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Table 1 Usefulness of the commonly used CMRI sequences in the evaluation of ischemic cardiomyopathy Table 2 CMRI sequence parameters used to evaluate ischemic Protease Inhibitor Library cardiomyopathies Limitations of CMRI include reduced image quality in patients with significant dyspnea or arrhythmia. Relative contraindications include implantable devices such as pacemakers or automatic implantable cardioverter defibrillators. Severe renal failure (stage 4 or 5; GFR Unoprostone the impairment of regional myocardial contractility in the vascular territory of the culprit vessel leading to decreased left ventricular ejection fraction (LVEF) with no immediate definite abnormalities noted on LGE. Without prompt restoration of arterial blood flow, myocardial edema, necrosis, and scaring result in changes on LGE within the perfusion territory. On cine imaging, chronic ischemic cardiomyopathy appears as abnormal regional contractility corresponding to a zone of scarring with abnormal late gadolinium enhancement (LGE) [Video 1]. Video 1 68 year-old patient with chronic ischemic cardiomyopathy. 3 Tesla CMRI short axis views at the level of the base. Steady-state free precession cine imaging (upper row), shows akinesis of the inferior and inferior lateral wall of the left ventricle corresponding ... Wall motion abnormalities include hypokinesis (decreased motion), akinesis (absent see more motion), and dyskinesis (paradoxical motion). Normally the left ventricular (LV) free wall thickness increases more than 30% during systole. With steady-state free precession (SSFP) cine imaging, hypokinesis is visualized as systolic wall thickening between 10 and 30%, akinesis as systolic wall thickening less than 10%, and dyskinesis as paradoxical outward systolic motion with associated myocardial thinning [Video 2, Figures ?Figures11 and ?and22].[4] Video 2 74-year-old male with stable angina diagnosed with chronic ischemic cardiomyopathy and LV aneurysm. 3 Tesla CMRI with two-chamber views. Real time SSFP cine imaging (left) demonstrates mid-systolic apical bulging. Inversion recovery delayed enhancement ... Figure 1 CMRI SSFP with mid-ventricle short axis views in three different patients.