Cardiovascular Magnetic Resonance in Detecting Cardiovascular Involvement in Systemic Inflammatory Disease: Focus on

Planinka Zafirovska1, Viseslav Popadic2, Maja Popovic3

  • 1Department of Imaging, University Hospital Medical Center Bezanijska Kosa, Belgrade, Serbia; Department of Internal Medicine, Faculty of Medical Sciences, University "Goce Delchev", Stip, North Macedonia.

Insights

Chronic systemic inflammation contributes to heart disease. Cardiovascular magnetic resonance (CMR) detects early cardiac damage in inflammatory conditions like IBD, obesity, and scleroderma, offering better specificity than current biomarkers.

Area of Science:

  • Cardiology
  • Immunology
  • Radiology

Background:

  • Chronic systemic inflammation is linked to cardiovascular disease, autoimmune disorders, and metabolic syndromes.
  • Existing biomarkers for myocardial injury lack specificity and cannot detect localized cardiac damage.
  • There is a need for advanced imaging biomarkers to identify early cardiac involvement in systemic diseases.

Purpose of the Study:

  • To review the utility of Cardiovascular Magnetic Resonance (CMR) in diagnosing cardiac involvement in systemic inflammatory diseases.
  • To highlight CMR's role in evaluating myocardial injury and inflammation.
  • To focus on the application of CMR in inflammatory bowel disease, obesity, and systemic sclerosis.

Main Methods:

  • Review of current literature on CMR applications in systemic inflammatory diseases.
  • Analysis of studies demonstrating CMR's ability to detect myocardial inflammation and injury.
  • Focus on specific inflammatory conditions: inflammatory bowel disease, obesity, and systemic sclerosis.

Main Results:

  • CMR is a powerful, safe imaging modality for comprehensive cardiac evaluation.
  • CMR can detect early cardiac involvement and localized myocardial damage in systemic inflammation.
  • CMR provides superior diagnostic information compared to traditional biomarkers for cardiac assessment.

Conclusions:

  • Cardiovascular magnetic resonance is crucial for assessing cardiac complications in systemic inflammatory diseases.
  • CMR enables early detection of myocardial injury, improving patient management.
  • The review underscores CMR's value in understanding the cardiac impact of inflammatory bowel disease, obesity, and systemic sclerosis.

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