| INTERESTING CASE REPORT |
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| Year : 2023 | Volume
: 7
| Issue : 1 | Page : 37-43 |
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Extended Role of Parametric Mapping with Cardiac Magnetic Resonance in the Evaluation of Endomyocardial Fibrosis – Our Initial Experience
Sneha Hemantkumar Thakur1, Priya Darshan Chudgar2, Nikhil Kamat2, Nitin Burkule3
1 Department of Radiology, Bethany Hospital, Thane, Maharashtra, India
2 Department of Radiology, Jupiter Hospital, Thane, Maharashtra, India
3 Department of Cardiology, Jupiter Hospital, Thane, Maharashtra, India
Correspondence Address:
Dr. Sneha Hemantkumar Thakur
305-306, Happiness City of Joy, JS Dossa Road, Mulund West, Mumbai - 400 080, Maharashtra
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jiae.jiae_34_22
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Endomyocardial fibrosis (EMF) affects approximately 12 million persons worldwide and is an important cause of restrictive cardiomyopathy in the developing world, with the highest prevalence reported in sub-Saharan Africa, South Asia, and South America. EMF is characterized by apical infiltration with fibrotic tissue in one or both ventricles, often associated with thrombus in early stage of the disease, calcification in late stage of the disease, and typical symptoms of restrictive heart failure. Clinical evaluation, transthoracic echocardiography, and characteristic Doppler findings of restrictive physiology are sufficient to diagnose EMF in most of the cases. However, few cases may require cardiac magnetic resonance due to poor echo window or shadowing due to apical calcification. Tissue characterization ability of cardiac magnetic resonance imaging has evolved further in the era of parametric mapping. We plan to showcase the incremental value of parametric mapping (T1/T2 mapping) in staging, prognostication, and management in two cases of EMF.
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