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Background. The aim of this study was to discriminate ischemic cardiomyopathy (ICM) from dilated cardiomyopathy (DCM) based on inter-segmental and transmural differences in ultrasonic tissue characters.Methods. The study population consisted of 40 patients with DCM and 40 patients with ICM with ejection fraction of Results. |A-P| was significantly higher in ICM than DCM (5.3 ± 1.7 vs. 2.7 ± 1.4, p 4 dB as a cut-off point. (In-Out) was also significantly higher in ICM than DCM (1.6 ± 1.4 vs. -0.9 ± 1.9, p0 dB as a cut-off point. Additionally, all patients with |A-P| > 3 dB and (In-Out) >0 dB belonged to the ICM group except for one patient.Conclusions. Inter-segmental and transmural differences in myocardial IBS are significantly greater in the ICM than in DCM. Using these particular ultrasonic tissue characters, we can discriminate ICM from DCM with favorable sensitivity and specificity.

journal of echocardiography

Noninvasive Differentiation of Ischemic Cardiomyopathy From Idiopathic Dilated Cardiomyopathy With Ultrasonic Tissue Characterization Using Integrated Backscatter