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. 2022 Feb 1;12(2):378. doi: 10.3390/diagnostics12020378

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© 2022 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Representative example of cardiac magnetic resonance in a 32-year-old female with acute peripartum cardiomyopathy and recovery at follow-up after 2 months. Cine images (balanced steady-state free precession, b-SSFP) are oriented in horizontal long-axis view and at end systole and showed highly reduced left ventricular ejection fraction (35%) with global hypokinesia, left ventricular dilatation (left ventricular end-diastolic volume index: 118 mL/m²), and pericardial effusion (white arrows). Baseline fat-suppressed images (T2-weighted short TI inversion recovery, T2-STIR) at end diastole revealed extensive diffuse myocardial edema, which normalized at follow-up. No focal enhancement was identified on initial or follow-up late gadolinium enhancement (LGE) imaging. Quantitative mapping showed high global myocardial native T1 and T2 relaxation times at baseline MRI and normalization at follow-up.