Table 4 –
Parameters – Echocardiography | Thresholds associated with worse prognosis |
---|---|
Global longitudinal strain (GLS) | −12% or greater (less negative) * |
Apical/basal strain ratio | 2.1 or more |
Mitral annular plane systolic excursion (MAPSE) | 8.8mm or less |
Tricuspid annular plane systolic excursion (TAPSE) | 14mm or less |
Myocardial contraction fraction | 0.25 or less |
Parameters – CMR | |
Pre-contrast myocardial T1 (1.5 T field strength; using shMOLLI) |
> 1044ms |
Extra-cellular volume (ECV) | > 0.45 |
Late-gadolinium enhancement (LGE) | Transmural pattern |
Thresholds for each parameter based on available data is shown (shMOLLI: Shortened Modified Look Lockers Inversion).
cut-offs used for prognosis in current studies range between −10% to 14%