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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

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The Prognostic Role of Tissue Characterisation using Cardiovascular Magnetic Resonance in Heart Failure

Robert D Adam1, James Shambrook1, Andrew S Flett1

  • 1Department of Cardiology, University Hospital Southampton,Southampton, UK.

Cardiac Failure Review
|February 2, 2018
PubMed

Insights

Cardiovascular magnetic resonance mapping improves heart failure risk stratification. Novel techniques offer deeper insights into disease mechanisms, aiding personalized therapy and improving patient outcomes.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Heart failure prognosis remains poor despite advances, with high mortality rates within a year of admission.
  • Current risk stratification and personalized therapy approaches are limited, often oversimplifying the complex nature of heart failure.
  • Left ventricular systolic function is a primary, yet insufficient, criterion for clinical trial enrollment and advanced therapy selection.

Purpose of the Study:

  • To review the prognostic evidence for novel cardiovascular magnetic resonance (CMR) mapping techniques in heart failure.
  • To highlight how CMR mapping can aid in diagnosis, prognostication, and understanding pathophysiological mechanisms.
  • To emphasize the potential of CMR mapping for personalized heart failure management.

Main Methods:

  • Review of existing literature on cardiovascular magnetic resonance (CMR) mapping techniques.
  • Analysis of prognostic data derived from advanced CMR mapping in heart failure patients.
  • Exploration of how CMR mapping visualizes pathophysiological substrates of heart failure.

Main Results:

  • Cardiovascular magnetic resonance (CMR) provides extensive data crucial for heart failure diagnosis and prognosis.
  • Novel CMR mapping techniques offer insights into the complex pathophysiological mechanisms of heart failure.
  • Evidence supports the use of CMR mapping for improved risk stratification and personalized treatment strategies.

Conclusions:

  • Cardiovascular magnetic resonance (CMR) mapping techniques are emerging as powerful tools in managing heart failure.
  • These advanced imaging methods enhance our understanding of heart failure pathophysiology, enabling better prognostication.
  • Personalized therapy guided by CMR mapping holds promise for improving outcomes in heart failure patients.

Keywords:
Cardiac magnetic resonanceT1 mappingT2 techniquescardiac resynchronisation therapyextracellular volumeheart failureimplantable cardioverter-defibrillatorlate gadolinium enhancementprognosisresponse to therapy

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