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Monitoring cardiac fibrosis: a technical challenge
S de Jong1, T A B van Veen, J M T de Bakker
1Department of Medical Physiology, University Medical Center Utrecht, Yalelaan 50, 3584, CM, Utrecht, the Netherlands, s.dejong-9@umcutrecht.nl.
Insights
Cardiac fibrosis, an increase in heart collagen, impairs function and increases arrhythmia risk. This review discusses techniques for detecting cardiac fibrosis, crucial for diagnosing and treating heart disease.
Area of Science:
- Cardiology
- Biomedical Engineering
- Pathology
Background:
- The heart's collagen network is vital for contractility and strength.
- Cardiac diseases often involve increased collagen deposition, leading to fibrosis.
- Cardiac fibrosis causes systolic/diastolic dysfunction and contributes to arrhythmias.
Purpose of the Study:
- To review and discuss techniques for evaluating cardiac collagen deposition.
- To highlight the clinical importance of detecting cardiac fibrosis progression.
- To compare the advantages and disadvantages of current diagnostic methods.
Main Methods:
- Summary of invasive techniques for assessing cardiac collagen.
- Summary of non-invasive techniques for assessing cardiac collagen.
- Discussion of the pros and cons of each method in clinical and experimental settings.
Main Results:
- Various invasive and non-invasive methods exist for evaluating cardiac fibrosis.
- Each technique has specific advantages and limitations.
- Accurate detection is key for patient management.
Conclusions:
- Detecting cardiac fibrosis is clinically significant for diagnosis and therapy.
- Understanding the strengths and weaknesses of different techniques aids in method selection.
- Further research may refine existing methods or introduce novel approaches.
Abstract:
The heart contains a collagen network that contributes to the contractility of the heart and provides cardiac strength. In cardiac diseases, an increase in collagen deposition is often observed. This fibrosis formation causes systolic and diastolic dysfunction, and plays a major role in the arrythmogenic substrate. Therefore, accurate detection of cardiac fibrosis and its progression is of clinical importance with regard to diagnostics and therapy for patients with cardiac disease. To evaluate cardiac collagen deposition, both invasive and non-invasive techniques are used. In this review the different techniques that are currently used in clinical and experimental setting are summarised, and the advantages and disadvantages of these techniques are discussed.
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