Cardiovascular Magnetic Resonance Imaging: A Prospective Modality in the Diagnosis and Prognostication of Heart Failure

Abstract

Heart failure (HF) is a clinical syndrome resulting from structural cardiac remodeling and altered function that impairs tissue perfusion. This article aimed to highlight the current diagnostic and prognostic value of cardiac magnetic resonance (CMR) in the management of HF and prospective future applications. Reviewed are the physics associated with CMR, its use in ischemic and non-ischemic causes of HF, and its role in quantifying left ventricular ejection fraction. It also emphasized that CMR allows for noninvasive morphologic and functional assessment, tissue characterization, blood flow, and perfusion evaluation in patients with suspected or diagnosed HF. CMR has become a crucial instrument for the diagnosis, prognosis, and therapy planning in patients with HF and cardiomyopathy due to its accuracy in quantifying cardiac volumes and ejection fraction (considered the gold standard) as well as native and post-contrast myocardial tissue characterization.

Novel Strategies in Diagnosing Heart Failure with Preserved Ejection Fraction: A Comprehensive Literature Review

“…Cardiac magnetic resonance imaging (CMR) is a non-invasive imaging technique for the morphological and functional characterization of the myocardium [ 26 ]. Moreover, emerging evidence has demonstrated CMR's pivotal role in assessing the pathophysiologic mechanisms underlying HFpEF, including myocyte hypertrophy, interstitial fibrosis, coronary microvascular and macrovascular diseases, and metabolic abnormalities [ 27 ].…”

Percutaneous Coronary Intervention For Treatment of Unusual Origin of the Left Main Artery: A Case Report

“…CMRI can also provide information about myocardial perfusion and function. 22 Invasive coronary angiography is the diagnostic imaging modality of choice for coronary artery anomalies because of the wealth of information it provides regarding the coronary arteries' anatomy, course, and distribution. Nonetheless, there is a small possibility of repercussions.…”