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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Indications, applications and future prospects of diagnostic examinations in clinical cardiology

Y Sugishita, S Koseki, M Matsuda

    Japanese Circulation Journal
    |October 1, 1982
    PubMed

    Insights

    Cardiac diagnostic imaging, including ultrasound and nuclear medicine, assesses heart structure and function. Exercise echocardiography is key for evaluating left ventricular reserve and myocardial ischemia during exertion.

    Area of Science:

    • Cardiology
    • Diagnostic Imaging
    • Cardiac Physiology

    Background:

    • Accurate assessment of cardiac structure, dimension, and function is crucial in clinical cardiology.
    • Various diagnostic modalities exist, each with strengths for specific conditions like valvular heart disease, cardiomyopathy, and ischemic heart disease.

    Purpose of the Study:

    • To highlight the importance of different diagnostic examinations in cardiology.
    • To emphasize the utility of exercise testing combined with imaging for assessing cardiac reserves.
    • To explore the role of exercise echocardiography in analyzing left ventricular reserve and myocardial ischemia.

    Main Methods:

    • Review of current diagnostic techniques in cardiology, including ultrasonic examinations, nuclear medicine, and angiocardiography.
    • Integration of exercise testing with various imaging modalities.
    • Specific focus on exercise echocardiography for assessing left ventricular function and myocardial ischemia.

    Main Results:

    • Ultrasonic examinations are highly useful for valvular and congenital heart diseases and cardiomyopathy.
    • Nuclear medicine excels in diagnosing ischemic heart disease.
    • Exercise echocardiography provides instantaneous insights into myocardial ischemia and left ventricular reserve during exercise.

    Conclusions:

    • Combining exercise tests with imaging modalities like echocardiography and radionuclide angiography enhances the detection of cardiac reserves.
    • Exercise echocardiography offers a detailed analysis of left ventricular reserve determinants, impacting patient prognosis.
    • These advanced techniques allow for a novel interpretation of exercise electrocardiograms by revealing regional and global left ventricular performance.

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