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Results Evidence of LGE was 84% in all dysfunctional segments with a mean scar of 3.4±2.5 mm. Total wall thickness and the thickness of the remaining viable myocardium increased from diastole to systole (WTed 7.9±1.9 versus WTes 8.4±2.2, p<0.001 ; RIMed 4.5±3.1 versus RIMes 5 ±3.4, p<0.001). There was a difference between the transmurality of scar measured in enddiastole and endsystole (LGEed 46±33% versus LGEes 44±33%, p<0.001). This difference was most pronounced in a subgroup of segments (n=50) between 25 and 75% transmurality of LGE (LGEed 57±18% versus LGEes 53±18%, p<0.001). Reduced transmurality was inversely correlated with increased thickness of the remaining viable rim between diastole and systole (r=-0.73).

Endsystolic versus enddiastolic scar imaging for transmurality assessment