Cardiac magnetic resonance imaging
If the patient is considered suitable for the technique by clinical and
initial TTE evaluation, a late gadolinium contrast enhanced (LGE)
cardiac magnetic resonance (CMR) is requested in order to precisely
define the location and transmurality of the myocardium scar.
Furthermore, LGE CMR gives important information about LV geometry,
volume and function and it accurately rules out the presence of
intracardiac thrombus. If a thrombus is detected, the recommendation is
to anticoagulate patient with vitamin-K antagonizing agents, e.g.
warfarin, for three months and repeat the LGE CMR. Figure 3summarizes key aspects in LGE CMR screening for the LIVE procedure.