Sudden cardiac death from structural heart diseases in adults: imaging findings with cardiovascular computed tomography and magnetic resonance

Int J Cardiovasc Imaging. 2016 Jun:32 Suppl 1:21-43. doi: 10.1007/s10554-016-0891-3. Epub 2016 May 2.

Abstract

Sudden cardiac death (SCD) is defined as the unexpected natural death from a cardiac cause within an hour of the onset of symptoms in the absence of any other cause. Although such a rapid course of death is mainly attributed to a cardiac arrhythmia, identification of structural heart disease by cardiovascular computed tomography (CCT) and cardiovascular magnetic resonance (CMR) imaging is important to predict the long-term risk of SCD. In adults, SCD most commonly results from coronary artery diseases, coronary artery anomalies, inherited cardiomyopathies, valvular heart diseases, myocarditis, and aortic dissection with coronary artery involvement or acute aortic regurgitation. This review describes the CCT and CMR findings of structural heart diseases related to SCD, which are essential for radiologists to diagnose or predict.

Keywords: Computed tomography; Heart; Magnetic resonance; Sudden cardiac death.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Death, Sudden, Cardiac / etiology*
  • Female
  • Heart Diseases / complications
  • Heart Diseases / diagnostic imaging*
  • Heart Diseases / mortality
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prognosis
  • Risk Factors
  • Tomography, X-Ray Computed*