The Emerging Role of Cardiac Magnetic Resonance Imaging in the Evaluation of Patients with HFpEF

Overview

Journal Curr Heart Fail Rep

Publisher Current Science

Date 2018 Feb 7

PMID 29404975

Citations 24

Authors

Jessica Webb

Lauren Fovargue

Kristin Tondel

Bradley Porter

Benjamin Sieniewicz

Justin Gould

Christopher Aldo Rinaldi

Tevfik Ismail

Amedeo Chiribiri

Gerald Carr-White

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: To give an update on the emerging role of cardiac magnetic resonance imaging in the evaluation of patients with heart failure with preserved ejection fraction (HFpEF). This is important as the diagnosis of HFpEF remains challenging and cardiac imaging is pivotal in establishing the function of the heart and whether there is evidence of structural heart disease or diastolic dysfunction. Echocardiography is widely available, although the gold standard in quantifying heart function is cardiac magnetic resonance (CMR) imaging.

Recent Findings: This review includes the recently updated 2016 European Society of Cardiology guidelines on diagnosing HFpEF that define the central role of imaging in identifying patients with HFpEF. Moreover, it includes the pathophysiology in HFpEF, how CMR works, and details current CMR techniques used to assess structural heart disease and diastolic function. Furthermore, it highlights promising research techniques that over the next few years may become more used in identifying these patients. CMR has an emerging role in establishing the diagnosis of HFpEF by measuring the left ventricular ejection fraction (LVEF) and evidence of structural heart disease and diastolic dysfunction.

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