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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac magnetic resonance for prognostic assessment: present applications and future directions

Adelina Doltra1, Christopher Schneeweis, Eckart Fleck

  • 1Department of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Augustenburger Platz 1,13353 Berlin, Germany.

Expert Review of Cardiovascular Therapy
|April 24, 2014
PubMed

Insights

Cardiac magnetic resonance imaging (CMR) is vital for diagnosing and predicting outcomes in heart disease. Advanced CMR techniques assess ischemia, myocardial scarring, and microvascular function, offering crucial prognostic information for patient care.

Area of Science:

  • Cardiovascular Imaging
  • Medical Diagnostics
  • Cardiac Electrophysiology

Background:

  • Cardiac magnetic resonance (CMR) is increasingly utilized in clinical settings.
  • CMR serves dual roles in diagnosing and predicting patient prognosis.
  • Its application spans both ischemic and non-ischemic heart conditions.

Purpose of the Study:

  • To review the prognostic capabilities of various Cardiac Magnetic Resonance (CMR) techniques.
  • To highlight the role of CMR in assessing outcomes for ischemic and non-ischemic heart disease.
  • To discuss emerging prognostic markers within CMR.

Main Methods:

  • Review of clinical applications of Cardiac Magnetic Resonance (CMR).
  • Analysis of perfusion imaging for ischemia assessment.
  • Evaluation of Late Gadolinium Enhancement (LGE) for prognosis and recovery.
  • Inclusion of microvascular obstruction and infarct hemorrhage detection.
  • Consideration of T1 mapping and coronary angiography.

Main Results:

  • Perfusion imaging identifies ischemia, a predictor of cardiac events and mortality.
  • Late gadolinium enhancement (LGE) correlates with prognosis and functional recovery.
  • Detection of microvascular obstruction and infarct hemorrhage indicates adverse outcomes.
  • In non-ischemic heart disease, LGE is linked to mortality and adverse events.
  • Coronary angiography and T1 mapping show potential prognostic value.

Conclusions:

  • Cardiac magnetic resonance offers significant prognostic value in cardiovascular disease.
  • CMR techniques like perfusion imaging and LGE are critical for risk stratification.
  • Advanced CMR methods, including T1 mapping, are emerging as important prognostic tools.

Keywords:
cardiovascular magnetic resonancelate gadolinium enhancementperfusionprognosisrisk assessment

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