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In ischemic cardiomyopathy (ICM), subendocardial and transmural late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (CMR) are useful findings to differentiate from dilated cardiomyopathy (DCM). The previous studies emphasize that all ICM shows subendocardial or transmural LGE based on fibrosis of infracted myocardium, however ICM with no LGE such as hibernated myocardium caused low EF and LV dilatation as well as DCM also exists.

Is subendocardial or transmural late gadolinium enhancement able to differentiate between dcm and icm on cardiac mri?