National Cardiovascular Center

Jl. S. ParmanKav. 87
Slipi, Jakarta Barat - Indonesia

CARDIAC MRI REPORT

Name Dahori, Mr
MRN/ID 2018-43-93-02
Ref. dr. Celly Atmadikoesoemah, SpJP

Diagnosis CAD 2 CD post PPCI di LAD, CHF ec CAD, HT

DOB / Age 25-06-1957 / 61 tahun

Sex Male
Analyzer dr. Celly A, SpJP/ dr. Elen, SpJP/ dr. Manoefris Kasim, Sp. JP (K), SpKN
Study Date May 17th 2018
PPDS01
Protocol:
Cine, LGE, Stress perfusion (+) dengan adenosine 0.14mcg/kg, contrast-Gadolinium 0.1 mmol/kg.
Blood Pressure 149/89 mmHg, Heart Rate 59 bpm

Findings:
I. Ventricle Function and Anatomy

End Diastolic End Systolic Ejection

Strok e Volum e Cardiac Output
Ventricular Volum e Volum e Fraction LV m as s
volum es
[ml] [ml/m2] [ml] [ml/m2] [ml] [ml/m2] [l/min] [l/min/m2] [%] [g] [g/m2]

LV 233.82 130 146.58 81 87 48 4.9 2.7 37% 133.4 74

(normal values) (99–199) (53–97) (17–69) (10–34) (68–144) (37–69) (4.0-8.0) (2.6-4.2) (59–83) (74–166) (42–78)

RV 128.77 72 51.28 29 77 43 4.3 2.4 60%

(normal values) (125–237) (67–111) (37–105) (20–48) (74–146) (39–71) (4.0-8.0) (2.6-4.2) (49–73)

• Increased LV volume with systolic dysfunction (LVEF 37 %)

• Normal RV volume with Normal systolic function (RVEF 60 %)
• Akynetic at apex, mid-basal inferior, hypokynetic at apico-basal septal, mid anterior
• LAVi 62.5 ml/m2
•Normal LV mass with Normal LV wall thickness (IVSd 9 mm PWd 7 mm)
•Trivial MR (visual qualitative)

II. Myocardial Edema

Myocardial edema at mid-basal anterior, mid-basal anteroseptal

III. Late Gadolinium Enhancement

Subendocardial LGE at mid- basal inferior, mid-basal inferoseptal (transmurality of >75%), apex, apico-septal, apico inferior,
(transmurality 50-75%), mid-basal anteroseptal, apico-mid anterior (transmurality 25%)

IV. Stress – Perfusion :

Hypoperfusion at apico-septal, mid-basal anteroseptal, apico-basal anterior, mid-basal anterolateral (8/32 segments)

IV. Conclusion :
• Increased LV volume with systolic dysfunction (LVEF 37 %)
• Normal RV volume with Normal systolic function (RVEF 60 %)
• Akynetic at apex, mid-basal inferior, hypokynetic at apico-basal septal, mid anterior
• Trivial MR (visual qualitative)
• Ischemic scar with no viability at mid- basal inferior, mid-basal inferoseptal (most of RCA territory)
• Hypoperfusion relevant ischemia at apico-septal, mid-basal anteroseptal, apico-basal anterior (LAD territory-- myocardial
stunning??), mid-basal anterolateral (LCx teritory)

Doctor in Charge,

dr. Celly A Atmadikoesoemah, SpJP

dr. Elen, SpJP
dr. Paskariatne, SpJP/dr. Tommy/ dr. Mirza / dr. Arif dr. Manoefris Kasim, Sp.JP(K), SpKN
National Cardiovascular Center
Jl. S. ParmanKav. 87
Slipi, Jakarta Barat - Indonesia

Volume & Function

→ Diastole

Systole
National Cardiovascular Center
Jl. S. ParmanKav. 87
Slipi, Jakarta Barat - Indonesia

LGE
National Cardiovascular Center
Jl. S. ParmanKav. 87
Slipi, Jakarta Barat - Indonesia

Stress-Perfusion
National Cardiovascular Center
Jl. S. ParmanKav. 87
Slipi, Jakarta Barat - Indonesia