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. 2022 Aug 10;11(16):4680. doi: 10.3390/jcm11164680

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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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Cardiac magnetic resonance (CMR) images from a patient with arrhythmogenic cardiomyopathy (ACM), including a typical echocardiographic deformation imaging pattern. CMR images (A,B) with right ventricular (RV) aneurysm (white arrows). Echocardiographic deformation imaging (C) with RV focused and peak systolic strain measurements and deformation pattern. Distinct types of RV deformation patterns (D) as determined by Mast et al. [47]; type-I: normal pattern; type-II: “delated onset of shortening and decreased systolic peak strain”; type-III: “systolic stretching and passive recoil or shortening during early diastole”. The patients’ strain pattern shows a type-III strain pattern, fitting structural ACM.