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Dark papillary muscles sign: a novel prognostic marker for cardiac magnetic resonance.

Giovanni Donato AquaroCarmelo De GoriGiulia GrilliRoberto LicordariAndrea BarisonGiancarlo TodiereUmberto IanniMatteo ParolloCrysanthos GrigoratosLuca RestivoAntonio De LucaLorenzo FaggioniDania CioniGianfranco SinagraGianluca Di BellaEmanuele Neri
Published in: European radiology (2023)
• Papillary muscle abnormalities are seen in patients with ventricular arrhythmias and preserved left ventricular ejection fraction. • Early post-contrast hypointensity of papillary muscles in end-systolic cine images (Dark-Paps) is a novel prognostic marker in patients with ventricular arrhythmias and preserved ejection fraction. • Dark-Paps had an additive prognostic role over late gadolinium enhancement and non-sustained ventricular tachycardia.
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