OBJECTIVES: The goal of this study was to determine the prognostic value of late @entity2287 enhancement (LGE) cardiac magnetic resonance (CMR) features in @entity1 with @entity120 . BACKGROUND: The prognostic significance of LGE in the clinical assessment of @entity1 with @entity120 remains uncertain. METHODS: Consecutive @entity1 with suspected @entity120 seen at a specialist @entity120 referral center who underwent right heart catheterization and CMR with LGE imaging within 48 h were identified. Short-axis late-enhancement imaging was performed using a 3-dimensional gradient spoiled echocardiography sequence on a 1.5-T scanner. Three groups were identified: 1) no late enhancement of the myocardium; 2) late enhancement at the right ventricular insertion points (LGE-IP); and 3) late enhancement involving the right ventricular insertion points and the interventricular septum (LGE-S). RESULTS: Of 194 @entity1 , 162 had @entity120 . LGE was identified in 135 of 162 (83%) @entity1 with  @entity120 , and 47 (29%) of @entity1 demonstrated LGE-S. @entity1 with LGE-S had significantly higher right ventricular end-diastolic volume index (p  = 0.013) and lower mixed venous @entity26 saturation (p  =  0.045) than @entity1 with LGE-IP alone. The presence of LGE-S (p  = 0.022), but not LGE-IP alone, right ventricular end-systolic volume (p  = 0.045), right ventricular ejection fraction (p  = 0.034), mixed venous @entity26 saturation (p  = 0.021), mean right atrial pressure (0.027), and male sex (p  = 0.002) predicted mortality. At multivariate analysis, male sex was the only significant predictor of mortality independent of covariate predictors (p  = 0.027). CONCLUSIONS: The presence of LGE at the right ventricular insertion points is suggestive of the presence of @entity120 . LGE may also be more extensive, involving the septum; however, after multivariable analysis including other factors associated with @entity120 , septal LGE was not associated with an increase in overall mortality.

LGE Patterns in XXXX Do Not Impact  Overall Mortality.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity2287 :: ('MESH:D005682', 'Chemical') :: ['gadolinium'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension']
@entity120 :: (MESH:D006976,Disease) :: ['Pulmonary  Hypertension']
