Table 4. CT findings in cardiomyopathies.
Cardiomyopathies | CT findings |
---|---|
Ischemic cardiomyopathy | Focal wall motion abnormalities in coronary distribution |
Subendocardial or transmural DIE in coronary distribution | |
Decreased enhancement on myocardial perfusion | |
Assessment of coronary arteries | |
Dilated non-ischemic cardiomyopathy | Global systolic dysfunction |
Dilated ventricle | |
Linear mid-myocardial DIE | |
Absence of significant coronary disease | |
Hypertrophic cardiomyopathy | Asymmetric hypertrophy of basal interventricular septum (classic form) |
Systolic anterior motion of mitral valve | |
Patchy or diffuse DIE | |
Myocarditis | Global/regional hypokinesis |
Myocardial/sub-epicardial DIE | |
Sarcoidosis | Global/regional hypokinesis |
Focal wall thickening (acute) or thinning (chronic) | |
Myocardial/sub-epicardial DIE | |
Amyloidosis | Ventricular thickening with biatrial enlargement |
Diffuse sub-endocardial or transmural DIE | |
Expansion of ECV | |
Left ventricular non-compaction | Ratio of trabeculated to non-trabeculated myocardium of >2.3 in end-diastole |
Stress-induced cardiomyopathy (Takotsubo) | Hyperkinesis of the basal segments with hypokinesis/akinesia of the apical segments |
Absence of DIE | |
Arrhythmogenic right ventricular cardiomyopathy | Presence of fat within RV |
Major focal RV wall motion abnormalities with either RV dilation or systolic dysfunction |
CT, computed tomography; DIE, delayed iodine enhancement; ECV, extracellular volume; RV, right ventricle.