Cardiac MRI in heart failure with preserved ejection fraction

Area of Science:

• Cardiology
• Medical Imaging

Background:

• Heart failure with preserved ejection fraction (HFpEF) affects patients with heart failure symptoms and preserved ejection fraction (≥50%).
• Understanding HFpEF's causes, such as myocardial diseases and diastolic dysfunction, is vital for effective management.
• Accurate diagnosis and treatment strategies depend on identifying the underlying pathophysiology of HFpEF.

Purpose of the Study:

• To discuss Cardiac Magnetic Resonance (CMR) imaging indicators specific to HFpEF.
• To explore the relationship between these CMR markers and the disease's characteristics.
• To highlight how established and emerging CMR methods can identify these indicators.

Main Methods:

• Utilizing Cardiac Magnetic Resonance (CMR) for detailed cardiac assessment.
• Measuring ventricular volumes and myocardial mass.
• Evaluating systolic and diastolic function, and analyzing tissue characteristics.

Main Results:

• CMR enables precise examination of functional and structural alterations in HFpEF.
• Specific imaging markers identified through CMR correlate with HFpEF pathophysiology.
• Both current and novel CMR techniques can detect these relevant markers.

Conclusions:

• CMR provides crucial insights into the mechanisms of HFpEF.
• Identification of specific CMR indicators aids in the diagnosis and understanding of HFpEF.
• Advanced CMR imaging holds promise for improved patient management in HFpEF.