{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:25:43Z","timestamp":1792794343761,"version":"4.5.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Regional Development Fund\/European Social Fund","id":[{"id":"https:\/\/ror.org\/048snh465","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Hospital Universitario Puerta de Hierro"},{"name":"Hospital Universitario Vall Hebr\u00f3n"},{"DOI":"10.13039\/501100024028","name":"Hospital General Universitario Gregorio Mara\u00f1\u00f3n","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024028","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Hospital Universitario Virgen de la Arrixaca","award":["CM20\/00101"],"award-info":[{"award-number":["CM20\/00101"]}],"id":[{"id":"https:\/\/ror.org\/058thx797","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Obra Social la Caixa Foundation","award":["PI19\/01283"],"award-info":[{"award-number":["PI19\/01283"]}]},{"name":"Pro CNIC Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Late gadolinium enhancement (LGE) is frequently found in patients with dilated cardiomyopathy (DCM); there is little information about its frequency and distribution pattern according to the underlying genetic substrate. We sought to describe LGE patterns according to genotypes and to analyse the risk of major ventricular arrhythmias (MVA) according to patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Cardiac magnetic resonance findings and LGE distribution according to genetics were performed in a cohort of 600 DCM patients followed at 20 Spanish centres. After exclusion of individuals with multiple causative gene variants or with variants in infrequent DCM-causing genes, 577 patients (34% females, mean age 53.5 years, left ventricular ejection fraction 36.9 \u00b1 13.9%) conformed to the final cohort. A causative genetic variant was identified in 219 (38%) patients, and 147 (25.5%) had LGE. Significant differences were found comparing LGE patterns between genes (P &amp;lt; 0.001). LGE was absent or rare in patients with variants in TNNT2, RBM20, and MYH7 (0, 5, and 20%, respectively). Patients with variants in DMD, DSP, and FLNC showed a predominance of LGE subepicardial patterns (50, 41, and 18%, respectively), whereas patients with variants in TTN, BAG3, LMNA, and MYBPC3 showed unspecific LGE patterns. The genetic yield differed according to LGE patterns. Patients with subepicardial, lineal midwall, transmural, and right ventricular insertion points or with combinations of LGE patterns showed an increased risk of MVA compared with patients without LGE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LGE patterns in DCM have a specific distribution according to the affected gene. Certain LGE patterns are associated with an increased risk of MVA and with an increased yield of genetic testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjci\/jead184","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T09:18:52Z","timestamp":1691659132000},"page":"75-85","source":"Crossref","is-referenced-by-count":74,"title":["Late gadolinium enhancement distribution patterns in non-ischaemic dilated cardiomyopathy: genotype\u2013phenotype correlation"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4350-3217","authenticated-orcid":false,"given":"Fernando","family":"de Frutos","sequence":"first","affiliation":[{"name":"Heart Failure and Inherited Cardiac Diseases Unit, Department of Cardiology, Hospital Universitario Puerta de Hierro , Manuel de Falla, 2, Majadahonda, Madrid, 28222 , Spain"},{"name":"CIBER Cardiovascular, Instituto de Salud Carlos III , Avenida Monforte de Lemos 3-5, 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G","family":"Mirelis","sequence":"additional","affiliation":[{"name":"Heart Failure and Inherited Cardiac Diseases Unit, Department of Cardiology, Hospital Universitario Puerta de Hierro , Manuel de Falla, 2, Majadahonda, Madrid, 28222 , Spain"},{"name":"CIBER Cardiovascular, Instituto de Salud Carlos III , Avenida Monforte de Lemos 3-5, \u200cMadrid, 28029 , Spain"},{"name":"European Reference Network for Rare and Low Prevalence Complex Diseases of the Heart , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,10]]},"reference":[{"key":"2023122121592795000_jead184-B1","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1002\/ejhf.2514","article-title":"Combination of late gadolinium enhancement and genotype improves prediction of prognosis in non-ischaemic dilated cardiomyopathy","volume":"24","author":"Mirelis","year":"2022","journal-title":"Eur J Heart 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