Contemporary Cardiac MRI in Chronic Coronary Artery Disease

Michalis Kolentinis1, Melanie Le1, Eike Nagel1

  • 1Institute of Experimental and Translational Cardiovascular Imaging, German Centre for Cardiovascular Research (DZHK) Centre for Cardiovascular Imaging, Partner Site Rhein-Main, University Hospital Frankfurt Frankfurt, Germany.

European Cardiology
|July 3, 2020
PubMed

Insights

Chronic coronary artery disease diagnosis can be improved with advanced imaging. Cardiovascular magnetic resonance (CMR) offers detailed insights into heart structure, function, and tissue, aiding optimal clinical decisions and treatment strategies.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Chronic coronary artery disease is a growing global health issue.
  • Current diagnostic methods like echocardiography and coronary catheterisation have limitations for stable angina.
  • There's a gap in implementing advanced diagnostic and therapeutic strategies.

Purpose of the Study:

  • To review the state-of-the-art applications of cardiovascular magnetic resonance (CMR) in chronic coronary artery disease.
  • To provide evidence supporting CMR's use for optimal clinical decision-making.
  • To guide clinicians in utilizing CMR effectively in daily practice.

Main Methods:

  • Review of evidence supporting cardiovascular magnetic resonance applications.
  • Focus on CMR's capabilities in assessing cardiac structure, function, perfusion, and scar.
  • Highlighting CMR's role in providing detailed myocardial tissue insights.

Main Results:

  • Cardiovascular magnetic resonance provides robust measurements of cardiac structure and function.
  • CMR enables detailed assessment of myocardial perfusion and scar.
  • The diagnostic readouts from CMR can guide therapy and monitor disease progression.

Conclusions:

  • Cardiovascular magnetic resonance is a powerful diagnostic tool for chronic coronary artery disease.
  • CMR facilitates accurate diagnosis, therapy guidance, and treatment tailoring.
  • Clinicians can optimize patient care by integrating CMR into everyday practice.

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