e-Article
Cardiac magnetic resonance in advanced heart failure.
Document Type
Article
Author
Coraducci, Francesca; De Zan, Giulia; Fedele, Damiano; Costantini, Pietro; Guaricci, Andrea Igoren; Pavon, Anna Giulia; Teske, Arco; Cramer, Maarten Jan; Broekhuizen, Lysette; Van Osch, Dirk; Danad, Ibrahim; Velthuis, Birgitta; Suchá, Dominika; van der Bilt, Ivo; Pizzi, Carmine; Russo, Antonio Dello; Oerlemans, Marish I.F.J.; van Laake, Linda W.; van der Harst, Pim; Guglielmo, Marco
Source
Subject
*HEART radiography
*HEART failure risk factors
*VENTRICULAR ejection fraction
*MAGNETIC resonance imaging
*HEART failure
*HEART valve diseases
*HEART transplantation
*ARRHYTHMIA
*CARDIOVASCULAR system physiology
*IMPLANTABLE cardioverter-defibrillators
*CARDIAC arrest
*CARDIOVASCULAR system
*ECHOCARDIOGRAPHY
*DISEASE risk factors
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Language
ISSN
0742-2822
Abstract
Heart failure (HF) is a chronic and progressive disease that often progresses to an advanced stage where conventional therapy is insufficient to relieve patients' symptoms. Despite the availability of advanced therapies such as mechanical circulatory support or heart transplantation, the complexity of defining advanced HF, which requires multiple parameters and multimodality assessment, often leads to delays in referral to dedicated specialists with the result of a worsening prognosis. In this review, we aim to explore the role of cardiac magnetic resonance (CMR) in advanced HF by showing how CMR is useful at every step in managing these patients: from diagnosis to prognostic stratification, hemodynamic evaluation, follow‐up and advanced therapies such as heart transplantation. The technical challenges of scanning advanced HF patients, which often require troubleshooting of intracardiac devices and dedicated scans, will be also discussed. [ABSTRACT FROM AUTHOR]