Cardiac Magnetic Resonance guidance of Implantable Cardioverter Defibrillator implantation in non-ischaemic dilated cardiomyopathy (CMR-ICD-DZHK23)
Contacts- Ingo Eitel
- Thomas Stiermaier
Emails Inclusion criteria- NIDCM (idiopathic or familial)*
LVEF ≤35% and presence of fibrosis on CMR
Diagnostic CMR scan
Age ≥18 years
Written informed consent
Ability to give informed consent
Exclusion criteria- ICM [previous myocardial infarction
- previous percutaneous coronary intervention]
Other cardiomyopathies (hypertrophic cardiomyopathy
- arrhythmogenic right ventricular cardiomyopathy
- restrictive cardiomyopathy
- infiltrative cardiomyopathies [e.g. cardiac amyloidosis
- cardiac sarcoidosis
- hemochromatosis and iron overload cardiomyopathy]
- left ventricular non-compaction cardiomyopathy
- reversible cardiomyopathies [Takotsubo syndrrome
- peripartum cardiomyopathy
- chemotherapy induced cardiomyopathy].
Myocarditis
Contraindication for CMR at study entry (including severe claustrophobia
- pacemaker or ICD
- metallic cerebral or intracranial implants
- known allergy to gadolinium)
Severe renal insufficiency (creatinine clearance <30 mL/min)
Current pacemaker or defibrillator in situ
Current indication for device therapy (e.g. secondary prophylaxis after aborted SCD)
Renal impairment defined as an eGFR <30 milliliters
Age <18 years
Patients presenting with pregnancy
Patients without informed consent
Participation in another randomized trial
Life expectancy <2 years