{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:18:11Z","timestamp":1784614691486,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can Assoc Radiol J"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    Peripartum cardiomyopathy (PPCM) affects women in late pregnancy and postpartum. Cardiovascular magnetic resonance (CMR) can contribute to PPCM diagnosis and management. We explored CMR findings in PPCM, including myocardial strain and late gadolinium enhancement (LGE) patterns.\n                    <jats:bold>Materials and Methods:<\/jats:bold>\n                    This retrospective single-centre study included patients with PPCM who underwent CMR from 2010 to 2018. Exclusions were other cardiomyopathy causes. CMR parameters, including ventricular function, LGE, and myocardial strain, were compared between the PPCM group and healthy controls. Transthoracic echocardiographic data were reviewed to assess functional improvement in PPCM patients.\n                    <jats:bold>Results:<\/jats:bold>\n                    Thirty-two women with PPCM (mean age 42 \u00b1 6 years) and 26 controls (mean age 43 \u00b1 14 years) were included. PPCM patients had significantly lower left ventricular (LV) ejection fractions (median 37.5% vs 60.5%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), higher LV end-diastolic volumes (median 108 ml\/m\u00b2 vs 76 ml\/m\u00b2,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), and reduced global LV strain compared to controls. Eighteen PPCM patients (58%) had non-ischaemic pattern LGE, with no LGE in controls besides hingepoint LGE (23%). LGE was most prevalent in the basal and mid anteroseptum. LGE patterns included linear mid-wall, subepicardial, and right ventricular side of the septum. Twenty-four patients (92%) showed improvement in LVEF at follow-up echocardiogram (mean LVEF 28% \u00b1 1.9% at diagnosis and 45% \u00b1 3% at follow-up,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    We identified a non-ischaemic pattern LGE that is nonspecific in isolation but could suggest PPCM in the correct clinical context along with abnormal CMR strain values. Future studies should evaluate the clinical application of these findings to facilitate earlier diagnosis and enhance management.\n                  <\/jats:p>","DOI":"10.1177\/08465371241268426","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T07:42:43Z","timestamp":1725608563000},"page":"153-160","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Peripartum Cardiomyopathy is Associated With Abnormalities of Myocardial Deformation and Late Gadolinium Enhancement"],"prefix":"10.1177","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6399-3113","authenticated-orcid":false,"given":"Jacques","family":"Du Plessis","sequence":"first","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Gujrathi","sequence":"additional","affiliation":[{"name":"Boston Medical Centre, Boston, MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdi","family":"Hassanin","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Faculty of Medicine, University of Toronto, Toronto, ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7141-1331","authenticated-orcid":false,"given":"Hayley","family":"McKee","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine, Toronto, ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3077-2218","authenticated-orcid":false,"given":"Kate","family":"Hanneman","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3757-7888","authenticated-orcid":false,"given":"Gauri Rani","family":"Karur","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Chan","sequence":"additional","affiliation":[{"name":"University of Hong Kong, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Warnica","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel M.","family":"Wald","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada"},{"name":"Division of Cardiology, Faculty of Medicine, University of Toronto, Toronto, ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6074-2968","authenticated-orcid":false,"given":"Elsie T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"},{"name":"University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, 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