of the left ventricle and it appears to coincide with late gadolinium (contrast agent) enhancement (suggesting some fibrosis or scar is present). 

An angiogram to look at the blood supply of the heart would be very helpful as the doctor could see if there is any narrowing or blockage of the blood supply to heart (artery) that could given rise to the CMRI late gadolinium enhancement (fibrosis / scar), as a result of heart attack in the past (it could be silent and no chest pain). On the other hand, at the Texas Heart Institute, we frequently see patients with late gadolinium enhancement (fibrosis / scar) in certain parts of the left ventricle by CMRI, but the arteries are widely open. This could be an explanation of why you have a lot of ectopic beats as the fibrosis/scar acts as a focus where these ectopic beats come from. 

After the angiogram, it would be very helpful to discuss with your cardiologist the results of the angiogram and the CMRI, to see if the data could explain your symptoms and the findings from various tests you have done so far.

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Updated July 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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