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Abstract #4470

Assessment of diffuse ventricular fibrosis in atrial fibrillation using extracellular volume fraction mapping: initial study

Lei Zhao 1 , Xiaohai Ma 1 , Songnan Li 2 , Tianjing Zhang 3 , Jing An 3 , Greiser Andreas 4 , and Zhanming Fan 1

1 Radiology, Anzhen Hospital, Capital Medical University, Beijing, Beijing, China, 2 Cardiology, Anzhen Hospital, Capital Medical University, Beijing, Beijing, China, 3 MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, Beijing, China, 4 Siemens Healthcare, Erlangen, Germany

Unlike focal fibrosis, diffuse myocardial fibrosis is not visualized on delayed enhancement magnetic resonance imaging (MRI), but can be quantified with extracellular volume fraction (ECV) mapping. In atrial fibrillation (AF), it may be induced by arrhythmia or reflect pre-existing cardiomyopathy. Ten subjects (8 persistent AF patients and 2 controls) underwent cardiac MR examination which included T1 mapping sequence. Our results reveal that ECV mapping identifies diffuse LV fibrosis in patients with AF.

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