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Multimodal Imaging Evaluation of Non-Dilated Left Ventricular Cardiomyopathy: The Importance of Cardiac Magnetic Resonance Imaging

Year: 2026
Type: article
Study design: Case Report
Abstract: Chunlong Yan, Lei Xu Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, People’s Republic of ChinaCorrespondence: Lei Xu, Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, People’s Republic of China, Email [email protected]: Non-dilated left ventricular cardiomyopathy was first proposed by the European Society of Cardiology in 2023, and imaging evaluation research on this cardiomyopathy remains insufficient.Case Report: We report a case of a 68-year-old female patient who experienced chest tightness and shortness of breath six months ago. Electrocardiogram revealed sinus bradycardia with a ventricular rate of 54 beats per minute. Coronary angiography showed generally normal results, while echocardiography indicated a reduced left ventricular ejection fraction. Cardiac magnetic resonance imaging revealed mildly impaired left ventricular function (LVEF 47.4%), with focal mid-myocardial fibrosis in the basal anterior, septal, and inferior walls of the left ventricle, meeting the diagnostic criteria for non-dilated left ventricular cardiomyopathy. According to ESC guidelines, the patient is currently under follow-up observation.Conclusion: The imaging diagnosis of non-dilated left ventricular cardiomyopathy requires a comprehensive multimodal imaging approach. Cardiac magnetic resonance plays a crucial clinical role in the multimodal imaging evaluation of NDLVC.Keywords: nondilated left ventricular cardiomyopathy, cardiac magnetic resonance, echocardiography, dilated cardiomyopathy, left ventricular function
Authors: Yan C, Xu L
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W7153404685
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