Medical College of Wisconsin
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Case report: Delayed enhancement on cardiac MRI in a patient with multiple myeloma without amyloidosis. Br J Radiol 2008 Nov;81(971):e272-5 PMID: 18941041

Pubmed ID



We report the first observation of diffuse subendocardial and myocardial delayed enhancement on cardiac MRI in a 50-year-old patient with recurrent multiple myeloma but without evidence of amyloidosis. She presented with advanced heart failure and severe restrictive cardiomyopathy. Myocardial biopsy revealed endomyocardial fibrosis. The case was associated with development of multiple arterial and venous thromboses and a fatal course. Because of the fatal outcome, the prognostic significance of delayed enhancement on MRI in multiple myeloma patients may need to be further investigated.

Author List

Brahmbhatt T, Hari P, Cinquegrani M, Kumar N, Komorowski R, Migrino RQ


Parameswaran Hari MD Chief, Professor in the Medicine department at Medical College of Wisconsin


2-s2.0-55249089219   6 Citations

MESH terms used to index this publication - Major topics in bold

Cardiomyopathy, Restrictive
Contrast Media
Endomyocardial Fibrosis
Fatal Outcome
Gadolinium DTPA
Heart Failure
Magnetic Resonance Imaging
Middle Aged
Multiple Myeloma
jenkins-FCD Prod-299 9ef562391eceb2b8f95265c767fbba1ce5a52fd6