65 year old male with SVT sp ablation with 22 % PVCs and new LV dysfunction (LVEF 41%) Left VentricleThe left ventricle is severely dilated with moderately reduced systolic function. The overall LV ejection fraction is 39%. The LVEDV is 323 ml (normal range 142+/-34), the LV end diastolic volume index is 127 ml/m2 (normal range: 74+/-15), the LVESV is 197 ml (normal range 47+/-19) and the LV end systolic volume index is 78 ml/m2 (normal range 25+/-9). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.The native T1 myocardial relaxation time is <1050 ms in the septum and lateral wall suggestive of absence of underlying diffuse fibrosis or infiltration.There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 56%. The RVEDV is 228 ml (normal range 142+/-31), RV end diastolic volume index is 90 ml/m2 (normal range 82+/-16), the RVESV is 101 ml (normal range 54+/-17), and the RV end systolic volume index is 40 ml/m2 (normal range 31+/-9).There is no abnormal wall motion or evidence of pseudoaneurysms in the right ventricular wall. Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal brachiocephalic branching pattern. The aortic root is normal in size.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThis study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
1.The left ventricle is severely dilated with moderately reduced systolic function. LVEF 39%.2.The right ventricle is mildly dilated with normal systolic function. RVEF 56%. No imaging findings to suggest ARVC.3.Moderate left atrial dilation.4.No areas of late gadolinium enhancement to suggest a fibrotic, infiltrative or inflammatory process.