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Published on: May 24, 2021
The CMR examination in heart failure
Subha V Raman1, Orlando P Simonetti
1Internal Medicine, Division of Cardiovascular Medicine, The Ohio State University, Columbus, OH 43210, USA. raman.1@osu.edu
Insights
Cardiovascular magnetic resonance (CMR) offers a valuable approach for assessing heart failure patients. This article outlines its role, techniques, and recommended use in clinical practice for improved patient management.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiovascular Diseases
Background:
- Heart failure (HF) diagnosis and management require comprehensive assessment.
- Multiple imaging modalities exist for cardiovascular evaluation.
- The role of cardiovascular magnetic resonance (CMR) in HF needs clear definition.
Purpose of the Study:
- To provide a rationale for integrating CMR into the standard evaluation of heart failure patients.
- To delineate the specific applications and techniques of CMR relevant to HF.
- To offer guidance on the appropriate use of CMR in HF assessment and management.
Main Methods:
- Review of existing literature and clinical guidelines.
- Structured presentation of CMR techniques applicable to heart failure.
- Development of recommended approaches for CMR examinations in HF.
Main Results:
- CMR provides unique insights into cardiac structure, function, and tissue characterization in HF.
- Specific CMR sequences are highlighted for their utility in diagnosing and characterizing various HF etiologies.
- A framework for incorporating CMR into the standard HF workup is proposed.
Conclusions:
- Cardiovascular MR is a powerful tool for evaluating patients with heart failure.
- Standardized approaches and clear indications enhance the value of CMR in HF management.
- Integrating CMR into clinical practice can lead to more precise diagnoses and tailored treatment strategies.
Abstract:
This article presents a rationale for incorporating cardiovascular MR in the evaluation of patients who have heart failure and is organized in four parts. Part I defines the context of cardiovascular MR within standard clinical evaluation and among the many other modalities available for cardiovascular assessment in patients who have heart failure. Part II describes the techniques most useful in treating heart failure. Part III provides recommended approaches for the standard heart failure cardiovascular MR examination. Part IV concludes with perspectives on the appropriate use and incorporation of cardiovascular MR in the evaluation and management of patients who have heart failure.
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