Clinical Case: Diastolic dysfunction


The patient is a 64-year-old asymptomatic male with history of hypertension for which he takes two antihypertensive medications. At a routine echocardiography, he was diagnosed with grade I diastolic dysfunction as well as an aortic aneurysm. The patient was referred for cardiac MRI. Real-time cine imaging was performed due to difficulties with breathholding. Impaired myocardial relaxation (grade I diastolic dysfunction) is evident by slowed myocardial relaxation on horizontal long axis cine sequences, better appreciated on the highly accelerated real-time radial GRAPPA acquisition.