Cardiovascular disease in women: insights from magnetic resonance imaging

Bucciarelli-Ducci, Chiara; Ostenfeld, Ellen; Baldassarre, Lauren A.; Ferreira, Vanessa M.; Frank, Luba; Kallianos, Kimberly; Raman, Subha V.; Srichai, Monvadi B.; McAlindon, Elisa; Mavrogeni, Sophie; Ntusi, Ntobeko; Schulz‐Menger, Jeanette; Valente, Anne Marie; Ordovás, Karen

doi:10.1186/s12968-020-00666-4

Cited by 23 publications

(43 citation statements)

References 192 publications

(238 reference statements)

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“…Recognizing the role CMR has to play, the Society of Cardiovascular Magnetic Resonance has released guidance, education, and information for the use of CMR in women with CVDs in a drive to address this gender disparity. 71,[74][75][76] How can LF CMR be implemented?…”

Section: Cmr In Hicsmentioning

confidence: 99%

Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Qin

Murali

Lee

et al. 2022

European Heart Journal - Cardiovascular Imaging

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Cardiovascular disease continues to be a major burden facing healthcare systems worldwide. In the developed world, cardiovascular magnetic resonance (CMR) is a well-established non-invasive imaging modality in the diagnosis of cardiovascular disease. However, there is significant global inequality in availability and access to CMR due to its high cost, technical demands as well as existing disparities in healthcare and technical infrastructures across high-income and low-income countries. Recent renewed interest in low-field CMR has been spurred by the clinical need to provide sustainable imaging technology capable of yielding diagnosticquality images whilst also being tailored to the local populations and healthcare ecosystems. This review aims to evaluate the technical, practical and cost considerations of low field CMR whilst also exploring the key barriers to implementing sustainable MRI in both the developing and developed world.

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Section: Cmr In Hicsmentioning

confidence: 99%

Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Qin

Murali

Lee

et al. 2022

European Heart Journal - Cardiovascular Imaging

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“…The women in CMR section of the SCMR has led various educational and advocacy initiatives to promote improved cardiovascular care of females with cardiovascular diseases. The group has recently published a comprehensive review paper highlighting the advantages of CMR for imaging cardiovascular disease in women [ 14 ]. Building on this initiative, the SCMR Consensus Group on CMR Imaging for Female Patients with Cardiovascular Disease was formed to provide guidance for current clinical CMR utilization for this purpose.…”

Section: Aims and Structure Of The Documentmentioning

confidence: 99%

Cardiovascular magnetic resonance in women with cardiovascular disease: position statement from the Society for Cardiovascular Magnetic Resonance (SCMR)

Ordovás

Baldassarre

Bucciarelli-Ducci

et al. 2021

Journal of Cardiovascular Magnetic Resonance

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This document is a position statement from the Society for Cardiovascular Magnetic Resonance (SCMR) on recommendations for clinical utilization of cardiovascular magnetic resonance (CMR) in women with cardiovascular disease. The document was prepared by the SCMR Consensus Group on CMR Imaging for Female Patients with Cardiovascular Disease and endorsed by the SCMR Publications Committee and SCMR Executive Committee. The goals of this document are to (1) guide the informed selection of cardiovascular imaging methods, (2) inform clinical decision-making, (3) educate stakeholders on the advantages of CMR in specific clinical scenarios, and (4) empower patients with clinical evidence to participate in their clinical care. The statements of clinical utility presented in the current document pertain to the following clinical scenarios: acute coronary syndrome, stable ischemic heart disease, peripartum cardiomyopathy, cancer therapy-related cardiac dysfunction, aortic syndrome and congenital heart disease in pregnancy, bicuspid aortic valve and aortopathies, systemic rheumatic diseases and collagen vascular disorders, and cardiomyopathy-causing mutations. The authors cite published evidence when available and provide expert consensus otherwise. Most of the evidence available pertains to translational studies involving subjects of both sexes. However, the authors have prioritized review of data obtained from female patients, and direct comparison of CMR between women and men. This position statement does not consider CMR accessibility or availability of local expertise, but instead highlights the optimal utilization of CMR in women with known or suspected cardiovascular disease. Finally, the ultimate goal of this position statement is to improve the health of female patients with cardiovascular disease by providing specific recommendations on the use of CMR.

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“… [29] As with PET, CMR may be useful as a noninvasive imaging study for patients with suspected coronary microvascular angina, which may be especially important for women. [122] CMR assesses ventricular mass, volume, and systolic function, and can be used to assess valvular heart disease and cardiac remodeling. [123] CMR can visualize cardiomyopathies, such as restrictive, hypertrophic, and dilated cardiomyopathies.…”

Section: Imaging Studiesmentioning

confidence: 99%

“…As with PET, CMR may be useful as a noninvasive imaging study for patients with suspected coronary microvascular angina, which may be especially important for women. [122] …”

Section: Imaging Studiesmentioning

confidence: 99%

Ten things to know about ten imaging studies: A preventive cardiology perspective (“ASPC top ten imaging”)

Bays

Khera

Blaha³

et al. 2021

American Journal of Preventive Cardiology

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Knowing the patient's current cardiovascular disease (CVD) status, as well as the patient's current and future CVD risk, helps the clinician make more informed patient-centered management recommendations towards the goal of preventing future CVD events. Imaging tests that can assist the clinician with the diagnosis and prognosis of CVD include imaging studies of the heart and vascular system, as well as imaging studies of other body organs applicable to CVD risk. The American Society for Preventive Cardiology (ASPC) has published “Ten Things to Know About Ten Cardiovascular Disease Risk Factors.” Similarly, this “ASPC Top Ten Imaging” summarizes ten things to know about ten imaging studies related to assessing CVD and CVD risk, listed in tabular form. The ten imaging studies herein include: (1) coronary artery calcium imaging (CAC), (2) coronary computed tomography angiography (CCTA), (3) cardiac ultrasound (echocardiography), (4) nuclear myocardial perfusion imaging (MPI), (5) cardiac magnetic resonance (CMR), (6) cardiac catheterization [with or without intravascular ultrasound (IVUS) or coronary optical coherence tomography (OCT)], (7) dual x-ray absorptiometry (DXA) body composition, (8) hepatic imaging [ultrasound of liver, vibration-controlled transient elastography (VCTE), CT, MRI proton density fat fraction (PDFF), magnetic resonance spectroscopy (MRS)], (9) peripheral artery / endothelial function imaging (e.g., carotid ultrasound, peripheral doppler imaging, ultrasound flow-mediated dilation, other tests of endothelial function and peripheral vascular imaging) and (10) images of other body organs applicable to preventive cardiology (brain, kidney, ovary). Many cardiologists perform cardiovascular-related imaging. Many non-cardiologists perform applicable non-cardiovascular imaging. Cardiologists and non-cardiologists alike may benefit from a working knowledge of imaging studies applicable to the diagnosis and prognosis of CVD and CVD risk – both important in preventive cardiology.

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Cardiovascular disease in women: insights from magnetic resonance imaging

Cited by 23 publications

References 192 publications

Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Cardiovascular magnetic resonance in women with cardiovascular disease: position statement from the Society for Cardiovascular Magnetic Resonance (SCMR)

Ten things to know about ten imaging studies: A preventive cardiology perspective (“ASPC top ten imaging”)

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